Phase I Trial of Intravesical Recombinant Adenovirus Mediated Interferon-α2b Formulated in Syn3 for Bacillus Calmette-Guérin Failures in Nonmuscle Invasive Bladder Cancer

作者: Colin P.N. Dinney , Mark B. Fisher , Neema Navai , Michael A. O'Donnell , David Cutler

DOI: 10.1016/J.JURO.2013.03.030

关键词: UrologyGenetic enhancementBladder cancerEfficacyAdenoviridaeImmunologyMedicineAdverse effectInterferonAlpha interferonBCG vaccine

摘要: Purpose: A phase I trial of intravesical recombinant adenovirus mediated interferon-α2b gene therapy (rAd-IFNα) formulated with the excipient SCH Syn3 was conducted in patients nonmuscle invasive bladder cancer who had disease recurrence after treatment bacillus Calmette-Guerin. The primary objective to determine safety rAd-IFNα/Syn3. Secondary end points were demonstrated effective rAd-IFNα expression and preliminary evidence clinical activity at 3 months.Materials Methods: total 17 recurrent Calmette-Guerin enrolled study. single (3 × 109 1011 particles per ml) administered. Patient evaluated for 12 or more weeks. Efficacy transfer determined by urine IFNα protein concentrations. Preliminary drug efficacy months.Results: Intravesical rAd-IFNα/Syn3 well tolerated as no...

参考文章(22)
X Zhang, Z Yang, L Dong, A Papageorgiou, D J McConkey, W F Benedict, Adenoviral-mediated interferon α overcomes resistance to the interferon protein in various cancer types and has marked bystander effects Cancer Gene Therapy. ,vol. 14, pp. 241- 250 ,(2007) , 10.1038/SJ.CGT.7701011
Motoyuki Yamashita, Charles J Rosser, Jain-Hua Zhou, Xin-Qiao Zhang, Robert J Connor, Heidrun Engler, Daniel C Maneval, Takashi Karashima, Bogdan A Czerniak, Colin P N Dinney, William F Benedict, Syn3 provides high levels of intravesical adenoviral-mediated gene transfer for gene therapy of genetically altered urothelium and superficial bladder cancer Cancer Gene Therapy. ,vol. 9, pp. 687- 691 ,(2002) , 10.1038/SJ.CGT.7700488
Michael S. Cookson, Harry W. Herr, Zuo-Feng Zhang, Scott Soloway, Pramod C. Sogani, William R. Fair, The Treated Natural History of High Risk Superficial Bladder Cancer: 15-year Outcome The Journal of Urology. ,vol. 158, pp. 62- 67 ,(1997) , 10.1097/00005392-199707000-00017
GARY STEINBERG, ROBERT BAHNSON, STANLEY BROSMAN, RICHARD MIDDLETON, ZEV WAJSMAN, MICHAEL WEHLE, , EFFICACY AND SAFETY OF VALRUBICIN FOR THE TREATMENT OF BACILLUS CALMETTE-GUERIN REFRACTORY CARCINOMA IN SITU OF THE BLADDER The Journal of Urology. ,vol. 163, pp. 761- 767 ,(2000) , 10.1016/S0022-5347(05)67799-3
Robert J. Connor, Jennifer M. Anderson, Todd Machemer, Daniel C. Maneval, Heidrun Engler, Sustained intravesical interferon protein exposure is achieved using an adenoviral-mediated gene delivery system: a study in rats evaluating dosing regimens. Urology. ,vol. 66, pp. 224- 229 ,(2005) , 10.1016/J.UROLOGY.2005.02.015
Z Tao, R J Connor, F Ashoori, C P N Dinney, M Munsell, J A Philopena, W F Benedict, Efficacy of a single intravesical treatment with Ad-IFN/Syn 3 is dependent on dose and urine IFN concentration obtained: implications for clinical investigation. Cancer Gene Therapy. ,vol. 13, pp. 125- 130 ,(2006) , 10.1038/SJ.CGT.7700865