PMID- 18253152 OWN - NLM STAT- MEDLINE DCOM- 20080725 LR - 20231120 IS - 1525-0024 (Electronic) IS - 1525-0016 (Linking) VI - 16 IP - 3 DP - 2008 Mar TI - A phase I trial of intratumoral administration of reovirus in patients with histologically confirmed recurrent malignant gliomas. PG - 627-32 LID - 10.1038/sj.mt.6300403 [doi] AB - Reovirus is an oncolytic virus with activity in in vivo models of malignant gliomas (MGs). The primary aims were to determine the dose-limiting toxicity (DLT) and maximum tolerated dose (MTD) of intratumoral administration of reovirus in patients with recurrent MGs. Response, survival, and time to progression (TTP) were secondary aims. Patients were adults, had Karnofsky Performance score > or = 60, received prior radiotherapy with or without chemotherapy, and had up to the third recurrence of MG. Reovirus was administered intratumorally stereotactically at 1 x 10(7), 1 x 10(8), or 1 x 10(9) tissue culture infectious dose 50 (TCID50) in a volume of 0.9 ml. Twelve patients were treated at three dose levels (3, 6, and 3 patients, respectively). Seven were men, median Karnofsky Performance score was 80, and median age was 53.5 years. There were no grade III or IV adverse events (AEs) definitely or probably related to treatment. Ten patients had tumor progression, one had stabilization, and one was not evaluable for response. Median survival was 21 weeks (range, 6-234), and one is alive 54 months after treatment. Median TTP was 4.3 weeks (range, 2.6-39). An MTD was not reached. The intratumoral administration of the genetically unmodified reovirus was well tolerated using these doses and schedule, in patients with recurrent MG. FAU - Forsyth, Peter AU - Forsyth P AD - Department of Oncology, Tom Baker Cancer Centre, Calgary, Alberta, Canada. pforsyth@ucalgary.ca FAU - Roldan, Gloria AU - Roldan G FAU - George, David AU - George D FAU - Wallace, Carla AU - Wallace C FAU - Palmer, Cheryl Ann AU - Palmer CA FAU - Morris, Don AU - Morris D FAU - Cairncross, Gregory AU - Cairncross G FAU - Matthews, Maureen Vallee AU - Matthews MV FAU - Markert, James AU - Markert J FAU - Gillespie, Yancey AU - Gillespie Y FAU - Coffey, Matt AU - Coffey M FAU - Thompson, Brad AU - Thompson B FAU - Hamilton, Mark AU - Hamilton M LA - eng PT - Clinical Trial, Phase I PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080205 PL - United States TA - Mol Ther JT - Molecular therapy : the journal of the American Society of Gene Therapy JID - 100890581 RN - 0 (Antibodies, Viral) SB - IM MH - Adult MH - Antibodies, Viral/blood MH - Brain Neoplasms/pathology/*therapy MH - Female MH - Glioma/pathology/*therapy MH - Headache/etiology MH - Humans MH - Male MH - Middle Aged MH - Muscle Weakness/etiology MH - Neoplasm Recurrence, Local MH - Oncolytic Virotherapy/adverse effects/*methods MH - Oncolytic Viruses/immunology/physiology MH - Reoviridae/immunology/*physiology MH - Survival Analysis MH - Treatment Outcome EDAT- 2008/02/07 09:00 MHDA- 2008/07/26 09:00 CRDT- 2008/02/07 09:00 PHST- 2008/02/07 09:00 [pubmed] PHST- 2008/07/26 09:00 [medline] PHST- 2008/02/07 09:00 [entrez] AID - S1525-0016(16)31438-1 [pii] AID - 10.1038/sj.mt.6300403 [doi] PST - ppublish SO - Mol Ther. 2008 Mar;16(3):627-32. doi: 10.1038/sj.mt.6300403. Epub 2008 Feb 5.