PMID- 29714547 OWN - NLM STAT- MEDLINE DCOM- 20190219 LR - 20220331 IS - 2168-4804 (Electronic) IS - 2168-4790 (Linking) VI - 52 IP - 4 DP - 2018 Jul TI - A Comparative Safety Profile Assessment of Oncolytic Virus Therapy Based on Clinical Trials. PG - 430-437 LID - 10.1177/2168479017738979 [doi] AB - Oncolytic virus therapy (OVT) represents a new class of therapeutic agents in cancer treatment. The molecular and cellular mechanisms of action of OVTs have been evaluated in nonclinical/clinical phase trials. Various genetically modified viruses have been developed as oncolytic agents, and the first approval of an OVT for clinical use was issued by the US Food and Drug Administration in 2015. In this context, more and more clinical development of OVTs is anticipated in the future. This article provides a risk assessment of OVT based on the safety data obtained from all clinical trials to date using a publicly available database. The most common adverse events (AEs) observed in clinical trials have been infection-related symptoms such as fatigue, chills, fever, and nausea; few serious AEs have been observed, regardless of the kind of virus or transfected genes. In vivo systemic infusion of OVTs demonstrated a high percentage of AEs, but most AEs were manageable using common drugs. This paper describes OVTs' specific safety/toxicity profiles and encourages the performance of further clinical trials of OVTs to address the most serious challenges anticipated in the development of OVTs as a new class of drugs for the treatment of cancer. FAU - Matsuda, Takuma AU - Matsuda T AUID- ORCID: 0000-0001-8642-2690 AD - Cooperative Major in Advanced Biomedical Sciences, Joint Graduate School of Tokyo Women's Medical University and Waseda University, Tokyo. FAU - Karube, Hiroyo AU - Karube H AD - Cooperative Major in Advanced Biomedical Sciences, Joint Graduate School of Tokyo Women's Medical University and Waseda University, Tokyo. FAU - Aruga, Atsushi AU - Aruga A AD - Cooperative Major in Advanced Biomedical Sciences, Joint Graduate School of Tokyo Women's Medical University and Waseda University, Tokyo. LA - eng PT - Comparative Study PT - Journal Article DEP - 20171121 PL - Switzerland TA - Ther Innov Regul Sci JT - Therapeutic innovation & regulatory science JID - 101597411 SB - IM MH - Clinical Trials as Topic MH - Drug Approval MH - Humans MH - Neoplasms/*therapy MH - Oncolytic Virotherapy/*adverse effects MH - Oncolytic Viruses/classification MH - Risk Assessment MH - United States MH - United States Food and Drug Administration OTO - NOTNLM OT - clinical trial OT - oncolytic virus therapy OT - regulatory science OT - risk assessment OT - safety EDAT- 2017/01/01 00:00 MHDA- 2019/03/21 06:00 CRDT- 2018/05/02 06:00 PHST- 2017/01/01 00:00 [pubmed] PHST- 2019/03/21 06:00 [medline] PHST- 2018/05/02 06:00 [entrez] AID - 10.1177/2168479017738979 [doi] PST - ppublish SO - Ther Innov Regul Sci. 2018 Jul;52(4):430-437. doi: 10.1177/2168479017738979. Epub 2017 Nov 21.