Article ; Online: A Phase 2 Study of In Situ Oncolytic Virus Therapy and Stereotactic Body Radiation Therapy Followed by Pembrolizumab in Metastatic Non-Small Cell Lung Cancer.
International journal of radiation oncology, biology, physics
2023 Volume 118, Issue 5, Page(s) 1531–1540
Abstract: Purpose: A phase 2 study of stereotactic body radiation therapy (SBRT) and in situ oncolytic virus therapy in metastatic non-small cell lung cancer (mNSCLC) followed by pembrolizumab (STOMP) was designed to explore the dual approach in enhancing single ... ...
Abstract | Purpose: A phase 2 study of stereotactic body radiation therapy (SBRT) and in situ oncolytic virus therapy in metastatic non-small cell lung cancer (mNSCLC) followed by pembrolizumab (STOMP) was designed to explore the dual approach in enhancing single pembrolizumab with ADV/HSV-tk plus valacyclovir gene therapy and SBRT in mNSCLC. Methods and materials: STOMP is a single-arm, open-label phase 2 study. Patients with mNSCLC received intratumoral injections of ADV/HSV-tk (5 × 10 Results: 28 patients were enrolled, of whom 27 were evaluated for response. The ORR was 33.3%, including 2 CR (7.4%) and 7 PR (25.9%). CBR was 70.4%. Six of eight (75.0%) patients who were immune checkpoint inhibitor (ICI) refractory derived clinical benefits. Responders had durable responses with median PFS, and OS not reached. The entire cohort had a median PFS of 7.4 months (95% CI, 5.1-9.6 months), and median OS of 18.1 months (95% CI, 15.4-20.9 months). The combination was well tolerated, with grade 3 or higher toxicity in 6 (21.4%) patients. Conclusions: The dual approach of in situ ADV/HSV-tk plus valacyclovir gene therapy and SBRT as a chemotherapy-sparing strategy to enhance the antitumor effect of pembrolizumab is a well-tolerated encouraging treatment in patients with mNSCLC. |
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MeSH term(s) | Humans ; Carcinoma, Non-Small-Cell Lung ; Lung Neoplasms ; Radiosurgery/adverse effects ; Oncolytic Virotherapy/adverse effects ; Valacyclovir/therapeutic use ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Antibodies, Monoclonal, Humanized |
Chemical Substances | pembrolizumab (DPT0O3T46P) ; Valacyclovir (MZ1IW7Q79D) ; Antibodies, Monoclonal, Humanized |
Language | English |
Publishing date | 2023-08-24 |
Publishing country | United States |
Document type | Clinical Trial, Phase II ; Journal Article |
ZDB-ID | 197614-x |
ISSN | 1879-355X ; 0360-3016 |
ISSN (online) | 1879-355X |
ISSN | 0360-3016 |
DOI | 10.1016/j.ijrobp.2023.08.044 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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