Treatment of neoplasms with RNA viruses
The subject invention relates to viruses that are able to replicate and thereby kill neoplastic cells with a deficiency in the IFN-mediated antiviral response, and their use in treating neoplastic disease including cancer and large tumors. RNA and DNA viruses are useful in this regard. The invention also relates to methods for the selection, design, purification and use of such viruses for cancer therapy.
1. A method of infecting a neoplasm deficient in interferon-mediated anti-viral response in a mammal with a virus comprising administering a purified interferon-sensitive, replication-competent clonal RNA virus to said mammal, to infect said neoplasm wherein said virus is a Newcastle disease virus or a Vesicular stomatitis virus.
2. The method of claim 1 wherein said RNA virus replicates at least 100-fold less in the presence of interferon compared to in the absence of interferon.
3. The method of claim 1 wherein said RNA virus replicates at least 1000-fold less in the presence of interferon compared to in the absence of interferon.
4. The method of claim 1 wherein said administering step is systemic.
5. The method of claim 1 wherein said neoplasm is a cancer.
6. The method of claim 1 wherein said mammal is a human.
7. The method of claim 1 wherein said clonal virus is plaque purified.
8. The method of claim 1 wherein said neoplasm is a cancer selected from the group consisting of lung, colon, prostate, breast and brain cancer.
9. The method of claim 1 wherein said neoplasm is a solid tumor.
10. The method of claim 8 wherein said brain cancer is a glioblastoma.
11. The method of claim 1 wherein said administration is intravenous or intratumoral.
12. A method of infecting a neoplasm deficient in interferon-mediated anti-viral response which is at least 1 centimeter in size in a mammal with a virus comprising administering a purified clonal RNA virus to said mammal, to infect said neoplasm, wherein said virus is a Newcastle disease virus or a Vesicular stomatitis virus.
13. The method of claim 12 , wherein said neoplasm is at least 300 mm 3 in volume.
14. The method of claim 12 , wherein said mammal is a human.
15. The method of claim 12 , wherein said administration is intravenous or intratumoral.
16. The method of claim 12 wherein said neoplasm is cancerous.
17. A method of treating a tumor deficient in interferon-mediated anti-viral response in a mammal, comprising administering to said mammal a therapeutically effective amount of a purified clonal RNA virus cytocidal to said tumor, wherein said mammal has a tumor burden comprising at least 1.5% of the total body weight of said mammal, to treat said tumor, wherein said virus is a Newcastle disease virus or a Vesicular stomatitis virus.
18. The method of claim 17 , wherein said tumor does not respond to chemotherapy.
19. The method of claim 1 wherein said virus is selected from the group consisting of Newcastle disease virus swain NJkoakin and Vesicular stomatitis virus.
20. A method of infecting a neoplasm deficient in interferon-mediated anti-viral response in a mammal with a virus comprising administering Newcastle disease virus strain MK107 to infect said neoplasm.
21. The method of claim 1 wherein said virus is administered as more than one dose.
22. The method of claim 21 wherein the first dose is a desensitizing dose.
23. The method of claim 22 wherein said first dose is administered intravenously and a subsequent dose is administered intravenously.
24. The method of claim 22 wherein said first dose is administered intravenously and a subsequent dose is administered intraperitoneally.
25. The method of claim 22 wherein said first dose is administered intravenously and a subsequent dose is administered intra-arterially.
26. A method of treating a neoplasm deficient in interferon-mediated anti-viral response in a mammal comprising subjecting a sample from said mammal to an immunoassay to detect the amount of virus receptor present, and if said receptor is present, administering an interferon-sensitive, replication competent clonal virus to said mammal, to treat said neoplasm, wherein said clonal virus is a Newcastle disease virus or a Vesicular stomatitis virus, and wherein said clonal virus binds said receptor.
27. The method of claim 1 wherein said virus is administered over the course of at least 4 minutes.
28. A method of treating tumor ascites associated with a tumor deficient in interferon-mediated anti-viral response comprising administering an interferon-sensitive, replication-competent clonal RNA virus, to treat said tumor ascites, wherein said virus is a Newcastle disease virus or a Vesicular stomatitis virus.
29. The method of claim 1 wherein said virus is administered over a period of at least 20 minutes.
30. The method of claim 1 wherein said virus dose is at least 5.9×10 9 PFU/m 2 .
31. The method of claim 1 wherein said virus dose is at least 9.6×10 10 PFU/m 2 .
32. The method of claim 1 wherein said virus is at a level of purity of at least 3×10 9 PFU/mg protein.
33. The method of claim 23 wherein said subsequent dose is at least 4.8×10 10 PFU/m 2 .
34. The method of claim 23 wherein said subsequent dose is at least 9.6×10 10 PFU/m 2 .
35. The method of claim 1 wherein multiple courses of virus are administered.
36. The method of claim 1 wherein said virus is administered greater than two weeks after the first administration of the virus.
37. The method of claim 23 wherein said subsequent dose is at least two-fold greater than said first dose.