Dosing regime and formulations for type B adenovirus
A method of treating a human patient comprising systemically administering multiple doses of a parenteral formulation of a replication capable oncolytic adenovirus of subgroup B in a single treatment cycle, wherein the total dose given in each dose is in the range of 1×10 10 to 1×10 14 viral particles, and wherein each dose of virus is administered over a period of 1 to 90 minutes, for example at a rate of viral particle delivery in the range of 2×10 10 particles per minute to 2×10 12 particles per minute. Also provided are formulations of the oncolytic adenoviruses and combination therapies of the viruses and formulations with other therapeutic agents.
1. A method of treating cancer in a human patient, comprising intravenously administering to the patient multiple doses of a formulation of a replication competent oncolytic adenovirus of subgroup B in a single treatment cycle,
wherein a total dose given in each administration is in the range of 1×10 12 to 1×10 13 viral particles, and
wherein the rate of viral particle delivery for each administered dose of adenoviruses is in the range of 2×10 10 to 6×10 11 particles per minute, and
wherein the adenovirus has a fibre and hexon of wild-type Ad11.
2. The method of claim 1 , wherein the period between each dose administration is in the range of 6 hours to 72 hours.
3. The method of claim 1 , wherein the multiple doses are 2, 3, 4, 5, 6 or 7 doses in a single treatment cycle.
4. The method of claim 1 , wherein the treatment cycle is a period of 14 days or less.
5. The method of claim 1 , wherein each dose of adenovirus is administered such that the rate of viral particle delivery is in the range of 1×10 11 to 3×10 11 viral particles per minute.
6. The method of claim 1 , wherein 1×10 13 viral particles are administered over a 60 minute period per dose or wherein 6×10 12 viral particles are administered over a 40 minute period per dose.
7. The method of claim 1 , wherein a blood level of the adenovirus after administration of a second and optionally subsequent doses reaches a blood level of at least 2×10 6 viral particles per mL.
8. The method of claim 7 , wherein the blood level of viral particles is maintained for 15 minutes or greater.
9. The method of claim 1 , wherein the volume of the formulation administered is 100 mL or less.
10. The method of claim 1 , wherein the multiple doses comprise a first dose that is administered on day 1, a second dose that is administered on day 3, and a third dose that is administered on day 5, and further wherein no dose is administered on day 2 or on day 4.
11. The method of claim 1 , wherein the adenovirus is a chimeric adenovirus.
12. The method of claim 1 , wherein the adenovirus is administered in combination with the administration of an anti-cancer therapy, wherein the anti-cancer therapy is an immunotherapeutic agent, a small molecule inhibitor, radiotherapy, radio-isotope therapy or any combination thereof.
13. The method of claim 1 , wherein the adenovirus is administered in combination with the administration of one or more prophylactic agents.
14. The method of claim 1 for the treatment of a tumour.
15. The method of claim 1 , wherein the first dose in the treatment of a given cycle is a lower dose than the dose administered in subsequent treatments in the cycle.
16. The method of claim 1 , wherein the same total dose is given in the first and the second administrations.
17. The method of claim 1 , wherein the same total dose is given for all of the administered doses in the cycle.
18. The method of claim 1 , wherein the administration of the multiple doses of replication competent oncolytic adenovirus seeds viral infection in the cancer cells.
19. The method of claim 10 , wherein the adenovirus is unconjugated.