Oncolytic virus strain
The present invention relates to an oncolytic virus which is, or is derived from, a clinical isolate which has been selected by comparing the abilities of a panel of three or more clinical isolates of the same viral species to kill tumor cells of two or more tumor cell lines in vitro and selecting a clinical isolate which is capable of killing cells of two or more tumor cell lines more rapidly and/or at a lower dose in vitro than one or more of the other clinical isolates in the panel.
1. A method of treating cancer, comprising administering a therapeutically effect amount of an oncolytic virus and a programmed cell death protein 1 (PD-1) inhibitor to a patient in need thereof,
wherein the oncolytic virus is a herpes simplex virus 1 (HSV1)
strain RH018A having the accession number ECACC 16121904;
strain RH004A having the accession number ECACC 16121902;
strain RH031A having the accession number ECACC 16121907;
strain RH040B having the accession number ECACC 16121908;
strain RH015A having the accession number ECACC 16121903;
strain RH021A having the accession number ECACC 16121905;
strain RH023A having the accession number ECACC 16121906; or
strain RH047A having the accession number ECACC 16121909;
wherein said virus is modified to comprise:
(1) one or more mutations in one or more viral genes, wherein the one or more mutations result in inhibited replication in normal tissue but still allow replication in tumors;
(2) one or more immune stimulatory molecule-encoding genes; and/or
(3) one or more fusogenic protein-encoding genes.
2. The method of claim 1 , wherein the oncolytic virus is a HSV1 strain RH018A having the provisional accession number ECACC 16121904 modified to:
(1) comprise one or more mutations in one or more viral genes, wherein the one or more mutations result in inhibited replication in normal tissue but still allow replication in tumors;
(2) one or more immune stimulatory molecule-encoding genes; and/or
(3) one or more fusogenic protein-encoding genes.
3. The method of claim 1 , wherein the virus:
(a) does not express functional ICP34.5;
(b) does not express functional ICP47; and/or
(c) expresses the US11 gene as an immediate early gene.
4. The method of claim 1 , wherein
the fusogenic protein is selected from the group consisting of vesicular stomatitis virus (VSV) G-protein, syncitin-1, syncitin-2, simian virus 5 (SV5) F-protein, measles virus (MV) H-protein, MV F-protein, respiratory syncytial virus (RSV) F-protein and a glycoprotein from gibbon ape leukemia virus (GALV), murine leukemia virus (MLV), Mason-Pfizer monkey virus (MPMV) or equine infectious anaemia virus (EIAV) from which the R peptide has been deleted.
5. The method of claim 1 , wherein the one or more immune stimulatory molecules comprise
GM-CSF, IL-2, IL-12, IL-15, IL-18, IL-21, IL-24, a type I interferon, interferon gamma, a type III interferon, TNF alpha, an antagonist of TGF beta, an immune checkpoint antagonist and/or an agonist of an immune potentiating pathway including CD40 ligand (CD40L), inducible T cell costimulator (ICOS) ligand, glucocorticoid-induced tumour necrosis factor receptor-related (GITR) ligand, 4-1-BB ligand, OX40 ligand and/or FMS-like tyrosine kinase 3 (flt3) ligand.
6. The method of claim 1 , wherein
the fusogenic protein-encoding gene and/or the immune stimulatory molecule-encoding gene are inserted into the ICP34.5 encoding locus, either by insertion, or partial or complete deletion, each under separate regulatory control, optionally in a back to back orientation in relation to each other.
7. The method of claim 1 , wherein the virus expresses:
(a) three heterologous genes, wherein each of the three heterologous genes is driven by a different promoter selected from the CMV promoter, the RSV promoter, the SV40 promoter and a retroviral LTR promoter, and/or terminated by a different poly adenylation sequence selected from the bovine growth hormone (BGH), SV40, human growth hormone (HGH) and rabbit beta-globin (RBG) poly adenylation sequences; or
(b) four heterologous genes driven by each of the CMV promoter, the RSV promoter, the SV40 promoter and a retroviral LTR promoter, respectively, and/or terminated by a different poly adenylation sequence selected from the bovine growth hormone (BGH), SV40, human growth hormone (HGH) and rabbit beta-globin (RBG) poly adenylation sequences.
8. The method of claim 1 , wherein the PD-1 inhibitor is an antibody.
9. The method of claim 1 , wherein the virus and the PD-1 inhibitor are administered separately or concurrently.
10. The method of claim 1 , wherein the cancer is a solid tumor and/or a metastatic cancer.
11. The method of claim 1 , wherein the oncolytic virus is administered at a dose of between 10 4 and 10 7 pfu.
12. The method of using an oncolytic virus of claim 1 , wherein the oncolytic virus is administered at an initial dose of between 10 4 and 10 7 pfu and further administered at a higher dose than the initial dose, wherein the higher dose is between 10 6 and 10 9 pfu.
13. The method of claim 1 , wherein the oncolytic virus is administered directly into a tumor.
14. The method of claim 1 , wherein the fusogenic protein is a glycoprotein from gibbon ape leukemia virus (GALV) and has the R transmembrane peptide mutated or removed (GALV-R-).
15. The method of claim 1 , wherein the one or more immune stimulatory molecules comprise GM-CSF.
16. The method of claim 1 , wherein the one or more immune stimulatory molecules comprise GM-CSF and a cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4) inhibitor.
17. The method of claim 1 , wherein the one or more immune stimulatory molecules comprise a CTLA-4 inhibitor and one or more of an agonist of CD40, an agonist of 4-1-BB, an agonist of glucocorticoid-induced tumour necrosis factor receptor-related (GITR), an agonist of OX40, an agonist of inducible T cell costimulator (ICOS) and an agonist of FMS-like tyrosine kinase 3 (flt3).
18. The method of claim 1 , wherein the fusogenic protein is a glycoprotein from gibbon ape leukemia virus (GALV) and has the R transmembrane peptide mutated or removed (GALV-R-), and wherein the one or more immune stimulatory molecules comprise GM-CSF.
19. The method of claim 1 , wherein the fusogenic protein is a glycoprotein from gibbon ape leukemia virus (GALV) and has the R transmembrane peptide mutated or removed (GALV-R-), and wherein the one or more immune stimulatory molecules comprise GM-CSF and a CTLA-4 inhibitor.
20. The method of claim 1 , wherein the fusogenic protein is a glycoprotein from gibbon ape leukemia virus (GALV) and has the R transmembrane peptide mutated or removed (GALV-R-), and wherein the one or more immune stimulatory molecules comprise a CTLA-4 inhibitor, CD40 ligand, and 4-1-BB ligand.
21. The method of claim 1 , wherein the sequence of the gene encoding the fusogenic protein and/or the sequence of the gene encoding the immune stimulatory molecule is codon optimized so as to increase expression levels in target cells.
22. The method of claim 16 , wherein the cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4) inhibitor is a CTLA-4 antibody of a fragment thereof.
23. A method of using an oncolytic virus, comprising administering a therapeutically effect amount of an oncolytic virus and a PD-1 inhibitor to a patient in need thereof,
wherein the oncolytic virus is a herpes simplex virus 1 (HSV1)
strain RH018A having the accession number ECACC 16121904;
strain RH004A having the accession number ECACC 16121902;
strain RH031 A having the accession number ECACC 16121907;
strain RH040B having the accession number ECACC 16121908;
strain RH015A having the accession number ECACC 16121903;
strain RH021A having the accession number ECACC 16121905;
strain RH023A having the accession number ECACC 16121906; or
strain RH047A having the accession number ECACC 16121909;
wherein said virus is modified to comprise:
(1) one or more mutations in one or more viral genes, wherein the one or more mutations result in inhibited replication in normal tissue but still allow replication in tumors;
(2) one or more immune stimulatory molecule encoding genes; and/or
(3) one or more fusogenic protein-encoding genes.
24. The method of using an oncolytic virus of claim 23 , wherein the oncolytic virus is administered at a dose between 10 4 and 10 7 pfu.
25. The method of using an oncolytic virus of claim 23 , wherein the oncolytic virus is administered at an initial dose of between 10 4 and 10 7 pfu and further administered at a higher dose than the initial dose, wherein the higher dose is between 10 6 and 10 9 pfu.
26. The method of using an oncolytic virus of claim 23 , wherein the oncolytic virus is administered directly into a tumor.
27. A method of treating a patient, comprising administering a therapeutically effect amount of an oncolytic virus and a PD-1 inhibitor to a patient in need thereof,
wherein the oncolytic virus is a herpes simplex virus 1 (HSV1)
strain RH018A having the accession number ECACC 16121904;
strain RH004A having the accession number ECACC 16121902;
strain RH031A having the accession number ECACC 16121907;
strain RH040B having the accession number ECACC 16121908;
strain RH015A having the accession number ECACC 16121903;
strain RH021 A having the accession number ECACC 16121905;
strain RH023A having the accession number ECACC 16121906; or
strain RH047A having the accession number ECACC 16121909;
wherein said virus is modified to comprise:
(1) one or more mutations in one or more viral genes, wherein the one or more mutations result in inhibited replication in normal tissue but still allow replication in tumors;
(2) one or more immune stimulatory molecule encoding genes; and/or
(3) one or more fusogenic protein-encoding genes.
28. The method of treating a patient of claim 27 , wherein the oncolytic virus is administered at a dose between 10 4 and 10 7 pfu.
29. The method of treating a patient of claim 27 , wherein the oncolytic virus is administered at an initial dose of between 10 4 and 10 7 pfu and further administered at a higher dose than the initial dose, wherein the higher dose is between 10 6 and 10 9 pfu.
30. The method of treating a patient of claim 27 , wherein the oncolytic virus is administered directly into a tumor.