A phase I trial of immunotherapy with intratumoral adenovirus-interferon-gamma (TG1041) in patients with malignant melanoma

Alok A. Khorana, Joseph D. Rosenblatt, D. M. Sahasrabudhe, T. Evans, M. Ladrigan, D. Marquis, K. Rosell, T. Whiteside, S. Phillippe, B. Acres, P. Slos, P. Squiban, M. Ross, K. Kendra

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52 Scopus citations

Abstract

Aims: Interferon-gamma (IFN-γ) has been shown to upregulate MHC class I and II expression, and to promote generation of specific antitumor immune responses. We hypothesized that intratumoral administration of an IFN-γ gene transfer vector facilitates its enhanced local production and may activate effector cells locally. We conducted a phase I dose-escalation study of a replication-deficient adenovirus-interferon-gamma construct (TG1041) to determine safety and tolerability of intratumoral administration, in advanced or locally recurrent melanoma. Methods: Patients were enrolled at four successive dose levels: 107 infectious units (iu) (n = 3), 108iu (n = 3), 109iu (n = 3), and 1010iu (n = 2) per injection per week for 3 weeks. TG1041 was injected in the same tumor nodule weekly in each patient. Safety, toxicity, local and distant tumor responses and biologic correlates were evaluated. Results: A total of 11 patients were enrolled and received the planned three injections per cycle. One patient with stable disease received a second cycle of treatment. A maximum tolerated dose was not reached in this study. No grade 4 toxicities were observed. Two grade 3 toxicities, fever and deep venous thrombosis were observed in one patient. The most frequently reported toxicities were grade 1 pain and redness at the injected site (n = 8), and grade 1 fatigue (n = 5) patients. Clinical changes observed at the local injected tumor site included erythema (nc = 5), a minor decrease in size of the injected lesion (n = 5) and significant central necrosis by histopathology (n = 1). Systemic effects included stable disease in one patient. Correlative studies did not reveal evidence of immunologic activity. Conclusion: Weekly intratumoral administration of TG1041 appears to be safe and well tolerated in patients with advanced melanoma.

Original languageEnglish (US)
Pages (from-to)251-259
Number of pages9
JournalCancer gene therapy
Volume10
Issue number4
DOIs
StatePublished - Apr 1 2003

Keywords

  • Gene therapy
  • Interferon-gamma
  • Melanoma

ASJC Scopus subject areas

  • Cancer Research
  • Genetics

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    Khorana, A. A., Rosenblatt, J. D., Sahasrabudhe, D. M., Evans, T., Ladrigan, M., Marquis, D., Rosell, K., Whiteside, T., Phillippe, S., Acres, B., Slos, P., Squiban, P., Ross, M., & Kendra, K. (2003). A phase I trial of immunotherapy with intratumoral adenovirus-interferon-gamma (TG1041) in patients with malignant melanoma. Cancer gene therapy, 10(4), 251-259. https://doi.org/10.1038/sj.cgt.7700568