Evidence map›Paper›PMID 21886163›Full record

Trial reportNature2011

Intravenous delivery of a multi-mechanistic cancer-targeted oncolytic poxvirus in humans.

Caroline J Breitbach, James Burke, Derek Jonker, Joe Stephenson, Andrew R Haas, Laura Q M Chow, Jorge Nieva, Tae-Ho Hwang, Anne Moon, Richard Patt and 15 more

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Nature, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 332 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
332citing papers in PubMed, 1 pooled it
42.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

332 citing papers in PubMed, 1 synthesis or guideline pooled it, 542 citations in OpenAlex.

  1. Clinical Application of Oncolytic Viruses: A Systematic Review.International journal of molecular sciences · 2020
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Intravenous infusion of engineered megakaryocytes to produce oncolytic platelets in vivo for enhanced cancer immunotherapy.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  15. Review
  16. Article
  17. Review
  18. The emerging role of oncolytic virotherapy in genitourinary malignancies.Frontiers in cell and developmental biology · 2026
    Review
  19. Review
  20. Review

272 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 8 institutions in 3 countries.

Caroline J BreitbachJennerex Inc., 450 Sansome Street, 16th floor, San Francisco, California 94111, USA.
James Burke
Derek Jonker
Joe Stephenson
Andrew R Haas
Laura Q M Chow
Jorge Nieva
Tae-Ho Hwang
Anne Moon
Richard Patt
Adina Pelusio
Fabrice Le Boeuf
Joe Burns
Laura Evgin
Naomi De Silva
Sara Cvancic
Terri Robertson
Ji-Eun Je
Yeon-Sook Lee
Kelley Parato
Jean-Simon Diallo
Aaron Fenster
Manijeh Daneshmand
John C Bell
David H Kirn
University of Ottawa · CAOttawa Hospital · CAPusan National University · KRBillings Clinic · USCalifornia University of Pennsylvania · USDoylestown Hospital · USNeurology Centers of the Carolinas · USWestern University · CA

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

The efficacy and safety of biological molecules in cancer therapy, such as peptides and small interfering RNAs (siRNAs), could be markedly increased if high concentrations could be achieved and amplified selectively in tumour tissues versus normal tissues after intravenous administration. This has not been achievable so far in humans. We hypothesized that a poxvirus, which evolved for blood-borne systemic spread in mammals, could be engineered for cancer-selective replication and used as a vehicle for the intravenous delivery and expression of transgenes in tumours. JX-594 is an oncolytic poxvirus engineered for replication, transgene expression and amplification in cancer cells harbouring activation of the epidermal growth factor receptor (EGFR)/Ras pathway, followed by cell lysis and anticancer immunity. Here we show in a clinical trial that JX-594 selectively infects, replicates and expresses transgene products in cancer tissue after intravenous infusion, in a dose-related fashion. Normal tissues were not affected clinically. This platform technology opens up the possibility of multifunctional products that selectively express high concentrations of several complementary therapeutic and imaging molecules in metastatic solid tumours in humans.

Indexed as

Oncolytic VirotherapyAdultAgedAged, 80 and overbeta-GalactosidaseDNA, ViralFemaleGene Expression Regulation, EnzymologicHumansInfusions, IntravenousMaleMiddle AgedNeoplasmsOncolytic VirusesOrganisms, Genetically ModifiedPoxviridaebeta-GalactosidaseDNA, Viral

Identifiers

PMID21886163
OpenAlexW1965497380

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.