Evidence map›Paper›PMID 22070930›Full record

ArticleNeuro-oncology2012

Brain tumor eradication and prolonged survival from intratumoral conversion of 5-fluorocytosine to 5-fluorouracil using a nonlytic retroviral replicating vector.

Derek Ostertag, Karin K Amundson, Fernando Lopez Espinoza, Bryan Martin, Taylor Buckley, Ana Paula Galvão da Silva, Amy H Lin, David T Valenta, Omar D Perez, Carlos E Ibañez and 10 more

3 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Neuro-oncology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 91 papers.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed
6.8field-weighted citation impact, top 3% 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.

NCT01156584 phase1completednot on this map

A Phase 1 Ascending Dose Trial of the Safety and Tolerability of Toca 511 in Patients With Recurrent High Grade Glioma

TypeinterventionalSponsorTocagen Inc.Ran2010 to 2016Enrolled54ConditionsGlioblastoma, Anaplastic Astrocytoma, Anaplastic Oligodendroglioma, Anaplastic OligoastrocytomaArmsToca 511 vector, Toca FC
NCT01470794 phase1completednot on this map

A Phase 1 Ascending Dose Trial of Safety and Tolerability of Toca 511, a Retroviral Replicating Vector, Administered to Subjects at the Time of Resection for Recurrent High Grade Glioma & Followed by Treatment With Toca FC, Extended-Release 5-FC

TypeinterventionalSponsorTocagen Inc.Ran2012 to 2016Enrolled58ConditionsGlioblastoma Multiforme, Anaplastic Astrocytoma, Anaplastic Oligodendroglioma, Anaplastic OligoastrocytomaArmsToca 511 vector, Toca FC
NCT01985256 phase1completednot on this mapstarted 2014, after this paper: background citation

A Phase 1 Ascending Dose Trial of the Safety and Tolerability of Toca 511, a Retroviral Replicating Vector, Administered Intravenously Prior to, and Intracranially at the Time of, Subsequent Resection for Recurrent HGG & Followed by Treatment With Extended-Release 5-FC

TypeinterventionalSponsorTocagen Inc.Ran2014 to 2016Enrolled17ConditionsGlioblastoma Multiforme, Anaplastic Astrocytoma, Anaplastic Oligodendroglioma, Anaplastic OligoastrocytomaArmsToca 511, Toca FC
3 · Its place in the literature

Who cites it

91 citing papers in PubMed, 137 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Cell and gene therapy in neuro-oncology.Handbook of clinical neurology · 2024
    Review
  13. Article
  14. Review
  15. Review
  16. Gene Therapy for High Grade Glioma: The Clinical Experience.Expert opinion on biological therapy · 2023
    Review
  17. Review
  18. Article
  19. Review
  20. Article

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

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 3 institutions in 2 countries.

Derek OstertagTocagen, 3030 Bunker Hill St., San Diego, CA 92109, USA.
Karin K Amundson
Fernando Lopez Espinoza
Bryan Martin
Taylor Buckley
Ana Paula Galvão da Silva
Amy H Lin
David T Valenta
Omar D Perez
Carlos E Ibañez
Ching-I Chen
Pär L Pettersson
Ryan Burnett
Veronika Daublebsky
Juraj Hlavaty
Walter Gunzburg
Noriyuki Kasahara
Harry E Gruber
Douglas J Jolly
Joan M Robbins
Christian Doppler Laboratory for Thermoelectricity · ATUniversity of California, Los Angeles · USUniversity of Veterinary Medicine Vienna · AT

Funding

Translational Development of Replication-Competent Retrovirus VectorsU01NS059821 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KASAHARA, NORIYUKI · 2010 to 2013
$2.9M
NINDS NIH HHS U01 NS059821
6 · The paper itself

Abstract

Patients with the most common and aggressive form of high-grade glioma, glioblastoma multiforme, have poor prognosis and few treatment options. In 2 immunocompetent mouse brain tumor models (CT26-BALB/c and Tu-2449-B6C3F1), we showed that a nonlytic retroviral replicating vector (Toca 511) stably delivers an optimized cytosine deaminase prodrug activating gene to the tumor lesion and leads to long-term survival after treatment with 5-fluorocytosine (5-FC). Survival benefit is dose dependent for both vector and 5-FC, and as few as 4 cycles of 5-FC dosing after Toca 511 therapy provides significant survival advantage. In the virally permissive CT26-BALB/c model, spread of Toca 511 to other tissues, particularly lymphoid tissues, is detectable by polymerase chain reaction (PCR) over a wide range of levels. In the Tu-2449-B6C3F1 model, Toca 511 PCR signal in nontumor tissues is much lower, spread is not always observed, and when observed, is mainly detected in lymphoid tissues at low levels. The difference in vector genome spread correlates with a more effective antiviral restriction element, APOBEC3, present in the B6C3F1 mice. Despite these differences, neither strain showed signs of treatment-related toxicity. These data support the concept that, in immunocompetent animals, a replicating retroviral vector carrying a prodrug activating gene (Toca 511) can spread through a tumor mass, leading to selective elimination of the tumor after prodrug administration, without local or systemic pathology. This concept is under investigation in an ongoing phase I/II clinical trial of Toca 511 in combination with 5-FC in patients with recurrent high-grade glioma (www.clinicaltrials.gov NCT01156584).

Indexed as

Genetic VectorsAnimalsBrain NeoplasmsCombined Modality TherapyDisease Models, AnimalFemaleFlucytosineFluorouracilGenetic TherapyGliomaLeukemia Virus, MurineMiceMice, Inbred BALB CSurvival AnalysisTumor Cells, CulturedFlucytosineFluorouracil

Identifiers

PMID22070930
PMCPMC3266384
OpenAlexW2125784280

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.