Evidence map›Paper›PMID 23393196›Full record

Trial reportCancer research2013

Oncolytic vaccinia virus disrupts tumor-associated vasculature in humans.

Caroline J Breitbach, Rozanne Arulanandam, Naomi De Silva, Steve H Thorne, Richard Patt, Manijeh Daneshmand, Anne Moon, Carolina Ilkow, James Burke, Tae-Ho Hwang and 8 more

Open access · bronzeAbstract readClinical Trial, Phase IIRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Cancer research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 167 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
167citing papers in PubMed, 1 pooled it
16.2field-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

167 citing papers in PubMed, 1 synthesis or guideline pooled it, 251 citations in OpenAlex.

  1. Clinical Application of Oncolytic Viruses: A Systematic Review.International journal of molecular sciences · 2020
    Pooled it
  2. Trial
  3. Review
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  10. Oncolytic viruses: advanced strategies in cancer therapy.Signal transduction and targeted therapy · 2026
    Review
  11. Review
  12. Review
  13. Oncolytic Virotherapy in Solid Tumors: A Current Review.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Review
  14. Review
  15. Review
  16. Article
  17. Review
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107 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 6 institutions in 2 countries.

Caroline J BreitbachJennerex Inc., 450 Sansome, San Francisco, CA 94111, USA.
Rozanne Arulanandam
Naomi De Silva
Steve H Thorne
Richard Patt
Manijeh Daneshmand
Anne Moon
Carolina Ilkow
James Burke
Tae-Ho Hwang
Jeong Heo
Mong Cho
Hannah Chen
Fernando A Angarita
Christina Addison
J Andrea McCart
John C Bell
David H Kirn
UPMC Hillman Cancer Center · USOttawa Hospital · CAUniversity of Ottawa · CAOttawa Hospital Research InstituteUniversity of Toronto · CADoylestown Hospital · US

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

Efforts to selectively target and disrupt established tumor vasculature have largely failed to date. We hypothesized that a vaccinia virus engineered to target cells with activation of the ras/MAPK signaling pathway (JX-594) could specifically infect and express transgenes (hGM-CSF, β-galactosidase) in tumor-associated vascular endothelial cells in humans. Efficient replication and transgene expression in normal human endothelial cells in vitro required either VEGF or FGF-2 stimulation. Intravenous infusion in mice resulted in virus replication in tumor-associated endothelial cells, disruption of tumor blood flow, and hypoxia within 48 hours; massive tumor necrosis ensued within 5 days. Normal vessels were not affected. In patients treated with intravenous JX-594 in a phase I clinical trial, we showed dose-dependent endothelial cell infection and transgene expression in tumor biopsies of diverse histologies. Finally, patients with advanced hepatocellular carcinoma, a hypervascular and VEGF-rich tumor type, were treated with JX-594 on phase II clinical trials. JX-594 treatment caused disruption of tumor perfusion as early as 5 days in both VEGF receptor inhibitor-naïve and -refractory patients. Toxicities to normal blood vessels or to wound healing were not evident clinically or on MRI scans. This platform technology opens up the possibility of multifunctional engineered vaccinia products that selectively target and infect tumor-associated endothelial cells, as well as cancer cells, resulting in transgene expression, vasculature disruption, and tumor destruction in humans systemically.

Indexed as

AnimalsBlotting, WesternCarcinoma, HepatocellularCell Line, TumorCells, CulturedClinical Trials, Phase I as TopicEndothelial CellsFemaleFibroblast Growth Factor 2HumansLiver NeoplasmsMagnetic Resonance ImagingMiceMice, Inbred BALB CNeoplasms, ExperimentalNeovascularization, PathologicFibroblast Growth Factor 2Receptors, Vascular Endothelial Growth FactorVascular Endothelial Growth Factor A

Identifiers

PMID23393196
OpenAlexW2097849707

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.