Oncolytic viruses (OVs) are an emerging therapeutic approach for the treatment of cancer. Clinical benefit has been demonstrated for intratumoral administration, but the therapeutic effectiveness of intravenous delivery has been limited by neutralizing antibody responses against the virus. To circumvent this limitation, we developed Synthetic RNA viruses, a novel approach for intravenous and repeated administration of OVs, consisting of a viral RNA genome (vRNA) formulated within lipid nanoparticles. For two Synthetic RNA virus drug candidates, Seneca Valley virus (SVV) and Coxsackievirus A21 (CVA21), we demonstrate vRNA delivery, viral replication, spread, and lysis of tumor cells leading to potent anti-tumor efficacy, even in the presence of OV neutralizing antibodies in the bloodstream. Synthetic-SVV replication in tumors promoted immune cell infiltration and enhanced anti-tumor activity in combination with anti-PD-1 checkpoint inhibitor. Altogether, the Synthetic RNA virus platform provides an innovative approach that enables repeat intravenous administration of viral immunotherapy.

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Yes there is potential Competing Interest. This study was sponsored by Oncorus, Inc. E.M. Kennedy, A. Denslow, J. Hewett, L. Kong, A. De Almeida, J. Bryant, J.S. Lee, J. Jacques, S. Feau, M. Hayes, E.L. McMichael, A. Rhameh (at the time the study was conducted), L. Herschelman (at the time the study was conducted), D. Douglas (at the time the study was conducted), J. Spinale, S. Adhikari, J. Deterling, M. Scott, B.B. Haines, T. Ashburn, C. Quéva, L. Lerner are all employees of Oncorus, Inc. No other authors have any conflicts of interest to disclose.
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Posted 27 May, 2021
Posted 27 May, 2021
Oncolytic viruses (OVs) are an emerging therapeutic approach for the treatment of cancer. Clinical benefit has been demonstrated for intratumoral administration, but the therapeutic effectiveness of intravenous delivery has been limited by neutralizing antibody responses against the virus. To circumvent this limitation, we developed Synthetic RNA viruses, a novel approach for intravenous and repeated administration of OVs, consisting of a viral RNA genome (vRNA) formulated within lipid nanoparticles. For two Synthetic RNA virus drug candidates, Seneca Valley virus (SVV) and Coxsackievirus A21 (CVA21), we demonstrate vRNA delivery, viral replication, spread, and lysis of tumor cells leading to potent anti-tumor efficacy, even in the presence of OV neutralizing antibodies in the bloodstream. Synthetic-SVV replication in tumors promoted immune cell infiltration and enhanced anti-tumor activity in combination with anti-PD-1 checkpoint inhibitor. Altogether, the Synthetic RNA virus platform provides an innovative approach that enables repeat intravenous administration of viral immunotherapy.

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5

Figure 6
Yes there is potential Competing Interest. This study was sponsored by Oncorus, Inc. E.M. Kennedy, A. Denslow, J. Hewett, L. Kong, A. De Almeida, J. Bryant, J.S. Lee, J. Jacques, S. Feau, M. Hayes, E.L. McMichael, A. Rhameh (at the time the study was conducted), L. Herschelman (at the time the study was conducted), D. Douglas (at the time the study was conducted), J. Spinale, S. Adhikari, J. Deterling, M. Scott, B.B. Haines, T. Ashburn, C. Quéva, L. Lerner are all employees of Oncorus, Inc. No other authors have any conflicts of interest to disclose.
This is a list of supplementary files associated with this preprint. Click to download.
Editorial Policy Checklist
Reporting Summary
Supplemental Figures
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