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Oncolytics reports positive interim results from Phase I/II cancer trial

Kevin Harrington of The Institute of Cancer Research, principal investigator for the trial

Oncolytics Biotech has reported positive interim clinical results from its Phase I/II UK trial of Reolysin combined with paclitaxel/carboplatin for patients with advanced cancers. The principal investigator for the trial is Kevin Harrington of The Institute of Cancer Research.

To date, 15 head and neck cancer patients have been treated in the Phase I/II trial (REO 011). All but one patient had prior platinum treatment. Of 12 patients evaluable for clinical response, five have experienced partial response (PR) and four have experienced stable disease (SD) ranging from two to six months, said Oncolytics.

For patients who have been followed for at least six months since their initial treatment, the median progression-free survival (PFS) is currently six months, while the overall survival is currently seven months. The literature suggests that platinum refractory patients typically have a PFS of approximately two months and a median survival ranging from 4.5 to 6.5 months. The overall survival figure may evolve as many of the patients are still alive.

The Phase I/II trial has two components. The first is a Phase I, open-label, dose-escalating, non-randomized study of Reolysin given intravenously in combination with paclitaxel and carboplatin every three weeks. In this portion of the trial, standard dosages of paclitaxel and carboplatin are delivered to patients with escalating intravenous dosages of Reolysin.

The second component of the trial is a Phase II, 14-patient, single arm, open-label, dose-targeted, non-randomized trial of Reolysin given intravenously in combination with a standard dosage of paclitaxel and carboplatin.

An independent, confirmatory Phase II trial using the same combination of Reolysin and carboplatin/paclitaxel for patients with head and neck cancers is currently underway in the US. Interim results from both the UK and the US study formed the basis of the Phase III pivotal program now being developed for Reolysin in combination with carboplatin/paclitaxel in this patient population.

Karl Mettinger, chief medical officer of Oncolytics, said: In patients previously treated with platinum agents, where the response rate (PR and complete response (CR)) is generally in the 3-10% range, a response rate of 42% and a 75% clinical benefit rate (SD, PR, and CR) are dramatic.