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Biotechnological Medicines in Development for Prostate Cancer

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    for prostate ca

    Biotechnological medicin

    in developm

    Georgios LavasidisMedical student at the

    University of Ioannina

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    Epidemiology

    Prostate Cancer (C61): 2008 Estimates

    European Age-Standardised Incidence Rates per 100,000 population, Males, EU27 Countries

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    Epidemiology

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    Cellular immunotherapy

    Date of approval():

    6/9/2013

    sipuleucel-T

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    Medicines in development

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    Clinical trials: Phase/Ia

    REIC (Reduced Expression inImmortalized Cells): tumorsuppressor gene

    Forced gene expression usingadenoviral vector

    REIC gene therapy

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    REIC gene therapy

    Adenovirus-mediated REIC/Dkk-3 gene therapy: Development of an autologous c

    vaccination therapy (Review), Watanabe et al., Oncol Lett. Mar 2014; 7(3): 595

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    REIC gene therapy

    Preclinical safety and efficacy of in situ REIC/Dkk-3 gene therapy for prostate

    cancer, Kawauchi et al., Acta Med Okayama. 2012;66(1):7-16

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    Antisense RNAs: RNAs that bind to complementary m

    inhibit their translation

    LNA-based oligonucleotide that targets the androgen(AR)

    The expression of AR is increased in some prostate cand is related to proliferation and survival of cancer

    Androgen receptor antisense oligonucleo(EZN-4176)

    LNA monomer: The bridge between the

    2'-

    and the 4'-C enhances the stabilityof the molecule

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    LNA

    (AR Gene)

    [Clinical tria

    Androgen receptor antisense oligonucleo(EZN-4176)

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    (Control)

    (Control)

    Reduced expression of the androgen receptor by third generation of antisen

    shows antitumor activity in models of prostate cancer, Zhang et al., Mol Can

    Ther. 2011 Dec;10(12):2309-19

    [Preclinical tria

    Androgen receptor antisense oligonucleo(EZN-4176)

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    Clinical trials: Phase

    Metastatic castration-resistant prostate Ca

    Pox-viruses

    PSA-TRICOM vaccine

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    PSA-TRICOM vaccine

    Overall survival analysis of a phase II randomized controlled trial of a Poxvira

    based PSA-targeted immunotherapy in metastatic castration-resistant prosta

    cancer, Kantoff PW et al., J Clin Oncol. 2010 Mar 1;28(7):1099-105

    Phase II RCT

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    Medicine Type Development st

    anti-STEAP1 ADC mAb-drug conjugate Clinical trials: Ph

    rilotumumab mAb Clinical trials: Ph

    anti-integrin mAb mAb Clinical trials: Ph

    ipilimumab mAb Clinical trials: Ph

    nelipepmut-S peptide vaccine Clinical trials: Ph

    BPX-101 dendritic cell vaccine Clinical trials: Ph

    GVAX-PCa immunotherapeutic vaccine Clinical trials: Ph

    TeloB-Vax telomerase cancer

    vaccine

    DNA vaccine Clinical trials: Ph

    AdV-tk + valacyclovir gene therapy Clinical trials: Ph

    Other possible medicines

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