Superselective intracerebral catheterization for administration of oncolytic virotherapy in a case of diffuse intrinsic pontine glioma

J Pediatr Hematol Oncol. 2014 Oct;36(7):e430-2. doi: 10.1097/MPH.0000000000000084.

Abstract

New therapies are needed to improve current results in diffuse intrinsic pontine glioma. We present here the initial experience of administering Celyvir, autologous mesenchymal stem cells infected with ICOVIR-5, an oncolytic adenovirus that selectively replicates in cancer cells, by means of superselective intra-arterial delivery, in a patient diagnosed of diffuse intrinsic pontine glioma. Feasibility, safety, and morbidity rates of the superselective catheterization technique are comparable with those of diagnostic angiography. The intra-arterial approach warrants a greater contact of the mesenchymal stem cells with the tumor mass, and minimizes hemorrhages or vascular disruption. The tolerance to the 2 administrations was excellent, with no acute or delayed adverse effect, underscoring the feasibility of this technique for the delivery of virotherapies and/or cellular therapies in this location.

Publication types

  • Case Reports

MeSH terms

  • Brain Stem Neoplasms / pathology
  • Brain Stem Neoplasms / therapy*
  • Catheterization / methods*
  • Child
  • Fatal Outcome
  • Female
  • Glioma / pathology
  • Glioma / therapy*
  • Humans
  • Infusions, Intra-Arterial / methods
  • Mesenchymal Stem Cell Transplantation / methods*
  • Oncolytic Virotherapy / methods*