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Page 8 of 15                                            Feng et al. Hepatoma Res 2021;7:3  I  http://dx.doi.org/10.20517/2394-5079.2020.107

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               Ad, SG7011 let7T  Insertion of eight copies   miRNA, let-7  HepG2, Hep3B, PLC/ Hep3B and SMMC-  5 × 10 PFU, IT  [71]
                             of let-7 target sites (let7T)   PRF/5, and Huh7  7721 xenografts
                             into the 39 untranslated                       BALB/c nude mice.
                             region of E1A
               VV, JX-963    Deletion of TK and VGF,   hGM-CSF  None        Immunocompetent,  Various PFU, IV [72]
                             insertion of h GM-CSF                          orthotopic, NZW
                                                                            rabbits VX2 tumor
                                                                            model
               MeV: measles vaccine virus; HSV: herpes simplex virus; Ad: Adenovirus; VV: vaccinia virus; NDV: newcastle disease virus; VSV:
               vesicular stomatitis virus; IV: intravenous; IT: intratumoral; MOI: multiplicity of infection; PFU: plaque-forming units

               Table 3. Clinical trials of oncolytic viral therapy for HCC
                Clinical trials
                identifier        Status      Active treatment  n      Primary end points or outcomes  Ref.
                NCT03071094 Active, not recruiting.  JX-594;   30  DLTs, 4 weeks;
                           Phase 1 and 2 trials  Nivolumab      ORR, 6 months
                NCT02562755 Active, not recruiting.   JX-594;   600  OS, 53 months
                           Phase 3 trials       Sorafenib
                NCT00554372 Completed. Phase 2 trials  JX-594   30  mRECIST v1.0 criterion;           [81]
                                                                Choi criterion. 4 weeks
                NCT01387555 Completed. Phase 2b trials  JX-594;   129  OS, 21 months                  [82]
                NCT00629759 Completed.          JX-594     14   MTD, Safety evaluation throughout study participation  [83]
                           Phase 1 trials
               Most data were obtained from findings from www.clinicaltrials.gov using the search terms “hepatocellular carcinoma” and “oncolytic”.
               JX-594: Recombinant vaccinia virus [Thymidine Kinase (TK)-deletion plus granulocyte-macrophage colony-stimulating factor (GM-
               CSF)]. DLTs: dose limiting toxicities; ORR: overall response rate; OS: overall survival; MTD: maximum tolerable dose; mRECIST: modified
               response evaluation criteria in solid tumors

               Table 4. Clinical trials of therapeutic vaccines for HCC
               Clinical trials   Status            Active treatment      n    Primary endpoints or outcomes  Ref.
               identifier
               NCT04248569 Recruiting, Phase I  DNAJB1-PRKACA peptide vaccine,   12  DLTs, 4 weeks; Fold change in
                                           Nivolumab, Ipilimumab.            interferon-producing DNAJB1-
                                                                             PRKACA-specific CD8+ and CD4+
                                                                             T cells, 12 weeks;
               NCT03674073  Recruiting, Phase I  Neoantigen Vaccines; Microwave Ablation 24  CTCAE v4.0, 1 year
               NCT02409524 Completed, Phase II  Individualized anti-cancer vaccine (CRCL-  15  OS, 12 weeks
                                           AlloVax)
               NCT01974661  Completed, Phase I  COMBIG-DC vaccine (ilixadencel).  18  Registration of adverse events. 0.5   [84]
                                                                             years
               NCT03203005 Completed, Phase I/II IMA970A vaccine; CV8102 adjuvant;   22  Registration of adverse events, 2
                                           Cyclophosphamide.                 years; Immunogenicity, 2 years
               NCT00005629 Completed, Phase I/II Alpha-fetoprotein peptide-pulsed   6  Safety, 1 month
                                           autologous dendritic cell vaccine
               NCT00022334 Completed, Phase I/II Alpha-fetoprotein peptide-pulsed   33  DLT and MTD, 1 year
                                           autologous dendritic cell vaccine
               NCT04147078  Recruiting, Phase I  Neoantigen-primed dendritic cell (DC)   80  DFS, 5 years
                                           cell vaccine
               NCT04251117  Recruiting, Phase, I/  Personalized neoantigen DNA vaccine   12  CTCAE v5.0, 2 years
                           IIa             (GNOS-PV02) and plasmid-encoded   Immunogenicity, 2 years
                                           IL-12 (INO-9012) in combination with
                                           pembrolizumab (MK-3475) 
               NCT02089919  Completed, Phase I/II Cancer stem cell vaccine  40  Adverse events. 3 months  [85]
               NCT00028496 Completed, Phase I  Recombinant fowlpox-CEA(6D)/TRICOM  48  DLT and MTD, 56 days.
                                           vaccine
               NCT03942328 Recruiting, Phase I  Autologous dendritic cells and Prevnar   26  Adverse events. 1 year
                                           vaccine
               NCT02232490 Recruiting, Phase III  Hepcortespenlisimut-L (V5) therapeutic   120  Changes in plasma AFP, 3 months
                                           vaccine
               Most data were obtained from findings from www.clinicaltrials.gov using the search terms “hepatocellular carcinoma” and “vaccines”.
               DLTs: dose limiting toxicities; CTCAE: common terminology criteria for adverse events; OS: overall survival; MTD: maximum tolerable
               dose; DFS: disease-free survival
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