Talimogene laherparepvec is an oncolytic treatment used in local treatment of unresectable cutaneous, subcutaneous, and nodal lesions in patients with recurrent melanoma. It is a genetically administered herpes simplex virus 1 (HSV-1) that expresses human cytokine granulocyte-macrophage colony stimulating factor (GM-CSF) with antitumor and immune-stimulating activities. It specifically replicates within tumor cells and causes lysis. It was approved by the FDA in 2015 under the market name Imlygic.
In general, talimogene laherparepvec has been modified so that it can infect and multiply inside melanoma cells . The drug subsequently uses the melanoma cells' own machinery to multiply, eventually overwhelming the melanoma cells and killing them . Alternatively, although talimogene laherparepvec also enters healthy cells, it is not designed to multiply inside them .
This medication is a genetically modified oncolytic viral therapy indicated for the local treatment of unresectable, cutaneous, subcutaneous, and nodal lesions in patients with melanoma recurrent after initial surgery . Elsewhere, the EMA notes that the agent is indicated for the treatment of adults with unresectable melanoma that is regionally or distantly metastatic (Stage IIIB, IIIC, and IVM1a) with no bone, brain, lung, or other visceral diseases .
Niigata Cancer Center Hospital, Niigata-shi, Niigata, Japan
Shizuoka Cancer Center, Sunto-gun, Shizuoka, Japan
National Cancer Center Hospital, Chuo-ku, Tokyo, Japan
UM Sylvester Comprehensive Cancer Center at Plantation, Plantation, Florida, United States
Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey, United States
Siteman Cancer Center at West County Hospital, Creve Coeur, Missouri, United States
Los Angeles General Medical Center, Los Angeles, California, United States
University of South Alabama Mitchell Cancer Institute, Mobile, Alabama, United States
CTCA at Western Regional Medical Center, Goodyear, Arizona, United States
Moffitt Cancer Center, Tampa, Florida, United States
Mayo Clinic in Florida, Jacksonville, Florida, United States
Mayo Clinic Hospital in Arizona, Phoenix, Arizona, United States
H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, United States
Centre Hospitalier Universitaire de Marseille - Hopital de la Timone, Marseille cedex 5, France
AI Dupont Hospital for Children, Wilmington, Delaware, United States
Institut Hematologie et Oncologie Pediatrique, Lyon cedex 08, France
Research Site, Wirral, United Kingdom
HonorHealth Research Institute, Scottsdale, Arizona, United States
University of California Los Angeles, Santa Monica, California, United States
Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey, United States
University of Iowa Hospitals and Clinics, Iowa City, Iowa, United States
Research Site, Wirral, United Kingdom
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