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Cretostimogene grenadenorepvec + nivolumab is an investigational combination therapy being evaluated for the treatment of bladder cancer. Cretostimogene grenadenorepvec (formerly CG0070) is a conditionally replicating oncolytic adenovirus (type 5) engineered to replicate specifically within tumor cells that have a dysfunctional retinoblastoma (Rb) pathway. The virus also carries a human GM-CSF transgene, which is released upon tumor cell lysis to stimulate a systemic immune response. Nivolumab is a fully human IgG4 monoclonal antibody that binds to the programmed death-1 (PD-1) receptor, blocking its interaction with PD-L1 and PD-L2, thereby reversing T-cell suppression. The H. Lee Moffitt Cancer Center and Research Institute is conducting a Phase 1 trial (NCT04612517) evaluating this combination as a neoadjuvant therapy for cisplatin-ineligible patients with muscle-invasive bladder cancer (MIBC).
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