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Ofranergene obadenovec is a non-replicating adenovirus 5 (Ad5, E1-deleted) gene therapy encoding a human Fas-chimera (Fas-c) transgene under the control of a modified murine pre-proendothelin promoter (PPE-1–3x). It is administered intravenously and designed to target tumor vasculature. The drug has a dual mechanism of action: it disrupts tumor neovascularization (vascular disruption) and induces a tumor-directed immune response. Ofranergene obadenovec was developed primarily for anti-cancer indications, including ovarian cancer, glioblastoma, thyroid cancer, colorectal cancer, lung cancer, and malignant melanoma. Its development has been led by VBL Therapeutics and other collaborators. The agent received orphan drug status for ovarian cancer and glioblastoma but has been discontinued in all major indications after not meeting primary endpoints in late-stage clinical trials[1][5][6][8].
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