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T-BV is a third-generation oncolytic herpes simplex virus type 1 (HSV-1) genetically engineered to express bevacizumab, a monoclonal antibody that targets vascular endothelial growth factor (VEGF). Developed by the University of Tokyo in collaboration with the Japan Agency for Medical Research and Development (AMED), T-BV is designed to treat malignant gliomas. It functions through a dual mechanism: direct oncolysis, where the virus selectively replicates in and destroys cancer cells, and anti-angiogenesis, where the locally produced bevacizumab inhibits the formation of new blood vessels that support tumor growth. This localized expression is intended to enhance therapeutic efficacy while reducing the systemic side effects associated with intravenous bevacizumab. It is currently being evaluated in Phase I clinical trials for recurrent or progressive malignant glioma.
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