10/06/2026
We often ask, “How can we engineer a stronger oncolytic virus?”
But the more important question may be:
Where should we deliver it, which lesion should we choose, and what should come next?
In our latest StemImmune Perspective, we examine clinical signals from T-VEC, PVSRIPO, G47Δ, DNX-2401, Pexa-Vec, and VCN-01 and propose a testable framework:
Delivery route × lesion selection → local tumor debulking → immune priming → biology-guided sequential immunotherapy → control of minimal residual disease → durable survival
The key idea is simple: local oncolysis alone is not enough. The goal may be to use OV therapy to change the tumor, release autologous antigens, activate immunity, and then choose the next immune intervention based on the new biological state.
This is not yet an established clinical paradigm. It is a hypothesis for prospective testing.
OS remains the final test.
Read the full article:
stem-immune.com/rethinking-oncolytic-virus-therapy-delivery-lesion-selection-mrd
DOI: 10.5281/zenodo.23183034