Purpose: Our goal was to evaluate whether systemic administration of NV1042, an interleukin-12 (IL-12)^expressing oncolytic herpes simplex virus, and its noncytokine parental vector NV1023 are effective against preexisting metastatic prostate cancer in an immunocompetent mice model. Experimental Design: MetastaticTRAMP-C2 lung tumors established in C57Bl/6 or nude mice were treated on day 21with four i.v. administrations of NV1042 or NV1023 and sacrificed on day 42 to assess virus efficacy and the potential mechanism of efficacy. Results: NV1042 or NV1023 treatment was similarly effective in eliminating extrapleural and hemorrhagic tumors present in mock-treated mice. However, NV1042 was further effective compared with NV1023 in controlling the growth of lung tumors (as determined by mean surface tumor nodule number, lung weights, and surface tumor burden) and in extending survival. NV1042-treated mice exhibited a transient increase of serum IL-12 1 day posttreatment, whereas IL-12 levels in tumor bearing lungs persisted a further 2 days at least. Only splenocytes from NV1042-treated mice secreted IFN-g in response to TRAMP-C2 stimulation and displayed natural killer activity. The IL-12-mediated enhancement observed with NV1042 in the syngeneic model was abrogated in athymic mice treated in a similar manner, thus indicating a role forTcells in the augmented efficacy of NV1042 virus. Conclusions: Systemic administration of the IL-12-expressing NV1042 virus is more effective than its noncytokine parent, NV1023, against preestablished metastatic lung tumors. Given the clinical safety profile of NV1020, the parental vector of NV1023, and NV1042's enhanced efficacy and ability to activate the host immune system, NV1042 merits clinical consideration for treating metastatic prostate cancers.Prostate cancer is the most commonly diagnosed cancer in men in the United States, accounting for 33% of all cancers and claiming the life of one in eight men with this diagnosis (1). Early diagnosis facilitated by screening high-risk populations using prostate-specific antigen and imaging techniques have aided in lowering the mortality rates of patients with localized, early-stage cancer. However, about one third will bear regional or metastatic tumors at the time of diagnosis with another 25% progressively developing metastatic disease during the course of the disease (2). Bone is the primary site of metastasis in 85% of cases followed by lymph nodes, lung, liver, and adrenals, in f45% of cases.Currently, there are no curative treatment options available for patients with advanced prostate cancer. Although organconfined cancer responds well to surgery and radiation therapy, with 5-year survival rates for such patients being 89%, the survival rates for patients with metastatic cancer decreases to 31% (2). Hormonal therapy (androgen ablation) has been the primary treatment of choice since the 1960s for patients with advanced disease. Unfortunately, the effectiveness of hormonal therapy is limited by the inevitable developme...