自体CIK细胞联合XELOX化疗治疗晚期结直肠癌的随机对照研究(英文)

来源 :The Chinese-German Journal of Clinical Oncology | 被引量 : 0次 | 上传用户:lywy0201
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Objective: To evaluate the efficacy of autologous cytokine-induced killer(CIK) cells transfusion combined with chemotherapy in patients suffered from advanced colorectal cancer. Methods: Sixty untreated patients with advanced colorectal cancer were randomly divided into two groups. The 30 patients in the control group received chemotherapy with the regimen of xeloda plus oxiplatin(XELOX). The 30 patients in the trial group were treated with chemotherapy(XELOX) in combination with autologous CIK cell transfusion. T-lymphocyte subgroups were separated and measured by flow cytometry quality of life(QOL) was determined by EORTC QLQ-C30. The short-term curative effect was evaluated via imaging examinations. The patients’ median progression free survival time was estimated by Kaplan-Meier. Results: The T-lymphocyte immune activity was improved in patients received autologous CIK cell transfusion than those treated with chemotherapy alone.The subgroup of CD3+CD56+T lymphocyte was significantly increased(4.28 ± 0.45 vs 10.14 ± 1.02, P = 0.01). Short-term efficacy evaluation revealed that there was no significant difference in terms of objective response rate(ORR) between the two groups, but the disease control rate(DCR) was markedly increased(86.7% vs 56.7%, P = 0.020) in the group treated by chemotherapy plus CIK cells compared to the group treated with chemotherapy alone. The progression free survival time was 8.64 months( 95% CI 6.25-9.75 months) in control group and 10.15 months( 95% CI 7.48-12.52 months) in trial group.Compared to patients in control group, the patients in trial group had significantly longer progression-free survival(P = 0.046).The QOL assessment suggested the QOL in trial group was obviously improved than that in the control group. Compared with the control group, patients treated with autologous CIK cell transfusion scored more in the area of physical function and general health status, while the symptomatic scores in terms of pain, fatigue, nausea and vomiting and diarrhea were significantly reduced. Conclusion: Autologous CIK cell transfusion combined with chemotherapy can effectively enhance the immune activity of T-lymphocytes, prevent disease progression and improve the progression-free survival and QOL in patients with advanced colorectal cancer. Objective: To evaluate the efficacy of autologous cytokine-induced killer (CIK) cells transfusion combined with chemotherapy in patients who from advanced colorectal cancer. Methods: Sixty untreated patients with advanced colorectal cancer were divided divided into two groups. The 30 patients in the control group received chemotherapy with the regimen of xeloda plus oxiplatin (XELOX). The 30 patients in the trial group were treated with chemotherapy (XELOX) in combination with autologous CIK cell transfusion. T-lymphocyte subgroups were separated and measured by flow cytometry quality of life The short-term curative effect was evaluated via imaging examinations. The patients’ median progression free survival time was estimated by Kaplan-Meier. Results: The T-lymphocyte immune activity was improved in patients received autologous CIK cell transfusion than those treated with chemotherapy alone. subgroup of CD3 + CD56 + T lymphocyte was significantl y-increased (4.28 ± 0.45 vs 10.14 ± 1.02, P = 0.01). Short-term efficacy evaluation revealed that there was no significant difference in terms of objective response rate (ORR) between the two groups, but the disease control rate (DCR) was markedly increased (86.7% vs 56.7%, P = 0.020) in the group treated by chemotherapy plus CIK cells compared to the group treated with chemotherapy alone. The progression free survival time was 8.64 months (95% CI 6.25-9.75 months) in control group and 10.15 months (95% CI 7.48-12.52 months) in trial group. Compared to patients in control group, the patients in trial group had significantly longer progression-free survival (P = 0.046). The QOL assessment suggested the QOL in Compared with the control group, patients treated with autologous CIK cell transfusion scored more in the area of ​​physical function and general health status, while the symptomatic scores in terms of pain, fatigue, nausea aand vomiting and diarrhea were significantly reduced. Conclusion: Autologous CIK cell transfusion combined with chemotherapy can substantially enhance the immune activity of T-lymphocytes, prevent disease progression and improve the progression-free survival and QOL in patients with advanced colorectal cancer.
其他文献
@@近年来,随着腹腔镜技术和器械的不断进展,腹腔镜微创技术在腹部外科疾病的手术治疗中应用越来越广泛。但难度最大和最具有挑战性的还是腹腔镜下胰十二指肠切除术,该手术具有解
目的:研究MRI、临床体征及关节镜下对于膝关节前交叉韧带诊断准确率的对比研究。 方法:回顾性分析146例前交叉韧带正常和346例前交叉韧带损伤的MRI表现.临床体征及关节镜下表
会议
目的:探讨LC临床应用的适应证,提出术前对LC难度评估的标准,对难度大的LC提出了术中处理对策及并发症的预防和处理。 方法:通过回顾分析700例手术,总结了对困难的LC手术的处
丰花50是天津市蔬菜研究所近年育成的秋早熟花椰菜杂种一代。在品比试验和在天津、河北、山东、江苏、陕西等地的区域试验、生产示范中,表现出耐热、耐高温、适应性强,花球紧
目的:探讨联合应用腹腔镜、胆道镜行微创保胆取石术治疗胆囊结石病的适应证、方法以及并发症的预防和处理。 方法:回顾分析96例腹腔镜联合胆道镜微创保胆取石术治疗胆囊结石
会议
围绕提高理工科本科生创新能力的培养,阐述建设学科实验基地的必要性。并以提高学生素质为主题,以通信工程专业学生相关实验环节为素材,探讨了获取知识的途径及与素质提高的关系