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激光免疫疗法治疗转移性乳腺癌患者的初步安全性和疗效结果。

Preliminary safety and efficacy results of laser immunotherapy for the treatment of metastatic breast cancer patients.

机构信息

Department of Oncology, The First Affiliated Hospital of Chinese PLA General Hospital, Beijing, China.

出版信息

Photochem Photobiol Sci. 2011 May;10(5):817-21. doi: 10.1039/c0pp00306a. Epub 2011 Mar 4.

Abstract

We report our preliminary results of a pilot clinical trial of late-stage breast cancer patients treated by laser immunotherapy (LIT), a local intervention using an 805 nm laser for non-invasive irradiation, indocyanine green for selective thermal effect, and immunoadjuvant (glycated chitosan) for immunological stimulation. Ten breast cancer patients were enrolled in this study; all patients were considered to be out of other available treatment options. Toxicity was individually evaluated through physical exams and laboratory tests. Adverse reactions only occurred in the area of treatment due to photothermal injury and local administration of immunoadjuvant. No grade 3 or 4 side effects were observed. Treatment efficacy of LIT was also evaluated by physical examination and tomography. In 8 patients available for evaluation, the objective response rate was 62.5% and the clinical beneficial response rate was 75%. While the study is still ongoing, the initial outcomes of this clinical trial show that LIT is well tolerated and is promising in the treatment of metastatic breast cancer.

摘要

我们报告了激光免疫治疗(LIT)治疗晚期乳腺癌患者的初步临床试验结果,LIT 是一种局部干预措施,使用 805nm 激光进行非侵入性照射,使用吲哚菁绿进行选择性热效应,并用免疫佐剂(糖化壳聚糖)进行免疫刺激。本研究纳入了 10 例乳腺癌患者;所有患者均被认为已无其他可用的治疗选择。通过体格检查和实验室检查对毒性进行单独评估。不良反应仅因光热损伤和局部给予免疫佐剂而发生在治疗部位。未观察到 3 级或 4 级副作用。LIT 的治疗效果也通过体格检查和体层摄影进行评估。在 8 例可评估的患者中,客观缓解率为 62.5%,临床获益缓解率为 75%。虽然该研究仍在进行中,但这项临床试验的初步结果表明,LIT 具有良好的耐受性,在治疗转移性乳腺癌方面具有很大的潜力。

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