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高聚金葡素联合长春瑞滨为主的化疗方案治疗晚期乳腺癌

Treatment of advanced breast cancer with a combination of highly agglutinative staphylococcin and vinorelbine-based chemotherapy.

作者信息

Yu Q-T, Meng Z-B

机构信息

Department of Chemotherapy, and Department of Interventional Therapy; Tumor Hospital Affiliated to Guangxi Medical University, Nanning, China.

出版信息

Eur Rev Med Pharmacol Sci. 2016 Aug;20(16):3465-8.

Abstract

OBJECTIVE

Breast cancer is the most frequently diagnosed cancer among women in over 75% of countries worldwide accounting for one in four of all cancers in women. Highly agglutinative staphylococcin (HAS), a mixture of Staphylococcus aureus culture filtrates, has been used clinically as an immunomodifier in the treatment of a number of tumors for many years. The aim of present study is to evaluate the therapeutic effects and safety of treating advanced breast cancer patients with a combined therapy of HAS and vinorelbine-based chemotherapy compared to patients who receive standard chemotherapy alone.

PATIENTS AND METHODS

A total of 62 patients with advanced breast cancer were divided into 2 study groups. One group received intravenous injections of HAS and vinorelbine-based chemotherapy (n=31) compared to a control group assigned to receive vinorelbine-based standard chemotherapy (n=31).

RESULTS

Patients with advanced breast cancer who received HAS combined therapy showed a significantly higher overall response rate (Complete Response + Partial Response) of 67.7% compared with patients who received systemic chemotherapy alone (51.6%; p < 0.05). Overall, the occurrence of adverse effects was not significantly different between study groups. HAS was able to remedy the immunosuppressing effects of standard chemotherapy in these patients.

CONCLUSIONS

Treatment of advanced breast cancer with of HAS - in combination with vinorelbine-based chemotherapy - was generally more effective and just as safe compared to treatment with vinorelbine-based standard chemotherapy alone.

摘要

目的

在全球超过75%的国家中,乳腺癌是女性中最常被诊断出的癌症,占女性所有癌症的四分之一。高凝集性葡萄球菌素(HAS)是金黄色葡萄球菌培养滤液的混合物,多年来一直作为免疫调节剂在临床上用于多种肿瘤的治疗。本研究的目的是评估与仅接受标准化疗的患者相比,采用HAS与长春瑞滨为主的化疗联合治疗晚期乳腺癌患者的疗效和安全性。

患者与方法

总共62例晚期乳腺癌患者被分为2个研究组。一组接受静脉注射HAS与长春瑞滨为主的化疗(n = 31),与之相比,对照组接受长春瑞滨为主的标准化疗(n = 31)。

结果

接受HAS联合治疗的晚期乳腺癌患者的总缓解率(完全缓解 + 部分缓解)显著更高,为67.7%,而仅接受全身化疗的患者为51.6%(p < 0.05)。总体而言,研究组之间不良反应的发生率没有显著差异。HAS能够纠正这些患者中标准化疗的免疫抑制作用。

结论

与仅使用长春瑞滨为主的标准化疗相比,使用HAS联合长春瑞滨为主的化疗治疗晚期乳腺癌通常更有效且同样安全。

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