Department of Immunotherapy, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, Henan 450008, China.
School of Life Sciences, Zhengzhou University, Zhengzhou, Henan 450001, China.
J Immunol Res. 2017;2017:1092507. doi: 10.1155/2017/1092507. Epub 2017 Aug 20.
This study aims to explore the efficacy of tumor-infiltrating lymphocytes (TIL) along with interferon- (IFN-) to treat stage III malignant melanoma (MM) patients in China.
Between May 2010 and October 2014, 77 patients of stage III MM who underwent surgery were collected in this study. These patients were divided into two groups: patients who received TIL + IFN- ± RetroNectin-activated cytokine-induced killer cells (R-CIK) in Arm 1 ( = 27) and IFN- ± R-CIK in Arm 2 ( = 50) as adjuvant therapy. The primary endpoints were disease-free survival (DFS) time and DFS rates measured at time points of 1, 2, and 3 years. The secondary endpoints were overall survival (OS) rates measured at time points of 1, 2, 3, and 5 years as well as OS as evaluated by Kaplan-Meier.
Our results indicated that the median DFS and OS in Arm 1 were significantly better than those in Arm 2. The data also demonstrated that DFS rate and OS rates in Arm 1 were significantly better than those in Arm 2 at all measured time points.
Patients who undergo surgical excision of stage III MM appear to enjoy prolonged DFS and OS when treated with TIL + IFN- compared to IFN- alone.
本研究旨在探讨肿瘤浸润淋巴细胞(TIL)联合干扰素-(IFN-)治疗中国 III 期恶性黑色素瘤(MM)患者的疗效。
本研究收集了 2010 年 5 月至 2014 年 10 月期间接受手术治疗的 77 例 III 期 MM 患者。这些患者被分为两组:在 Arm 1 中接受 TIL+IFN-±RetroNectin 激活细胞因子诱导的杀伤细胞(R-CIK)(=27)和在 Arm 2 中接受 IFN-±R-CIK 作为辅助治疗(=50)。主要终点是 1、2 和 3 年时的无病生存(DFS)时间和 DFS 率。次要终点是 1、2、3 和 5 年时的总生存(OS)率以及 Kaplan-Meier 评估的 OS。
我们的结果表明,Arm 1 的中位 DFS 和 OS 明显优于 Arm 2。数据还表明,在所有测量的时间点,Arm 1 的 DFS 率和 OS 率均明显优于 Arm 2。
与单独使用 IFN-相比,接受 III 期 MM 手术切除的患者接受 TIL+IFN-治疗似乎可以延长 DFS 和 OS。