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肿瘤内注射聚肌胞苷酸(Poly-ICLC)治疗晚期癌症犬:临床疗效、生活质量及不良事件的首次报告

Intratumoral (Poly-ICLC) Therapy for Dogs with Advanced Cancers: First Report on Clinical Effectiveness, Quality of Life, and Adverse Events.

作者信息

Voges Alessandra Rinah Nogueira, Ubukata Rodrigo, Yazbek Karina Velloso Braga, Caballero Otávia Luisa, Salazar Andres Mario, Massoco Cristina de Oliveira, Dagli Maria Lucia Zaidan

机构信息

PROVET, Veterinary Oncology Hospital, São Paulo 04081-004, Brazil.

All Care Vet, São Paulo 04077-003, Brazil.

出版信息

Cancers (Basel). 2021 May 7;13(9):2237. doi: 10.3390/cancers13092237.

Abstract

Polyinosinic-polycytidylic acid-poly-l-lysine carboxymethylcellulose (poly-ICLC) is a synthetic double-stranded viral RNA analog widely tested as a component of human therapeutic cancer vaccines and as a standalone agent for treating human cancers. However, there are no reports on the use of poly-ICLC for treating canine cancers. This study aimed to investigate the clinical efficacy, quality of life (QL), and adverse events of poly-ICLC treatment in dogs with advanced cancers. The treatment protocol consisted of weekly intratumoral doses of poly-ICLC. The canine patients underwent clinical, laboratory, and imaging tests, and their owners answered weekly QL questionnaires. Fourteen canine patients with different types of spontaneous advanced tumors were enrolled. Most dogs had received prior conventional therapies. Five dogs received at least 12 doses of poly-ICLC: the injected tumor was stable in three dogs, there was a partial response in one, and the injected tumor significantly enlarged in the other. The QL scoring remained stable or increased in most cases. Mild adverse events related to poly-ICLC were observed in 10 of the 14 patients. The data showed that intratumoral poly-ICLC therapy was well tolerated in dogs with advanced cancers, with clinical benefit and improved QL scores observed in some dogs.

摘要

聚肌苷酸-聚胞苷酸-聚-L-赖氨酸羧甲基纤维素(聚-ICLC)是一种合成的双链病毒RNA类似物,作为人类治疗性癌症疫苗的成分以及治疗人类癌症的独立药物,已被广泛测试。然而,尚无关于使用聚-ICLC治疗犬类癌症的报道。本研究旨在调查聚-ICLC治疗晚期癌症犬的临床疗效、生活质量(QL)和不良事件。治疗方案包括每周一次瘤内注射聚-ICLC。犬类患者接受了临床、实验室和影像学检查,其主人每周回答QL问卷。招募了14例患有不同类型自发性晚期肿瘤的犬类患者。大多数犬此前已接受过传统治疗。5只犬接受了至少12剂聚-ICLC:3只犬注射的肿瘤稳定,1只部分缓解,另1只注射的肿瘤显著增大。在大多数情况下,QL评分保持稳定或升高。14例患者中有10例观察到与聚-ICLC相关的轻度不良事件。数据表明,晚期癌症犬对瘤内聚-ICLC治疗耐受性良好,部分犬观察到临床获益且QL评分提高。

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