细胞因子诱导的杀伤细胞免疫疗法对病理纯型胶质母细胞瘤患者的疗效
Efficacy of Cytokine-Induced Killer Cell Immunotherapy for Patients With Pathologically Pure Glioblastoma.
作者信息
Han Myung-Hoon, Kim Jae Min, Cheong Jin Hwan, Ryu Je Il, Won Yu Deok, Nam Gun He, Kim Choong Hyun
机构信息
Department of Neurosurgery, Hanyang University Guri Hospital, Guri, South Korea.
Development Division, GC Cell Corp., Yongin-si, South Korea.
出版信息
Front Oncol. 2022 Apr 8;12:851628. doi: 10.3389/fonc.2022.851628. eCollection 2022.
The most common malignant central nervous system tumor is glioblastoma multiforme (GBM). Cytokine-induced killer (CIK) cell therapy is a promising type of adoptive cell immunotherapy for various cancers. We previously conducted a randomized clinical trial on CIK cell therapy in patients with GBM. The aim of this study was to evaluate the efficacy of CIK immunotherapy for patients with pathologically pure GBM, using data from our previous randomized clinical trial. The difference between overall survival (OS) and progression-free survival (PFS) according to CIK immunotherapy was analyzed using the Kaplan-Meier method. Hazard ratios were calculated using univariate and multivariate Cox regression analyses to determine whether CIK cell immunotherapy was independently associated with higher OS and PFS in patients with pure GBM. A total of 156 eligible patients were included in the modified intention-to-treat (mITT) population. We confirmed that 125 (80.1%) GBM samples were pure GBM tumors without the presence of other types of tumors. For patients with pure GBM, Kaplan-Meier analysis showed no significant difference in OS between the CIK cell treatment and control groups. However, multivariate Cox regression demonstrated CIK cell immunotherapy as an independent predictor of greater OS (hazard ratio, 0.59; 95% CI, 0.36-0.97; p = 0.038) and PFS (hazard ratio, 0.55; 95% CI, 0.36-0.84; p = 0.001) in patients with pathologically pure GBM in the mITT population. This study showed that CIK cell immunotherapy combined with conventional temozolomide chemoradiotherapy could prolong OS and PFS in patients with newly diagnosed pathologically pure GBM, with no significant adverse events related to treatment. However, unlike the results of multivariate Cox analysis, no statistical significance of CIK cell immunotherapy in OS in Kaplan-Meier analysis raises a question. Further studies are required to validate these results.
最常见的恶性中枢神经系统肿瘤是多形性胶质母细胞瘤(GBM)。细胞因子诱导的杀伤(CIK)细胞疗法是一种针对各种癌症的有前景的过继性细胞免疫疗法。我们之前对GBM患者进行了CIK细胞疗法的随机临床试验。本研究的目的是利用我们之前随机临床试验的数据,评估CIK免疫疗法对病理纯GBM患者的疗效。使用Kaplan-Meier方法分析CIK免疫疗法组与总生存期(OS)和无进展生存期(PFS)之间的差异。使用单因素和多因素Cox回归分析计算风险比,以确定CIK细胞免疫疗法是否与病理纯GBM患者更高的OS和PFS独立相关。改良意向性治疗(mITT)人群共纳入156例符合条件的患者。我们确认125例(80.1%)GBM样本为纯GBM肿瘤,不存在其他类型的肿瘤。对于病理纯GBM患者,Kaplan-Meier分析显示CIK细胞治疗组和对照组的OS无显著差异。然而,多因素Cox回归显示,在mITT人群中,CIK细胞免疫疗法是病理纯GBM患者OS延长(风险比,0.59;95%CI,0.36-0.97;p = 0.038)和PFS延长(风险比,0.55;95%CI,0.36-0.84;p = 0.001)的独立预测因素。本研究表明,CIK细胞免疫疗法联合传统替莫唑胺放化疗可延长新诊断的病理纯GBM患者的OS和PFS,且无与治疗相关的显著不良事件。然而,与多因素Cox分析结果不同,Kaplan-Meier分析中CIK细胞免疫疗法在OS方面无统计学意义,这引发了一个问题。需要进一步研究来验证这些结果。