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过继转输针对实体瘤的活化免疫细胞:初步研究。

Adoptive transfer of activated immune cells against solid tumors: A preliminary study.

机构信息

Research Genetic Cancer Centre S.A., Florina, Greece.

Research Genetic Cancer Centre International GmbH, Zug, Switzerland.

出版信息

Cell Immunol. 2022 Dec;382:104616. doi: 10.1016/j.cellimm.2022.104616. Epub 2022 Sep 27.

Abstract

BACKGROUND

This study presents preliminary results concerning the effectiveness of a novel immunotherapy in cancer. The proposed adoptive cellular therapy product contains a mixture of effector immune cells, specifically macrophages, NK cells, dendritic cells, cytotoxic T lymphocytes and monoclonal antibody producing plasma cells.

METHODS

The results were based on both descriptive and inferential statistical analysis of data concerning 17 cancer patients. Particularly, performance scales such as clinical condition, Karnofsky-Index, ECOG index and symptom's scale were evaluated post therapy administration (4 months). Furthermore, circulating tumor cells (CTCs) and a specific tumor marker (EpCAM) were measured pre- and post-cellular therapy.

RESULTS

The results revealed a positive evaluation for clinical condition (70.59 %), Karnofsky-Index (88.23 %), ECOG index (94.12 %), and symptoms' scale (64.70 %). In addition, statistically significant reductions were found for both CTCs (p = 0.0016) and EpCAM positive cells (p = 0.0005), post-therapy, which were related to large size effects, namely 0.77 and 0.85, respectively. No cytokine storm, anaphylaxis or severe adverse events were observed with 4 months follow up evaluation.

CONCLUSIONS

These preliminary results indicate that the proposed cellular therapy can be considered for further studies in clinical trials.

摘要

背景

本研究介绍了一种新型免疫疗法在癌症治疗中的初步疗效。所提出的过继细胞治疗产品包含效应免疫细胞的混合物,特别是巨噬细胞、NK 细胞、树突状细胞、细胞毒性 T 淋巴细胞和产生单克隆抗体的浆细胞。

方法

这些结果基于对 17 名癌症患者的数据进行描述性和推断性统计分析。特别是,在治疗后(4 个月)评估了临床状况、Karnofsky 指数、ECOG 指数和症状量表等表现量表。此外,在细胞治疗前后测量了循环肿瘤细胞(CTC)和特定的肿瘤标志物(EpCAM)。

结果

结果显示,临床状况(70.59%)、Karnofsky 指数(88.23%)、ECOG 指数(94.12%)和症状量表(64.70%)的评估均为阳性。此外,治疗后 CTC(p=0.0016)和 EpCAM 阳性细胞(p=0.0005)均有统计学显著减少,与大效应大小相关,分别为 0.77 和 0.85。在 4 个月的随访评估中,未观察到细胞因子风暴、过敏反应或严重不良事件。

结论

这些初步结果表明,所提出的细胞治疗可考虑进一步进行临床试验研究。

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