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胸腔灌注化疗联合免疫因子白细胞介素-2治疗晚期非小细胞肺癌的疗效与安全性评估:一项回顾性队列研究

Efficacy and Safety Assessment of Intrathoracic Perfusion Chemotherapy Combined with immunological factor Interleukin-2 in the Treatment of Advanced Non-Small Cell Lung Cancer: A Retrospective Cohort Study.

作者信息

Cao Qiang, Zhu Jinyi, Wu Xinyan, Li Jiapeng, Chen Yuquan, You Yanwei, Li Xiaochen, Huang Xufeng, Zhang Yujie, Li Rizhu, Han Dan

机构信息

Department of Pharmacy, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.

School of Medicine, Macau University of Science and Technology, 999078, Macau, Macao.

出版信息

J Cancer. 2024 Feb 17;15(7):2024-2032. doi: 10.7150/jca.92624. eCollection 2024.

Abstract

This study evaluated the efficacy and safety of the gemcitabine and oxaliplatin intrathoracic perfusion chemotherapy (IPCGOR) regimen combined with interleukin-2 (IL-2) for advanced non-small cell lung cancer (NSCLC). We conducted a retrospective analysis of 460 advanced NSCLC patients from the Yunnan Province Early Cancer Diagnosis and Treatment Project (June 2020-October 2022), assessing the IPCGOR and IL-2 combination. Outcomes were measured based on RECIST 1.1 criteria, focusing on objective response rate (ORR), disease control rate (DCR), median progression-free survival (mPFS), median overall survival (MOS), and treatment safety. The treatment demonstrated an ORR of 67.4%, a DCR of 97.4%, an mPFS of 8.5 months, and an MOS of 12.5 months. 14 patients underwent successful surgery post-treatment. Common adverse reactions were manageable, with no treatment-related deaths reported. The IPCGOR combined with IL-2 regimen shows promising efficacy and a tolerable safety profile for advanced NSCLC. These findings suggest its potential as a reference for treating advanced NSCLC. However, the study's retrospective nature and single-center design pose limitations. Future research should focus on prospective studies, randomized controlled trials, and long-term outcome assessments, particularly in diverse patient subgroups, to further validate and refine the clinical application of this regimen.

摘要

本研究评估了吉西他滨联合奥沙利铂胸腔灌注化疗(IPCGOR)方案联合白细胞介素-2(IL-2)治疗晚期非小细胞肺癌(NSCLC)的疗效和安全性。我们对云南省早期癌症诊断与治疗项目(2020年6月至2022年10月)中的460例晚期NSCLC患者进行了回顾性分析,评估IPCGOR与IL-2联合治疗情况。根据RECIST 1.1标准测量结果,重点关注客观缓解率(ORR)、疾病控制率(DCR)、中位无进展生存期(mPFS)、中位总生存期(MOS)和治疗安全性。该治疗方案的ORR为67.4%,DCR为97.4%,mPFS为8.5个月,MOS为12.5个月。14例患者治疗后成功接受了手术。常见不良反应可控,未报告与治疗相关的死亡病例。IPCGOR联合IL-2方案对晚期NSCLC显示出有前景的疗效和可耐受的安全性。这些发现表明其有潜力作为治疗晚期NSCLC的参考。然而,该研究的回顾性性质和单中心设计存在局限性。未来的研究应侧重于前瞻性研究、随机对照试验和长期结局评估,特别是在不同患者亚组中,以进一步验证和完善该方案的临床应用。

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