临床肿瘤学杂志

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DC/CIK维持治疗晚期非小细胞肺癌的临床观察

吴标1,郭增清1,王丽莉1,陈淑萍2,叶韵斌2,黄诚1   

  1. 1 350014 福州福建省肿瘤医院内科 2 350014 福建省肿瘤医院肿瘤免疫学研究室 福建省肿瘤转化医学重点实验室
  • 收稿日期:2014-06-17 修回日期:2014-07-20 出版日期:2014-10-30 发布日期:2014-10-30
  • 通讯作者: 黄诚

Clinical observation of dendritic cells/cytokine-induced killer cells as maintenance therapy in patients with advanced non-small cell lung cancer

WU Biao, GUO Zengqing, WANG Lili, CHEN Shuping, YE Yunbin, HUANG Cheng.   

  1. Department of Medical Oncology, Fujian Provincial Cancer Hospital, Fuzhou 350014, China
  • Received:2014-06-17 Revised:2014-07-20 Online:2014-10-30 Published:2014-10-30
  • Contact: HUANG Cheng

摘要: 目的 评价树突状细胞联合自体细胞因子诱导杀伤细胞(DC/CIK)维持治疗晚期非小细胞肺癌(NSCLC)的疗效和不良反应。方法 根据治疗情况将2010年1月至2014年1月120例含铂方案化疗4~6个周期后疾病稳定的晚期NSCLC患者分为对照组(n=65)和研究组(n=55),仅研究组化疗后接受DC/CIK维持治疗。对两组进行生存随访并比较中位无进展生存期(PFS)和总生存期(OS),同时记录不良反应情况。结果研究组的中位PFS为5.0个月,高于对照组的3.5个月,差异有统计学意义(P<0.05);研究组的中位OS为8.5个月,与对照组(8.0个月)的差异无统计学意义(P>0.05);两组化疗后获不同疗效亚组中位PFS和OS的差异均无统计学意义(P>0.05)。常见不良反应为骨髓抑制、发热、乏力和关节酸痛,两组不良反应发生率的差异无统计学意义(P>0.05)。结论DC/CIK维持治疗可延长化疗后疾病稳定晚期NSCLC患者的进展时间,且不良反应轻,患者可耐受。

Abstract: Objective To evaluate the toxicity and efficacy of dendritic cells/cytokine-induced killer cells (DC/CIK) as the maintenance therapy for advanced non-small cell lung cancer (NSCLC). Methods During January 2010 and January 2014, 120 advanced NSCLC patients in stable condition were enrolled after 4-6 cycles chemotherapy containing platinum. According to the treatment, patients were assigned into control group (n=65) and study group (n=55). Only the study group received DC/CIK maintenance therapy. Both groups were followed up and the progression free survival (PFS) and overall survival (OS) were compared. Moreover, the adverse reaction was recorded. Results The median PFS and OS were 5.0 and 8.5 months in study group and 3.5 and 8.0 months in control group,respectively. The median PFS was higher in study group versus control group (P<0.05). No significant differences were observed on median OS between both groups. In addition,there were similar median PFS and OS between different chemotherapeutic efficacy of sub-group. The common adverse reaction included myelosuppression, fever, fatigue and joint pain. The differences of both groups were not statistically significant (P>0.05). Conclusion DC/CIK as the maintenance therapy can prolong the progression of advanced NSCLC patients in stable condition with tolerable and low adverse reaction.

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