|
2010/05/31
Akiyama S1, Tomoda T2, Tsukada J3, Abe H1, Okamoto M3,4:
1Kudan Clinic, Tokyo, Japan
2 Seren Clinic, Tokyo, Japan
3 Tella Inc., Tokyo , Japan
4 Musashino Univ., Tokyo Japan
Abstract
Background and objective: Tumor-specific cytotoxic T lymphocytes (CTLs) can be activated in vivo by dendritic cell (DC)-based
vaccination.
However, clinical responses to the immunotherapy with DC vaccination have only been observed in a minority of patients with
solid cancer.
Combination with other treatment modalities such as chemotherapy may overcome immune resistance of cancer cells.
In the current study, the clinical efficacy of the DC vaccine pulsed with the peptide derived from colorectal cancer-associated
antigens in combination with chemot herapy has been evaluated in the patients with advanced, inoperable colorectal cancer.
Patients and methods: Thirty-two patients with advanced, inoperable colorectal cancer refractory to standard treatment were
entered the study.
DCs which were generated from CD14+ monocytes from leukapheresis by 6-day cultivation with granulocyte macrophage-colony
stimulating factor (GM-CSF) and interleukin (IL)-4, were matured by OK-432, a streptococcal agent, and were pulsed with the
pancreatic cancer-associated antigens, such as WT-1, MUC1. These DCs (1 x 107) were intradermally administered from 5 to 7
times at 14 –day intervals.
Results:
Of the 32 patients, complete response (CR) was observed in 0 (0%), partial response (PR) in 7 (21.9%), stable disease (SD)
in 12 (37.5%), progressive disease (PD) in 13 (40.6%). Response rate was 21.9%. Tumor control rate was 59.4%. Survival rates,
quality of life, performance status were markedly increased. Severe side effects of more than Grade 2 which were assessed in
accordance with Common Terminology Criteria for Adverse Event (CTCAE) version 4.0 were not observed.
Conclusions:
It was strongly suggested that the DC vaccination pulsed with cancer associated-peptides in combination with chemotherapy was
safety and effective in the patients with the inoperable colorectal cancer refractory to standard treatment.
* 2010 외과학회
May 28-31, 2010 Lanzhou, China
|
