时圣彬, 李春华, 唐晓勇, 马廷行. 厄洛替尼联合DC/CIK在晚期非小细胞肺癌维持治疗中的作用[J]. 中国肿瘤临床, 2012, 39(3): 160-162. DOI: 10.3969/j.issn.1000-8179.2012.03.010
引用本文: 时圣彬, 李春华, 唐晓勇, 马廷行. 厄洛替尼联合DC/CIK在晚期非小细胞肺癌维持治疗中的作用[J]. 中国肿瘤临床, 2012, 39(3): 160-162. DOI: 10.3969/j.issn.1000-8179.2012.03.010
Shengbin SHI, Chunhua LI, Xiaoyong TANG, Tinghang MA. The Effects of Maintenance Therapy Combining DC/CIK and Erlotinib on Patients with Advanced Non-small Cell Lung Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2012, 39(3): 160-162. DOI: 10.3969/j.issn.1000-8179.2012.03.010
Citation: Shengbin SHI, Chunhua LI, Xiaoyong TANG, Tinghang MA. The Effects of Maintenance Therapy Combining DC/CIK and Erlotinib on Patients with Advanced Non-small Cell Lung Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2012, 39(3): 160-162. DOI: 10.3969/j.issn.1000-8179.2012.03.010

厄洛替尼联合DC/CIK在晚期非小细胞肺癌维持治疗中的作用

The Effects of Maintenance Therapy Combining DC/CIK and Erlotinib on Patients with Advanced Non-small Cell Lung Cancer

  • 摘要:
      目的  本实验研究厄洛替尼(Erlotinib,特罗凯)联合DC/CIK生物免疫治疗和单用特罗凯在晚期非小细胞肺癌维持治疗中的作用。
      方法  收集56例Ⅲb、Ⅳ期的非小细胞肺癌患者,其一线治疗为4个周期的含铂两药方案化疗,将疗效达到稳定或以上患者随机分为两组。一组给予特罗凯和DC/CIK生物免疫治疗,另一组给予特罗凯治疗,评价两组的无进展生存(PFS)时间及不良反应。
      结果  两组的PFS分别是5.30个月(95%CI 5.02~5.58)和4.42个月(95%CI 4.20~4.63)(P < 0.05)。两组的不良反应主要为皮疹和腹泻。联合组在DC/CIK输注过程中2例出现胸闷,3例出现乏力,3例出现发热。
      结论  特罗凯联合DC/CIK在晚期非小细胞肺癌维持治疗中是一种安全有效的方法。

     

    Abstract:
      Objective  To evaluate the effects of maintenance therapy using a combination of dentritic cells (DC) /cytokine induced killer cells (CIK cells) and erlotinib on patients with advanced non-small cell lung cancer (NSCLC).
      Methods  We used data of 56 cases with Stage-Ⅲb or Ⅳ NSCLC, who underwent 4 cycles of platinum-based two-drug chemotherapy and achieved a status of stable disease or much better condition. The patients were randomized into 2 groups, i.e., Group One, which received a biological immunotherapy using a combination of erlotinib and DC/CIK cells, and Group Two, which was given erlotinib therapy alone. The main end point was progression-free survival (PFS), while the adverse reactions comprised the second end point.
      Results  The PFS of both groups were 5.30 months (95%, CI 5.02-5.58) and 4.42 months (95%, CI 4.20-4.63), respectively, P < 0.05. The untoward reactions of both groups were rashes and diarrhea. In Group One, chest distress was found in 2 cases, acratia in 4, and fever in 3 during DC/CIK infusion.
      Conclusion  The maintenance treatment, which combines erlotinib with DC/CIK cells is a safe and effective method in treating advanced NSCLC.

     

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