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Prognostic significance of adoptive immunotherapy with tumor-associated lymphocytes in patients with advanced gastric cancer: A randomized trial

We performed adoptive immunotherapy (AIT)with tumor-associated lymphocytes (TALs) in combination with chemotherapy in patients with advanced-stage gastric cancer in a randomized controlled study and investigated whether or not an improved survival effect is observed with AIT. Forty-four consecutive...

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Published in:Clinical cancer research 2002-06, Vol.8 (6), p.1767-1771
Main Authors: KONO, Koji, TAKAHASHI, Akihiro, ICHIHARA, Fumiko, AMEMIYA, Hideki, IIZUKA, Hidehiko, FUJII, Hideki, SEKIKAWA, Takayoshi, MATSUMOTO, Yoshiro
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container_end_page 1771
container_issue 6
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container_title Clinical cancer research
container_volume 8
creator KONO, Koji
TAKAHASHI, Akihiro
ICHIHARA, Fumiko
AMEMIYA, Hideki
IIZUKA, Hidehiko
FUJII, Hideki
SEKIKAWA, Takayoshi
MATSUMOTO, Yoshiro
description We performed adoptive immunotherapy (AIT)with tumor-associated lymphocytes (TALs) in combination with chemotherapy in patients with advanced-stage gastric cancer in a randomized controlled study and investigated whether or not an improved survival effect is observed with AIT. Forty-four consecutive patients with stage IV gastric cancer [staged according to the International Union against Cancer classification] were prospectively assigned to the control group (chemotherapy alone) or the AIT group (AIT plus chemotherapy). Patients in the AIT group received an adoptive transfer of cultured TALs in combination with low-dose cisplatinum/5-fluorouracil chemotherapy, whereas patients in the control group received chemotherapy alone. The 50% survival rates were 11.5 and 8.3 months in the AIT and control groups, respectively. The overall survival of patients in the AIT group was significantly better than that of patients in the control group, as analyzed by the log-rank test (P < 0.05). Multivariate analysis with Cox's proportional hazards model revealed that AIT provided an independent prognostic factor, indicating that AIT influenced patient survival in a positive manner. AIT with TALs in combination with chemotherapy was effective in prolonging survival in patients with stage IV gastric cancer.
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source Freely Accessible Science Journals - check A-Z of ejournals
subjects Aged
Antigens, CD - immunology
Antineoplastic agents
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Biological and medical sciences
Chemotherapy
Cisplatin - administration & dosage
Combined Modality Therapy
Female
Fluorouracil - administration & dosage
Humans
Immunotherapy, Adoptive
Lymphatic Metastasis - pathology
Lymphocytes, Tumor-Infiltrating - immunology
Male
Medical sciences
Middle Aged
Neoplasm Staging
Pharmacology. Drug treatments
Prognosis
Prospective Studies
Stomach Neoplasms - mortality
Stomach Neoplasms - pathology
Stomach Neoplasms - therapy
Survival Rate
Tumor Necrosis Factor-alpha - metabolism
title Prognostic significance of adoptive immunotherapy with tumor-associated lymphocytes in patients with advanced gastric cancer: A randomized trial
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