Lancet Oncology:细胞疗法用于治疗转移性葡萄膜黑色素瘤

2017-04-10 MedSci MedSci原创

自体TIL过继转移介导用于治疗转移性葡萄膜黑色素瘤的首次报道,为转移性葡萄膜黑色素瘤的治疗带来新的希望

葡萄膜黑色素瘤是一种罕见的肿瘤,若发生转移没有有效的治疗手段。多种免疫疗法在转移性皮肤黑色素瘤中显示出一定的疗效,特别是,过继性T细胞治疗在多种难治性实体瘤中表现出良好的应用前景。因此,研究人员试图确定自体肿瘤浸润淋巴细胞(TIL)过继转移能否用于转移性葡萄膜黑色素瘤的治疗。

在一项单臂II期临床试验中,年满16岁的转移性黑素瘤患者接受淋巴细胞调节化疗治疗(首先静脉注射环磷酰胺[60mg/kg,2天;其次氟达拉滨25mg/m3,5天;最后每8小时静脉注射自体TIL和72万单位/Kg]的白介素-2)。试验的主要终点是评估患者的肿瘤客观反应。

试验共有21名患者参与了治疗效果评估, 其中7人出现客观肿瘤消退(35%,95% CI 16-59)。在这7人中,6名患者达到部分缓解,其中2个在进行中但并没有达到最大响应,1名肝转移患者在治疗21个月后达到完全应答。常见的3级以上毒性作用包括淋巴细胞、中性粒细胞减少,血小板减少、贫血和感染,试验中有1人因继发性败血症引起的多器官功能衰竭而死亡。

这是采用自体TIL过继转移介导用于治疗转移性葡萄膜黑色素瘤的首次报道,为转移性葡萄膜黑色素瘤的治疗带来新的希望。

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    2021-09-24 病毒猎手

    这是#实体瘤#上的创新!算是#肿瘤浸润淋巴细胞#在实体瘤上的进展了,效果应该还算不错

    0

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    2017-11-13 howi
  4. 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GetPortalCommentsPageByObjectIdResponse(id=1680391, encodeId=23ab168039104, content=<a href='/topic/show?id=9e5c86e0712' target=_blank style='color:#2F92EE;'>#色素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=86707, encryptionId=9e5c86e0712, topicName=色素)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=343027846633, createdName=sunylz, createdTime=Thu Oct 12 13:23:00 CST 2017, time=2017-10-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1864881, encodeId=f8d1186488139, content=<a href='/topic/show?id=16ce133504e' target=_blank style='color:#2F92EE;'>#Oncol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13350, encryptionId=16ce133504e, topicName=Oncol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b63894, 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objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103326, encryptionId=e27610332666, topicName=黑色素)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=150614999302, createdName=cqlidoudou, createdTime=Wed Apr 12 00:23:00 CST 2017, time=2017-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1564804, encodeId=29601564804f0, content=<a href='/topic/show?id=e27610332666' target=_blank style='color:#2F92EE;'>#黑色素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103326, encryptionId=e27610332666, topicName=黑色素)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=150614999302, createdName=cqlidoudou, createdTime=Wed Apr 12 00:23:00 CST 2017, time=2017-04-12, status=1, ipAttribution=)]
    2017-10-12 sunylz
  5. 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objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103326, encryptionId=e27610332666, topicName=黑色素)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=150614999302, createdName=cqlidoudou, createdTime=Wed Apr 12 00:23:00 CST 2017, time=2017-04-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1564804, encodeId=29601564804f0, content=<a href='/topic/show?id=e27610332666' target=_blank style='color:#2F92EE;'>#黑色素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103326, encryptionId=e27610332666, topicName=黑色素)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=150614999302, createdName=cqlidoudou, createdTime=Wed Apr 12 00:23:00 CST 2017, time=2017-04-12, status=1, ipAttribution=)]
    2017-12-12 minlingfeng
  6. 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  7. 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  8. 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  9. 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  10. 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