Changes in Immunological Status in Patients With Metastatic Colorectal Cancer Treated With First-line Chemoimmunotherapy.
By: Teppei Yamada, Yoichiro Yoshida, Toshiki Maeda, Gumpei Yoshimatsu, Naoya Aisu, Kanefumi Yamashita, Akira Komono, Ryuji Kajitani, Yoshiko Matsumoto, Hideki Nagano, Keiko Naito, Kosei Yasumoto, Rishu Takimoto, Takashi Kamigaki, Shigenori Goto, Fumihiro Yoshimura, Naoaki Sakata, Shohta Kodama, Suguru Hasegawa

Department of Gastroenterological Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan yamatetsu2013@gmail.com.
2020-05-23; doi: 10.21873/anticanres.14478
Abstract

Background/aim

Chemoimmunotherapy is a promising treatment for various malignant diseases. In this study, we examined whether first-line chemoimmunotherapy using adoptive immune-cell therapy was effective for metastatic colorectal cancer (mCRC).

Patients

The therapeutic efficacy and safety of the standard first-line chemoimmunotherapy with adoptive αβ T cell therapy and bevacizumab were assessed using thirty-two patients with mCRC in our hospital. Immunological status after this chemoimmunotherapy was also evaluated.

Results

The response and disease control rates were 68.8% and 87.5%, respectively. Further, median progression-free and overall survival were 14.2 and 35.3 months. Immunotherapy-associated toxicity was minimal. Significant decrease in the change of monocyte number (p=0.006) and increase in the change of rate of lymphocyte-to-monocyte ratio (p=0.039) were seen in the complete response group.

Conclusion

First-line chemoimmunotherapy with adoptive αβ T cell therapy may be useful for mCRC.



Copyright© 2020, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

PMID:32727803






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