Efficacy of Tumor-Infiltrating Lymphocytes Combined with IFN- α in Chinese Resected Stage III Malignant Melanoma

J Immunol Res. 2017:2017:1092507. doi: 10.1155/2017/1092507. Epub 2017 Aug 20.

Abstract

Background: This study aims to explore the efficacy of tumor-infiltrating lymphocytes (TIL) along with interferon-α (IFN-α) to treat stage III malignant melanoma (MM) patients in China.

Methods: Between May 2010 and October 2014, 77 patients of stage III MM who underwent surgery were collected in this study. These patients were divided into two groups: patients who received TIL + IFN-α ± RetroNectin-activated cytokine-induced killer cells (R-CIK) in Arm 1 (n = 27) and IFN-α ± R-CIK in Arm 2 (n = 50) as adjuvant therapy. The primary endpoints were disease-free survival (DFS) time and DFS rates measured at time points of 1, 2, and 3 years. The secondary endpoints were overall survival (OS) rates measured at time points of 1, 2, 3, and 5 years as well as OS as evaluated by Kaplan-Meier.

Results: Our results indicated that the median DFS and OS in Arm 1 were significantly better than those in Arm 2. The data also demonstrated that DFS rate and OS rates in Arm 1 were significantly better than those in Arm 2 at all measured time points.

Conclusion: Patients who undergo surgical excision of stage III MM appear to enjoy prolonged DFS and OS when treated with TIL + IFN-α compared to IFN-α alone.

MeSH terms

  • Cancer Vaccines / immunology*
  • China
  • Cytokine-Induced Killer Cells / immunology*
  • Cytokine-Induced Killer Cells / transplantation
  • Female
  • Fibronectins / immunology
  • Follow-Up Studies
  • Humans
  • Interferon-alpha / therapeutic use*
  • Lymphocyte Activation
  • Lymphocytes, Tumor-Infiltrating / immunology*
  • Lymphocytes, Tumor-Infiltrating / transplantation
  • Male
  • Melanoma / immunology
  • Melanoma / mortality
  • Melanoma / therapy*
  • Neoplasm Staging
  • Nose Neoplasms / immunology
  • Nose Neoplasms / mortality
  • Nose Neoplasms / therapy*
  • Recombinant Proteins / immunology
  • Survival Analysis

Substances

  • Cancer Vaccines
  • Fibronectins
  • Interferon-alpha
  • Recombinant Proteins
  • retronectin