[Antigen-specific immunotherapy as a component of combined therapy for malignant brain tumors]

Vopr Onkol. 2003;49(2):170-5.
[Article in Russian]

Abstract

The purpose of the present research was to study immunity in the course of complex treatment for malignant gliomas of the brain and to evaluate extracorporeal antigen-specific immunotherapy (EASIT), a pilot procedure which was carried out according to an approved protocol. Initially, lowered HLA-DR+ monocyte count and in vitro inhibition of proliferative activity were reported in all patients. Inductive EASIT started in early postoperative period aborted immune disturbances caused by surgery. In 1998-2000, the procedure was performed in 33 patients with anaplastic astrocytoma (AA) (20) and glioblastoma (GB) (13). Mean dose of cell infusion was 2.43(0.18 x 109/patient and was well tolerated. There are 22 survivors and 9 patients died (GB--4 and AA--5; overall mortality--29%). Mean relapse-free survival was 14.2 mo (22); stable remission during 12-18 mo--37.5% (3/8)(GB) and 64% (9/14) (AA) Complete rehabilitation of immunity was generally reported 12 mo after the course of EASIT. Hence, complex treatment (surgery + EASIT) enhanced its efficacy in the management of brain tumors.

Publication types

  • Clinical Trial
  • English Abstract

MeSH terms

  • Adult
  • Antigens, Neoplasm / immunology*
  • Astrocytoma / immunology
  • Astrocytoma / therapy
  • Brain Neoplasms / immunology*
  • Brain Neoplasms / surgery
  • Brain Neoplasms / therapy*
  • Combined Modality Therapy
  • Female
  • Glioblastoma / immunology
  • Glioblastoma / therapy
  • Humans
  • Immunotherapy / methods*
  • Male
  • Middle Aged
  • Pilot Projects
  • Treatment Outcome

Substances

  • Antigens, Neoplasm