Changes in Immunological Status in Patients With Metastatic Colorectal Cancer Treated With First-line Chemoimmunotherapy

Anticancer Res. 2020 Aug;40(8):4763-4771. 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 and methods: 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.

Keywords: Colorectal cancer; chemotherapy; immunological status; immunotherapy; αβ T cell therapy.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Bevacizumab / therapeutic use
  • Colorectal Neoplasms / immunology*
  • Colorectal Neoplasms / therapy*
  • Female
  • Fluorouracil / therapeutic use
  • Humans
  • Immunotherapy / methods
  • Lymphocytes / drug effects
  • Lymphocytes / immunology
  • Male
  • Middle Aged
  • Monocytes / drug effects
  • Monocytes / immunology
  • Progression-Free Survival

Substances

  • Bevacizumab
  • Fluorouracil