Progression-free survival of non-small cells lung cancer in patients vaccinated with CIMAvax-EGF
Keywords:
progression-free survival, lung cancer, vaccine against cancer, CIMAvax-EGFAbstract
An observational, descriptive and longitudinal study during a first time, and analytic case-control study in a second time, of 95 patients with non small cells lung cancer, in advanced stages (IIIB-IV) and of the epidermoid carcinoma and adenocarcinoma histological subtypes who were treated with the vaccine CIMAvax-EGF in the Department of Clinical Assays of “Saturnine Lora Torres” Teaching Clinical Surgical Provincial Hospital, and in “30 de Noviembre”, “28 de Septiembre”, “José Martí” and “Camilo Torres” polyclinics in Santiago de Cuba province, was carried out in the period 2006-2013, in order to estimate the progression-free survival of the clinical entity in them. After a year of the vaccination, the probability of progression-free survival was just 30.5%, which was significantly higher in stage IIIB patients, with a favourable response to the first treatment line, after treated with a chemotherapy - radiotherapy combination and bovine CIMAvax-EGF, whenever 4 or more immunizations were used.
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2. Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J. Harrison’s Principles of Internal Medicine. 18 ed. New York: McGraw-Hill Professional; 2012.
3. Rodríguez PC, Rodríguez G, González G, Lage A. Desarrollo clínico y perspectivas de la vacuna CIMAvax-EGF en el tratamiento del cáncer de pulmón de células no pequeñas. MEDICC Review. 2010 [citado 23 Jul 2014]; 12(1). Disponible en: http://mediccreview.medicc.org/articles/mr_128_es.pdf
4. Cuba. Ministerio de Salud Pública. Dirección Nacional de Registros Médicos y Estadísticas de Salud. Anuario Estadístico de Salud. La Habana: ONE; 2013.
5. Abreu Rivera P, Labrada Betancourt Y, Sánchez Escalona JL, Alvares Zaldívar J. Evaluación de supervivencia de pacientes con cáncer de pulmón tratados con la vacuna de factor de crecimiento epidérmico. Corr Cient Méd Holg. 2011 [citado 23 Jul 2014]; 15(1). Disponible en: http://www.cocmed.sld.cu/no151/no151ori08.htm
6. Acosta SC. Ensayo Clínico Fase III: Vacuna terapéutica CIMAvax EGF combinada con la quimioterapia adyuvante en pacientes con tumores resecables de pulmón de células no pequeñas. La Habana: Centro de Inmunología Molecular; 2011.
7. Hirsch FR, Herbst RS, Olsen C, Chansky K, Crowley J, Kelly K, et al. Increased EGFR gene copy number detected by fluorescent in situ hybridization predicts outcome in non-small lung cancer patients treated with cetuximab and chemotherapy. J Clin Oncol. 2008; 26(20): 3351-7.
8. Hirsch FR, Varella-Garcia M, Cappuzzo F. Predictive value of EGFR and HER2 overexpression in advanced non-small-cell lung cancer. Oncogene. 2009; 28(Suppl. 1): 32-7.
9. García Verdecia B. Estudio de la respuesta inmune humoral inducida con la vacuna CIMAvax-EGF y de su relación con la supervivencia de pacientes con cáncer de pulmón de células no pequeñas [tesis doctoral]. La Habana: Universidad de La Habana; 2011 [citado 23 Jul 2014]. Disponible en: http://tesis.repo.sld.cu/412/1/BGarciaVerdecia.pdf
10. Duffy SW, Treasure FP. Potential surrogate endpoints in cancer research some considerations and examples. Pharm Stat. 2009; 10(1): 34-9.
11. Cortés-Funes H, Colomer R, Alba E, Díaz-Rubio E, González M, Guillem V, et al. Tratado de oncología. Barcelona: Publicaciones Permanyer; 2009.
12. Lage Dávila A, Crombet Ramos T. Control del cáncer avanzado: La ruta hacia la cronicidad. Revista Anales de la Academia de Ciencias de Cuba. 2011; 1(1): 1-20.
13. Maemondo M, Inoue A, Kobayashi K, Sugawara S, Oizumi S, Isobe H, et al. Gefitinib or chemotherapy for non–small-cell lung cancer with mutated EGFR. N Engl J Med. 2010; 362(25): 2380-8.
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