PMID- 25298213 OWN - NLM STAT- MEDLINE DCOM- 20150221 LR - 20211021 IS - 1757-2215 (Print) IS - 1757-2215 (Electronic) IS - 1757-2215 (Linking) VI - 7 DP - 2014 May 7 TI - The feasibility and clinical effects of dendritic cell-based immunotherapy targeting synthesized peptides for recurrent ovarian cancer. PG - 48 LID - 10.1186/1757-2215-7-48 [doi] AB - BACKGROUND: Despite the increased rate of complete response to initial chemotherapy, most patients with advanced ovarian cancer relapse and succumb to progressive disease. Dendritic cell (DC)-based immunotherapy has been developed as a novel strategy for generating antitumor immunity as part of cancer treatments. The present study aimed to assess the feasibility and clinical effects of DC therapy for recurrent ovarian cancer (ROC). METHODS: This retrospective study included 56 ROC patients who initially received standard chemotherapy followed by DC-based immunotherapy targeting synthesized peptides at 2 institutions between March 2007 and August 2013. The adverse events (AEs) and clinical responses were examined. RESULTS: No serious treatment-related AEs were observed. Seventy one percent of the enrolled patients developed an immunologic response. The median survival time (MST) from ROC diagnosis was 30.4 months, and that from the first vaccination was 14.5 months. Albumin levels of >/=4.0 g/dL and lactate dehydrogenase levels of <200 IU/L before vaccination were identified as significant independent factors by multivariate Cox proportional hazard analysis. The MST from the first vaccination in patients with albumin levels of >/=4.0 and <4.0 g/dL were 19.9 and 11.6 months, respectively. The corresponding disease control rates were 36% and 15%, respectively. CONCLUSIONS: Our results demonstrated the feasibility and potential clinical effectiveness of DC-based immunotherapy for ROC patients. Additionally, a good nutritional status might be an important factor for further clinical effects. FAU - Kobayashi, Masanori AU - Kobayashi M FAU - Chiba, Asako AU - Chiba A FAU - Izawa, Hiromi AU - Izawa H FAU - Yanagida, Eri AU - Yanagida E FAU - Okamoto, Masato AU - Okamoto M FAU - Shimodaira, Shigetaka AU - Shimodaira S FAU - Yonemitsu, Yoshikazu AU - Yonemitsu Y FAU - Shibamoto, Yuta AU - Shibamoto Y FAU - Suzuki, Noboru AU - Suzuki N FAU - Nagaya, Masaki AU - Nagaya M CN - DC-vaccine study group at the Japan Society of Innovative Cell Therapy (J-SICT) LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20140507 PL - England TA - J Ovarian Res JT - Journal of ovarian research JID - 101474849 RN - 0 (Cancer Vaccines) RN - 0 (Peptides) RN - 0 (WT1 Proteins) SB - IM MH - Adult MH - Aged MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Cancer Vaccines/administration & dosage/immunology MH - Combined Modality Therapy MH - Dendritic Cells/*immunology/metabolism MH - Female MH - Humans MH - *Immunotherapy/adverse effects MH - Lymphocyte Count MH - Lymphocyte Subsets/immunology MH - Middle Aged MH - Neoplasm Metastasis MH - Neoplasm Recurrence, Local MH - Ovarian Neoplasms/diagnosis/*immunology/mortality/pathology/*therapy MH - Peptides/chemical synthesis/*immunology/metabolism MH - Retrospective Studies MH - T-Cell Antigen Receptor Specificity/immunology MH - Treatment Outcome MH - WT1 Proteins/immunology MH - Young Adult PMC - PMC4108140 EDAT- 2014/10/10 06:00 MHDA- 2015/02/24 06:00 PMCR- 2014/05/07 CRDT- 2014/10/10 06:00 PHST- 2014/01/25 00:00 [received] PHST- 2014/04/30 00:00 [accepted] PHST- 2014/10/10 06:00 [entrez] PHST- 2014/10/10 06:00 [pubmed] PHST- 2015/02/24 06:00 [medline] PHST- 2014/05/07 00:00 [pmc-release] AID - 1757-2215-7-48 [pii] AID - 10.1186/1757-2215-7-48 [doi] PST - epublish SO - J Ovarian Res. 2014 May 7;7:48. doi: 10.1186/1757-2215-7-48.