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Irradiation of Donor Mononuclear Cells for Treatment of Chemorefractory Metastatic Solid Cancers: A Community-Based Immune Transplant Pilot Study
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John T. Reynolds, John M. Watkins, Tarek A. Dufan, Shrikant S. Kubsad
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Cancer Res Treat. 2012;44(2):133-141. Published online June 30, 2012
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DOI: https://doi.org/10.4143/crt.2012.44.2.133
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 Abstract
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Chemotherapy has demonstrated ability to generate tumor antigens secondary to induction of apoptosis, against which human leukocyte antigen-compatible, irradiated, related donor mononuclear cells may be administered with immune stimulation to activate antigen presenting and cytotoxic T cells, while minimizing risk of graft-versus-host disease (GVHD). The present study endeavours to describe feasibility and efficacy of this treatment, specifically in the community setting.
MATERIALS AND METHODS
Eligible patients had rapidly progressive, chemorefractory metastatic solid tumors.
Treatment consisted of intravenous etoposide and cyclosporine for three days followed by granulocyte-macrophage colony-stimulating factor for 5 days.
The following week, 5x10(7) haploidentical or more closely matched irradiated donor mononuclear cells were given weekly for 10 weeks along with interleukin-2.
RESULTS
Three patients were enrolled, and the regimen was well-tolerated, with no GVHD observed. All patients had clinical response, despite advanced and heavily pretreated disease.
CONCLUSION
The above-outlined protocol demonstrates favorable tolerability and efficacy, and appears to be feasible in the community setting. While the optimal chemotherapy, immunostimulation, and irradiation regimens may be further optimized, future investigation appears warranted, and may include community oncology programs.
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Citations
Citations to this article as recorded by  - Feasibility and Pilot Studies in Palliative Care Research: A Systematic Review
Terry A. Jones, Timothy S. Olds, David C. Currow, Marie T. Williams
Journal of Pain and Symptom Management.2017; 54(1): 139. CrossRef - Irradiation of peripheral blood mononuclear cells with 7.5 Gy X-rays prior to donor lymphocyte infusion inhibits proliferation while preserving cytotoxicity, and improves the effectiveness of HSCT in patients with hematological malignancies
Yong-Qiu Wei, Xi-Nan Cen, Hui-Hui Liu, Yu-Hua Sun, Yong-Jin Shi, Wei Liu, Yu-Jun Dong, Han-Yun Ren
Oncology Letters.2017; 13(6): 4101. CrossRef
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