基于细胞的疫苗作为癌症治疗的实用性:系统审查和元分析
Ankur Tiwari1, Karl Alcover2, Elizabeth Carpenter3
1Department of Surgery, University of Texas Health Science Center, San Antonio, TX, USA.
Human vaccines & immunotherapeutics
|March 28, 2024
概括
对基于细胞的癌症疫苗的系统审查表明临床益处有限. 然而,一些研究揭示了显著的生物活性,表明未来抗癌疗法开发的潜力.
科学领域:
- 免疫学 免疫学 免疫学
- 在瘤学瘤学.
- 疫苗学 疫苗学 疫苗学
背景情况:
- 基于细胞的癌症疫苗旨在利用各种细胞类型刺激针对瘤的自适应性免疫反应.
- 目前的研究系统地审查临床试验数据,以评估疗效和生物活性.
研究的目的:
- 进行2期和3期基于细胞的癌症疫苗试验的系统文献审查和元分析.
- 识别表现出未来疫苗设计潜力的生物活性.
主要方法:
- 按照PRISMA指南进行系统的文献审查和元分析.
- 包括36项研究:16项单臂和20项受控试验.
- 临床益处和生物活性的分析.
主要成果:
- 系统审查表明,大部分试验结果都是负面的.
- 分析发现没有统计学上显著的临床益处证据.
- 确定了超出严格纳入标准的生物活动的显著例子.
结论:
- 基于细胞的癌症疫苗在癌症类型和环境中显示出高度可变的结果.
- 没有证明总体统计学上显著的临床益处.
- 个别的成功突出显示了癌症治疗中不断发展的基于细胞的疫苗技术的前景.
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