Efficacy of Adjuvant Cytokine-induced Killer Cells in Colon Cancer

NCT ID: NCT01929499

Last Updated: 2013-08-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

210 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-30

Study Completion Date

2019-08-31

Brief Summary

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It has been reported that the immune status of patients with cancer were suppressed, especially those after surgery and adjuvant chemotherapy. Thus, immunotherapy may decrease the recurrence rate after surgery. CIK cells transfusion has been reported as an effect therapy in advanced cancers. In another retrospective study, investigators found that adjuvant CIK therapy would prolong the disease-free survival (DFS) for colorectal cancer patients.

The purpose of this study is to determine wether adjuvant immunotherapy with CIK cells in patients with colon cancer after operation will prolong DFS, and overall survival (OS).

Detailed Description

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Conditions

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Colonic Neoplasms

Keywords

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Colon cancer Cytokine-induced killer cells Adjuvant immunotherapy Adjuvant chemotherapy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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synchronous CIK group

After colectomy, patients will accept chemotherapy combined with cytokine-induced killer cells (CIK) therapy synchronously for 6 months.

For CapeOx regimen:

3×109 CIK cells on days 1-3; Oxaliplatin 130mg/m2 on day 7; Capecitabine 1000mg/m2 twice daily on days 7-20; Repeat every 3 weeks for 6-8 cycles.

For mFolfox6 regimen:

Oxaliplatin 85mg/m2 IV over 2 hours on day 1; Leucovorin 400mg/m2 IV over 2 hours on day 1; 5-FU 400mg/m2 IV bolus on day 1, then 2400mg/m2 IV continuous infusion over 46-48 hous; 3×109 CIK cells on days 9-11; Oxaliplatin 85mg/m2 IV over 2 hours on day 15; Leucovorin 400mg/m2 IV over 2 hours on day 15; 5-fluorouracil (5-FU) 400mg/m2 IV bolus on day 15, then 2400mg/m2 IV continuous infusion over 46-48 hours; Repeat every 4 weeks for 5-6 cycles.

Group Type EXPERIMENTAL

cytokine-induced killer cells

Intervention Type BIOLOGICAL

sequence CIK group

After colectomy, patients will accept adjuvant chemotherapy for 6 months, that is 6-8 cycles of CapeOX regimens (the same as those in arm A), or 10-12 cycles of mFolfox6 regimens(the same as those in arm A), followed by 6-8 cycles of cytokine-induced killer cells (CIK) therapy at least 2 weeks later.

Group Type EXPERIMENTAL

cytokine-induced killer cells

Intervention Type BIOLOGICAL

control group

After colectomy, patients will accept adjuvant chemotherapy for 6 months, that is 6-8 cycles of CapeOX regimens (the same as those in arm A), or 10-12 cycles of mFolfox6 regimens (the same as those in arm A).

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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cytokine-induced killer cells

Intervention Type BIOLOGICAL

Other Intervention Names

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CIK cytokine induced killer cells

Eligibility Criteria

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Inclusion Criteria

* Colon cancer in stage III or stage II with high risk after R0 resection
* Eastern Cooperative Oncology Group (ECOG) performance status was 0 - 1;
* Life expectancy of at least 3 months;
* Normal bone marrow, liver, renal, heart and lung function;
* Age between 18-80;
* Patients who provided written informed consent for this study

Exclusion Criteria

* With uncontrolled other malignant tumors;
* With uncontrolled infection or tubercle bacillus (TB) or underlying diseases that were severe or life threatening;
* Patients who need to treat with radiotherapy;
* Patients who accepted other immunotherapy
* With sever mental disease or disease with central nervous system (CNS);
* With the history of organ transplantation, including bone marrow transplantation or stem cell transplantation;
* Patients with auto immune diseases;
* pregnant or lactating.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Yanjuan Zhu

OTHER

Sponsor Role lead

Responsible Party

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Yanjuan Zhu

Department of Oncology

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Haibo Zhang, MD

Role: PRINCIPAL_INVESTIGATOR

Guangdong Provincial Hospital of Chinese Medicine, China

Locations

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Guangdong Provincial Hospital of Chinese Medicine

Guangzhou, Guangdong, China

Site Status

Countries

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China

Central Contacts

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Yanjuan Zhu

Role: CONTACT

Phone: (+86)13902260217

Email: [email protected]

Haibo Zhang, MD

Role: CONTACT

Phone: (+86)13724123615

Email: [email protected]

Facility Contacts

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Yanjuan Zhu

Role: primary

Haibo Zhang

Role: backup

Other Identifiers

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CIKCC

Identifier Type: -

Identifier Source: org_study_id