Review Article

Clinical Studies Applying Cytokine-Induced Killer Cells for the Treatment of Gastrointestinal Tumors

Table 1

Clinical studies applying CIK cells for the treatment of gastric cancer.

StudyNumber of patientsTherapyResultsConclusions

Jiang et al., 2006 [21]57Gastrectomy and chemotherapy; immunotherapy group: additional CIK infusionsBetter survival rate of patients in immunotherapy group only in beginning—after 2 yrs no difference in survival between the groupsCombination of chemo- and CIK cell therapy superior to chemotherapy alone in patients with advanced gastric cancer

Shi et al., 2012 [22]151Gastrectomy and chemotherapy; immunotherapy group: additional CIK cell therapyThe mean CD3+, CD4+ level and the CD4+/CD8+ ratio increased in patients’ blood up to 2 months after immunotherapy; no severe side effects; OS and DFS significantly better in immunotherapy groupCIK cell therapy can prolong DFS and OS; patients with intestinal-type tumors benefit most from CIK cell therapy as determined by retrospective subgroup analysis

Wang et al., 2013 [23]42Chemotherapy; immunotherapy group: additional i.p. perfusion of CIK cellsReduced volume of 2-cycle peritoneal fluid drainage in immunotherapy group; no serious adverse reactions; prolonged TTP and higher OS in immunotherapy groupSuperior efficacy of combination of chemo- and CIK cell therapy for advanced gastric cancer patients with ascites; CIK cell therapy can enhance immunological function and prolong survival

Jiang et al., 2008 [24]60Chemotherapy; immunotherapy group: additional CIK cell transfusionsThe remission rate was 58.6% in the immunotherapy group and 45.2% in the control group; side effects of CIK cell transfusions were chills, fever, general malaise, nausea, and vomitingCIK cell therapy can reduce clinical signs of elderly advanced gastric cancer patients; side effects can be treated with conventional therapy

Jiang et al., 2010 [25]156Chemotherapy; immunotherapy group: additional CIK cell therapySignificantly longer 2- and 5-yr survival timeBetter survival after CIK cell therapy; increasing the frequency of CIK cell therapy seems to be beneficial for survival

Zhao et al., 2013 [26]165Gastrectomy and chemotherapy; immunotherapy group: additional CIK cell therapyImproved 5-yr PFS and OS in immunotherapy group; within the immunotherapy group, the frequency of CIK cell therapy, clinical stage, and follow-up therapy were the most important factors for PFS and OSCIK cell therapy can prevent recurrence and improve survival in combination with gastrectomy and chemotherapy

CIK: cytokine-induced killer; OS: overall survival; DFS: disease-free survival; i.p.: intraperitoneal; TTP: time to progression; PFS: progression-free survival.