目的观察重组人源化白细胞介素2皮下注射治疗转移性肾癌的疗效及安全性。方法入组转移性肾癌患者41例,经重组人源化白细胞介素2皮下注射治疗2~4个周期,每个周期共5周。第1个周期:9百万单位(MIU)、每12h1次、第1~5天;第2~4个周...目的观察重组人源化白细胞介素2皮下注射治疗转移性肾癌的疗效及安全性。方法入组转移性肾癌患者41例,经重组人源化白细胞介素2皮下注射治疗2~4个周期,每个周期共5周。第1个周期:9百万单位(MIU)、每12h1次、第1~5天;第2~4个周期:9MIU、每12h1次、第1~2天,9MIU、每天1次、第3~5天;停药1周后重复。2个周期后评价疗效,有效或稳定的患者继续2个周期治疗。结果意向治疗人群(ITT)集中,完全缓解(CR)0例,部分缓解(PR)7例(17.1%),病情稳定(SD)19例(46.3%),疾病进展(PD)15例(36.6%),总有效率为17.1%[95%可信区间(叫)为5.6%~28.6%],疾病控制率为63.4%;中位疾病进展时间(下rP)为6个月,中位总生存时间(OS)为22.5个月,1年生存率为71.2%。符合方案人群(PP)集中,CR0例,PR7例(19.4%),SD16例(44.4%),PD13例(36.1%),总有效率为19.4%(95% CI 为6.5%~32.3%),疾病控制率为63.9%;中位TTP为6个月,中位OS未达到,1年生存率为66.7%。随访显示,治疗获益能够改善患者的长期生存。患者的不良反应以轻中度为主,包括疲乏感(100%)和发热(82.9%)等,3级以上不良反应少见。结论重组人源化白细胞介素2治疗转移性肾癌在中国人中具有一定的疗效,且能延长患者的生存期,其不良反应大部分患者能够耐受。展开更多
<strong>Objective: </strong><span style="font-family:""><span style="font-family:Verdana;">To investigate the clinical effects of</span><a name="_Hlk26140...<strong>Objective: </strong><span style="font-family:""><span style="font-family:Verdana;">To investigate the clinical effects of</span><a name="_Hlk26140736"></a><span style="font-family:Verdana;"> recombinant human interleukin-2 (rhIL-2) combined with </span><a name="_Hlk26140744"></a><span style="font-family:Verdana;">Zhenqi Fuzheng and Baofukang on cervical intraepithelial neoplasia II (CINII) combined with human papilloma virus infection. </span><b><span style="font-family:Verdana;">Methods: </span></b><span style="font-family:Verdana;">There were 593 patients diagnosed with CINII with HPV infection, including 296 in the control group and 297 in the experimental group. The control group was given only Zhenqi Fuzheng oral and Baofukang suppository vaginal medicine. The experimental group was treated with rhIL-2 injection in addition to Zhenqi Fuzheng oral and Baofukang suppository vaginal medicine which is treated for 3 months. After 3 months, Thinprep cytologic test (TCT), human papilloma virus (HPV) quantitative examination and colposcopy biopsy were reviewed. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> After 3 months of treatment, the negative conversion rate and total effective rate of HPV in the control group were 58.11% and 70.95% respectively, and the negative conversion rate and total effective rate of the experimental group were 79.46% and 90.57% respectively. There was significant difference between the two groups (p = 0.000). The curative rate of cervical lesions was significantly higher in the test group than in the control group, 89.56%, 68.91%, respectively. The statistical difference between the two groups is significant (p = 0.000). </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> It has an essential clinical value that HPV infection patients and cervical intraepithelial neoplasia II associated with </span><a name="_Hlk47768779"></a><span style="font-family:Verdana;">HPV infection pati展开更多
文摘目的观察重组人源化白细胞介素2皮下注射治疗转移性肾癌的疗效及安全性。方法入组转移性肾癌患者41例,经重组人源化白细胞介素2皮下注射治疗2~4个周期,每个周期共5周。第1个周期:9百万单位(MIU)、每12h1次、第1~5天;第2~4个周期:9MIU、每12h1次、第1~2天,9MIU、每天1次、第3~5天;停药1周后重复。2个周期后评价疗效,有效或稳定的患者继续2个周期治疗。结果意向治疗人群(ITT)集中,完全缓解(CR)0例,部分缓解(PR)7例(17.1%),病情稳定(SD)19例(46.3%),疾病进展(PD)15例(36.6%),总有效率为17.1%[95%可信区间(叫)为5.6%~28.6%],疾病控制率为63.4%;中位疾病进展时间(下rP)为6个月,中位总生存时间(OS)为22.5个月,1年生存率为71.2%。符合方案人群(PP)集中,CR0例,PR7例(19.4%),SD16例(44.4%),PD13例(36.1%),总有效率为19.4%(95% CI 为6.5%~32.3%),疾病控制率为63.9%;中位TTP为6个月,中位OS未达到,1年生存率为66.7%。随访显示,治疗获益能够改善患者的长期生存。患者的不良反应以轻中度为主,包括疲乏感(100%)和发热(82.9%)等,3级以上不良反应少见。结论重组人源化白细胞介素2治疗转移性肾癌在中国人中具有一定的疗效,且能延长患者的生存期,其不良反应大部分患者能够耐受。
文摘<strong>Objective: </strong><span style="font-family:""><span style="font-family:Verdana;">To investigate the clinical effects of</span><a name="_Hlk26140736"></a><span style="font-family:Verdana;"> recombinant human interleukin-2 (rhIL-2) combined with </span><a name="_Hlk26140744"></a><span style="font-family:Verdana;">Zhenqi Fuzheng and Baofukang on cervical intraepithelial neoplasia II (CINII) combined with human papilloma virus infection. </span><b><span style="font-family:Verdana;">Methods: </span></b><span style="font-family:Verdana;">There were 593 patients diagnosed with CINII with HPV infection, including 296 in the control group and 297 in the experimental group. The control group was given only Zhenqi Fuzheng oral and Baofukang suppository vaginal medicine. The experimental group was treated with rhIL-2 injection in addition to Zhenqi Fuzheng oral and Baofukang suppository vaginal medicine which is treated for 3 months. After 3 months, Thinprep cytologic test (TCT), human papilloma virus (HPV) quantitative examination and colposcopy biopsy were reviewed. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> After 3 months of treatment, the negative conversion rate and total effective rate of HPV in the control group were 58.11% and 70.95% respectively, and the negative conversion rate and total effective rate of the experimental group were 79.46% and 90.57% respectively. There was significant difference between the two groups (p = 0.000). The curative rate of cervical lesions was significantly higher in the test group than in the control group, 89.56%, 68.91%, respectively. The statistical difference between the two groups is significant (p = 0.000). </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> It has an essential clinical value that HPV infection patients and cervical intraepithelial neoplasia II associated with </span><a name="_Hlk47768779"></a><span style="font-family:Verdana;">HPV infection pati