3. Initial evaluation of the safety of autologous immunotherapy in patients with lung cancer

Nguyen Thi Thuy Mau, Tran Huy Thinh, Ho My Dung, Trinh Le Huy, Tran Van Khanh, Nguyen Duc Tuan, Le Ngoc Anh, Hoang Huy Hung, Nguyen Thanh Binh

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Abstract

This descriptive study aimed to assess the safety of autologous immune cell infusions (natural killer (NK) cells or gamma delta T ((ƔδT) cells) in 10 patients with non-small cell lung cancer at Hanoi Medical University Hospital. Safety was evaluated at the following timepoints: during treatment, at the end of treatment, and at 3- and 6-month after treatment. Adverse events were classified using the CTCAE 5.0 guidelines (2017). Among five patients who received NK cell infusion, common adverse events including fatigue (6.7%), loss of appetite (6.7%), insomnia (6.7%), diarrhea (6.7%), and constipation (6.7%); vomiting (3.3%) was the least common adverse event. For the five patients who received ƔδT cell infusion, fever was the most common adverse event (6.7%), followed by anorexia, muscle pain, and joint pain (3.3%). One patient had a mild reduction in leukocytes, granulocytes, and platelets 6 months after treatment. All clinical and paraclinical unwanted side effects were moderate and transient, categorized as grade 1 by CTCAE 5.0, and required no treatment. This investigation provides preliminary evidence supporting the safety of autologous NK/ƔδT cell immunotherapy in lung cancer treatment.

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