Our bodies have a defense system called "immunity" that protects us not only from external threats such as bacteria and viruses, but also from the cancer cells that arise within the body every day. Immunity is broadly divided into two types: innate immunity (the first line of defense, which quickly detects and handles abnormalities) and adaptive immunity (which remembers threats and responds specifically the next time).
In a healthy state, the immune system continuously recognizes these "cancer cells born every day" as foreign and removes them. However, if immune function declines, the system can no longer keep up, leading to the development of cancer. Furthermore, since immune function naturally declines with age, the risk of infections and cancer rises with age as well.
Immune cells that have fought cancer cells for a long time gradually become exhausted, and receptors called "immune checkpoint molecules" appear on their cell surface. By binding to these receptors, cancer cells put the brakes on the immune attack and evade elimination.
In 2018, Dr. Tasuku Honjo of Kyoto University won the Nobel Prize in Physiology or Medicine for research that elucidated exactly this mechanism. The immune checkpoint inhibitor (PD-1 inhibitor) he developed works by occupying the receptor before cancer cells can apply the brakes, restoring the immune cells' ability to attack cancer again. This discovery brought cancer immunotherapy to a new stage. Dr. Honjo continues to lead research today as director of Kyoto University's Center for Cancer Immunotherapy and Immunobiology.
Immune cell therapy is broadly classified into vaccine therapy and lymphocyte therapy.
Immune cell therapy can be performed for almost all types of cancer except some blood cancers, and is generally not restricted by stage. Earlier introduction is preferable, and the patient's overall physical condition affects treatment outcomes.
A meta-analysis of a total of 1,522 patients (808 in the vaccine group, 714 in the control group). A hazard ratio of 1.33 indicates that the group receiving the vaccine maintained a recurrence-free, favorable status at a statistically significant rate roughly 33% higher than the group that did not, confirming significant efficacy. There were also only 5 serious adverse events (grade 3 or higher) overall and zero treatment-related deaths, demonstrating very high safety.
A retrospective study of 375 patients with newly diagnosed glioblastoma (GBM) (164 in the AFTV group, 211 in the non-AFTV group). In the group that received AFTV therapy, progression-free survival (PFS) significantly improved from 8.7 months to 14.0 months, and overall survival (OS) significantly improved from 21.9 months to 32.0 months (both p<0.05). The effect was particularly pronounced in IDH-wildtype patients who were PD-L1 and p53 negative.
A multi-center, randomized, open-label Phase 3 trial (230 patients) using autologous activated lymphocytes (CIK cells) as adjuvant therapy after curative treatment (surgery or ablation) for hepatocellular carcinoma. Median recurrence-free survival (RFS) was significantly extended to 44.0 months in the CIK group versus 30.0 months in the control group (hazard ratio 0.63, P=0.010). The effect persisted over five years of extended follow-up, providing important evidence for hepatocellular carcinoma, a cancer for which no effective adjuvant therapy previously existed.
A multi-center randomized trial comparing autologous activated lymphocytes (CIK cells) plus chemotherapy (cisplatin + gemcitabine) versus chemotherapy alone in untreated patients with advanced squamous non-small-cell lung cancer. The CIK combination group showed a median overall survival (OS) of 21.0 months, an extension of 10.7 months compared to 10.3 months in the chemotherapy-alone group, with a 78% reduction in mortality risk and a 76% reduction in disease progression risk. Note that this result was based on combination with chemotherapy.
Autologous cancer vaccine therapy is a treatment that uses a vaccine made from the patient's own cancer tissue to trigger an immune response against the cancer. The vaccine, created outside the body, "educates" lymphocytes, with the goal of increasing the number of cytotoxic T cells (CTLs) within the body that specifically attack cancer cells.
This therapy originated from basic research published by Dr. Tadao Ohno, former head of the Cell Bank Development Office at RIKEN, demonstrating that a vaccine made from formalin- and paraffin-fixed tissue could induce CTLs (Nature Medicine, 1995). The current treatment protocol was subsequently established through clinical trials at the Departments of Neurosurgery at the University of Tsukuba and Tokyo Women's Medical University.
Even for patients who have already had surgery, vaccine production may be possible if a pathology specimen (paraffin block) has been preserved. Please consult us first.
Activated T-Lymphocyte Therapy (ALT) is an immune cell therapy in which T lymphocytes are taken from the patient's own blood, expanded and activated several thousand-fold outside the body, and then returned to the body. Research began in the 1970s, and this long-established treatment has continually improved in safety and efficacy alongside advances in cell culture technology.
T lymphocytes play a role in finding and attacking cancer cells within the body. However, their number and activity can decline due to cancer progression, aging, stress, and other factors. By expanding a large number of activated T lymphocytes outside the body and returning them via IV drip, the goal is to intensively boost the attack on cancer cells.
For cancer immune cell therapy, eligibility and treatment approach vary depending on the patient's condition, medical history, and treatment course to date. Please call us first to discuss. After hearing the details, we will recommend an appropriate treatment.
At your first consultation, bringing as much as possible of your medical history, surgical records, pathology reports, and current medications will allow for a more specific explanation. If you currently have a primary physician, it is helpful to bring a brief note summarizing your treatment course.
We also welcome inquiries from those who are not sure whether this treatment applies to them, or who simply want to know about the cost.
Please feel free to call us with any questions or concerns.
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