Specific Immunotherapy in Advanced Cervical-Uterine Cancer Using Humanized Monoclonal Antibody Nimotuzumab and CIMAvax-EGF<sup>®</sup>Therapeutic Vaccine

作     者：Raiza Ruiz-Lorente Sayly Alfonso Eduardo Santiesteban Yamilka Sánchez Kirenia Camacho Erasmo Mendoza Carmen Elena Viada Ramón Ortiz Ihosvannys Carreño Mayelin Troche Meylan Cepeda Ana Rosa Vals Leticia Cabrera Annia Gorte Delmis Batista Milagros Domenech Yanela Santiesteban Yuliannis Santiesteban Daymys Estevez Jessica García-Viamontes Conrado Ramos Mico Mayra Ramos-Suzarte Raiza Ruiz-Lorente;Sayly Alfonso;Eduardo Santiesteban;Yamilka Sánchez;Kirenia Camacho;Erasmo Mendoza;Carmen Elena Viada;Ramón Ortiz;Ihosvannys Carreño;Mayelin Troche;Meylan Cepeda;Ana Rosa Vals;Leticia Cabrera;Annia Gorte;Delmis Batista;Milagros Domenech;Yanela Santiesteban;Yuliannis Santiesteban;Daymys Estevez;Jessica García-Viamontes;Conrado Ramos Mico;Mayra Ramos-Suzarte

作者机构：González Coro Hospital La Habana Cuba Celestino Hernández Robau Hospital Villa Clara Cuba Jose Ramón Lopez Tabranes Hospital Matanzas Cuba III Congreso Hospital Pinar del Río Cuba Faustino Perez Hospital Matanzas Cuba Center of Molecular Immunology Havana Cuba 

出 版 物：《Journal of Cancer Therapy》 (癌症治疗（英文）)

年 卷 期：2021年第12卷第3期

页      面：146-156页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：CIMAvax-EGF^® Nimotuzumab Survival Safety Advanced Cervical Cancer 

摘      要：Cervical uterine cancer represents the fourth most common malignant neoplasm worldwide in the female sex in terms of incidence,principally from epithelial origen. The high expression of EGFR in this tumor leads to the search for therapeutic alternatives. An Expanded Access Clinical Program was carried out in parallel groups, randomized, multicenter and prospective study, to evaluate the survival of patients with advanced cervical carcinoma, without therapeutic alternative, who would be treated with the therapeutic vaccine CIMAvax-EGF®, the humanized mAb nimotuzumab or the combination of both products, which targeted EGF and EGFR respectively. The patients were included between 2008 and 2010 with a more than five years follow-up. The results show that the serious adverse events related to the experimental treatments were 0.9%;1.1% and 2.6% and a median ITT survival of 9.1, 23.5, and 16.3 months for CIMAvax-EGF®, nimotuzumab and the combination of both, respectively. Thus fulfilling the hypothesis of safety and efficacy proposed in the investigation was achieved. The three therapeutic regimens achieved overall survival rates greater than 35% at 60 months, encouraging results for advanced uterine cervical cancer. A phase III clinical trial is proposed to consolidate these results in a greater number of patients with nimotuzumab as study drug.