Multi-institutional randomized clinical study on the comparative effects of intracavital chemotherapy alone versus immunotherapy alone versus immunochemotherapy for malignant effusion
1999

Comparing Treatments for Malignant Effusion

Sample size: 41 publication Evidence: moderate

Author Information

Author(s): Nio Y, Nagami H, Tamura K, Tsubono M, Nio M, Sato M, Kawabata K, Hayashi H, Shiraishi T, Imai S, Tsuchitani T, Mizuta J, Nakagawa M, Fukumoto M

Primary Institution: First Department of Surgery, Shimane Medical University

Hypothesis

Is immunochemotherapy more effective than chemotherapy or immunotherapy alone for treating malignant effusion?

Conclusion

Intracavitary immunochemotherapy may be more beneficial than chemotherapy or immunotherapy alone for patients with malignant effusion.

Supporting Evidence

  • 23% of patients in the chemotherapy group had tumor cells disappear.
  • 36% of patients in both the immunotherapy and immunochemotherapy groups had tumor cells disappear.
  • The effusion disappeared in 29% of the immunotherapy group and 43% of the immunochemotherapy group.
  • The 6-month survival rate was 34% for the immunochemotherapy group.

Takeaway

This study looked at different treatments for a type of cancer fluid and found that a combination treatment worked better than just one type.

Methodology

Patients were randomly assigned to receive one of three treatment regimens: chemotherapy, immunotherapy, or a combination of both.

Potential Biases

Potential biases in patient selection and treatment assignment.

Limitations

The study had a small sample size and was conducted over a limited time frame.

Participant Demographics

Patients had various types of cancer, including gastric, colorectal, pancreatic, lung, liver, and oesophageal cancers.

Statistical Information

P-Value

0.048

Statistical Significance

p=0.03

Digital Object Identifier (DOI)

10.1038/sj.bjc.6690421

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