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Home > Online-first > Karina

Post-Autologous Immune Cell Therapy Quality of Life in Cancer Patients: A Retrospective Study

Karina Karina, Tommy P. Sibuea, Johannes Albert Biben, Grady Krisandi, Hubert Andrew, Imam Rosadi

Abstract

Objective: Patients with advanced cancer are treated palliatively, with a focus on quality-of-life improvements through the amelioration of symptoms and functional status. This study aimed to evaluate the quality of life of cancer patients post-autologous immune cell therapy (ICT), as it is known for its ability to replace defective immune cells, which reduces cancer-related symptoms and may improve patient quality of life.
Meterial and Methods: The patients’ whole blood was processed to obtain activated immune cells. Treatment consisted of 6 autologous intravenous ICT infusions with an interval of 2 weeks. Patient quality of life was evaluated with the EORTC-QLQ-C30 questionnaire before and after 6 autologous ICT treatments.
Results: Quality of life score increased in global health status, physical functioning, role functioning, cognitive functioning, and social functioning. There was a reduction in scores on the symptom scales for fatigue and pain components.
Conclusion: Improvements in quality of life, function, and symptoms in cancer patients were observed after 6 autologous ICT treatments.

 Keywords

cancer; immune cell therapy; quality of life

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References

Bray F, Laversanne M, Sung H, Ferlay J, Siegel RL, Soerjomataram I, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 2024;74:229–63.

Rosen RD, Sapra A. TNM classification [monograph on the Internet]. Treasure Island (FL): StatPearls Publishing; 2025 [cited 2025]. Available from: https://www.ncbi.nlm.nih.gov/books/

Brierley J, Gospodarowicz M, O’Sulivan B. The principles of cancer staging. Ecancermedicalscience 2016;10:ed61. doi: 10.3332/ecancer.2016.ed61.

Kypriotakis G, Vidrine DJ, Francis LE, Rose JH. The longitudinal relationship between quality of life and survival in advanced stage cancer. Psychooncology 2016;25:225–31. doi: 10.1002/pon.3846.

Sahu M, Suryawanshi H. Immunotherapy. J Oral Maxillofac Pathol 2021;25:371. doi: 10.4103/0973-029X.325257.

Fragkiadakis GF, Spiliotopoulou M. Investigating the quality of life for cancer patients and estimating the cost of immunotherapy in selected cases. Cureus 2022;14:e32390. doi: 10.7759/cureus.32390.

Maziarz RT, Waller EK, Jaeger U, Fleury I, McGuirk J, Holte H, et al. Patient-reported long-term quality of life after tisagenlecleucel in relapsed/refractory diffuse large B-cell lymphoma. Blood Adv 2020;4:629–37. doi: 10.1182/bloodadvances.2019001026.

Du N, Guo F, Wang Y, Cui J. NK Cell Therapy: a rising star in cancer treatment. Cancers (Basel) 2021;13:4129. doi: 10.3390/cancers13164129.

Canadian Agency for Drugs and Technologies in Health. Dostarlimab (Jemperli): CADTH Reimbursement Review: Therapeutic area: Endometrial cancer [monograph on the Internet]. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2022 [cited 2025]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK602691/

Cocks K, King MT, Velikova G, Martyn St-James M, Fayers PM, Brown JM. Evidence-based guidelines for determination of sample size and interpretation of the European Organisation For The Research And Treatment Of Cancer Quality Of Life Questionnaire Core 30. J Clin Oncol 2011;29:89–96. doi: 10.1200/JCO.2010.28.0107.

Kim HM, Lim J, Park S-K, Kang JS, Lee K, Lee CW, et al. Antitumor activity of cytokine-induced killer cells against human lung cancer. Int Immunopharmacol 2007;7:1802–7. doi: 10.1016/j.intimp.2007.08.016.

The European Organisation for Research and Treatment of Cancer. EORTC QLQ-C30 scoring manual. Brussels: European Organisation for Research and Treatment of Cancer; 2001.

Noviyani R, Tunas K, Indrayathi A, Budiana NG. Validity and Reliability of EORTC QLQ C-30 Questionnaire in Assessing Quality of Life of Gynecological Cancer Patients in Sanglah Hospital Denpasar. Indones J Clin Pharm 2016;5:106–14. doi: 10.15416/ijcp.2016.5.2.106.

Han J, Zhang B, Zheng S, Jiang Y, Zhang X, Mao K. The progress and prospects of immune cell therapy for the treatment of cancer. Cell Transplant 2024;33. doi: 10.1177/09636897241231892.

Fernandez SV, MacFarlane AW, Jillab M, Arisi MF, Yearley J, Annamalai L, et al. Immune phenotype of patients with stage IV metastatic inflammatory breast cancer. Breast Cancer Res 2020;22:134. doi: 10.1186/s13058-020-01371-x.

Ménétrier-Caux C, Ray-Coquard I, Blay J-Y, Caux C. Lymphopenia in cancer patients and its effects on response to immunotherapy: an opportunity for combination with Cytokines? J Immunother Cancer 2019;7:85. doi: 10.1186/s40425-019-0549-5.

Arruga F, Gyau BB, Iannello A, Vitale N, Vaisitti T, Deaglio S. Immune Response Dysfunction in Chronic Lymphocytic Leukemia: Dissecting Molecular Mechanisms and Microenvironmental Conditions. Int J Mol Sci 2020;21:1825. doi: 10.3390/ijms21051825.

Imran M, Al-Wassia R, Alkhayyat SS, Baig M, Al-Saati BA. Assessment of quality of life (QoL) in breast cancer patients by using EORTC QLQ-C30 and BR-23 questionnaires: a tertiary care center survey in the western region of Saudi Arabia. Ahmad A, editor. PLoS One 2019;14:e0219093. doi: 10.1371/journal.pone.0219093.

Snyder CF, Blackford AL, Sussman J, Bainbridge D, Howell D, Seow HY, et al. Identifying changes in scores on the EORTC-QLQ-C30 representing a change in patients’ supportive care needs. Qual Life Res 2015;24:1207–16. doi: 10.1007/s11136-014-0853-y.

Madu A, Ocheni S, Ibegbulam O, Madu K, Aguwa E. Pattern of CD4 T-lymphocyte values in Cancer patients on cytotoxic therapy. Ann Med Health Sci Res 2013;3:498. doi: 10.4103/2141-9248.122054.

Pan K, Guan X-X, Li Y-Q, Zhao J-J, Li J-J, Qiu H-J, et al. Clinical Activity of Adjuvant Cytokine-Induced Killer Cell Immunotherapy in Patients with Post-Mastectomy Triple-Negative Breast Cancer. Clin Cancer Res 2014;20:3003–11. doi: 10.1158/1078-0432.CCR-14-0082.

Gao X, Mi Y, Guo N, Xu H, Xu L, Gou X, et al. Cytokine-Induced Killer Cells As Pharmacological Tools for Cancer Immunotherapy. Front Immunol 2017;8:774. doi: 10.3389/fimmu.2017.00774.

Kornacker M, Moldenhauer G, Herbst M, Weilguni E, Tita-Nwa F, Harter C, et al. Cytokine-induced killer cells against autologous CLL: Direct cytotoxic effects and induction of immune accessory molecules by interferon-γ. Int J Cancer 2006;119:1377–82. doi: 10.1002/ijc.21994.

Zhang P, Zhang G, Wan X. Challenges and new technologies in adoptive cell therapy. J Hematol Oncol 2023;16:97. doi: 10.1186/s13045-023-01492-8.

Chen R, Johnson J, Rezazadeh A, Dudek AZ. Tumour-infiltrating lymphocyte therapy landscape: prospects and challenges. BMJ Oncol 2025;4:e000566. doi: 10.1136/bmjonc-2024-000566.

DOI: http://dx.doi.org/10.31584/jhsmr.20261388

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About The Authors

Karina Karina
Hayandra Clinic, Hayandra Peduli Foundation, Kramat, Jakarta 10430, Indonesia. Hayandra Lab, Hayandra Peduli Foundation, Kramat, Jakarta 10430, Indonesia. Regenerative Medicine and Neuroscience Research Center, Faculty of Medicine, Universitas Pembangunan Nasional Veteran Jakarta, Jakarta 16515,
Indonesia

Tommy P. Sibuea
Hayandra Clinic, Hayandra Peduli Foundation, Kramat, Jakarta 10430, Indonesia. Department of Internal Medicine, Faculty of Medicine, Christian University of Indonesia, Cawang, Jakarta 13630,
Indonesia

Johannes Albert Biben
Hayandra Clinic, Hayandra Peduli Foundation, Kramat, Jakarta 10430,
Indonesia

Grady Krisandi
Hayandra Lab, Hayandra Peduli Foundation, Kramat, Jakarta 10430,
Indonesia

Hubert Andrew
Hayandra Lab, Hayandra Peduli Foundation, Kramat, Jakarta 10430,
Indonesia

Imam Rosadi
Hayandra Lab, Hayandra Peduli Foundation, Kramat, Jakarta 10430, Indonesia. Department of Biology, Faculty of Mathematics and Natural Sciences, Mulawarman University, Samarinda 75123,
Indonesia

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Keywords COVID-19 SARS-CoV-2 Thailand Vietnam adolescent anxiety children computed tomography depression diabetes mellitus elderly knowledge mental health mortality older adults prevalence quality of life reliability risk factors treatment validity
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