1. Cancer patients treated with sunitinib or sorafenib have sufficient antibody and cellular immune responses to warrant influenza vaccination
- Author
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Cornelis J. A. Punt, Joannes F M Jacobs, Carla M.L. van Herpen, I. Jolanda M. de Vries, Ingrid M.E. Desar, Steven Teerenstra, Kris Vissers, Joep M.D. Galama, Peter F.A. Mulders, Ruurd Torensma, Sasja F. Mulder, Michel A.M. Olde Nordkamp, and Oncology
- Subjects
Oncology ,Male ,Cancer Research ,Cellular immunity ,Indoles ,Time Factors ,Pyridines ,urologic and male genital diseases ,Tyrosine-kinase inhibitor ,Immune Regulation [NCMLS 2] ,Sunitinib ,Medicine ,Immunity, Cellular ,biology ,Benzenesulfonates ,Vaccination ,Translational research Immune Regulation [ONCOL 3] ,Effective primary care and public health [NCEBP 7] ,Middle Aged ,Sorafenib ,female genital diseases and pregnancy complications ,Kidney Neoplasms ,Auto-immunity, transplantation and immunotherapy Immune Regulation [N4i 4] ,Influenza Vaccines ,Female ,Antibody ,medicine.drug ,Adult ,Niacinamide ,medicine.medical_specialty ,Age-related aspects of cancer [ONCOL 2] ,medicine.drug_class ,Quality of nursing and allied health care [NCEBP 6] ,Antineoplastic Agents ,Immune system ,Translational research [ONCOL 3] ,Internal medicine ,Influenza, Human ,Humans ,Pyrroles ,Carcinoma, Renal Cell ,Aged ,business.industry ,Phenylurea Compounds ,Cancer ,Pathogenesis and modulation of inflammation Infection and autoimmunity [N4i 1] ,medicine.disease ,Immunity, Humoral ,Evaluation of complex medical interventions [NCEBP 2] ,Immunology ,biology.protein ,business - Abstract
Purpose: The tyrosine kinase inhibitors sorafenib and sunitinib have efficacy in several types of cancer. Recent studies indicate that these agents affect the immune system. The way it affects the immune response to influenza vaccination is unknown. The aim of this study was to elucidate the specific immune response to seasonal flu vaccination in cancer patients treated with sunitinib or sorafenib. Patients and Methods: Sunitinib- or sorafenib-treated cancer patients were vaccinated against seasonal influenza with an inactivated vaccine. Healthy controls and patients with metastatic renal cell cancer (mRCC) without systemic treatment (nontreated mRCC controls) were included for comparison. Antibody responses were measured at baseline, day 8, and day 22 by a standard hemagglutination inhibition assay and cellular T-cell responses at baseline and day 8 by proliferation assay and secretion of cytokines. Results: Forty subjects were enrolled: 16 patients treated with sunitinib, 6 patients with sorafenib, 7 nontreated mRCC controls, and 11 healthy controls. All patients treated with sunitinib and sorafenib developed seroprotection rates comparable with controls. Functional T-cell reactivity was observed in all groups, except for patients treated with sorafenib who showed a decreased proliferation rate and IFN-γ/IL-2 production and increased IL-10 compared with healthy controls. Conclusion: We conclude that influenza vaccination should be recommended to cancer patients treated with sunitinib or sorafenib. Clin Cancer Res; 17(13); 4541–9. ©2011 AACR.
- Published
- 2011