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Sipuleucel-T : ウィキペディア英語版
Sipuleucel-T

Sipuleucel-T (APC8015, trade name Provenge),〔〔 manufactured by Dendreon Corporation, is a cell-based cancer immunotherapy for prostate cancer (CaP). It is a personalized treatment that works by programming a patient's own immune system to seek out cancer spreading in the body, and attack it as if it were foreign. It must be prepared specifically for each patient. In metastatic prostate cancer, it has extended survival by median 4.1 months (IMPACT Phase III trial data). Improvements in 3-year survival rates have also been shown, with 31.7% of treated patients surviving for 36 months vs. 23.0% in the control arm. The treatment cost $93,000 at FDA approval, but rose to over $100,000 in 2014.〔(Exclusive: Questionable data propped up cancer drug Provenge ), By Sharon Begley, Reuters, Oct 11, 2012〕
== Treatment method ==

A course of sipuleucel-T treatment consists of three basic steps:
# A patient's own white blood cells, primarily antigen-presenting cells (APCs), also called dendritic cells, are extracted in a leukapheresis procedure.
# The blood product is sent to a production facility and incubated with a fusion protein (PA2024) consisting of two parts,
##the antigen prostatic acid phosphatase (PAP), which is present in 95% of prostate cancer cells, and
##an immune signaling factor granulocyte-macrophage colony stimulating factor (GM-CSF) that helps the APCs to mature.
#The activated blood product (APC8015) is returned from the production facility to the infusion center and re-infused into the patient to cause an immune response against cancer cells carrying the PAP antigen.〔〔
A complete sipuleucel-T treatment repeats three courses, with two weeks between successive courses.〔

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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