-transparent.png){kind=logo}
The clinical efficacy of intralesional immunotherapy utilizing Mycobacterium smegmatis cell wall skeleton (CWS) and trehalose dimycolate attached to oil droplets was investigated in 15 patients with advanced malignant melanoma. Patients received 300 microgram to 1050 microgram of the CWS combined with one-half that amount of trehalose dimycolate every 1 to 2 weeks for a total of 8 treatments. Therapy was continued if regression of injected lesions only occurred. Therapy was discontinued if regression of noninjected disease also occurred. Six of the 15 patients had regression of at least one injected lesion. Four of these 6 patients also had regression of noninjected disease lasting 4+, 6, 16 and 18+ months. Response was highly related to immune status. Six (83%) of 7 patients who reacted to one of a battery of skin tests responded. All 8 patients who did not react to skin tests failed to respond to therapy. There was no correlation of response with sex, prior therapy, disease-free interval or presence of visceral disease. Mycobacterial CWS and trehalose dimycolate is an effective immunotherapeutic agent. Additional studies of purified immunoadjuvants are warranted.
G J Vosika, and
J R Schmidtke, and
A Goldman, and
E Ribi, and
R Parker, and
G R Gray
September 1983,
Cancer treatment reports,
G J Vosika, and
J R Schmidtke, and
A Goldman, and
E Ribi, and
R Parker, and
G R Gray
September 1982,
Biochemical and biophysical research communications,
G J Vosika, and
J R Schmidtke, and
A Goldman, and
E Ribi, and
R Parker, and
G R Gray
August 1975,
Gan,
G J Vosika, and
J R Schmidtke, and
A Goldman, and
E Ribi, and
R Parker, and
G R Gray
October 2005,
Journal of bacteriology,
G J Vosika, and
J R Schmidtke, and
A Goldman, and
E Ribi, and
R Parker, and
G R Gray
April 1978,
Chemistry and physics of lipids,
G J Vosika, and
J R Schmidtke, and
A Goldman, and
E Ribi, and
R Parker, and
G R Gray
December 1984,
Journal of biological response modifiers,
G J Vosika, and
J R Schmidtke, and
A Goldman, and
E Ribi, and
R Parker, and
G R Gray
May 2016,
The American journal of pathology,
G J Vosika, and
J R Schmidtke, and
A Goldman, and
E Ribi, and
R Parker, and
G R Gray
January 2017,
Frontiers in cellular and infection microbiology,
G J Vosika, and
J R Schmidtke, and
A Goldman, and
E Ribi, and
R Parker, and
G R Gray
July 2007,
FEBS letters,
G J Vosika, and
J R Schmidtke, and
A Goldman, and
E Ribi, and
R Parker, and
G R Gray
August 2015,
Chemical communications (Cambridge, England),
