Randomized Controlled Trial
Copyright ©The Author(s) 2024.
World J Gastrointest Surg. Oct 27, 2024; 16(10): 3277-3287
Published online Oct 27, 2024. doi: 10.4240/wjgs.v16.i10.3277
Table 1 Comparison of baseline data between the two groups, n (%)
Characteristic
Experimental group (n = 60)
Control group (n = 50)
P value
Gender1.000
Male36 (60.00)30 (60.00)
Female24 (40.00)20 (40.00)
Age (years)62.23 ± 7.4961.20 ± 7.740.480
Clinical stage0.366
Stage III8 (13.30)4 (8.00)
Stage IV52 (86.70)46 (92.00)
Stage IV0.532
Hepatic metastases
48 (80.00)
43 (86.00)
Bone metastases
3 (5.00)
1 (1.66)
Pulmonary metastasis
1 (1.66)
1 (1.66)
Brain metastases0 (0.00)1 (1.66)
Degree of differentiation0.091
Low differentiation30 (50.00)35 (70.00)
Moderate differentiation22 (36.70)10 (20.00)
High differentiation8 (13.30)5 (10.00)
BMI (kg/m2)20.58 ± 2.0320.17 ± 1.650.256
Colon tumor36 (60.00)25 (50.00)0.293
Rectal tumor24 (40.00)25 (50.00)
Table 2 Pre-treatment and post-treatment positive expression rates of cluster of differentiation 8 (+) T lymphocytes, tumor-associated macrophages, and cancer-associated fibroblasts in experimental participants and controls, n (%)
Characteristic
Experimental group (n = 60)
Control group (n = 50)
P value
CD8 (+) T lymphocytes
Pre-treatment6 (10.00)10 (20.00)0.139
Post-treatment30 (50.00)15 (30.00)0.033
TAMs
Pre-treatment46 (76.70)40 (80.00)0.673
Post-treatment14 (23.30)30 (60.00)0.001
CAFs
Pre-treatment42 (70.00)35 (70.00)1.000
Post-treatment14 (23.30)25 (50.00)0.003
Table 3 Therapeutic outcomes of the experimental participants and controls, n (%)
Characteristic
Experimental group (n = 60)
Control group (n = 50)
P value
CR00-
PR1650.023
SD12101.000
PD32350.073
ORR16 (26.70)5 (10.00)0.023
DCR28 (46.70)15 (30.00)0.073
PFS (months, mean ± SD)5.04 ± 1.834.69 ± 1.300.247
mPFS (months)54-
Table 4 The incidence of drug-associated adverse events in experimental and control participants, n (%)
Characteristic
Experimental group (n = 60)
Control group (n = 50)
P value
Hypertension3 (5.00)0 (0.00)0.054
I2 (3.30)0 (0.00)
II1 (1.70)0 (0.00)
Proteinuria4 (6.70)5 (10.00)0.526
I2 (3.35)3 (6.00)
II2 (3.35)2 (4.00)
Gastrointestinal perforation0 (0.00)0 (0.00)-
I0 (0.00)0 (0.00)
II0 (0.00)0 (0.00)
Bleeding1 (1.70)0 (0.00)0.269
I1 (1.70)0 (0.00)
II0 (0.00)0 (0.00)
Arterial thrombosis0 (0.00)0 (0.00)-
I0 (0.00)0 (0.00)
II0 (0.00)0 (0.00)
Thrombocytopenia7 (11.70)5 (10.00)0.780
I3 (5.00)3 (6.00)
II4 (6.70)2 (4.00)
Pneumonia, nephritis, hepatitis, and endocrine disorders0 (0.00)0 (0.00)-
I0 (0.00)0 (0.00)
II0 (0.00)0 (0.00)
Diarrhea and enteritis3 (5.00)2 (4.00)0.801
I2 (3.30)2 (4.00)
II1 (1.70)0 (0.00)
Number of cases18120.525
I108
II84