Interleukin-2 therapy for refractory and relapsing lymphomas.

作者: Jean-Marc Tourani , Vincent Levy , Josette Briere , Rafaël Levy , Chris Franks

DOI: 10.1016/0277-5379(91)90444-I

关键词:

摘要: Recombinant interleukin-2 (rIL-2) has been reported to be active in metastatic renal cell carcinoma and malignant melanoma. The purpose of this trial was determine the efficacy toxicity rIL-2 administered continuous infusion patients with Hodgkin's disease (HD) non-Hodgkin lymphoma (NHL). 21 HD (4 patients), diffuse large-cell NHL (7) or low-grade (10) failure relapse after multiple-conventional treatments were included trial. therapy consisted an induction period two cycles separated by 3 weeks rest, and, absence progressive undue toxicity, a maintenance 4 monthly cycles. Each cycle comprised rIL-2: 18 × 106 IU/m2 per day on days 1–5 12–16. 1–5. Among treated patients, 5 (all those NHL) responded phase (1 complete response, partial responses) 2 had mixed response. Conversely, no response observed NHL. median duration months. as well tolerated most received full dosage, management did not require intensive care. During period, experienced grade III cardiovascular toxicity. interrupted 1 patient because myocardial infarction. This confirms inefficacy for treatment HD. NHL, activity needs explored further studies. may have place early disease, when immune system is compromised, adjuvant residual order improve

参考文章(26)
Young Rc, DeVita Vt, Glatstein E, Jaffe Es, Longo Dl, Ihde Dc, The treatment of indolent lymphomas: watchful waiting v aggressive combined modality treatment. Seminars in Hematology. ,vol. 25, pp. 11- 16 ,(1988)
Barbara A. Gramolini, Richard E. Wilson, Anthony F. Massaro, Deric D. Schoof, Timothy J. Eberlein, David L. Davidson, Adoptive Immunotherapy of Human Cancer Using Low-Dose Recombinant Interleukin 2 and Lymphokine-activated Killer Cells Cancer Research. ,vol. 48, pp. 5007- 5010 ,(1988)
E. S. Jaffe, M. T. Lotze, P. J. Cohen, J. R. Roberts, S. A. Rosenberg, The immunopathology of sequential tumor biopsies in patients treated with interleukin-2. Correlation of response with T-cell infiltration and HLA-DR expression. American Journal of Pathology. ,vol. 129, pp. 208- 216 ,(1987)
M Hirsh, A Lipton, H Harvey, E Givant, K Hopper, G Jones, J Zeffren, D Levitt, Phase I study of interleukin-2 and interferon alfa-2a as outpatient therapy for patients with advanced malignancy. Journal of Clinical Oncology. ,vol. 8, pp. 1657- 1663 ,(1990) , 10.1200/JCO.1990.8.10.1657
Steven A Rosenberg, MICHAEL T LOTZE, JAMES C YANG, PAUL M AEBERSOLD, W Marston Linehan, CLAUDIA A SEIPP, DONALD E WHITE, None, Experience with the use of high-dose interleukin-2 in the treatment of 652 cancer patients. Annals of Surgery. ,vol. 210, pp. 474- 485 ,(1989) , 10.1097/00000658-198910000-00008
Jonathan D. Licht, Linda D. Bosserman, Janet W. Andersen, Beow Y. Yeap, Mary M. Klatt, Julianne K. Martel, Kenneth C. Anderson, David S. Rosenthal, Geraldine Pinkus, Arthur T. Skarin, George P. Canellos, Treatment of low-grade and intermediate-grade lymphoma with intensive combination chemotherapy results in long-term, disease-free survival Cancer. ,vol. 66, pp. 632- 639 ,(1990) , 10.1002/1097-0142(19900815)66:4<632::AID-CNCR2820660405>3.0.CO;2-B
Steven A. Rosenberg, Michael T. Lotze, Linda M. Muul, Susan Leitman, Alfred E. Chang, Stephen E. Ettinghausen, Yvedt L. Matory, John M. Skibber, Eitan Shiloni, John T. Vetto, Claudia A. Seipp, Colleen Simpson, Cheryl M. Reichert, Observations on the Systemic Administration of Autologous Lymphokine-Activated Killer Cells and Recombinant Interleukin-2 to Patients with Metastatic Cancer The New England Journal of Medicine. ,vol. 313, pp. 1485- 1492 ,(1985) , 10.1056/NEJM198512053132327
Louis A. Matis, Robert C. Young, Dan L. Longo, Carol S. Portlock, Nodular lymphomas: current concepts. Critical Reviews in Oncology Hematology. ,vol. 5, pp. 171- 197 ,(1986) , 10.1016/S1040-8428(86)80024-5