Combination of interleukin-2 and gamma interferon in metastatic renal cell carcinoma
Identifieur interne : 000E66 ( Istex/Corpus ); précédent : 000E65; suivant : 000E67Combination of interleukin-2 and gamma interferon in metastatic renal cell carcinoma
Auteurs : B. Escudier ; S. Antoun ; B. Leclercq ; G. Nitenberg ; F. Farace ; E. Angevin ; F. Triebel ; T. Hercend ; A. Aboudaram ; M. BrandelySource :
- European Journal of Cancer [ 0959-8049 ] ; 1993.
Abstract
The use of high-dose interleukin-2 (IL2), alone or in association with lymphokine activated killer cells in patients with metastatic renal cell carcinoma (MRCC) results in a 20–25% response rate. However, the toxicity of IL2 is substantial and despite many clinical trials, response rates initially reported have not been improved. The aim of this study was to evaluate a combination of IL2 and gamma interferon (IFN) in MRCC with respect to both efficacy and tolerance. IL2 was given by continuous intravenous infusion at a daily dose of 24 × 106 U/m2 for 2 consecutive days during 5 consecutive weeks. Gamma IFN was given subcutaneously at a daily dose of 5 × 106 U/m2 on the same days as IL2. 33 patients with MRCC entered the study. Clinical responses were comparable with other published series: 7 patients (21%) achieved partial response, 13 (39%) were stable and 13 had progression, despite therapy. Immunological profile observed with this regimen showed a major increase in natural killer cells which became the predominant lymphocyte population at the end of the therapy. Tolerance was good with 92.5% of the planned doses actually received by the patients. This was reflected by an early discharge from the hospital in 95% of the cycles, increasing acceptability of the regimen by the patients.
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DOI: 10.1016/S0959-8049(05)80354-5
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<front><div type="abstract" xml:lang="en">The use of high-dose interleukin-2 (IL2), alone or in association with lymphokine activated killer cells in patients with metastatic renal cell carcinoma (MRCC) results in a 20–25% response rate. However, the toxicity of IL2 is substantial and despite many clinical trials, response rates initially reported have not been improved. The aim of this study was to evaluate a combination of IL2 and gamma interferon (IFN) in MRCC with respect to both efficacy and tolerance. IL2 was given by continuous intravenous infusion at a daily dose of 24 × 106 U/m2 for 2 consecutive days during 5 consecutive weeks. Gamma IFN was given subcutaneously at a daily dose of 5 × 106 U/m2 on the same days as IL2. 33 patients with MRCC entered the study. Clinical responses were comparable with other published series: 7 patients (21%) achieved partial response, 13 (39%) were stable and 13 had progression, despite therapy. Immunological profile observed with this regimen showed a major increase in natural killer cells which became the predominant lymphocyte population at the end of the therapy. Tolerance was good with 92.5% of the planned doses actually received by the patients. This was reflected by an early discharge from the hospital in 95% of the cycles, increasing acceptability of the regimen by the patients.</div>
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<abstract>The use of high-dose interleukin-2 (IL2), alone or in association with lymphokine activated killer cells in patients with metastatic renal cell carcinoma (MRCC) results in a 20–25% response rate. However, the toxicity of IL2 is substantial and despite many clinical trials, response rates initially reported have not been improved. The aim of this study was to evaluate a combination of IL2 and gamma interferon (IFN) in MRCC with respect to both efficacy and tolerance. IL2 was given by continuous intravenous infusion at a daily dose of 24 × 106 U/m2 for 2 consecutive days during 5 consecutive weeks. Gamma IFN was given subcutaneously at a daily dose of 5 × 106 U/m2 on the same days as IL2. 33 patients with MRCC entered the study. Clinical responses were comparable with other published series: 7 patients (21%) achieved partial response, 13 (39%) were stable and 13 had progression, despite therapy. Immunological profile observed with this regimen showed a major increase in natural killer cells which became the predominant lymphocyte population at the end of the therapy. Tolerance was good with 92.5% of the planned doses actually received by the patients. This was reflected by an early discharge from the hospital in 95% of the cycles, increasing acceptability of the regimen by the patients.</abstract>
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<ce:cross-ref refid="cor1"><ce:sup>1</ce:sup>
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</ce:author>
<ce:author><ce:given-name>S.</ce:given-name>
<ce:surname>Antoun</ce:surname>
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</ce:author>
<ce:author><ce:given-name>B.</ce:given-name>
<ce:surname>Leclercq</ce:surname>
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</ce:author>
<ce:author><ce:given-name>G.</ce:given-name>
<ce:surname>Nitenberg</ce:surname>
<ce:cross-ref refid="aff1"><ce:sup>1</ce:sup>
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</ce:author>
<ce:author><ce:given-name>F.</ce:given-name>
<ce:surname>Farace</ce:surname>
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<ce:author><ce:given-name>E.</ce:given-name>
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<ce:author><ce:given-name>T.</ce:given-name>
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<ce:abstract id="ab1" class="author" xml:lang="en"><ce:abstract-sec><ce:simple-para>The use of high-dose interleukin-2 (IL2), alone or in association with lymphokine activated killer cells in patients with metastatic renal cell carcinoma (MRCC) results in a 20–25% response rate. However, the toxicity of IL2 is substantial and despite many clinical trials, response rates initially reported have not been improved. The aim of this study was to evaluate a combination of IL2 and gamma interferon (IFN) in MRCC with respect to both efficacy and tolerance. IL2 was given by continuous intravenous infusion at a daily dose of 24 × 10<ce:sup loc="post">6</ce:sup>
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U/m<ce:sup loc="post">2</ce:sup>
on the same days as IL2. 33 patients with MRCC entered the study. Clinical responses were comparable with other published series: 7 patients (21%) achieved partial response, 13 (39%) were stable and 13 had progression, despite therapy. Immunological profile observed with this regimen showed a major increase in natural killer cells which became the predominant lymphocyte population at the end of the therapy. Tolerance was good with 92.5% of the planned doses actually received by the patients. This was reflected by an early discharge from the hospital in 95% of the cycles, increasing acceptability of the regimen by the patients.</ce:simple-para>
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<mods version="3.6"><titleInfo lang="en"><title>Combination of interleukin-2 and gamma interferon in metastatic renal cell carcinoma</title>
</titleInfo>
<titleInfo type="alternative" lang="en" contentType="CDATA"><title>Combination of interleukin-2 and gamma interferon in metastatic renal cell carcinoma</title>
</titleInfo>
<name type="personal"><namePart type="given">B.</namePart>
<namePart type="family">Escudier</namePart>
<affiliation>the Service de Réanimation, Institut Gustave Roussy, 35 rue Camille Desmoulins, 94805 Villejuif, France</affiliation>
<affiliation>Correspondence to B. Escudier.</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">S.</namePart>
<namePart type="family">Antoun</namePart>
<affiliation>the Service de Réanimation, Institut Gustave Roussy, 35 rue Camille Desmoulins, 94805 Villejuif, France</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">B.</namePart>
<namePart type="family">Leclercq</namePart>
<affiliation>the Service de Réanimation, Institut Gustave Roussy, 35 rue Camille Desmoulins, 94805 Villejuif, France</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">G.</namePart>
<namePart type="family">Nitenberg</namePart>
<affiliation>the Service de Réanimation, Institut Gustave Roussy, 35 rue Camille Desmoulins, 94805 Villejuif, France</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">F.</namePart>
<namePart type="family">Farace</namePart>
<affiliation>the Laboratoire d'Hémato-Immunologie, Institut Gustave Roussy, 35 rue Camille Desmoulins, 94805 Villejuif, France</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">E.</namePart>
<namePart type="family">Angevin</namePart>
<affiliation>the Laboratoire d'Hémato-Immunologie, Institut Gustave Roussy, 35 rue Camille Desmoulins, 94805 Villejuif, France</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">F.</namePart>
<namePart type="family">Triebel</namePart>
<affiliation>the Laboratoire d'Hémato-Immunologie, Institut Gustave Roussy, 35 rue Camille Desmoulins, 94805 Villejuif, France</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">T.</namePart>
<namePart type="family">Hercend</namePart>
<affiliation>the Laboratoire d'Hémato-Immunologie, Institut Gustave Roussy, 35 rue Camille Desmoulins, 94805 Villejuif, France</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">A.</namePart>
<namePart type="family">Aboudaram</namePart>
<affiliation>the Service de Radiodiagnostic, Institut Gustave Roussy, 35 rue Camille Desmoulins, 94805 Villejuif, France</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">M.</namePart>
<namePart type="family">Brandely</namePart>
<affiliation>the Roussel UCLAF, 102 route de Noisy, 93230 Romainville, France</affiliation>
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<dateModified encoding="w3cdtf">1992-08-04</dateModified>
<copyrightDate encoding="w3cdtf">1993</copyrightDate>
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<abstract lang="en">The use of high-dose interleukin-2 (IL2), alone or in association with lymphokine activated killer cells in patients with metastatic renal cell carcinoma (MRCC) results in a 20–25% response rate. However, the toxicity of IL2 is substantial and despite many clinical trials, response rates initially reported have not been improved. The aim of this study was to evaluate a combination of IL2 and gamma interferon (IFN) in MRCC with respect to both efficacy and tolerance. IL2 was given by continuous intravenous infusion at a daily dose of 24 × 106 U/m2 for 2 consecutive days during 5 consecutive weeks. Gamma IFN was given subcutaneously at a daily dose of 5 × 106 U/m2 on the same days as IL2. 33 patients with MRCC entered the study. Clinical responses were comparable with other published series: 7 patients (21%) achieved partial response, 13 (39%) were stable and 13 had progression, despite therapy. Immunological profile observed with this regimen showed a major increase in natural killer cells which became the predominant lymphocyte population at the end of the therapy. Tolerance was good with 92.5% of the planned doses actually received by the patients. This was reflected by an early discharge from the hospital in 95% of the cycles, increasing acceptability of the regimen by the patients.</abstract>
<note type="content">Section title: Paper</note>
<relatedItem type="host"><titleInfo><title>European Journal of Cancer</title>
</titleInfo>
<titleInfo type="abbreviated"><title>EJC</title>
</titleInfo>
<genre type="journal">journal</genre>
<originInfo><dateIssued encoding="w3cdtf">1993</dateIssued>
</originInfo>
<identifier type="ISSN">0959-8049</identifier>
<identifier type="PII">S0959-8049(05)X8338-1</identifier>
<part><date>1993</date>
<detail type="volume"><number>29</number>
<caption>vol.</caption>
</detail>
<detail type="issue"><number>5</number>
<caption>no.</caption>
</detail>
<extent unit="issue pages"><start>655</start>
<end>789</end>
</extent>
<extent unit="pages"><start>724</start>
<end>728</end>
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<identifier type="istex">4202F1CA50D86135E197329521FF9741A217E049</identifier>
<identifier type="DOI">10.1016/S0959-8049(05)80354-5</identifier>
<identifier type="PII">S0959-8049(05)80354-5</identifier>
<identifier type="ArticleID">05803545</identifier>
<accessCondition type="use and reproduction" contentType="copyright">©1993 Pergamon Press Ltd</accessCondition>
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