Cytokine Therapy of Metastatic Renal Cell Carcinoma: The Cleveland Clinic Experience

  • R. M. Bukowski
  • T. Olencki
  • D. Peereboom
  • G. T. Budd
  • S. Murthy
  • R. Tubbs
  • P. Rayman
  • D. McLain
  • E. Klein
  • L. Tuason
  • J. Finke
Conference paper

Abstract

The incidence of renal cell carcinoma in the United States appears to be increasing, and in 1994 will cause an estimated 11,300 deaths (1). Patients with resectable disease have a five year survival of approximately 50% (2), and those individuals presenting with regionally advanced or metastatic disease have five year survival rates of less than 5% (3). The rare spontaneous regression of established metastatic disease (4) has produced speculation that host factors may be relevant in controlling tumor growth. Recently, studies demonstrating the presence of specific cytolytic T-lymphocytes in tumor infiltrating lymphocytes isolated from renal cancers (5, 6) have documented the existence of a host immune response to this tumor. In the 1980’s, the clinical use of first recombinant interferon alpha (7) and subsequently interleukin-2 (rIL-2) (8, 9) was investigated in patients with metastatic renal cell carcinoma. The clear demonstration of objective tumor regressions secondary to administration of these cytokines has been followed by a period of increasing interest in the use of various biologic response modifiers in this neoplasm. At The Cleveland Clinic Foundation, we have systematically evaluated the biologic and clinical effects of various cytokines in patients with malignancy during the past 15 years. The purpose of this report is to summarize the experience in patients with metastatic renal cell cancer.

Keywords

Toxicity Tyrosine Adenocarcinoma Polyethylene Glycol 

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Copyright information

© Springer-Verlag New York Inc. 1995

Authors and Affiliations

  • R. M. Bukowski
    • 1
    • 2
  • T. Olencki
    • 1
    • 2
  • D. Peereboom
    • 1
    • 2
  • G. T. Budd
    • 1
    • 2
  • S. Murthy
    • 1
    • 2
  • R. Tubbs
    • 3
  • P. Rayman
    • 4
  • D. McLain
    • 1
  • E. Klein
    • 5
  • L. Tuason
    • 6
  • J. Finke
    • 4
  1. 1.Cancer Center Experimental Therapeutics ProgramThe Cleveland Clinic FoundationClevelandUSA
  2. 2.Department of Hematology and Medical OncologyThe Cleveland Clinic FoundationClevelandUSA
  3. 3.Department of Clinical PathologyThe Cleveland Clinic FoundationClevelandUSA
  4. 4.Department of ImmunologyThe Cleveland Clinic FoundationClevelandUSA
  5. 5.Department of UrologyThe Cleveland Clinic FoundationClevelandUSA
  6. 6.Department of Biostatistics EpidemiologyThe Cleveland Clinic FoundationClevelandUSA

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