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A phase II study of human rDNA alpha-2 interferon in patients with low grade non-Hodgkin's lymphoma

  • Original Articles
  • Non-Hodgkin's Lymphoma, Interferon-2
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Summary

Thirty five patients with a diagnosis of non-Hodgkin's lymphoma of low histological grade were treated with 2×106/m2 of human rDNA alpha 2 IFN-a2 by subcutaneous injection. Treatment was continued until progressive disease was documented or one year of therapy had been given. None of the patients had to stop treatment because of toxicity and no treatment delays or suspensions of therapy were necessary as a consequence of myelosup-pression. Thirty four patients were evaluable and seventeen (50%) obtained an objective response (2 CR, 15 PR) with a median duration of eleven months. Sixteen patients were untreated prior to receiving interferon but were felt to need some form of therapy rather than be suitable for a watch policy. Eleven of these patients responded (69%) with 95% confidence limits lying between 41% and 89%. No other pretreatment factors appeared to affect the liklihood of response. Single agent IFN-α2 has significant activity in the low grade non-Hodgkin's lymphomata and warrants further investigation in this disease.

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References

  1. Anderson T, Bender RA, Fisher RI et al. (1977) Combination chemotherapy in non-Hodgkin's lymphoma: results of a long term follow-up. Cancer Treat Rep 61: 1057–1066

    Google Scholar 

  2. Balkwill R, Moodies EM (1984) Positive interactions between human interferon and cyclophosphamide or adriamycin in a human tumour model system. Cancer Res 44: 904–908

    Google Scholar 

  3. Bitran JC, Golomb HM, Ultamann JE, et al. (1978) Non-Hodgkin's lymphoma, poorly fifferentiated and mixed cell types: results of sequential staging proceedures, response to therapy and survival of 100 patients. Cancer 42: 88–95

    Google Scholar 

  4. Carabell SC, Challey J, Rosenthal DS, et al. (1979) Results of total body irradiation in the treatment of advanced non-Hodgkin's lymphomas. Cancer 43: 994–1000

    Google Scholar 

  5. Chirigos MA, Pearson JW (1973) Cure of murine leukaemia with drug and interferon treatment. J Nat Cancer Inst 51: 1367

    Google Scholar 

  6. Choi NC, Timothy AR, Kaufman SD (1979) Low dose fractional whole body irradiation in the treatment of advanced non-Hodgkin's lymphoma. Cancer 43: 1636–1642

    Google Scholar 

  7. Foon KA, Sherwin SA, Abrams PG, et al. (1984) Treatment of advanced non-Hodgkin's lymphoma with recombinant leukocyte A interferon. N Engl J Med 1: 1148–1152

    Google Scholar 

  8. Glick JH, Barnes JM, Ezdini EZ, et al. (1981) Nodular mixed lymphoma: results of a randomised trial failing to confirm prolonged disease-free survival with COPP chemotherapy. Blood 58: 920–925

    Google Scholar 

  9. Gresser I, Chantal M, Tovey M (1978) Efficacy of combined interferon and cyclophosphamide therapy after diagnosis of lymphoma in AKR mice. Eur J Cancer 14: 97

    Google Scholar 

  10. Gutterman JU, Blumenschein GR, Alexanian R, et al. (1980) Leukocyte interferon induced tumour regression in human metastatic breast cancer, multile myeloma and malignant lymphoma. Ann Int Med 93: 399–406

    Google Scholar 

  11. Hoppe RT, Kushlan P, Kaplan S, et al. (1981) The treatment of advanced favourable histology non-Hodgkin's lymphoma: a preliminary report of a randomised trial comparing single agent chemotherapy, combination chemotherapy and whole body irradiation. Blood 58: 592–598

    Google Scholar 

  12. Hornings S (1983) Lymphoma. In: Sikora K (ed): Interferon and Cancer. New York, London: Plenum, pp 77–83

    Google Scholar 

  13. Horning SJ, Rosenberg SA (1984) The natural history of initially untreated low-grade non-Hodgkin's lymphoma. N Engl J Med 311: 1471–1475

    Google Scholar 

  14. Jones SE, Grozoa PH, Metz EN et al (1979) Superiority of adriamycin containing combination chemotherapy in the treatment of diffuse lymphoma: a South West Oncology Group study. Cancer 43: 417–425

    Google Scholar 

  15. Kennedy BJ, Bloomfield CD, Kiang DT, et al. (1978) Combination versus successive single agent chemotherapy in lymphocytic lymphoma. Cancer 41: 23–28

    Google Scholar 

  16. Leavitt RD, Kaplan S, Bonnem E, et al. (1985) High and low dose treatment of high and low grade non-Hodgkin's lymphoma. In Kisner D. L., Smyth J. F. (eds): Interferon alpha-2: Pre-clinical and clinical evaluation. Boston: martinus Nijhoff, pp 57–73

    Google Scholar 

  17. Lister TA, Cullen MH, Beard MJ, et al. (1978) Comparison of combined and single agent chemotherapy in non-Hodgkin's lymphoma of favourable histological type. Br Med J 1: 533–537

    Google Scholar 

  18. Louie AC, Gallagher JG, Sikora K, et al. (1981) Follow-up observation on the effect of human leukocyte interferon in non-Hodgkin's lymphoma. Blood 58: 712–718

    Google Scholar 

  19. Portlock CS, Rosenberg SA (1976) Combination chemotherapy with cyclophosphamide, vincristine and prednisone in advanced non-Hodgkin's lymphomas. Cancer 37: 1275–1282

    Google Scholar 

  20. Portlock CS, Rosenberg SA, Glatstein E, et al. (1976) Treatment of advanced non-Hodgkin's lymphoma with favourable histologies: preliminary result of a prospective trial. Blood 47: 747–756

    Google Scholar 

  21. Rodriguez V, Cabanillas F, Burgess MA, et al. (1977) Combination chemotherapy (CHO-Bleo) in advanced (non-Hodgkin) malignant lymphoma. Blood 49: 325–333

    Google Scholar 

  22. Siegert W, Therml K, Fik U, et al. (1982) Treatment of non-Hodgkin's lymphoma of low grade malignancy with fibroblasts interferon. Anticancer Research 2: 193–198

    Google Scholar 

  23. Skarin AT, Rosenthal DS, Moloney WC, et al. (1977) Combination chemotherapy of advanced non-Hodgkin's lymphoma with Bleomycin, Adriamycin, Cyclophosphamide, Vincristine and Prednisone (BACOP). Blood 49: 759–768

    Google Scholar 

  24. Thar TL, Million RR, Noyes WD (1979) Total body irradiation in non-Hodgkin's lymphoma. Int J Radiat Biol 5: 171–176

    Google Scholar 

  25. Wagstaff J, Crowther D, Leonard RCF, et al. (1985) Phase II evaluation in patients with non-Hodgkin's lymphoma. The old world experience — an interim report. In Kisner D. L., Symth J. F. (eds): Interferon alpha-2: Preclinical and clinical evaluation. Boston: Martinus Nijhoff, pp 51–66

    Google Scholar 

  26. Welander CE, Muss HD, Morgan TM, et al. (1985) Synergy in vitro and in clinical trials. In Kisner D. L. & Smeyth J. F. (eds). Interferon alpha 2: Pre-clinical and clinical evaluation. Boston: Martinus Nijoff, pp 29–39

    Google Scholar 

  27. Young RC, Johnson RE, Canellos G, et al. (1977) Advanced lymphocytic lymphoma: randomised comparison of chemotherapy and radiotherapy, alone or in combination. Cancer Treat Rep 61: 1153–1159

    Google Scholar 

  28. Yamamoto S, Tanaka H, Kanamori, et al. (1983) In vitro studies of potentiation of cytotoxic effects of anticancer drugs by interferon on a human neoplastic cell line (He La). Cancer Letters 20: 131–138

    Google Scholar 

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Wagstaff, J., Loynds, P. & Crowther, D. A phase II study of human rDNA alpha-2 interferon in patients with low grade non-Hodgkin's lymphoma. Cancer Chemother. Pharmacol. 18, 54–58 (1986). https://doi.org/10.1007/BF00253065

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  • DOI: https://doi.org/10.1007/BF00253065

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