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Phase II trial of recombinant leukocyte A interferon in advanced malignant melanoma

  • Original Papers
  • Clinical Oncology or Epidemiology
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Summary

A total of 21 patients with advanced metastatic malignant melanoma were treated in this efficacy study of recombinant leukocyte A interferon (interferon alfa-2a). Patients received 18x106 units interferon alfa-2a by i.m. injection daily for the first 10 weeks and then three times weekly for a further 4 months. The symptoms of toxicity observed in this study resembled those previously reported for alfa interferons and included fever, chills, fatigue, anorexia, myalgia, headache, occasional nausea and vomiting, dose-dependent reversible leukopenia, and hepatic transaminase elevations. Of the 21 patients, 12 had evidence of tumor progression, 6 had stable disease for at least 2 months, and complete remission was seen in 3 patients with stage III melanoma. We conclude that interferon alfa-2a appears to have some antiproliferative effect in metastatic malignant melanoma. While its use in stage IV patients with big tumor masses is doubtful, there seems to be therapeutic benefit in earlier stages.

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References

  • Balch CM, Milton GW (1984) Cutaneous melanoma. Lipponcott, Philadelphia

    Google Scholar 

  • Beahrs OH, Myers MH (1983) Manual for staging of cancer, American Joint Committee on Cancer. Lippincott, Philadelphia p 117

    Google Scholar 

  • Creagan ET, Ahmann DL, Green SJ, Long HJ, Rubin J, Schutt AJ, Dziewanowski ZE (1984) Phase II study of recombinant leukocyte A interferon (rIFN-αA) in disseminated malignant melanoma. Cancer 54:2844–49

    Google Scholar 

  • Creagan ET, Ahmann DL, Frytak St, Long HJ, Chang MN, Itri L (1986) Phase II trials of recombinant leukocyte A interferon in disseminated malignant melanoma: Results in 96 patients. Cancer Treat Rep 70:619–624

    Google Scholar 

  • Ernstoff MS, Reiss M, Davis CA (1983) Intravenous recombinant alpha-2 interferon in metastatic melanoma. Proc Am Soc Clin Oncol 19:222

    Google Scholar 

  • Evinger M, Maeda S, Pestka S (1981a) Recombinant leukocyte interferon produced in bacteria has antiproliferative activity. J Biol Chem 256:2113–2114

    Google Scholar 

  • Evinger M, Rubinstein M, Pestka S (1981b) Antiproliferative and antiviral activities of human leukocyte interferons. Arch Biochem Biophys 210:319–329

    Google Scholar 

  • Goeddel DV, Yelverton E, Ullrich A, Heyneker HL, Miozzari G, Holmes W, Seeburg PH, Dull T, May L, Stebbing N, Crea R, Maeda S, McCandliss R, Sloma A, Tabor JM, Gross M, Familletti PC, Pestka S (1980) Human leukocyte interferon produced by E. coli is biologically active. Nature 287:411

    Google Scholar 

  • Gutterman JU, Blumenschein GR, Alexanian R, Yap HY (1980) Leukocyte interferon-induced tumor regression in human metastatic breast cancer, multiple myeloma and malignant lymphoma. Ann Intern Med 93:399–406

    Google Scholar 

  • Guttermann JU, Fine S, Quesada J (1982) Recombinant leukocyte A interferon: Pharmacokinetics, single-dose tolerance and biologic effects in cancer patients. Ann Int Med 96:549

    Google Scholar 

  • Herberman RB, Ortaldo JR, Mantovani A, Hobbs DS, Kung HF, Pestka S (1982) Effect of human recombinat interferon on cytotoxic activity of natural killer (NK) cells and monocytes. Cell Immunol 67:160–167

    Google Scholar 

  • Hersey P, MacDonald M, Hall C, Spurling A, Edwards A, Coates A, McCarthy W (1986) Immunological effects of recombinant interferon alfa-2a in patients with disseminated melanoma. Cancer 57:8, 1666–1674

    Google Scholar 

  • Horning SJ, Levine JF, Miller RA, Rosenberg SA, Merigan TC (1982) Clinical and immunologic effects on recombinant leukocyte interferon in eight patients with advanced cancer. J Am Med Assoc 247:1718–1772

    Google Scholar 

  • Itri LM (1987) Incidence and clinical significance of neutralizing antibodies in patients receiving roferon-A (recombinant interferon alfa-2a). Cancer (in press)

  • Kirkwood JM, Ernstoff MS (1984) Interferons in the treatment of human cancer. J Clin Oncol 2:336–352

    Google Scholar 

  • Krim M (1980) Towards tumor therapy with interferons. II Interferons: In vivo effects. Blood 55:875

    Google Scholar 

  • Krown SE, Burk M, Kirkwood JM, Kerr D, Morton DL, Oettgen HF (1984) Human leukocyte (alpha) interferon in metastatic malignant melanoma. American Cancer Society Phase II Trial Cancer. Treat Rep 68:723–726

    Google Scholar 

  • Mastrangelo MJ, Bellet RE, Berd D (1985) Prognostic factors. In: Clark WH, Goldman LJ, Mastrangelo MJ (eds) Human malignant melanoma. Clinical oncology monographs. Grune and Stratton, New York, pp 273–282

    Google Scholar 

  • Nagata S, Hideharu T, Hall A, Johnsrud L, Streuli M, Ecsödi J, Boll W, Cantell K, Weissmann C (1980) Synthesis in E. coli of a polypeptide with human leukocyte interferon activity. Nature 284:316–320

    Google Scholar 

  • Quesada JR, Gutterman JU (1983) Clinical studies of recombinant DNA-produced leukocyte interferon (Clone A) in an intermittent schedule in cancer patients. J Natl Cancer Inst 70:1045

    Google Scholar 

  • Quesada JR, Swanson DA, Trindade A, Gutterman JU (1983) Renal cell carcinoma: antitumor effects of leukocyte interferon. Cancer Res 43:940–947

    Google Scholar 

  • Retsas S, Priestman TJ, Newton KA, Westbury G (1983) Evaluation of human lymphoblastoid interferon in advanced malignant melanoma. Cancer 51:273

    Google Scholar 

  • Robinson WA, Kirkwood J, Harvey H, Mughal T, McCune C, Muggla S, Hawkins M, Muscato M, Pouillart P, Ernstoff MS, Sorell M (1984) Effective use of recombinant human alpha2 interferon (rIFN alpha2) in metastatic malignant melanoma (MMM). Proc ASCO 3:C-234

    Google Scholar 

  • Rubin BY, Gupta SL (1980) Differential efficacies of human type I and type II interferons as antiviral and antiproliferative agents. Proc Natl Acad Sci USA 77:5928

    Google Scholar 

  • Sherwin SA, Knost JA, Fein S, Abrams PG, Foon KA, Ochs JJ, Schoenberger C, Maluish AE, Oldham RK (1982) A multipledose phase I trial of recombinant leukocyte A interferon in cancer patients. J Am Med Assoc 248:2461

    Google Scholar 

  • Sherwin SA, Mayer D, Ochs JJ, Abrahams PG, Knost JA, Foon KA, Fein S, Oldham RK (1983) Recombinant leukocyte A interferon in advanced breast cancer. Ann Intern Med 98:598–602

    Google Scholar 

  • Taylor-Papadimitriou J (1980) Effects of interferons on cell growth and function. In: Gresser J (ed) Interferon. Academic Press, New York, pp 13–42

    Google Scholar 

  • Thomson DB, McLeod GR (1984) Pilot efficacy study of recombinant leukocyte A interferon (Ro. 22-8181, IFL-alpha-A) in patients with metastatic melanoma. Proc ASCO 3:C-180

    Google Scholar 

  • Trown PW, Kramer MJ, Dennin RA, Connell EV, Palleroni AV, Quesada J, Gutterman JU (1983) Antibodies to human leukocyte interferon in cancer patients. Lancet I:81–84

    Google Scholar 

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Elsässer-Beile, U., Drees, N., Neumann, H.A. et al. Phase II trial of recombinant leukocyte A interferon in advanced malignant melanoma. J Cancer Res Clin Oncol 113, 273–278 (1987). https://doi.org/10.1007/BF00396385

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  • DOI: https://doi.org/10.1007/BF00396385

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