Immunotherapy with recombinant human interleukin-2 and recombinant interferon-alpha in lymphoma patients postautologous marrow or stem cell transplantation.

Immunotherapy with recombinant human interleukin-2 and recombinant interferon-alpha in lymphoma patients postautologous marrow or stem cell transplantation.
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在自体骨髓或干细胞移植后的淋巴瘤患者中使用重组人白细胞介素 2 和重组干扰素 α 进行免疫治疗。

DOI:
10.1182/blood.v89.11.3951
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发表时间:
1997
期刊:
影响因子:
20.3
通讯作者:
S. Slavin
S. Slavin
中科院分区:
医学1区
文献类型:
--
作者:
A. Nagler;A. Ackerstein;R. Or;E. Naparstek;S. Slavin

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免疫介导的作用似乎在控制微小残留病(MRD)方面发挥着重要作用。因此,我们研究了重组人白细胞介素 2 (rIL-2) 与干扰素 α (IFN-α) 联合给药对自体骨髓或血液干细胞移植 (ABSCT) 后疾病有反应的恶性淋巴瘤 (ML) 患者的作用。本次调查包括 56 名患者。 32 名患者患有非霍奇金淋巴瘤 (NHL),24 名患者患有霍奇金病 (HD)。 61 名患者(NHL 36,HD 25)作为历史对照。两组患者具有相似的人口统计学特征、相同的就诊时疾病阶段、移植时的疾病状态、预处理方案和移植类型。 rIL-2 和 IFN-α 在移植后 2.5 至 10.5 个月(中位数为 4 个月)开始的两个周期中自行给药,间隔 4 周。每个周期包括 IFN-α 皮下 (SC) 3 x 10(6) U/d x 5 天/周联合 rIL-2 SC 3 至 6 IU/m2/d x 5 天/周,持续 4 周。调查组的生存率和无病生存率 (DFS) 显着高于历史对照组 (P < .01)。在接受 IFN-α + rIL-2 治疗的 56 名 ML 患者中,45 名患者在随访 7 至 78 个月(中位 34 个月)后实现 DFS(80.4%),而在历史对照中,61 名患者中的 32 名(52.5%)在移植后 4 至 84 个月(中位 23 个月)的随访中无疾病(P < .01)。我们的初步结果令人鼓舞,表明在家进行 IFN-α 和 rIL-2 免疫治疗的耐受性相对较好,并且可能会在 ABSCT 后出现 MRD 的 ML 患者中强化缓解。
Immune-mediated effects appear to play a major role in controlling minimal residual disease (MRD). We, therefore, investigated the role of recombinant human interleukin-2 (rIL-2) given concomitantly with interferon-alpha (IFN-alpha) in malignant lymphoma (ML) patients with responding disease following autologous bone marrow or blood stem cell transplantation (ABSCT). Fifty-six patients were included in this investigation. Thirty-two patients had non-Hodgkin's lymphoma (NHL) and 24 patients had Hodgkin's disease (HD). Sixty-one patients (NHL 36, HD 25) served as historical controls. Patients from both groups had similar demographic characteristics, the same stage of disease at presentation, status of disease at transplantation, conditioning regimens, and type of transplant. rIL-2 and IFN-alpha were self-administered in two cycles beginning 2.5 to 10.5 months (median, 4 months) posttransplant and separated by a 4-week interval. Each cycle consisted of IFN-alpha subcutaneously (SC) 3 x 10(6) U/d x 5 d/wk combined with rIL-2 SC 3 to 6 IU/m2/d x 5 d/wk for 4 weeks. The incidence of survival and disease-free survival (DFS) was significantly higher in the group under investigation than in the historical controls (P < .01). Of 56 patients with ML treated with IFN-alpha + rIL-2, 45 patients are DFS (80.4%) after a follow-up of 7 to 78 months (median, 34 months), whereas in the historical controls, 32 of 61 (52.5%) patients are disease free, in a follow-up of 4 to 84 months (median, 23 months) posttransplant (P < .01). Our preliminary results are encouraging and suggest that home administered immunotherapy with IFN-alpha and rIL-2 is relatively well tolerated and may intensify remission in ML patients with MRD following ABSCT.
DOI: 10.4049/jimmunol.126.6.2321
发表时间: 1981-06
影响因子: 4.4
作者:
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影响因子: 20.3
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重组白细胞介素 2 联合或不联合重组干扰素 β 在非霍奇金淋巴瘤中的 II 期研究。
DOI: 10.1097/00002371-199208000-00006
发表时间: 1992
期刊: Journal of immunotherapy : official journal of the Society for Biological Therapy
影响因子: --
作者:
Duggan,DB;Santarelli,MT;Zamkoff,K;Lichtman,S;Ellerton,J;Cooper,R;Poiesz,B;Anderson,JR;Bloomfield,CD;Peterson,BA
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与同种异体骨髓移植相关的移植物抗淋巴瘤效应的证据。
DOI: --
发表时间: 1991
期刊: Blood
影响因子: 20.3
作者:
Jones,RJ;Ambinder,RF;Piantadosi,S;Santos,GW
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DOI: 10.1182/blood.v81.9.2452.bloodjournal8192452
发表时间: 1993-05
期刊: Blood
影响因子: 20.3
作者:
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