Abstract
Fourteen patients with Philadelphia chromosome (Ph1-positive chronic myelogenous leukemia (CML) in stable-phase have been treated with recombinant human interferon-gamma (IFN-gamma). The interferon was given as daily subcutaneous injection, five times per week. Doses were escalated in individual patients in 4-week intervals starting from 0.1 mg/m2 to 0.5 mg/m2 (maximum safely tolerated dose) of body-surface area. The most common side effects were constitutional symptomes, including fever, chills, fatigue, myalgia, and night sweats. Serum assays for antiinterferon antibodies were negative in all patients. A partial response (decrease of WBC and platelet counts by more than 50%) was seen in only one patient, without achieving suppression of Ph1-positive cells as assessed by cytogenetic and c-abl/bcr analysis. Thirteen patients failed to show sustained antileukemic response to IFN-gamma. These data demonstrate that the use of IFN-gamma is not effective in inducing hematologic remissions in patients with stable-phase CML in the treatment schedule.
Supported in part by the Deutsche Forschungsgemeinschaft (He 1380-2-1)
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References
Stryckmans PA (1980) Treatment of chronic myeloid leukemia. Annu Rev Med 31: 159
Goldman JM, Apperley JF, Jones L et al (1986) Bone marrow transplantation for patients with chronic myeloid leukemia. N Engl J Med 314: 202
Pestka S (1986) Interferon: a decade of accomplishments, foundations of the future in research and therapy. Sem Hematol 23 (Suppl 1): 27
Quesada JR, Reuben J, Manning JT, et al. (1984) Alpha interferon for induction of remission in hairy cell leukemia. N Engl J Med 310: 15
Talpaz M, Kantarjian J, McCredie K, et al. (1986) Hematologic remission and cytogenetic improvement induced by recombinant human interferon alpha in chronic myelogenous leukemia. N Engl J Med 314–1065
Broxmeyer HE, Lu L, Platzer E, et al. (1983) Comparative analysis of the influences of human gamma, alpha and beta interferons on human multipotential, erythroid, and granulocyte-mac-rophage progenitor cells. J Immunol 131: 1300
Basham T, Merigan TC (1982) Immunoregulation by gamma-interferon. Nature 299: 778
Griffin JD, Sabbath KD, Herrmann F et al. (1985) Differential expression of HLA-DR antigens in subsets of human CFU-GM. Blood 66: 788
Cannistra SA, Herrmann F, Davis R, et al. (1986) Relationship between HLA-DR expression by normal myeloid progenitor cells and inhibition of colony growth by prostaglandin E. Implication for prostaglandin E resistance in chronic myeloid leukemia. J Clin Invest 77: 13
Herrmann F, Cannistra SA, Levine H, et al. (1985) Expression of IL-2 receptors and binding of IL-2 by gamma interferon-induced human leukemic and normal monocytic cells. J Exp Med 162: 1111
Seabright M (1971) A rapid banding technique for human chromosomes. Lancet 2: 971
Southern E (1975) Detection of specific sequences among DNA fragments separated by gel electrophoresis. J Mol Biol 98: 503
Chang TW, McKinney S, Liu S, et al. (1984) Use of monoclonal antibodies as sensitive and specific probes for biologically active human interferon-gamma. Proc Natl Acad Sci USA 81: 5219
Vadhan-Raj S, Al-Katib A, Bhalli R, et al. (1986) Phase I trial of recombinant interferon gamma in cancer patients. J Clin Oncol 4, 137
Kurzrock R, Quesada JR, Talpaz M, et al. (1986) Phase I study of multiple dose intramuscularly administered recombinant gamma interferon. J Clin Oncol 4, 1101
Herrmann F, Lindemann A, Oster W, Mertelsmann R (1987) In vitro effect of recombinant human tumor necrosis factor-alpha and interferon-gamma on normal and leukemic myelopoiesis. This volume
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© 1988 Springer-Verlag Berlin Heidelberg
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Herrmann, F., Lindemann, A., Otto, J., Mertelsmann, R. (1988). In Vivo Effects of Interferon-gamma in Chronic Myelogenous Leukemia. In: Huhn, D., Hellriegel, K.P., Niederle, N. (eds) Chronic Myelocytic Leukemia and Interferon. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-73526-4_12
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DOI: https://doi.org/10.1007/978-3-642-73526-4_12
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