Journal of Clinical Oncology, Vol 8, 1630-1636, Copyright © 1990 by American Society of Clinical Oncology
Therapy of renal cell carcinoma with interleukin-2 and lymphokine- activated killer cells: phase II experience with a hybrid bolus and continuous infusion interleukin-2 regimen
DR Parkinson, RI Fisher, AA Rayner, E Paietta, KA Margolin, GR Weiss, JW Mier, M Sznol, ER Gaynor and MH Bar
National Cancer Institute IL-2/LAK Extramural Working Group, National Cancer Institute, Bethesda, MD 20892.
Forty-seven patients with metastatic or unresectable renal cell carcinoma
were treated with interleukin-2 (IL-2) and lymphokine- activated killer
(LAK)-cell therapy, using a hybrid IL-2 regimen. IL-2 was administered
initially by intravenous bolus (10(5) U/kg [Cetus Corp, Emeryville, CA]
every 8 hours for 3 days) during the priming phase, and subsequently by
continuous infusion (3 x 10(6) U/m2 for 6 days); during this second
treatment period, in vitro-generated LAK cells were administered. Despite
selection of patients for good performance status (PS) (29, PS 0; 18, PS 1)
prior nephrectomy (43 of the 47 patients), and low tumor burden, the
response rate was low (two complete [CRs] and two partial responses [PRs],
for an overall objective response rate of 9%). Toxicity was comparable to
that experienced with the high-dose bolus regimen. These results suggest
that the dose and schedule of IL-2 administration may influence the
likelihood of response to IL-2 in renal cell carcinoma.

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