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About:
Interleukin-2 after autologous stem cell transplantation for hematologic malignancy: a phase I/II study
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wasabi.inria.fr
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research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
Interleukin-2 after autologous stem cell transplantation for hematologic malignancy: a phase I/II study
Creator
Thompson, J
Appelbaum, F
Bensinger, W
Benyunes, M
Buckner, C
Chauncey, T
Fefer, A
Lindgren, C
Petersdorf, S
Press, O
Robinson, N
York, A
Source
PMC
abstract
The success of autologous stem cell transplantation (ASCT) for hematologic malignancy is limited largely by a high relapse rate. It is postulated that IL-2 administered after ASCT may eliminate minimal residual disease and thereby reduce relapses. A phase I/II study was performed to identify a regimen of IL-2 (Chiron) that could be given early after ASCT in phase III trials. In the phase I study, beginning a median of 46 days after ASCT for hematologic malignancy, cohorts of three to four patients received escalating doses of ‘induction’ IL-2 of 9, 10, or 12 × 10(6) IU/m(2)/day for 4 or 5 days by continuous i.v. infusion (CIV), followed by a 4-day rest period, and then 1.6 × 10(6) IU/m(2)/day of maintenance IL-2 by CIV for 10 days. The maximum tolerated dose (MTD) of induction IL-2 was 9 × 10(6) IU/m(2)/day × 4. In the phase II study, 52 patients received the MTD. Eighty percent of patients completed induction IL-2. Most patients exhibited some degree of capillary leak. One patient died of CMV pneumonia and one died of ARDS. Maintenance IL-2 was well tolerated. In the phase I/II study, 16 of 31 patients with non-Hodgkin lymphoma (NHL), 3/8 with Hodgkin disease (HD), 4/17 with AML, and 4/5 with ALL remain in CR. Two of six multiple myeloma (MM) patients remain in PR. Although the regimen of IL-2 identified had significant side-effects in some patients, it was well tolerated in the majority of patients. Phase III prospectively randomized clinical trials are in progress to determine if this IL-2 regimen will decrease the relapse rate after ASCT for AML and NHL.
has issue date
1997-12-18
(
xsd:dateTime
)
bibo:doi
10.1038/sj.bmt.1700687
bibo:pmid
9052908
has license
no-cc
sha1sum (hex)
95004cd43f731cf90a3b02353eb1ff77fc2e5784
schema:url
https://doi.org/10.1038/sj.bmt.1700687
resource representing a document's title
Interleukin-2 after autologous stem cell transplantation for hematologic malignancy: a phase I/II study
has PubMed Central identifier
PMC7092324
has PubMed identifier
9052908
schema:publication
Bone Marrow Transplant
resource representing a document's body
covid:95004cd43f731cf90a3b02353eb1ff77fc2e5784#body_text
is
schema:about
of
named entity 'Interleukin-2'
named entity 'EARLY'
named entity 'transplantation'
named entity 'ASCT'
named entity 'immunotherapy'
named entity 'interleukin-2'
named entity 'Interleukin-2'
named entity 'hematologic malignancy'
covid:arg/95004cd43f731cf90a3b02353eb1ff77fc2e5784
named entity 'immunotherapy'
named entity 'IL-2'
named entity 'INTERLEUKIN-2 '
named entity 'MINIMAL RESIDUAL DISEASE'
named entity 'RELAPSE RATE'
named entity 'ADMINISTERED'
named entity 'phase I/II'
named entity 'TIME'
named entity 'minimal residual disease'
named entity 'relapse'
named entity 'autologous stem cell transplantation'
named entity 'interleukin'
named entity 'ASCT'
named entity 'THERAPY'
named entity 'time'
named entity 'therapy'
named entity 'stem cell'
named entity 'IL-2'
named entity 'postulated'
named entity 'relapse'
named entity 'reduce'
named entity 'IMMUNOTHERAPY'
named entity 'REDUCE'
named entity 'study'
named entity 'phase I'
named entity 'hematologic malignancy'
named entity 'AUTOLOGOUS STEM CELL TRANSPLANTATION'
named entity 'INTERLEUKIN-2 '
named entity 'HEMATOLOGIC MALIGNANCY'
named entity 'STUDY'
named entity 'PHASE I'
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covid:95004cd43f731cf90a3b02353eb1ff77fc2e5784#body_text
The success of autologous stem cell transplantation (ASCT) for hematologic malignancy is limited largely by a high relapse rate. It is postulated that IL-2 administered after ASCT may eliminate minimal residual disease and thereby reduce relapses. A phase I/II study was performed to identify a regimen of IL-2 (Chiron) that could be given early after ASCT in phase III trials. In the phase I study, beginning a median of 46 days after ASCT for hematologic malignancy, cohorts of three to four patients received escalating doses of ‘induction’ IL-2 of 9, 10, or 12 × 10(6) IU/m(2)/day for 4 or 5 days by continuous i.v. infusion (CIV), followed by a 4-day rest period, and then 1.6 × 10(6) IU/m(2)/day of maintenance IL-2 by CIV for 10 days. The maximum tolerated dose (MTD) of induction IL-2 was 9 × 10(6) IU/m(2)/day × 4. In the phase II study, 52 patients received the MTD. Eighty percent of patients completed induction IL-2. Most patients exhibited some degree of capillary leak. One patient died of CMV pneumonia and one died of ARDS. Maintenance IL-2 was well tolerated. In the phase I/II study, 16 of 31 patients with non-Hodgkin lymphoma (NHL), 3/8 with Hodgkin disease (HD), 4/17 with AML, and 4/5 with ALL remain in CR. Two of six multiple myeloma (MM) patients remain in PR. Although the regimen of IL-2 identified had significant side-effects in some patients, it was well tolerated in the majority of patients. Phase III prospectively randomized clinical trials are in progress to determine if this IL-2 regimen will decrease the relapse rate after ASCT for AML and NHL.
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