The treatment of metastatic renal cell carcinoma patients with recombinant human gamma interferon

Eric J. Small*, Geoffrey R. Weiss, Umme K. Malik, Philip J. Walther, David Johnson, George Wilding, Timothy Kuzel, Alex Bajamonde, Virginia Paton

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

PURPOSE: Activity has been reported in phase II single-center, open- label studies after administration of low-dose recombinant interferon gamma- 1b (rIFN-γ) to patients with metastatic renal cell carcinoma, with an overall objective response proportion of around 15%. To confirm these data and define the complete response rate, we conducted a multicenter open-label trial in which 204 patients with metastatic renal cell carcinoma were treated with rIFN-γ. PATIENTS AND METHODS: Two hundred and seven patients (134 males, 73 females, mean age 59) were enrolled, and 202 were evaluable. rIFN- γ, 60: μg/m2, was administered subcutaneously once every 7 days until disease progression. RESULTS: There were three (1.5%) complete responses and three (1.5%) partial responses, for an overall response proportion of 3% (95% CI: 1.2%, 6.7%). The median response duration was 13.3 months (range: 2 to 23 months). The median survival was 13.4 months (5.5 months to 29.2 months). Three (1%) deaths were observed during the course of study; they were considered to be related to progressive metastatic renal cell carcinoma. Toxicity was minimal, with 14% of patients experiencing grade 3/4 toxicity. The most frequent adverse events were chills (59%), fever (58%), asthenia (53%), nausea (29%), and headache (18%). Multivariate analysis revealed that younger age, higher performance status, higher hemoglobin, and lower LDH were predictive of' survival. DISCUSSION: Recombinant interferon gamma 1b has only minimal efficacy in the treatment of metastatic renal cell carcinoma. Pretreatment variables associated with increased survival were male sex, higher Karnofsky performance status, higher hemoglobin, and low LDH.

Original languageEnglish (US)
Pages (from-to)162-167
Number of pages6
JournalCancer Journal from Scientific American
Volume4
Issue number3
StatePublished - Jun 10 1998

Keywords

  • Gamma interferon
  • Prognostic variables
  • Renal cell carcinoma

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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