Phase I study of recombinant beta ser 17 interferon in the treatment of cancer

Cancer Treat Rep. 1986 Dec;70(12):1365-72.

Abstract

Fifteen patients with advanced malignancy were treated with escalating doses of recombinant beta ser 17 interferon (IFN). Doses ranging from 0.006 to 500 X 10(6) units/m2 were administered according to a dosage escalation scheme by iv push twice weekly (starting 1 week after an initial dose) for a planned minimum of 5 weeks, to be continued as a function of response. Toxic effects were broad in scope but generally low in grade. They included fever, malaise, leukopenia, proteinuria, nausea/vomiting, diarrhea, and mild elevations of serum transaminases and creatinine. In one patient, transient hypotension with bradycardia ensued. Malaise and fever increased somewhat with increasing dose. Doses of up to 500 X 10(6) units/m2 were tolerated without severe toxicity. A maximum tolerated dose was not defined. IFN pharmacokinetics followed a biphasic decay curve, with a distribution phase alpha-half-life of 9 minutes and an elimination phase beta-half-life of 103 minutes. Anti-IFN antibodies by the ELISA technique were present in seven of 15 patients. Presence of antibody did not correlate with toxicity or response. 2',5'-Adenylate synthetase levels were increased 2 and 24 hours after the initial dose, with a trend toward higher increments with higher doses. Minimal anti-tumor responses were seen in two patients with melanoma.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • 2',5'-Oligoadenylate Synthetase / analysis
  • Adult
  • Aged
  • Antibodies / analysis
  • Chemical and Drug Induced Liver Injury
  • Drug Administration Schedule
  • Drug Evaluation
  • Female
  • Hematologic Diseases / chemically induced
  • Humans
  • Interferon Type I / adverse effects
  • Interferon Type I / therapeutic use*
  • Interferon beta-1a
  • Interferon beta-1b
  • Interferon-beta*
  • Kidney Diseases / chemically induced
  • Kinetics
  • Lymphocytes / enzymology
  • Male
  • Middle Aged
  • Nausea / chemically induced
  • Neoplasms / blood
  • Neoplasms / pathology
  • Neoplasms / therapy*
  • Recombinant Proteins / adverse effects
  • Recombinant Proteins / therapeutic use*

Substances

  • Antibodies
  • Interferon Type I
  • Recombinant Proteins
  • Interferon beta-1b
  • Interferon-beta
  • 2',5'-Oligoadenylate Synthetase
  • Interferon beta-1a