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JNCI Journal of the National Cancer Institute 1990 82(3):208-212; doi:10.1093/jnci/82.3.208
© 1990 by Oxford University Press
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Journal of the National Cancer Institute, Vol. 82, No. 3, 208-212, February 7, 1990
© 1990 Oxford University Press

Phase II Study of Recombinant Human Interferon Gamma for Treatment of Cutaneous T-Cell Lymphoma

Edward H. Kaplan*, Steven T. Rosen, David B. Norris, Henry H. Roenigk, Jr., Samuel R. Saks, Paul A. Bunn, Jr.

Veterans Administration Lakeside Medical Center Chicago, IL
Department od Medicine, Division of Medical Oncology Denver, Co
Department of Dermatology, University of Colorado Cancer Center Denver, Co
Gnentech Inc. San Franciso, CA

*Correspondence to: Edward H. Kaplan, M.D., Rush-Presbyterian-St. Luke's Medical Center, Department of Medical Oncology, 1725 W. Harrison, Suite 830, Chicago, IL 60612.

Recombinant human interferon gamma (rIFN- {gamma}) was used for the treatment of 16 patients with various stages of cutaneous T-cell lymphoma (CTCL). All patients had been previously treated with standard topical and/or systemic therapies, and some had received experimental treatment with retinoids, recombinant human interferon alfa-2a (rIFN-{alpha}2a), or radiolabeled monoclonal antibodies; most patients had an advanced stage of disease. Objective partial responses (PRs) were noted in five patients (31%) and lasted 3 months to greater than 32 months (median, 10 mo). One of these five patients had previously had disease progression after an initial PR with rIFN-{alpha}2a. Six other patients (38%) showed minor or mixed responses. The most common side effects of rIFN-{gamma} included fever, weight loss, mild neutropenia, elevated lac-tate dehydrogenase, and elevated hepatic transaminases. Additionally, one episode of nephrotic syndrome and one cutaneous allergic reaction were noted. None of the toxic effects were life threatening, and all were reversible. These results suggest that rIFN-{gamma}has efficacy in the treatment of CTCL refractory to rIFN-{alpha}2a. [J Natl Cancer Inst 82: 208–212, 1990]



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