Recombinant human interleukin 4 (IL-4) given as daily subcutaneous injections - a phase I dose toxicity trial
1992

Phase I Trial of Recombinant Human Interleukin 4

Sample size: 9 publication Evidence: low

Author Information

Author(s): M.H. Gilleece, J.H. Scarffe, A. Ghosh, C.M. Heyworth, E. Bonnem, N. Testa, P. Stern, T.M. Dexter

Primary Institution: Christie Hospital NHS Trust, Manchester

Hypothesis

Can recombinant human interleukin 4 (IL-4) be safely administered to patients with malignancies?

Conclusion

The study found that IL-4 can be administered subcutaneously, but significant toxicity was observed at higher doses without clear evidence of antitumor effects.

Supporting Evidence

  • Two patients at the highest dose experienced severe toxicity.
  • Patients reported flu-like symptoms and fatigue.
  • Modest increases in neutrophil and platelet counts were observed.

Takeaway

Doctors tested a new medicine called IL-4 on nine sick people to see if it was safe, but it made some of them feel really bad.

Methodology

Nine patients received daily subcutaneous injections of IL-4 at varying doses, and their health was monitored for toxicity and biological effects.

Potential Biases

Potential bias due to the small number of participants and lack of a control group.

Limitations

The study had a small sample size and was limited to a Phase I trial focusing on toxicity rather than efficacy.

Participant Demographics

Patients were over 18 years old with confirmed malignancies, mostly solid tumors, and some had previous treatments.

Statistical Information

P-Value

p<0.00005 for neutrophils, p=0.0024 for platelets

Statistical Significance

p<0.00005 for neutrophils, p=0.0024 for platelets

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