Immunochemotherapy with interleukin-2, interferon- α and 5-fluorouracil for progressive metastatic renal cell carcinoma: a multicenter phase II study
2000

Immunotherapy for Kidney Cancer

Sample size: 52 publication Evidence: low

Author Information

Author(s): Herpen C M L van, Jansen R L H, Kruit W H J, Hoekman K, Groenewegen G, Osanto S, Mulder P H M De

Primary Institution: Department of Medical Oncology, University Hospital Nijmegen

Hypothesis

Can the combination of interleukin-2, interferon-α, and 5-fluorouracil improve response rates in patients with metastatic renal cell carcinoma?

Conclusion

The study could not confirm the previously reported high response rate for the treatment combination in metastatic renal cell carcinoma patients.

Supporting Evidence

  • Response rates of 7–26% have been achieved with immunotherapy in metastatic renal cell carcinoma.
  • A previous study reported a high response rate of 48% with the same treatment combination.
  • The median duration of response was 8.3 months.
  • Median survival for patients was 16.5 months.
  • Grade 3/4 toxicity occurred in 55.8% of patients during the first treatment cycle.

Takeaway

Doctors tested a new treatment for kidney cancer, but it didn't work as well as they hoped.

Methodology

Patients received a combination of interleukin-2, interferon-α, and 5-fluorouracil over an 8-week treatment cycle.

Limitations

The study could not confirm the high response rates previously reported, and there were significant side effects.

Participant Demographics

All participants had undergone nephrectomy and had progressive metastatic disease.

Statistical Information

Confidence Interval

95% CI 2.9–20.7%

Digital Object Identifier (DOI)

10.1054/bjoc.1999.0997

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