Quan Walter D Y, Vinogradov Mikhail, Quan Francine M, Khan Nawazish, Liles Darla K, Walker Paul R
Division of Hematology/Oncology, East Carolina University Brody School of Medicine, Greenville, NC 27858, USA.
Cancer Biother Radiopharm. 2006 Oct;21(5):515-9. doi: 10.1089/cbr.2006.21.515.
Infusional interleukin-2 (IL-2) is able to elicit lymphokine-activated killer cell (LAK) cytotoxicity against kidney cancer in vitro and in vivo. Famotidine may be able to augment LAK cytotoxicity against neoplastic cells. Fifteen (15) patients were treated with continuous-infusion IL-2 (9-18 MIU/m2/24 hours) for 72 hours and famotidine 20 mg intravenously twice per day. Cycles were repeated every 3 weeks. These patients had a median age of 60 years (range, 29-72), had a median performance status of 1 (range, 0-1), and had metastatic sites, including lung, bone, lymph node, and liver. The most common toxicities of this regimen were hypophosphatemia, fever, nausea/emesis, rigors, elevated creatinine, and hypomagnesemia. One (1) complete and 6 partial responses have been seen (47% response rate). The median duration of response is 9 months. The median survival for all patients is 20 months. Five (5) patients are alive at a median of 36+ months. This combination of infusional IL-2 with famotidine is active in metastatic kidney cancer.
输注用白细胞介素-2(IL-2)在体外和体内均能引发淋巴因子激活的杀伤细胞(LAK)对肾癌的细胞毒性。法莫替丁可能能够增强LAK对肿瘤细胞的细胞毒性。15例患者接受持续输注IL-2(9 - 18 MIU/m²/24小时),持续72小时,并静脉注射法莫替丁20 mg,每日两次。每3周重复一个周期。这些患者的中位年龄为60岁(范围29 - 72岁),中位体能状态为1(范围0 - 1),转移部位包括肺、骨、淋巴结和肝脏。该方案最常见的毒性反应为低磷血症、发热、恶心/呕吐、寒战、肌酐升高和低镁血症。已观察到1例完全缓解和6例部分缓解(缓解率47%)。中位缓解持续时间为9个月。所有患者的中位生存期为20个月。5例患者存活,中位时间为36 +个月。输注用IL-2与法莫替丁的这种联合方案对转移性肾癌有效。
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