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干扰素α-2b联合阿霉素进行I期临床试验的原理与实施

Rationale for and conduct of a phase I clinical trial with interferon alfa-2b plus doxorubicin.

作者信息

Von Hoff D D, Sarosy G, Brown T D, Kuhn J G, Kisner D L

出版信息

Semin Oncol. 1986 Sep;13(3 Suppl 2):72-7.

PMID:3764442
Abstract

A human tumor cloning system was utilized to screen for the antitumor activity of recombinant interferon alfa-2b (Intron A) alone and in combination with standard antineoplastic agents. These in vitro studies confirmed synergistic effects of alfa-2b plus doxorubicin against primary human tumors. Based on those in vitro findings, a phase I study has been conducted by Sarosy and colleagues that demonstrated that recombinant interferon alpha-2b and doxorubicin could be given together. Myelosuppression was the dose-limiting toxicity. Because responses were noted in the phase I trials with the combination, phase II trials of the combination are warranted. Additional phase I studies that should be pursued include recombinant interferon alpha-2b plus 5-fluorouracil, interferon plus cisplatinum, and interferon plus DTIC.

摘要

利用一种人类肿瘤克隆系统来筛选重组干扰素α-2b(Intron A)单独以及与标准抗肿瘤药物联合使用时的抗肿瘤活性。这些体外研究证实了α-2b加阿霉素对原发性人类肿瘤具有协同作用。基于这些体外研究结果,萨罗西及其同事开展了一项I期研究,该研究表明重组干扰素α-2b和阿霉素可以联合使用。骨髓抑制是剂量限制性毒性。由于在I期试验中观察到联合用药有反应,因此有必要进行联合用药的II期试验。应该进行的其他I期研究包括重组干扰素α-2b加5-氟尿嘧啶、干扰素加顺铂以及干扰素加达卡巴嗪。

相似文献

1
Rationale for and conduct of a phase I clinical trial with interferon alfa-2b plus doxorubicin.干扰素α-2b联合阿霉素进行I期临床试验的原理与实施
Semin Oncol. 1986 Sep;13(3 Suppl 2):72-7.
2
Phase I study of alpha 2-interferon plus doxorubicin in patients with solid tumors.α2干扰素联合阿霉素治疗实体瘤的I期研究。
Cancer Res. 1986 Oct;46(10):5368-71.
3
Interferons in the treatment of multiple myeloma.干扰素在多发性骨髓瘤治疗中的应用
Semin Oncol. 1986 Sep;13(3 Suppl 2):13-20.
4
Phase I trial of escalating dose doxorubicin administered concurrently with alpha 2-interferon.阿霉素剂量递增与α2干扰素同时给药的I期试验。
Cancer Res. 1988 May 1;48(9):2574-8.
5
Overview of preclinical and clinical studies of interferon alfa-2b in combination with cytotoxic drugs.干扰素α-2b与细胞毒性药物联合应用的临床前及临床研究综述。
Invest New Drugs. 1987;5 Suppl:S47-59. doi: 10.1007/BF00207263.
6
Interferons in the treatment of multiple myeloma.干扰素在多发性骨髓瘤治疗中的应用
Cancer. 1987 Feb 1;59(3 Suppl):594-600. doi: 10.1002/1097-0142(19870201)59:3+<594::aid-cncr2820591303>3.0.co;2-7.
7
Interferon alfa-2b-cyclophosphamide combination studies: in vitro and phase I-II clinical results.干扰素α-2b与环磷酰胺联合研究:体外及I-II期临床结果
Semin Oncol. 1986 Sep;13(3 Suppl 2):84-8.
8
Doxorubicin and interferon: rationale and clinical experience.阿霉素与干扰素:理论依据及临床经验
Cancer Treat Rev. 1985 Dec;12 Suppl B:61-7.
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Intron A (interferon alfa-2b): clinical overview and future directions.
Semin Oncol. 1986 Sep;13(3 Suppl 2):89-101.
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A phase I trial of interferon-alpha-2a plus cyclophosphamide, vincristine, prednisone, and doxorubicin.一项关于α-2a干扰素联合环磷酰胺、长春新碱、泼尼松和阿霉素的I期试验。
J Biol Response Mod. 1989 Jun;8(3):252-61.

引用本文的文献

1
Interaction of alpha-interferon with chemotherapeutic agents: effects on cytotoxic drug metabolism and multiple drug resistance.α-干扰素与化疗药物的相互作用:对细胞毒性药物代谢及多药耐药性的影响
Med Oncol. 1995 Mar;12(1):9-14. doi: 10.1007/BF01571403.
2
Pharmacokinetics of epirubicin in man. Non-influence of alpha interferon.表柔比星在人体内的药代动力学。α干扰素无影响。
Med Oncol Tumor Pharmacother. 1988;5(2):131-3. doi: 10.1007/BF02985452.
3
Phase I study of escalating dose mitoxantrone in combination with alpha-2-interferon in patients with advanced solid tumors.
米托蒽醌递增剂量联合α-2干扰素治疗晚期实体瘤患者的I期研究。
Invest New Drugs. 1991 Aug;9(3):245-52. doi: 10.1007/BF00176977.