Low-dose recombinant interleukin-2 therapy in advanced multiple myeloma

D. Peest*, R. Leo, S. Bloche, R. Hein, S. Stannat-Kiessling, B. Tschechne, W. Fett, P. Harms, L. Hoffmann, R. Bartl, H. H. Wacker, S. Gorg, J. Atzpodien, H. Kirchner, H. Deicher

*Corresponding author for this work
32 Citations (Scopus)

Abstract

In vitro data have demonstrated autologous T-lymphocytes with anti-tumour activity in multiple myeloma (MM). Therefore a phase I/II trial was conducted to study the feasibility, the effect on several immunological parameters, and the tumour response induction of low-dose recombinant interleukin-2 (rIL-2) in MM patients. 18 MM patients of advanced stages in progress, who had failed on standard chemotherapy received 9 x 106 IU/m2 rIL-2 twice daily on days 1 and 2 and 0.9 x 106 IU/m2 twice daily for 5 subsequent days per week subcutaneously from days 3 to 56 (repeated every 12 weeks until progression). Patients were treated for between 8 and 1086 + d (mean 241 d) without serious side-effects. 6/17 patients experienced tumour response (2/17 objective tumour mass reduction, 4/17 long-lasting stable disease following tumour progression before initiation of rIL-2 treatment). During therapy the number of eosinophils increased 15-fold, CD4+ T lymphocytes were activated as demonstrated by enhanced CD25 antigen expression, and CD56+ NK cells expanded in the peripheral blood. Furthermore, a diminished pre-treatment ratio of CD4+/CD8+ lymphocytes was normalized during rIL-2 treatment. NK cell activity and lymphokine activated killer (LAK) cell activity was significantly enhanced. Endogenous IL-2 production and elevated soluble IL-2 receptor serum concentrations were induced. Low-dose rIL-2 can stimulate immune enhancement in MM despite the characteristic tumour-induced immunodeficiency. The treatment has proven though limited efficacy in advanced MM. Because most of the responders experienced termination of tumour progression rather than tumour regression, rIL-2 maintenance of chemotherapy-induced remissions should be investigated.

Original languageEnglish
JournalBritish Journal of Haematology
Volume89
Issue number2
Pages (from-to)328-337
Number of pages10
ISSN0007-1048
DOIs
Publication statusPublished - 1995

DFG Research Classification Scheme

  • 204-05 Immunology

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