Clinical Evaluation of Interferons in Malignant Melanoma

The evaluation of interferons in the treatment of malignant melanoma has been mainly in the treatment of advanced disease using interferons as the sole agent or in combination with other agents. Studies of the value of interferons as adjuvant therapy in high-risk primary melanoma patients are necess...

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Veröffentlicht in:Journal of investigative dermatology 1990-12, Vol.95 (6), p.S185-S187
Hauptverfasser: McLeod, G.R., Thomson, D.B., Hersey, P.
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container_issue 6
container_start_page S185
container_title Journal of investigative dermatology
container_volume 95
creator McLeod, G.R.
Thomson, D.B.
Hersey, P.
description The evaluation of interferons in the treatment of malignant melanoma has been mainly in the treatment of advanced disease using interferons as the sole agent or in combination with other agents. Studies of the value of interferons as adjuvant therapy in high-risk primary melanoma patients are necessary, but no results have been published to date. Human interferon alpha produces low response rates as a sole agent, but in combination with cimetidine, a 30% response rate has been achieved. Recombinant alpha interferons give responses of 15%-20% in advanced melanomas, and combination with cimetidine does not enhance the response rate. Recombinant alpha interferons have been used in combination with other interferons, cimetidine, monoclonal antibodies, and cytotoxics, with either no or small improvement in response rates. DTIC with recombinant interferon alpha-2a has been shown to produce objective response rates of 26%, with low toxicity and maintenance of quality of life. A randomized trial with DTIC as the sole agent, compared with combination treatment, is being conducted to determine the significance of this finding.
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Studies of the value of interferons as adjuvant therapy in high-risk primary melanoma patients are necessary, but no results have been published to date. Human interferon alpha produces low response rates as a sole agent, but in combination with cimetidine, a 30% response rate has been achieved. Recombinant alpha interferons give responses of 15%-20% in advanced melanomas, and combination with cimetidine does not enhance the response rate. Recombinant alpha interferons have been used in combination with other interferons, cimetidine, monoclonal antibodies, and cytotoxics, with either no or small improvement in response rates. DTIC with recombinant interferon alpha-2a has been shown to produce objective response rates of 26%, with low toxicity and maintenance of quality of life. A randomized trial with DTIC as the sole agent, compared with combination treatment, is being conducted to determine the significance of this finding.</description><subject>Adjuvants</subject><subject>alpha -Interferon</subject><subject>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Cimetidine</subject><subject>Clinical trials</subject><subject>Clinical Trials as Topic</subject><subject>Cytotoxicity</subject><subject>Dacarbazine - administration &amp; dosage</subject><subject>Dermatology</subject><subject>Dose-Response Relationship, Drug</subject><subject>Forecasting</subject><subject>Humans</subject><subject>Immunomodulators</subject><subject>Interferon</subject><subject>Interferon alpha-2</subject><subject>Interferon-alpha - administration &amp; dosage</subject><subject>Interferon-alpha - adverse effects</subject><subject>Interferon-alpha - therapeutic use</subject><subject>Interferons - therapeutic use</subject><subject>Medical sciences</subject><subject>Melanoma</subject><subject>Melanoma - drug therapy</subject><subject>Monoclonal antibodies</subject><subject>Pharmacology. 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source MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adjuvants
alpha -Interferon
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Biological and medical sciences
Cimetidine
Clinical trials
Clinical Trials as Topic
Cytotoxicity
Dacarbazine - administration & dosage
Dermatology
Dose-Response Relationship, Drug
Forecasting
Humans
Immunomodulators
Interferon
Interferon alpha-2
Interferon-alpha - administration & dosage
Interferon-alpha - adverse effects
Interferon-alpha - therapeutic use
Interferons - therapeutic use
Medical sciences
Melanoma
Melanoma - drug therapy
Monoclonal antibodies
Pharmacology. Drug treatments
Quality of life
Recombinant Proteins
Risk groups
Toxicity
title Clinical Evaluation of Interferons in Malignant Melanoma
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