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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
|
pubmed:dateCreated |
1992-9-22
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pubmed:abstractText |
Published data indicate that when recombinant interleukin-2 (rIL-2) is administered to children as a 15-min i.v. bolus, doses of 18 x 10(6) IU/m2 are poorly tolerated, requiring intensive care unit (ICU) management of IL-2-induced hypotension. We administered rIL-2 as a 1- or 2-h i.v. infusion to 11 children with malignancies refractory to conventional therapy. IL-2 was given every Monday/Wednesday/Friday for 3 weeks. Four children received 12 x 10(6) IU/m2/dose, four received 18 x 10(6) IU/m2/dose, and three received 24 x 10(6) IU/m2/dose (1 Cetus Unit = 6 IU). Fever, chills, flushing, nausea, vomiting, transient weight gain, and oliguria were observed at all three dose levels (not dose-limiting toxicities). Cardiovascular toxicity was significantly reduced compared to the bolus regimen. Mild hypotension was observed at all three dose levels; however, there was no severe dose-limiting hypotension. Because of reduced cardiovascular toxicity, IL-2 was safely administered on an outpatient basis. This regimen induced marginal transient increases in natural killer cell activity and lymphokine-activated killer cell activity. No measurable clinical tumor response was observed in any of the 11 children. The maximum-tolerated dose has not been reached. This regimen allows for a considerable cost reduction (outpatient care instead of ICU care) and safety, making further clinical trials on the use of IL-2 in children more feasible.
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pubmed:grant | |
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Aug
|
pubmed:issn |
1053-8550
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
12
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
138-46
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pubmed:dateRevised |
2008-3-18
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pubmed:meshHeading |
pubmed-meshheading:1504055-Adolescent,
pubmed-meshheading:1504055-Adult,
pubmed-meshheading:1504055-Ambulatory Care,
pubmed-meshheading:1504055-Cardiovascular System,
pubmed-meshheading:1504055-Child,
pubmed-meshheading:1504055-Child, Preschool,
pubmed-meshheading:1504055-Digestive System,
pubmed-meshheading:1504055-Edema,
pubmed-meshheading:1504055-Humans,
pubmed-meshheading:1504055-Immunotherapy,
pubmed-meshheading:1504055-Infection,
pubmed-meshheading:1504055-Infusions, Intravenous,
pubmed-meshheading:1504055-Interleukin-2,
pubmed-meshheading:1504055-Kidney,
pubmed-meshheading:1504055-Killer Cells, Lymphokine-Activated,
pubmed-meshheading:1504055-Killer Cells, Natural,
pubmed-meshheading:1504055-Neoplasms
|
pubmed:year |
1992
|
pubmed:articleTitle |
Phase I study of recombinant human interleukin-2 for pediatric malignancies: feasibility of outpatient therapy. A Pediatric Oncology Group Study.
|
pubmed:affiliation |
Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia.
|
pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, U.S. Gov't, P.H.S.,
Controlled Clinical Trial,
Research Support, Non-U.S. Gov't
|