PMID- 9649695 OWN - NLM STAT- MEDLINE DCOM- 19990119 LR - 20131121 IS - 1167-1122 (Print) IS - 1167-1122 (Linking) VI - 8 IP - 4 DP - 1998 Jun TI - Subcutaneous interleukin-2 and interferon-alpha therapy associated with cisplatin monochemotherapy in the treatment of metastatic melanoma. PG - 235-9 AB - The anti-tumoral activity of interleukin-2 (IL-2) is well-documented. Although the response rate with this cytokine is low, it appears to be improved when associated with interferon-alpha (INF-alpha) and/or cytotoxic drugs. Aim of this work was to study the efficacy and tolerance of an ambulatory treatment using subcutaneous, low-dose IL-2 with subcutaneous INF-alpha and chemotherapy. We report a multicenter study of ambulatory treatment combining subcutaneous (SC) low-dose IL-2 (9 x 10(6) IU) with SC INF-alpha-2a (3 x 10(6) IU) and cisplatin (100 mg/m2) in 33 patients (13 women and 20 men, 22 to 66 years of age) with metastatic malignant melanoma. Metastases were mainly nodal (54.5%) and pulmonary (51.5%). For 81.8% of patients, this therapy constituted the firstline treatment. The overall response rate at the end of the first maintenance course was 30.3% (3 complete responses and 7 partial responses). Adverse effects were observed in 28 patients (84.8%), but were most often minor (grade 1 or 2 on the WHO toxicity scale). The results confirmed the good tolerance to SC IL-2 and its suitability for ambulatory therapy, as well as the potential benefit of associating IL-2 with cisplatin in the treatment of metastatic melanoma (a possibility considered in two previous studies). FAU - Andres, P AU - Andres P AD - Department of Dermatology, Hotel-Dieu, CHU place A.-Ricordeau, 44093 Nantes Cedex 01, France. FAU - Cupissol, D AU - Cupissol D FAU - Guillot, B AU - Guillot B FAU - Avril, M F AU - Avril MF FAU - Dreno, B AU - Dreno B LA - eng PT - Clinical Trial PT - Journal Article PT - Multicenter Study PL - France TA - Eur J Dermatol JT - European journal of dermatology : EJD JID - 9206420 RN - 0 (Interferon-alpha) RN - 0 (Interleukin-2) RN - Q20Q21Q62J (Cisplatin) SB - IM MH - Adult MH - Aged MH - Ambulatory Care MH - Antineoplastic Combined Chemotherapy Protocols/*therapeutic use MH - Cisplatin/administration & dosage MH - Female MH - Humans MH - Injections, Subcutaneous MH - Interferon-alpha/*administration & dosage MH - Interleukin-2/*administration & dosage MH - Liver Neoplasms/secondary MH - Lung Neoplasms/secondary MH - Lymphatic Metastasis MH - Male MH - Melanoma/*drug therapy/mortality/pathology/secondary MH - Middle Aged MH - Prognosis MH - Skin Neoplasms/*drug therapy/mortality/pathology MH - Survival Rate MH - Treatment Outcome EDAT- 1998/07/03 00:00 MHDA- 1998/07/03 00:01 CRDT- 1998/07/03 00:00 PHST- 1998/07/03 00:00 [pubmed] PHST- 1998/07/03 00:01 [medline] PHST- 1998/07/03 00:00 [entrez] PST - ppublish SO - Eur J Dermatol. 1998 Jun;8(4):235-9.