PMID- 3903508 OWN - NLM STAT- MEDLINE DCOM- 19851219 LR - 20210103 IS - 0028-4793 (Print) IS - 0028-4793 (Linking) VI - 313 IP - 23 DP - 1985 Dec 5 TI - Observations on the systemic administration of autologous lymphokine-activated killer cells and recombinant interleukin-2 to patients with metastatic cancer. PG - 1485-92 AB - We describe here the preliminary results of the systemic administration of autologous lymphokine-activated killer (LAK) cells and the recombinant-derived lymphokine interleukin-2 to patients with advanced cancer. This regimen was based on animal models in which the systemic administration of LAK cells plus interleukin-2 mediated the regression of established pulmonary and hepatic metastases from a variety of murine tumors in several strains of mice. We treated 25 patients with metastatic cancer in whom standard therapy had failed. Patients received both 1.8 to 18.4 X 10(10) autologous LAK cells, generated from lymphocytes obtained through multiple leukaphereses, and up to 90 doses of interleukin-2. Objective regression of cancer (more than 50 per cent of volume) was observed in 11 of the 25 patients: complete tumor regression occurred in one patient with metastatic melanoma and has been sustained for up to 10 months after therapy, and partial responses occurred in nine patients with pulmonary or hepatic metastases from melanoma, colon cancer, or renal-cell cancer and in one patient with a primary unresectable lung adenocarcinoma. Severe fluid retention was the major side effect of therapy, although all side effects resolved after interleukin-2 administration was stopped. Further development of this approach and additional patient follow-up are required before conclusions about its therapeutic value can be drawn. FAU - Rosenberg, S A AU - Rosenberg SA FAU - Lotze, M T AU - Lotze MT FAU - Muul, L M AU - Muul LM FAU - Leitman, S AU - Leitman S FAU - Chang, A E AU - Chang AE FAU - Ettinghausen, S E AU - Ettinghausen SE FAU - Matory, Y L AU - Matory YL FAU - Skibber, J M AU - Skibber JM FAU - Shiloni, E AU - Shiloni E FAU - Vetto, J T AU - Vetto JT AU - et al. LA - eng PT - Clinical Trial PT - Journal Article PL - United States TA - N Engl J Med JT - The New England journal of medicine JID - 0255562 RN - 0 (Interleukin-2) RN - 0 (Recombinant Proteins) SB - IM MH - Adult MH - Carcinoma, Renal Cell/therapy MH - Clinical Trials as Topic MH - Colonic Neoplasms/therapy MH - Humans MH - Immunization, Passive/adverse effects/*methods MH - Interleukin-2/administration & dosage/*immunology MH - Kidney Neoplasms/therapy MH - Killer Cells, Natural/immunology/*transplantation MH - Leukapheresis MH - Liver Neoplasms/secondary/therapy MH - Lung Neoplasms/secondary/therapy MH - Melanoma/therapy MH - Middle Aged MH - Neoplasm Metastasis MH - Neoplasms/immunology/*therapy MH - Recombinant Proteins/administration & dosage/immunology MH - Rectal Neoplasms/therapy MH - Transplantation, Autologous EDAT- 1985/12/05 00:00 MHDA- 1985/12/05 00:01 CRDT- 1985/12/05 00:00 PHST- 1985/12/05 00:00 [pubmed] PHST- 1985/12/05 00:01 [medline] PHST- 1985/12/05 00:00 [entrez] AID - 10.1056/NEJM198512053132327 [doi] PST - ppublish SO - N Engl J Med. 1985 Dec 5;313(23):1485-92. doi: 10.1056/NEJM198512053132327.