Abstract
To assess safety, antitumor response, and immunological and virological activity of interferon-alpha 2a and zidovudine combination therapy in patients with AIDS-related Kaposi's sarcoma, we conducted an open-label, Phase II, multicenter study. Sixty-three patients with biopsy-proven Kaposi's sarcoma and no previous interferon-alpha therapy received zidovudine 600 mg/day and interferon-alpha 2a 18 x 10(6) U/day. The median duration of follow-up was 49 weeks. Of 62 evaluable patients, 25 (40%; 95% confidence interval, 0.28-0.52) showed a complete (26%) or partial (15%) antitumor response. Eight of 30 patients (27%) with < 100 CD4 cells/mm3 and 17 of 32 patients (53%) with > or = 100 CD4 cells/mm3 had a response. The median time to response was 36 weeks. Of the 25 patients with a response, four developed tumor progression. The median duration of response was 22.4 weeks. Eight patients (13%) developed another AIDS-defining event and 13 (21%) died. The major toxicities included anemia (16%), neutropenia (27%), elevated serum transaminases (16%), weight loss (16%), malaise (14%), fatigue (14%), fever (10%), and headache (6%). Therapy with intermediate-dose interferon-alpha 2a and zidovudine resulted in tumor regression in patients wi...Continue Reading
References
Jan 1, 1992·Annals of Internal Medicine·T C MengD D Richman
Apr 16, 1992·The New England Journal of Medicine·N M GrahamJ P Phair
Feb 22, 1992·Lancet·D MildvanS E Grossberg
Oct 1, 1991·The Journal of Infectious Diseases·V A JohnsonM S Hirsch
Apr 15, 1990·The New England Journal of Medicine·P A VolberdingM S Hirsch
May 15, 1990·Annals of Internal Medicine·M A FischlJ D Allan
Jun 1, 1990·Annals of Internal Medicine·S E KrownB J Brew
Jul 1, 1989·Annals of Internal Medicine·H C LaneN P Salzman
Aug 15, 1989·Annals of Internal Medicine·J A KovacsK C Zoon
Nov 26, 1988·Lancet·R de WitS A Danner
Apr 15, 1986·Cancer·S E KrownH F Oettgen
Jul 23, 1987·The New England Journal of Medicine·M A FischlR T Schooley
Feb 1, 1987·Antimicrobial Agents and Chemotherapy·K L HartshornM S Hirsch
Feb 1, 1987·Cancer·P A VolberdingR J Spiegel
May 1, 1985·The American Journal of Medicine·E P GelmannD Longo
Apr 1, 1985·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·A RiosJ U Gutterman
Apr 1, 1986·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·F X RealS E Krown
Jan 1, 1984·Annals of the New York Academy of Sciences·S E KrownH F Oettgen
Jan 1, 1984·Annals of the New York Academy of Sciences·P VolberdingG Gee
May 1, 1984·Annals of Internal Medicine·J E GroopmanC Casavante
May 5, 1983·The New England Journal of Medicine·S E KrownB Safai
Oct 15, 1993·Annals of Internal Medicine·A C CollierL Corey
Citations
Nov 1, 1996·International Journal of Immunopharmacology·P L BlackM A Ussery
Jul 11, 2003·Hematology/oncology Clinics of North America·Jamie H Von Roenn
May 22, 2002·European Journal of Internal Medicine·Jean Philippe SpanoDominique Farge
Sep 14, 2001·Current Opinion in Oncology·S E Krown
Nov 5, 1999·AIDS·M BowerB Gazzard
Aug 13, 2002·European Journal of Gastroenterology & Hepatology·Roel E SentjensHenk W Reesink
Aug 12, 2005·Current Opinion in Oncology·Carmen Manuela Klass, Margaret K Offermann
Jan 6, 2006·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Susan E KrownJamie H Von Roenn
Nov 1, 2002·BioDrugs : Clinical Immunotherapeutics, Biopharmaceuticals and Gene Therapy·Sundar SanthanamKen O'Byrne
May 30, 2002·Journal of Interferon & Cytokine Research : the Official Journal of the International Society for Interferon and Cytokine Research·Susan E KrownMarcia A Testa
Feb 23, 2019·Journal of the National Comprehensive Cancer Network : JNCCN·Erin ReidDeborah A Freedman-Cass
Mar 17, 1999·Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology : Official Publication of the International Retrovirology Association·S E KrownH H Balfour
Sep 28, 2004·The Journal of General Virology·Veronika P PozharskayaMargaret K Offermann
Apr 16, 2002·Clinical Oral Implants Research·Eugenio RomeoG Vogel
Apr 16, 2002·Clinical Oral Implants Research·Tiziano TestoriRoberto L Weinstein
Jul 10, 2001·Journal of Clinical Periodontology·K F Al-ShammariH L Wang
May 15, 2002·Clinical Oral Implants Research·Robert HaasGeorg Watzek
May 10, 2000·The Oncologist·L Rosen
Jan 1, 1996·Pathology Oncology Research : POR·Joseph G Sinkovics
Aug 26, 1998·Journal of the National Cancer Institute. Monographs·S E Krown
Oct 2, 2020·Viruses·Nedaa Alomari, Jennifer Totonchy
May 20, 1998·Dermatologic Clinics·R Stadler