Published in:
Open Access
01-04-2019 | Melanoma | Clinical Trial Report
A pilot study of interferon-alpha-2b dose reduction in the adjuvant therapy of high-risk melanoma
Authors:
Lorena P. Suarez-Kelly, Kala M. Levine, Thomas E. Olencki, Sara E. Martin del Campo, Elizabeth A. Streacker, Taylor R. Brooks, Volodymyr I. Karpa, Joseph Markowitz, Anissa K. Bingman, Susan M. Geyer, Kari L. Kendra, William E. Carson
Published in:
Cancer Immunology, Immunotherapy
|
Issue 4/2019
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Excerpt
Melanoma is a highly immunogenic tumor and consequently, efforts have been centered on the development of immune-based treatments for this malignancy [
1]. Interferons were initially described in the mid-1950s as proteins that interfere with viral replication [
2,
3]. Interferons are cytokines that activate Janus kinases (Jak), which lead to phosphorylation and activation of transcription factors belonging to the signal transducer and activator of transcription (STAT) family [
4,
5]. Interferon-alpha (IFN-α) became available for use in clinical trials in the mid-1980s [
6]. Results suggested that IFN-α inhibited the proliferation of malignant cells and stimulated immune effectors; therefore, IFN-α was initially used in patients with advanced disease [
7,
8]. Since then, several meta-analyses have demonstrated that high-dose adjuvant IFN-α (daily 20 MU/m
2 intravenous induction therapy for 1 month followed by maintenance subcutaneous 10 MU/m
2 three times per week for at least 1 year) can prolong the disease-free interval in high-risk melanoma patients [
9]. …