TABLE 4.
Interleukin-2-based Studies Analyzing Predictors of Response and Survival
Study | No. of patients | Treatment | Predictors of response | Predictors of survival |
---|---|---|---|---|
Palmer 199214 | 327 | HD IL-2, HD IL-2 plus LAK cells | NA | ECOG PS (0 vs 1), DTI (>24 mo or <24 mo), no. of disease sites (1 vs >2) |
Royal 199615 | 239 | HD IL-2, PEG IL-2, HD IL-2 plus LAK cells | Prior nephrectomy, no prior immunotherapy, lower platelet nadir, higher rebound lymphocytosis | NA |
Fyfe 199512 | 255 | HD IL-2 alone | ECOG PS 0 | ECOG PS 0, prior nephrectomy, DTI |
Rosenberg 199813 | 227 | HD IL-2 alone | No prior immunotherapy, total amount of IL-2 (1st course), higher rebound lymphocytosis | NA |
Yang 200311 | 156 | HD IL-2 alone, LD IL-2, subcutaneous IL-2 | Absence of local recurrence, higher baseline weight, corrected calcium, greater no. of doses | Lower baseline platelet count, disease confined to lungs, response to IL-2 |
Upton 200522 | 231 | HD IL-2 alone, HD IL-2 plus IFN, LD IL-2 plus IFN or 5-flourouracil | Clear cell tumors, no papillary features, alveolar features >50%, no granular features | NA |
Atkins 200523 | 66 | HD IL-2 alone, LD IL-2 | High CAIX | High CAIX |
Current study | 259 | HD IL-2 alone | Better MSKCC score, higher baseline weight, no prior immunotherapy | Higher baseline albumin, fewer disease sites, response, lower peak TSH, lower ECOG PS, higher rebound lymphocytosis, lower platelet nadir |
HD indicates high-dose; IL-2, interleukin-2; LAK, lymphokine-activated killer; NA, not available; ECOG PS, Eastern Cooperative Oncology Group performance status; DTI, diagnosis to treatment interval; PEG, polyethylene glycol; LD, low-dose; IFN, interferon-α; CAIX, carbonic anhydrase inhibitor; MSKCC, Memorial Sloan-Kettering Cancer Center; TSH, thyroid-stimulating hormone.