Combination of Interferons for Advanced Renal Cell Carcinoma

María Margarita Ríos Cabrera, I. B. Rivero, Javier Cruz Rodríguez
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Abstract

Introduction: A novel formulation that combines IFN alpha-2b and gamma evidenced effectivity in cancer treatment. The poor prognosis of advanced renal cancer needs new therapeutic approaches. A retrospective study was carried out evaluating the effectivity and safety of interferon’s combination in patients with advanced renal cell carcinoma. Methods: Retrospective case-control and cohort analyzes were performed, carried out to identify patients with advanced or metastatic kidney tumors treated from May 2009 to December 2021 in a Cuban healthcare center. Patients with advanced renal cell carcinoma received a combination of IFN alpha-2b/gamma. Heberon Alpha R was used as historical control. The study was approved by the Ethics Committee and informed consent was obtained for participating patients. Results: 56 patients were included. The combination of IFNs (experimental group) and the Heberon Alpha R (historical control group) were comparable. Overall survival in stage III disease was 101.3 months with combination of IFNs versus 38.1 in Heberon Alpha R, and 70.4 months versus 30.6 months in stage IV patients. The functional capacity of patients from experimental group was higher than those from control and reached more than 75%, with favorable functional capacity at 24 months; while more than 65% of patients in the control cursed with worse capacity. No serious adverse events with proven causality occurred within the cohort of patients treated with interferon combination. The events correspond to those reported in other studies.
干扰素联合治疗晚期肾细胞癌
一种结合IFN α -2b和γ的新制剂在癌症治疗中证明有效。晚期肾癌预后不良,需要新的治疗方法。回顾性研究了干扰素联合治疗晚期肾细胞癌的有效性和安全性。方法:对2009年5月至2021年12月在古巴某医疗中心接受治疗的晚期或转移性肾肿瘤患者进行回顾性病例对照和队列分析。晚期肾细胞癌患者接受IFN α -2b/ γ联合治疗。Heberon Alpha R作为历史对照。该研究得到了伦理委员会的批准,并获得了参与患者的知情同意。结果:纳入56例患者。ifn(实验组)与Heberon Alpha R(历史对照组)联合使用具有可比性。ifn联合治疗III期患者的总生存期为101.3个月,而Heberon Alpha R治疗为38.1个月,IV期患者的总生存期为70.4个月,而IV期患者的总生存期为30.6个月。实验组患者功能容量高于对照组,可达75%以上,24个月时功能容量良好;而在对照组中,超过65%的患者表现出更差的能力。在接受干扰素联合治疗的患者队列中,未发生经证实因果关系的严重不良事件。这些事件与其他研究报告一致。
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