Treatment of low-grade non-Hodgkin's lymphoma with continuous infusion of low-dose recombinant interleukin-2 in combination with the B-cell-specific monoclonal antibody CLB-CD19

Cancer Immunol Immunother. 1995 Jan;40(1):37-47. doi: 10.1007/BF01517234.

Abstract

Seven patients with low-grade non-Hodgkin's lymphoma were treated with a combination of a murine monoclonal antibody directed against the B-cell-specific antigen CD19 (CLB-CD19), given twice weekly, and continuous infusion of low-dose recombinant interleukin-2 (rIL-2). We demonstrated stable serum CLB-CD19 levels throughout the 12 weeks of treatment, and homing of the antibody into the tumour sites. A variable degree of antigenic modulation was noted. Prolonged treatment resulted in a sustained increase in the number of natural killer cells in the circulation with enhanced cytotoxic capacity, including antibody-dependent cellular cytotoxicity. During the first weeks of treatment, T cell activation occurred in the majority of patients. Toxicity was related to the rIL-2 treatment and consisted of transient constitutional symptoms and a flu-like syndrome without organ dysfunction. A partial remission occurred in one patient, and in another patient who was primarily leukaemic a greater than 50% reduction of circulating B cells was noted. An antitumour effect occurred early during treatment and could not be related to rIL-2-induced modulation of natural killer cell or T lymphocyte activation.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Animals
  • Antibodies, Monoclonal / adverse effects
  • Antibodies, Monoclonal / immunology
  • Antibodies, Monoclonal / therapeutic use*
  • Antigen-Antibody Reactions
  • Antigens, CD / immunology*
  • Antigens, CD19
  • Antigens, Differentiation, B-Lymphocyte / immunology*
  • B-Lymphocytes / immunology*
  • Combined Modality Therapy
  • Complement System Proteins / metabolism
  • Cytotoxicity, Immunologic
  • Dose-Response Relationship, Immunologic
  • Female
  • Humans
  • Immunoglobulins / blood
  • Immunophenotyping
  • Infusions, Intravenous
  • Interleukin-2 / adverse effects
  • Interleukin-2 / therapeutic use*
  • Leukocyte Count
  • Lymphocyte Activation
  • Lymphoma, Non-Hodgkin / immunology
  • Lymphoma, Non-Hodgkin / pathology
  • Lymphoma, Non-Hodgkin / therapy*
  • Male
  • Mice
  • Middle Aged
  • Receptors, Interleukin-2 / metabolism
  • Recombinant Proteins / therapeutic use
  • T-Lymphocytes / immunology

Substances

  • Antibodies, Monoclonal
  • Antigens, CD
  • Antigens, CD19
  • Antigens, Differentiation, B-Lymphocyte
  • Immunoglobulins
  • Interleukin-2
  • Receptors, Interleukin-2
  • Recombinant Proteins
  • Complement System Proteins