A phase I trial of recombinant human interleukin-1 beta alone and in combination with myelosuppressive doses of 5-fluorouracil in patients with gastrointestinal cancer.

Published

Journal Article

We studied escalating doses of recombinant human interleukin-1 beta (IL-1 beta) alone and after a myelosuppressive dose of 5-fluorouracil (5-FU) in patients with gastrointestinal cancer. Transient neutropenia, monocytopenia, and lymphocytopenia were observed followed by a 1.3- to 6.0-fold (mean, 3.46-fold) dose-dependent neutrophil leukocytosis (P less than .00001) on the days of IL-1 beta administration. Increases in platelet counts were observed at a median of 14 days (range, 6 to 23) after IL-1 beta administration. Transient hypoglycemia, rebound hyperglycemia, elevations in serum cortisol, and C-reactive protein were observed. Side effects included fever, rigors, and headache in the majority of patients. Hypotension was observed in three of five patients at the highest dose level (0.1 micrograms/kg) and was dose-limiting. Fewer days of neutropenia were noted after 5-FU plus IL-1 beta than after 5-FU alone; however, this difference did not reach statistical significance. These data show that IL-1 beta has stimulatory effects in human hematopoiesis.

Full Text

Duke Authors

Cited Authors

  • Crown, J; Jakubowski, A; Kemeny, N; Gordon, M; Gasparetto, C; Wong, G; Sheridan, C; Toner, G; Meisenberg, B; Botet, J

Published Date

  • September 15, 1991

Published In

Volume / Issue

  • 78 / 6

Start / End Page

  • 1420 - 1427

PubMed ID

  • 1884014

Pubmed Central ID

  • 1884014

International Standard Serial Number (ISSN)

  • 0006-4971

Language

  • eng

Conference Location

  • United States