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Published on: October 28, 2021
Interferons and osteosarcoma
1Department of Oncology (Radiumhemmet), Karolinska Institute and Hospital, S-17176, Stockholm, Sweden. hans_strander@yahoo.com
Abstract:
In 1970, we initiated studies at the Karolinska hospital to find out whether biologically meaningful doses of interferon (IFN) alpha preparations could be administered systemically to patients with viral and tumour diseases without causing unacceptable side effects. Antiviral and antitumour efficiency was demonstrated. Only a limited number of patients were injected due to shortage of high dose IFN preparations. Osteosarcoma patients participated in these early attempts. Due to clinical observations on one patient and due to lack of meaningful systemic standard treatment for osteosarcoma at the time, we decided to continue to give adjuvant IFN treatment to a consecutive series of osteosarcoma patients attending our hospital . We were encouraged by the preliminary follow up results of the series and continued to use this therapeutic principle up to 1990. The clinical results achieved are briefly summarized in this mini-review as are the results obtained in simultaneously ongoing model experiments in vitro and in vivo. A randomized large scale ongoing trial, involving the use of adjuvant IFN treatment of osteosarcoma patients, has been initiated by the European and American osteosarcoma study group 35 years after the first osteosarcoma patient received IFN. The trial is briefly outlined in this article.
Insights
Interferon (IFN) alpha therapy showed efficacy in viral and tumor diseases. Early studies in osteosarcoma patients demonstrated potential, leading to continued adjuvant IFN treatment and ongoing clinical trials.
Area of Science:
- Oncology
- Immunology
- Virology
Background:
- Systemic administration of interferon (IFN) alpha was explored for viral and tumor diseases starting in 1970.
- Early studies at Karolinska hospital demonstrated antiviral and antitumour efficiency of IFN alpha.
- Limited patient numbers in initial studies were due to a shortage of high-dose IFN preparations.
Purpose of the Study:
- To evaluate the safety and efficacy of systemic interferon (IFN) alpha administration.
- To investigate the use of adjuvant IFN treatment for osteosarcoma patients.
- To summarize clinical results and model experiments of IFN therapy in osteosarcoma.
Main Methods:
- Systemic administration of interferon (IFN) alpha preparations.
- Adjuvant IFN treatment for a consecutive series of osteosarcoma patients (1970-1990).
- In vitro and in vivo model experiments.
- Outline of a large-scale randomized trial for adjuvant IFN treatment in osteosarcoma.
Main Results:
- Demonstrated antiviral and antitumour efficiency of interferon (IFN) alpha.
- Preliminary follow-up results encouraged continued use of adjuvant IFN treatment in osteosarcoma.
- Clinical results and model experiment findings are summarized.
Conclusions:
- Systemic interferon (IFN) alpha can be administered without unacceptable side effects.
- Adjuvant IFN treatment has shown potential in osteosarcoma patients.
- A large-scale international trial continues to investigate adjuvant IFN therapy for osteosarcoma.
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