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Published on: July 20, 2019
Role of interferon-alpha in patients with neuroendocrine tumors: a retrospective study
Eitan Mirvis1, Dalvinder Mandair1, Jorge Garcia-Hernandez1
1Neuroendocrine Tumour Unit, ENETS Centre of Excellence, Royal Free Hospital, London, U.K.
Background/Aim:
Interferon alpha (IFNα) is used sparingly in the management of neuroendocrine tumors (NETs) due to toxicity and perceived limited efficacy. Other medical therapeutic options include somatostatin analogues and molecular-targeted agents, as well as chemotherapy and radionuclide targeted-therapy. The aim of the present study was to perform a retrospective analysis of patients treated with IFNα.
Patients And Methods:
Patients were identified from the NET database. Radiological, biochemical and symptomatic response were assessed. Progression-free survival (PFS), adverse events and toxicities were recorded.
Results:
Thirty-five patients were treated with IFNα, with a mean age of 60.1 (range=38-85) years; eight patients (23%) withdrew before 3 months, one (3%) had complete response; there was one partial response; 25 patients (71%) had at least three months of stable disease. The median PFS was 25 months.
Conclusion:
IFNα demonstrated efficacy and was reasonably tolerated. IFNα may still have a role in small-volume diffuse disease, in syndromic patients where there is resistance to somatostatin analogue, or as a bridge to other therapies.
Insights
Interferon alpha (IFNα) showed efficacy in treating neuroendocrine tumors (NETs), with a median progression-free survival of 25 months. IFNα may be a viable option for specific NET patient groups.
Area of Science:
- Oncology
- Endocrinology
Background:
- Interferon alpha (IFNα) is underutilized for neuroendocrine tumors (NETs) due to toxicity concerns and perceived limited efficacy.
- Current NET treatments include somatostatin analogues, targeted agents, chemotherapy, and radionuclide therapy.
Purpose of the Study:
- To retrospectively analyze the efficacy and safety of Interferon alpha (IFNα) in patients with neuroendocrine tumors (NETs).
Main Methods:
- Retrospective analysis of patients diagnosed with NETs from a dedicated database.
- Assessment of radiological, biochemical, and symptomatic responses to IFNα treatment.
- Recording of progression-free survival (PFS), adverse events, and toxicities.
Main Results:
- Thirty-five patients received IFNα treatment, with a median PFS of 25 months.
- 25 patients (71%) achieved at least three months of stable disease.
- One complete response (3%) and one partial response were observed; 23% withdrew early due to toxicity.
Conclusions:
- IFNα demonstrated acceptable tolerability and efficacy in this NET patient cohort.
- IFNα may be beneficial for small-volume diffuse NETs, somatostatin analogue-resistant cases, or as a bridge therapy.
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