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1996-01-30
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Document 0624
DOCN M9610624
TI Efficacy, safety, and tolerance of low-dose, long-term interferon-alpha
2b and zidovudine in early-stage AIDS-associated Kaposi's sarcoma.
DT 9601
AU Mauss S; Jablonowski H; Department of Medicine,
Heinrich-Heine-University, Duesseldorf,; Germany.
SO J Acquir Immune Defic Syndr Hum Retrovirol. 1995 Oct 1;10(2):157-62.
Unique Identifier : AIDSLINE MED/96007277
AB Seventeen male homosexual outpatients with limited but progressive
AIDS-associated Kaposi's sarcoma (KS) of skin, lymph nodes, oral cavity,
and gastrointestinum were consecutively enrolled in an open,
nonrandomized, prospective study. Patients received low-dose IFN-alpha
2b (3 MIU t.i.w.) in combination with 250 mg ZDV b.i.d. After remission
of KS, continuation of treatment as maintenance therapy was provided.
Eleven (65%) of 17 patients had a complete (CR) or partial remission
(PR) of KS lasting more than 24 months in four patients. Response to
treatment was strongly dependent on pretreatment values of CD4+
lymphocyte counts, CR and PR occurred only in patients with pretreatment
levels higher than 250 CD4+ lymphocytes per microliter. Treatment was
generally well tolerated and without severe hematologic side effects
attributable to the addition of IFN-alpha 2b to ZDV treatment. This
study suggests that a combination of low-dose IFN-alpha 2b and ZDV is
therapeutically effective and well tolerated in early stages of
progressive KS.
DE Acquired Immunodeficiency Syndrome/*COMPLICATIONS/IMMUNOLOGY Adult
Antiviral Agents/*ADMINISTRATION & DOSAGE/ADVERSE EFFECTS/ THERAPEUTIC
USE CD4 Lymphocyte Count CD4-Positive T-Lymphocytes/IMMUNOLOGY Drug
Therapy, Combination Gastrointestinal Neoplasms/IMMUNOLOGY/THERAPY
Human Interferon Alfa-2b/*ADMINISTRATION & DOSAGE/ADVERSE EFFECTS/
THERAPEUTIC USE Longitudinal Studies Male Middle Age Palatal
Neoplasms/IMMUNOLOGY/THERAPY Pilot Projects Prospective Studies
Sarcoma, Kaposi's/ETIOLOGY/IMMUNOLOGY/*THERAPY Skin
Neoplasms/IMMUNOLOGY/THERAPY Zidovudine/*ADMINISTRATION &
DOSAGE/ADVERSE EFFECTS/THERAPEUTIC USE JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).