Recombinant interferon-α in inoperable hepatocellular carcinoma: A randomized controlled trial

✍ Scribed by Dr. Ching-Lung Lai; Johnson Y. N. Lau; Pui-Chee Wu; Henry Ngan; Hau-Tim Chung; Stuart J. Mitchell; Timothy J. Corbett; Anthony W. C. Chow; Hsiang-Ju Lin

• Publisher: John Wiley and Sons
• Year: 1993
• Tongue: English
• Weight: 648 KB
• Volume: 17
• Category: Article
• ISSN: 0270-9139
• DOI: 10.1002/hep.1840170307

✦ Synopsis

To evaluate the clinical efficacy of interferon-a in hepatocellular carcinoma, 71 adult Chinese patients with histologically proven inoperable hepatocellular carcinoma were randomized to receive recombinant interferon-%,, (50 x lo6 IU/m2) intramuscularly three times a week (n = 35) or no antitumor therapy (n = 36). The survival of interferon-*treated patients was significantly better than that of patients who received no antitumor therapy (p = 0.0471); median lengths of survival were 14.5 and 7.5 wk, respectively. Objective tumor regression greater than 50% was observed in 31.4% (11 of 35) of patients receiving interferon-a. Interferon-a induced tumor regression greater than 50% in 11 (31.4%) patients. Cornparedwith the group receiving no antitumor therapy, the interferon-a therapy group had more tumor regression (p < 0.0001) and less tumor progression (p = 0.001). This high-dose interferon-a therapy was relatively well tolerated; only 34.3% of patients required reduction of dosage by one third or one half because of persistent fatigue. Two patients with diabetes mellitus (one also had tabes dorsalis) exhibited mental deterioration that might have been partially attributable to interferon-a therapy. We conclude that interferon-a is useful in a proportion of Chinese patients with inoperable hepatocellular carcinoma, both in prolonging survival and in inducing tumor regression. (HEPATOLOGY 1993;17 389-394.) HCC is one of the 10 most common cancers in the world (1) and probably the most common cancer affecting men, with an estimated annual incidence of 1,000,000 total cases (2, 3). Most patients who are first seen with symptoms have inoperable disease (4). The median survival of untreated Chinese patients was only 3.5 wk (4). Doxorubicin is the only therapeutic agent generally accepted to be of some value in the treatment