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Table 2 Milestones of IFNs use for B cell malignancies

From: Interferon-alpha-based immunotherapies in the treatment of B cell-derived hematologic neoplasms in today’s treat-to-target era

Year

Disease

Milestone

Type of IFN

References

  

IFNs as anti-viral agent

1957

Virus

Discovery of IFNs as a broad spectrum antiviral protein

Crudea

Isaacs and Lindenmann [5]

  

IFNs as anti-cancer agent in the pre-immunotherapy era

1963

Leukemia

First reported use of IFNs in human cancer: AML

Crude

Falcoff et al. [29]

1974

Osteosarcoma

IFNs in first large scale clinical trial (nonrandomised; 83 patients; Sweden) in human cancer

Crude

Strander et al. [30]

1977

Lymphoma

First reported use of IFNs in treatment of Lymphoma (diffuse histiocytic lymphoma)

Crude

Merigan et al. [31]

1978

MM

First reported use of IFNs in MM

Crude

Mellstedt et al. [36]

1978–1980

1978: IFN was purified to homogeneity and two subtypes of IFN (alpha and beta) were then sucessful purified

Purified

 

1980: Nomenclature formally adopted classifying IFNs into 3 categories based on antigenic specificity (alpha, beta, gamma)

1981

First successful expression of immune IFNs by recombinant DNA

Recombinant

Genentech [8]

1981

Lymphoma

National cancer institute carried out Phase II trials of IFN-α-2a in NHL cases

Recombinant

Foon et al. [32]

The middle

Hairy cell

A major breakthrough that the effectiveness of IFNs was found in hairy cell leukemia

 

NEJM, 1984,15;791; AM J MED, 1986,351; BLOOD, 1985,1017; BLOOD, 1985,644; JCO, 1986,900

1980s

leukemia

1980s–1990s

Lymphoma

Conflicting results of clinic trials on the efficacy of IFNs in survival of indolent lymphoma: (1) IFN monotherapy, (2) IFN combined cytoreductive chemotherapy, (3) IFN-contained maintenance

Purified/recombinant

Oncology [33]

2000

MM

Meta-analysis of 30 randomised trials looking at use of IFNs in MM:

(1) For induction therapy (2333 patients; 17 trials), IFNs resulted in 6.6% higher response rates, and prolonged relapse free and overall survival

(2) For maintenance therapy (1615 patients; 13 trials), IFNs led to prolongation of relapse-free and overall survival

Recombinant

Fritz and Ludwig [37]

  

IFNs as anti-cancer agent in the post-immunotherapy era

Early-mid

 2000s

Lymphoma

Rituximab with CHVP + IFNs for follicular lymphoma patients by GELA-GOELAMS FL200

Recombinant

Salles et al. [38]

 2008

Lymphoma

IFNα-2a+ rituximab maintenance in a Phase II study

Recombinant

Nordic Lymphoma Group [39]

 2010

MM

Interferon-antibody fusion proteins (refer to Table 3)

Recombinant

 
  1. IFN interferon, AML acute myeloid leukemia, MM multiple myeloma, DNA deoxyribonucleic acid, NHL non-Hodgkin lymphoma
  2. a Crude IFNs prepared by harvesting interferon secreted by primary cells infected with viruses, resulting in preparations that were less than 1% IFNs by weight (highly impure)