Abstract No. 357: A Randomized Controlled Multicenter Phase II Trial of Subcutaneous Interleukin-2 (scIL-2) Therapy in HIV-Infected Patients with CD4 Counts 200-500 cells/µL
Coverage provided by Kent Sepkowitz, M.D.
This study, conducted by Davey and colleagues, was a randomized trial comparing treatment with subcutaneous (injected under the skin) interleukin-2 (IL-2) plus stable antiretroviral therapy (ARV) versus ARV therapy alone in 82 patients with baseline T-cell counts of 200-500 cells. The mean T-cell count was about 345, and the mean viral load was 3.1 log using the bDNA test. Thirty-nine patients were on the IL-2 arm, and 43 were on antiretroviral therapy alone. IL-2 recipients received 5-day courses every 8 weeks for 6 cycles at a starting dose of 7.5 MIU twice-a-day, decreased as needed for toxicity. Protease inhibitor use was between 80-90% on each arm. Results were as follows:
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IL-2 plus ARV
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Baseline
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One Year
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Mean CD4 Count (% increase):
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355
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739 (112% increase)
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|
% pts., bDNA<500 copies/ml:
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59%
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68%
|
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% pts., bDNA<50 copies/ml:
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40%
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67%
|
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ARV alone
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Baseline
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One Year
|
|
Mean CD4 Count (% increase):
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341
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405 (18% increase)
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|
% pts., bDNA<500 copies/ml:
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44%
|
46%
|
|
% pts., bDNA<50 copies/ml:
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31%
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36%
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The study investigators concluded that combination antiretroviral treatment with intermittent therapy with IL-2 led to a greater increase in CD4 cells, and a trend towards lower viral loads, than combination antiretroviral therapy alone.