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Effects of recombinant human interleukin-3 in aplastic anemia
A Ganser, A Lindemann, G Seipelt, OG Ottmann, M Eder, S Falk, F Herrmann, JP Kaltwasser, P Meusers and M Klausmann
Department of Hematology, University of Frankfurt, West Germany.
In a phase I/II study, nine patients with aplastic anemia were treated with
recombinant human interleukin-3 (rhIL-3) to assess the toxicity and
biologic effects of this multipotential hematopoietic growth factor. Doses
ranging from 250 micrograms/m2 to 500 micrograms/m2 were administered as
subcutaneous bolus injections daily for 15 days. An increase in platelet
counts from 1,000/microL to 31,000/microL was induced by rhIL-3 in one
patient, and an increase in reticulocyte counts by more than 10,000/microL
in four patients. The blood leukocyte counts temporarily increased in eight
patients 1.5- to 3.3-fold (median, 1.8-fold), mainly due to an increase in
the number of neutrophils, eosinophils, lymphocytes, and monocytes. In two
patients, bone marrow cellularity increased from 7% to 33% and from 10% to
80%, respectively, but without resulting in a substantial improvement of
peripheral blood counts. Mild side effects (headache and flushing) were
observed in some patients, while low-grade fever occurred in all patients.
Transient thrombocytopenia necessitating discontinuation of rhIL-3
treatment occurred in one patient. In conclusion, rhIL-3 can stimulate
hematopoiesis in patients with aplastic anemia; however, no lasting effects
were obtained.
Volume 76,
Issue 7,
pp. 1287-1292,
10/01/1990
Copyright © 1990 by The American Society of Hematology

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