Skip to main content

Interferon Alpha

  • Reference work entry
  • First Online:
Cancer Therapeutic Targets

Abstract

Interferons comprise a family of cytokines subclassified as types I-III based on their structural and functional properties. Named for their ability to “interfere” with viral replication, interferons perform a host of other functions including immune cell activation, augmentation of antigen presentation and upregulation of major histocompatibility complex molecules. Signaling through IFN-α/β receptor (IFNAR) and signal transducer and activator of transcription (STAT) complexes, type I interferons result in the transcription of a variety of proteins with broad anti-viral and anti-tumor effects. In this chapter we briefly delineate the interferon biology before reviewing the clinical application of interferons in cancer particularly in melanoma and renal cell carcinoma.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 649.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 949.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Agarwala SS, Lee SJ, Flaherty LE, et al. Randomized phase III trial of high-dose interferon alfa-2b (HDI) for 4 weeks induction only in patients with intermediate- and high-risk melanoma (Intergroup trial E 1697). Clin Oncol. 2011;29 (Suppl; abstr 8505).

    Google Scholar 

  • Aitchison M, Bray CA, Van Poppel H, et al. Final results from an EORTC (GU Group)/NCRI randomized phase III trial of adjuvant interleukin-2, interferon alpha, and 5-fluorouracil in patients with a high risk of relapse after nephrectomy for renal cell carcinoma (RCC). J Clin Oncol. 2011;29 (Suppl; abstr 4505).

    Google Scholar 

  • Atkins MB, Sparano J, Fisher RI, et al. Randomized phase II trial of high-dose interleukin-2 either alone or in combination with interferon alfa-2b in advanced renal cell carcinoma. J Clin Oncol. 1993;11(4):661–70.

    Article  CAS  PubMed  Google Scholar 

  • Atkins MB, Dutcher J, Weiss G, et al. Kidney cancer: the Cytokine Working Group experience (1986–2001): part I. IL-2-based clinical trials. Med Oncol. 2001;18(3):197–207.

    Article  CAS  PubMed  Google Scholar 

  • Atzpodien J, Lopez Hanninen E, Kirchner H, et al. Multiinstitutional home-therapy trial of recombinant human interleukin-2 and interferon alfa-2 in progressive metastatic renal cell carcinoma. J Clin Oncol. 1995;13(2):497–501.

    Article  CAS  PubMed  Google Scholar 

  • Atzpodien J, Kirchner H, Illiger HJ, et al. IL-2 in combination with IFN- alpha and 5-FU versus tamoxifen in metastatic renal cell carcinoma: long-term results of a controlled randomized clinical trial. Br J Cancer. 2001;85(8):1130–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Atzpodien J, Kirchner H, Jonas U, et al. Interleukin-2- and interferon alfa-2a-based immunochemotherapy in advanced renal cell carcinoma: a prospectively randomized trial of the German Cooperative Renal Carcinoma Chemoimmunotherapy Group (DGCIN). J Clin Oncol. 2004;22(7):1188–94.

    Article  CAS  PubMed  Google Scholar 

  • Atzpodien J, Schmitt E, Gertenbach U, et al. Adjuvant treatment with interleukin-2- and interferon-alpha2a-based chemoimmunotherapy in renal cell carcinoma post tumour nephrectomy: results of a prospectively randomised trial of the German Cooperative Renal Carcinoma Chemoimmunotherapy Group (DGCIN). Br J Cancer. 2005;92(5):843–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Balch CM, Gershenwald JE, Soong SJ, et al. Final version of 2009 AJCC melanoma staging and classification. J Clin Oncol. 2009;27(36):6199–206.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bergmann L, Fenchel K, Weidmann E, et al. Daily alternating administration of high-dose alpha-2b-interferon and interleukin-2 bolus infusion in metastatic renal cell cancer. A phase II study. Cancer. 1993;72(5):1733–42.

    Article  CAS  PubMed  Google Scholar 

  • Berthold W, Tan C, Tan YH. Chemical modifications of tyrosyl residue(s) and action of human-fibroblast interferon. Eur J Biochem. 1978;87(2):367–70.

    Article  CAS  PubMed  Google Scholar 

  • Bracarda S, Porta C, Boni C, et al. Could Interferon still play a role in metastatic renal cell carcinoma? A randomized study of two schedules of sorafenib plus interferon-alpha 2a (RAPSODY). Eur Urol. 2013;63(2):254–61.

    Article  CAS  PubMed  Google Scholar 

  • Budd GT, Murthy S, Finke J, et al. Phase I trial of high-dose bolus interleukin-2 and interferon alfa-2a in patients with metastatic malignancy. J Clin Oncol. 1992;10(5):804–9.

    Article  CAS  PubMed  Google Scholar 

  • Clark JI, Atkins MB, Urba WJ, et al. Adjuvant high-dose bolus interleukin-2 for patients with high-risk renal cell carcinoma: a cytokine working group randomized trial. J Clin Oncol. 2003;21(16):3133–40.

    Article  CAS  PubMed  Google Scholar 

  • Coppin C, Porzsolt F, Awa A, Kumpf J, Coldman A, Wilt T. Immunotherapy for advanced renal cell cancer. Cochrane Database Syst Rev. 2005;(1):CD001425.

    Google Scholar 

  • Creagan ET, Ahmann DL, Frytak S, et al. Three consecutive phase II studies of recombinant interferon alfa-2a in advanced malignant melanoma. Updated analyses. Cancer. 1987;59(3 Suppl):638–46.

    Article  CAS  PubMed  Google Scholar 

  • Davar D, Tarhini AA, Kirkwood JM. Adjuvant therapy for melanoma. Cancer J. 2012a;18(2):192–202.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Davar D, Fenton M, Appleman LJ. Immunotherapy for renal cell carcinoma. In: Campbell SC, Rini BI, editors. Renal cell carcinoma, current clinical urology. New York: Humana Press; 2012b. p. 279–301. doi:10.1007/978-1-62703-062-5_16s.

    Google Scholar 

  • Dutcher JP, Fisher RI, Weiss G, et al. Outpatient subcutaneous interleukin-2 and interferon-alpha for metastatic renal cell cancer: five-year follow-up of the Cytokine Working Group Study. Cancer J Sci Am. 1997;3(3):157–62.

    CAS  PubMed  Google Scholar 

  • Eggermont AM, Spatz A, Lazar V, et al. Is ulceration in cutaneous melanoma just a prognostic and predictive factor or is ulcerated melanoma a distinct biologic entity? Curr Opin Oncol. 2012;24(2):137–40.

    Article  PubMed  Google Scholar 

  • Elias L, Blumenstein BA, Kish J, et al. A phase II trial of interferon-alpha and 5-fluorouracil in patients with advanced renal cell carcinoma. A Southwest Oncology Group study. Cancer. 1996;78(5):1085–8.

    Article  CAS  PubMed  Google Scholar 

  • Falcone A, Cianci C, Ricci S, et al. Alpha-2B-interferon plus floxuridine in metastatic renal cell carcinoma. A phase I-II study. Cancer. 1993;72(2):564–8.

    Article  CAS  PubMed  Google Scholar 

  • Fischl MA, Uttamchandani RB, Resnick L, et al. A phase I study of recombinant human interferon-alfa-2a or human lymphoblastoid interferon alfa-n1 and concomitant zidovudine in patients with AIDS-related Kaposi’s sarcoma. J Acquir Immune Defic Syndr. 1991;4:1–10.

    Article  CAS  PubMed  Google Scholar 

  • Fischl MA, Finkelstein DM, He W, et al. A phase II study of recombinant human interferon-a2a and zidovudine in patients with AIDS-related Kaposi’s sarcoma. J Acquir Immune Defic Syndr Hum Retrovir. 1996;11:379–84.

    Article  CAS  Google Scholar 

  • Flanigan RC, Salmon SE, Blumenstein BA, et al. Nephrectomy followed by interferon alfa-2b compared with interferon alfa-2b alone for metastatic renal-cell cancer. N Engl J Med. 2001;345(23):1655–9.

    Article  CAS  PubMed  Google Scholar 

  • Fossa SD, Martinelli G, Otto U, et al. Recombinant interferon alfa-2a with or without vinblastine in metastatic renal cell carcinoma: results of a European multi-center phase III study. Ann Oncol. 1992;3(4):301–5.

    Article  CAS  PubMed  Google Scholar 

  • Gogas H, Ioannovich J, Dafni U, et al. Prognostic significance of autoimmunity during treatment of melanoma with interferon. N Engl J Med. 2006;354(7):709–18.

    Article  CAS  PubMed  Google Scholar 

  • Gollob JA, Rathmell WK, Richmond TM, et al. Phase II trial of sorafenib plus interferon alfa-2b as first- or second-line therapy in patients with metastatic renal cell cancer. J Clin Oncol. 2007;25(22):3288–95.

    Article  CAS  PubMed  Google Scholar 

  • Groopman JE, Gottlieb MS, Goodman J, et al. Recombinant alpha-2 interferon therapy for Kaposi’s sarcoma associated with the acquired immunodeficiency syndrome. Ann Intern Med. 1984;100(5):671–6.

    Article  CAS  PubMed  Google Scholar 

  • Hudes G, Carducci M, Tomczak P, et al. Temsirolimus, interferon alfa, or both for advanced renal-cell carcinoma. N Engl J Med. 2007;356(22):2271–81.

    Article  CAS  PubMed  Google Scholar 

  • Igarashi T, Marumo K, Onishi T, et al. Interferon-alpha and 5-fluorouracil therapy in patients with metastatic renal cell cancer: an open multicenter trial. The Japanese Study Group Against Renal Cancer. Urology. 1999;53(1):53–9.

    Article  CAS  PubMed  Google Scholar 

  • Isaacs A, Lindenmann J. Virus interference. I. The interferon. Proc R Soc Lond B Biol Sci. 1957;147(927):258–67.

    Article  CAS  PubMed  Google Scholar 

  • Kawamoto S, Oritani K, Asakura E, et al. A new interferon, limitin, displays equivalent immunomodulatory and antitumor activities without myelosuppressive properties as compared with interferon-alpha. Exp Hematol. 2004;32(9):797–805.

    Article  CAS  PubMed  Google Scholar 

  • Kirkwood JM, Strawderman MH, Ernstoff MS, et al. Interferon alfa-2b adjuvant therapy of high-risk resected cutaneous melanoma: the Eastern Cooperative Oncology Group Trial EST 1684. J Clin Oncol. 1996;14:7–17.

    Article  CAS  PubMed  Google Scholar 

  • Kirkwood JM, Richards T, Zarour HM, et al. Immunomodulatory effects of high-dose and low-dose interferon alpha2b in patients with high-risk resected melanoma: the E2690 laboratory corollary of intergroup adjuvant trial E1690. Cancer. 2002;95(5):1101–12.

    Article  CAS  PubMed  Google Scholar 

  • Kirkwood JM, Manola J, Ibrahim J, et al. A pooled analysis of eastern cooperative oncology group and intergroup trials of adjuvant high-dose interferon for melanoma. Clin Cancer Res. 2004;10(5):1670–7.

    Article  CAS  PubMed  Google Scholar 

  • Kovacs JA, Deyton L, Davey R, et al. Combined zidovudine and interferon-alpha therapy in patients with Kaposi sarcoma and the acquired immunodeficiency syndrome (AIDS). Ann Intern Med. 1989;111(4):280–7.

    Article  CAS  PubMed  Google Scholar 

  • Krown SE. Interferon and other biologic agents for the treatment of Kaposi’s sarcoma. Hematol Oncol Clin North Am. 1991;5(2):311–22.

    CAS  PubMed  Google Scholar 

  • Krown SE, Gold JW, Niedzwiecki D, et al. Interferon-alpha with zidovudine: safety, tolerance, and clinical and virologic effects in patients with Kaposi sarcoma associated with the acquired immunodeficiency syndrome (AIDS). Ann Intern Med. 1990;112(11):812–21.

    Article  CAS  PubMed  Google Scholar 

  • Krown SE, Li P, Von Roenn JH, et al. Efficacy of low-dose interferon with antiretroviral therapy in Kaposi’s sarcoma: a randomized phase II AIDS clinical trials group study. J Interferon Cytokine Res. 2002;22(3):295.

    Article  CAS  PubMed  Google Scholar 

  • Lens MB, Dawes M. Interferon alfa therapy for malignant melanoma: a systematic review of randomized controlled trials. J Clin Oncol. 2002;20:1818–25.

    Article  CAS  PubMed  Google Scholar 

  • Lian B, Si L, Cui C, et al. Phase II randomized trial comparing high-dose IFN-α2b with temozolomide plus cisplatin as systemic adjuvant therapy for resected mucosal melanoma. Clin Cancer Res. 2013;19(16):4488–98.

    Article  CAS  PubMed  Google Scholar 

  • McMasters KM, Ross MI, Reintgen DS, et al. Final results of the Sunbelt Melanoma Trial. J Clin Oncol. 2008;26 (May 20 Suppl; abstr 9003).

    Google Scholar 

  • Mekhail TM, Abou-Jawde RM, Boumerhi G, et al. Validation and extension of the Memorial Sloan-Kettering prognostic factors model for survival in patients with previously untreated metastatic renal cell carcinoma. J Clin Oncol. 2005;23(4):832–41.

    Article  PubMed  Google Scholar 

  • Messing EM, Manola J, Wilding G, et al. Phase III study of interferon alfa-NL as adjuvant treatment for resectable renal cell carcinoma: an Eastern Cooperative Oncology Group/Intergroup trial. J Clin Oncol. 2003;21(7):1214–22.

    Article  CAS  PubMed  Google Scholar 

  • Mickisch GH, Garin A, van Poppel H, et al. Radical nephrectomy plus interferon-alfa-based immunotherapy compared with interferon alfa alone in metastatic renal-cell carcinoma: a randomised trial. Lancet. 2001;358(9286):966–70.

    Article  CAS  PubMed  Google Scholar 

  • Minasian LM, Motzer RJ, Gluck L, Mazumdar M, et al. Interferon alfa-2a in advanced renal cell carcinoma: treatment results and survival in 159 patients with long-term follow-up. J Clin Oncol. 1993;11(7):1368–75.

    Article  CAS  PubMed  Google Scholar 

  • Mocellin S, Pasquali S, Rossi CR, et al. Interferon alpha adjuvant therapy in patients with high-risk melanoma: a systematic review and metaanalysis. J Natl Cancer Inst. 2010;102:493–501.

    Article  CAS  PubMed  Google Scholar 

  • Mohr P, Hauschild A, Trefzer U, et al. Intermittent high-dose intravenous interferon alfa-2b for adjuvant treatment of stage III melanoma: final analysis of a randomized phase III dermatologic cooperative oncology group trial. J Clin Oncol. 2015;33(34):4077–84.

    Article  CAS  PubMed  Google Scholar 

  • Motzer RJ, Bacik J, Murphy BA, et al. Interferon-alfa as a comparative treatment for clinical trials of new therapies against advanced renal cell carcinoma. J Clin Oncol. 2002;20(1):289–96.

    Article  CAS  PubMed  Google Scholar 

  • Motzer RJ, Hudes G, Wilding G, et al. Phase I trial of sunitinib malate plus interferon-alpha for patients with metastatic renal cell carcinoma. Clin Genitourin Cancer. 2009;7(1):28–33.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Nagano Y, Kojima Y. Immunizing property of vaccinia virus inactivated by ultraviolet rays. C R Seances Soc Biol Fil. 1954;148(19–20):1700–2.

    CAS  PubMed  Google Scholar 

  • Nagata S, Taira H, Hall A, et al. Synthesis in E. coli of a polypeptide with human leukocyte interferon activity. Nature. 1980;284(5754):316–20.

    Article  CAS  PubMed  Google Scholar 

  • Négrier S, Gravis G, Pérol D, et al. Temsirolimus and bevacizumab, or sunitinib, or interferon alfa and bevacizumab for patients with advanced renal cell carcinoma (TORAVA): a randomised phase 2 trial. Lancet Oncol. 2011;12(7):673–80.

    Article  PubMed  Google Scholar 

  • Neidhart JA, Anderson SA, Harris JE, et al. Vinblastine fails to improve response of renal cancer to interferon alfa-n1: high response rate in patients with pulmonary metastases. J Clin Oncol. 1991;9(5):832–6.

    Article  CAS  PubMed  Google Scholar 

  • Passalacqua R, Buzio C, Buti S, et al. Adjuvant low-dose interleukin-2 (IL2) plus interferone-alpha (IFN) in operable renal cell cancer (RCC). A phase III, randomized, multicenter, independent trial of the Italian Oncology Group for Clinical Research (GOIRC). J Clin Oncol. 2007;25 (Suppl; abstr LBA5028).

    Google Scholar 

  • Passalacqua R, Buti S, Brighenti M, et al. Final results of a dose-finding phase II trial with a triple combination therapy in metastatic renal cell cancer (mRCC): Bevacizumab (B) plus immunotherapy (IT) plus chemotherapy (C) (BIC), antitumor effects, and variations of circulating T-regulatory cells (TREG). J Clin Oncol. 2010;28:15s (Suppl; abstr 4615).

    Google Scholar 

  • Payne MJ, Argyropoulou K, Lorigan P, et al. Phase II pilot study of intravenous high-dose interferon with or without maintenance treatment in melanoma at high risk of recurrence. J Clin Oncol. 2014;32(3):185–90.

    Article  CAS  PubMed  Google Scholar 

  • Pectasides D, Dafni U, Bafaloukos D, et al. Randomized phase III study of 1 month versus 1 year of adjuvant high-dose interferon alfa-2b in patients with resected high-risk melanoma. J Clin Oncol. 2009;27(6):939–44.

    Article  CAS  PubMed  Google Scholar 

  • Pizzocaro G, Piva L, Colavita M, et al. Interferon adjuvant to radical nephrectomy in Robson stages II and III renal cell carcinoma: a multicentric randomized study. J Clin Oncol. 2001;19(2):425–31.

    Article  CAS  PubMed  Google Scholar 

  • Porzsolt F. Adjuvant therapy of renal cell cancer with interferon alpha-2a. Proc Am Soc Clin Oncol. 1992;11:202.

    Google Scholar 

  • Rathmell WK, Malkowicz SB, Holroyde C, Luginbuhl W, Vaughn DJ. Phase II trial of 5-fluorouracil and leucovorin in combination with interferon-alpha and interleukin-2 for advanced renal cell cancer. Am J Clin Oncol. 2004;27(2):109–12.

    Article  CAS  PubMed  Google Scholar 

  • Real FX, Oettgen HF, Krown SE. Kaposi’s sarcoma and the acquired immunodeficiency syndrome: treatment with high and low doses of recombinant leukocyte A interferon. J Clin Oncol. 1986;4(4):544–51.

    Article  CAS  PubMed  Google Scholar 

  • Rosenberg SA, Lotze MT, Yang JC, et al. Combination therapy with interleukin-2 and alpha-interferon for the treatment of patients with advanced cancer. J Clin Oncol. 1989;7(12):1863–74.

    Article  CAS  PubMed  Google Scholar 

  • Ryan CW, Goldman BH, Lara Jr PN, et al. Sorafenib with interferon alfa-2b as first-line treatment of advanced renal carcinoma: a phase II study of the Southwest Oncology Group. J Clin Oncol. 2007;25(22):3296–301.

    Article  CAS  PubMed  Google Scholar 

  • Spencer WF, Linehan WM, Walther MM, et al. Immunotherapy with interleukin-2 and alpha-interferon in patients with metastatic renal cell cancer with in situ primary cancers: a pilot study. J Urol. 1992;147(1):24–30.

    CAS  PubMed  Google Scholar 

  • Sznol M, Mier JW, Sparano J, et al. A phase I study of high-dose interleukin-2 in combination with interferon-alpha 2b. J Biol Response Mod. 1990;9(6):529–37.

    CAS  PubMed  Google Scholar 

  • Tarhini AA, Stuckert J, Lee S, Sander C, Kirkwood JM. Prognostic significance of serum S100B protein in high-risk surgically resected melanoma patients participating in intergroup trial ECOG 1694. J Clin Oncol. 2009;27(1):38.

    Article  PubMed  PubMed Central  Google Scholar 

  • Tough DF. Type I, interferon as a link between innate and adaptive immunity through dendritic cell stimulation. Leuk Lymphoma. 2004;45(2):257–64.

    Article  CAS  PubMed  Google Scholar 

  • van Herpen CM, Jansen RL, Kruit WH, et al. Immunochemotherapy with interleukin-2, interferon-alpha and 5-fluorouracil for progressive metastatic renal cell carcinoma: a multicenter phase II study. Dutch Immunotherapy Working Party. Br J Cancer. 2000;82(4):772–6.

    Article  PubMed  PubMed Central  Google Scholar 

  • Vogelzang NJ, Lipton A, Figlin RA. Subcutaneous interleukin-2 plus interferon alfa-2a in metastatic renal cancer: an outpatient multicenter trial. J Clin Oncol. 1993;11(9):1809–16.

    Article  CAS  PubMed  Google Scholar 

  • Wang X, Mao LL, Chi Z, et al. Efficacy of high-dose adjuvant interferon therapy in high-risk melanoma harboring gene mutations. J Clin Oncol. 2015;33 (Suppl; abstr 9047).

    Google Scholar 

  • Wheatley K, Ives N, Hancock B, et al. Does adjuvant interferon-alpha for high-risk melanoma provide a worthwhile benefit? A meta-analysis of the randomised trials. Cancer Treat Rev. 2003;29:241–52.

    Article  CAS  PubMed  Google Scholar 

  • Wheatley K, Ives N, Eggermont A, et al. Interferon-α as adjuvant therapy for melanoma: An individual patient data meta-analysis of randomised trials. J Clin Oncol. 2007 ASCO annual meeting proceedings part I. 25(18S, June 20 Suppl):8526.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to John M. Kirkwood .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer Science+Business Media New York

About this entry

Cite this entry

Davar, D., Appleman, L.J., Kirkwood, J.M. (2017). Interferon Alpha. In: Marshall, J. (eds) Cancer Therapeutic Targets. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0717-2_64

Download citation

Publish with us

Policies and ethics