Safety and efficacy of recombinant human interleukin 10 in chronic active Crohn's disease

S Schreiber, RN Fedorak, OH Nielsen, G Wild… - Gastroenterology, 2000 - Elsevier
S Schreiber, RN Fedorak, OH Nielsen, G Wild, CN Williams, S Nikolaus, M Jacyna…
Gastroenterology, 2000Elsevier
Background & Aims: Interleukin (IL)-10 is a cytokine with potent anti-inflammatory properties.
We investigated the safety and efficacy of different doses of human recombinant (rhu) IL-10
in patients with Crohn's disease (CD). Methods: A prospective, multicenter, double-blind,
placebo-controlled study was conducted in 329 therapy-refractory patients with CD. Clinical
improvement was defined by a reduction of the Crohn's Disease Activity Index (CDAI) by 100
points or more and clinical remission by a decrease of the CDAI to< 150 points. At selected …
Background & Aims
Interleukin (IL)-10 is a cytokine with potent anti-inflammatory properties. We investigated the safety and efficacy of different doses of human recombinant (rhu)IL-10 in patients with Crohn's disease (CD).
Methods
A prospective, multicenter, double-blind, placebo-controlled study was conducted in 329 therapy-refractory patients with CD. Clinical improvement was defined by a reduction of the Crohn's Disease Activity Index (CDAI) by 100 points or more and clinical remission by a decrease of the CDAI to <150 points. At selected centers, patients underwent ileocolonoscopies and activation of the nuclear factor–κB (NF-κB) system was assessed in biopsy specimens.
Results
Subcutaneous treatment with rhuIL-10 over 28 days induced a fully reversible, dose-dependent decrease in hemoglobin and thrombocyte counts but no clinically significant side effects. No differences in the induction of remission were observed between rhuIL-10 groups (1 μg, 18% [9.6–29.2]; 4 μg, 20% [11.3–32.2]; 8 μg, 20% [11.1–31.8]; 20 μg, 28% [18–40.7]; and placebo, 18% [9.6–29.6]). Clinical improvement was observed in 46% (33.7–59) in the 8-μg/kg rhuIL-10 group in comparison with 27% (17–39.6) in patients taking placebo. Responders to rhuIL-10 showed inhibition of NF-κB p65 activation in contrast to nonresponders.
Conclusions
Up to 8 μg/kg of rhuIL-10 was well tolerated. A tendency toward clinical improvement but not remission was observed in the 8-μg/kg dose group. Further studies should delineate which subgroups of patients with CD benefit from rhuIL-10 therapy.
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