The therapeutic efficacy of interferon-alpha (IFN-alpha) in the treatm
ent of chronic myeloid leukemia is currently being tested in a number
of institutional, interinstitutional, and international trials. There.
is no doubt that responses are achieved in many patients, and in a sm
all subset complete eradication of clonogenic cells may be possible. H
owever, it has not yet been shown that overall survival of patients tr
eated with IFN-alpha is better than that of those treated with convent
ional cytoreductive drugs. There are still controversial opinions on p
roblems such as dosages and duration of treatment, combination with cy
tostatic agents, definition of responses, and relevance of cytogenic a
nd molecular data. An international workshop discussed the data on int
erferon therapy and attempted to define the role of interferon today i
n the management of chronic myeloid leukemia.