P. Jungers et al., RANDOMIZED PLACEBO-CONTROLLED TRIAL OF RECOMBINANT INTERLEUKIN-2 IN CHRONIC UREMIC PATIENTS WHO ARE NONRESPONDERS TO HEPATITIS-B VACCINE, Lancet, 344(8926), 1994, pp. 856-857
Natural interleukin-2 at low dose has been reported to overcome the no
n-responsiveness of patients with chronic uraemia to hepatitis B vacci
ne. Therefore, we revaccinated 52 previous such non-responders (24 on
maintenance dialysis) with 20 mu g of recombinant preS2-containing hep
atitis B vaccine with human recombinant interleukin-2 (1 MU) or placeb
o (randomly allocated). Seroconversion rates (74 vs 80%, respectively)
and proportion of patients who elicited anti-HBs titres of 10 mlU/mL
or more (56 vs 68%) were similar in both groups. Our results do not co
nfirm local injection of interleukin-2 as an effective immunoadjuvant
to hepatitis B vaccine in uraemic patients.