Despite incomplete understanding of the human immune system, the rapid prog
ress in tumor immunology provides a framework for effective and safe interv
entions in the near future. Early approaches in patients with cancer that h
ave focused on the nonspecific and broad stimulation of the immune system b
y interferons and IL-12 will be replaced by the highly specific stimulation
of immune reactions targeting precisely defined tumor antigens. IL-12 has
several biologic properties that seem useful in immune therapy fur bladder
cancer. The striking antitumor responses with IL-12 in preclinical animal m
odels of bladder cancer provide optimism that future clinical trials involv
ing this agent may impact on the risk and mortality associated with this di
sease.