A randomized, controlled 24-week study of intermittent subcutaneous interleukin-2 in HIV-1 infected patients in Thailand

Objectives: To assess the immunological and virological effects, safety pro file and feasibility of subcutaneous interleukin-2 (sCIL-2) therapy in an H IV-infected Thai population. Design: Seventy-two patients with baseline CD4 cell count of greater than o r equal to 350 x 10(6)/L and no history of opportunistic infection were ran domized to receive antiretroviral therapy plus scIL-2 (scIL-2 group) or ant iretroviral therapy alone (control group). scIL-2 was administered at one o f three doses for at least 24 weeks. The main measure of treatment efficacy was change in CD4 cell count. Results: The time-weighted mean change in CD4 cell count from baseline to w eek 24 was + 252 x 10(6)/l for the scIL-2 group compared with + 42 x 10(6)/ l for the control group (P < 0.0001). Changes in plasma HIV RNA were not si gnificantly different between the groups over the same time period: there w as a 0.83 log(10) copies/ml decrease for the scIL-2 group and a 0.70 log co pies/ml decrease for the control group (P = 0.362). Conclusions: This study provides the most extensive experience of scIL-2 th erapy in HIV-1 infected women and Asians, and demonstrates the immunologica l efficacy, tolerability and feasability of scIL-2 therapy in this populati on. Data from this study were instrumental in guiding the selection of the scIL-2 dosing regimen for ongoing phase III trials. (C) 2000 Lippincott Wil liams & Wilkins.