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Correspondence
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Volume 339:849-851 September 17, 1998 Number 12
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Cytokine Therapy in Metastatic Renal Cancer

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 by Gleave, M. E.
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 by Negrier, S.
To the Editor: We have three questions about the article by Gleave et al. (April 30 issue)1 on cytokine therapy in patients with metastatic renal cancer. First, the incidence of "spontaneous" remissions was higher than that previously reported. Was there any histologic confirmation of metastatic disease in the patients who had responses? Second, are there any data on second-line therapy? It is possible that treatment with interferon alfa or interleukin-2 in a large proportion of patients may have skewed the final survival curves. Finally, survival at two years appears to have been 5 percent in the placebo group, whereas it . . . [Full Text of this Article]

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