Review Article

Immunotherapy for Bone and Soft Tissue Sarcomas

Table 2

Clinical trials stimulating innate immunity against bone and soft tissue sarcomas.

AgentNumber of patientsDiagnosisTreatmentFollow-upClinical result

IL-2 [16]6Osteosarcoma,
Ewing’s sarcoma
6–12 × 106 IU/m2
for 5 days by every 3 weeks
7–71 monthsComplete response (CR): 5
Progressive disease (PD): 5
IFNs [17]3Osteosarcoma2.5–5 × 106 IU/mL
twice or thrice weekly
6–8 monthsCR: 2
PD: 1
IFN-α2 [18]20Osteosarcoma,
fibrosarcoma,
chondrosarcoma,
and malignant fibrous histiocytoma
5 × 107 IU/m2
thrice weekly
1–3 monthsPartial response (PR): 3
IFN-α [19]89OsteosarcomaCohort 1 (70 patients);
3 × 106 IU daily for a month
Cohort 2 (19 patients);
3 × 106 IU daily for 3–5 years
10 yearsMetastatic free survival: 39%
Sarcoma specific survival: 43%
IFN-β [20]158Osteosarcoma
(COSS-80)
1 × 105 IU/kg for 22 weeks30 monthsDisease-free survival
+IFN: 77%
−IFN: 73% (N.S.)
Pegylated IFN-α2b [21]715Osteosarcoma
(EURAMOS-1)
Methotrexate, adriamycin, and cisplatin (MAP)
+/−IFN (0.5–1.0 μg/kg/wk)
for 2 years
Median follow-up
3.1 years
Event-free survival
+IFN: 77%
−IFN: 74% (N.S.)
L-MTP-PE [22]662Osteosarcoma
(INT 0133)
MAP alone,
MAP + L-MTP-PE,
MAP + ifosfamide,
MAP + ifosfamide
+ L-MTP-PE
6 yearsOverall survival
+L-MTP-PE: 78%
−L-MTP-PE: 70%
Event free survival
No significant difference