Classification: Biologic Response Modifier
Interleukin-2 is in the class of medications called biologic response modifiers. It is a type of protein called a cytokine that works to increase the production and function of various components of the body's immune system. This protein is normally produced in the body, but in small amounts. By increasing levels of IL-2, the immune system gets a kick-start (specifically T cells and natural killer cells) to attack the cancer cells.
How to Take Interleukin-2
Interleukin-2 is given in two different ways. It can be given in higher doses into a vein (intravenously) while the patient is monitored in the hospital. It can also be given in a low-dose regimen via a shot placed under the skin (subcutaneous injection). The low-dose regimen is given on an outpatient basis (at home or in the doctor's office). The actual dose is dependent on your body size. Premedication may be given to lower the risk of infusion reactions, like fever, chills, nausea, and low blood pressure.
Interleukin-2 can interact with many different medications. Be sure to tell your healthcare provider about all medications and supplements you take. This medication should not be used in people with abnormal cardiac (heart) or pulmonary (lung) function. Your provider may perform testing prior to starting this medication to be sure your function is normal.
Possible Side Effects of Interleukin-2
There are things you can do to manage the side effects of Interleukin-2. Talk to your doctor or nurse about these recommendations. They can help you decide what will work best for you. Keep in mind that these side effects are more common and more intense for people receiving the IV infusion, as opposed to the lower dose injection regimen. These are some of the most common side effects:
Infusion Related Side Effects
The interleukin-2 infusion (the high dose regimen) can cause a reaction that may include low blood pressure, increased heart rate or arrhythmias, shortness of breath, rash, nausea, diarrhea and joint and muscle stiffness. The infusion may be stopped or slowed down if this occurs and medications may be given to stop the reaction. These reactions generally occur within 24 hours of the dose and most often resolve when the medication is stopped. Nearly all patients on the high dose regimen will experience flushing of the face and body or skin rash.
This occurs in a majority of patients, no matter the regimen, because of the "revving-up" of the immune system. Flu-like syndrome occurs hours to days after the infusion and is characterized by fever, chills, weakness, muscle and joint aches. Medications such as acetaminophen can be used to manage these symptoms. Try to keep warm with blankets and warm clothes, and drink plenty of non-alcoholic fluids. These symptoms tend to lessen over time on low-dose regimens.
Capillary Leak Syndrome
Capillary leak syndrome is a potentially serious condition in which blood and components of blood leak out of vessels and into body cavities and muscles. The movement of this fluid out of the vessels can cause hypotension (low blood pressure) and organ failure. Your care team will monitor your vital signs regularly. Signs and symptoms of capillary leak syndrome include: a sudden drop in blood pressure, weakness, sudden swelling of the arms, legs or other parts of the body, rapid weight gain, little or no urine output, shortness of breath, or lightheadedness. If you are having any of these symptoms notify your infusion nurse or provider immediately.
Nausea and/or Vomiting
Talk to your doctor or nurse so they can prescribe medications to help you manage nausea and vomiting. In addition, dietary changes may help. Avoid things that may worsen the symptoms, such as heavy or greasy/fatty, spicy or acidic foods (lemons, tomatoes, oranges). Try antacids, (e.g. milk of magnesia, calcium tablets such as Tums), saltines, or ginger ale to lessen symptoms.
Call your doctor or nurse if you are unable to keep fluids down for more than 12 hours or if you feel lightheaded or dizzy at any time.
Your oncology team can recommend medications to relieve diarrhea. Also, try eating low-fiber, bland foods, such as white rice and boiled or baked chicken. Avoid raw fruits, vegetables, whole grain breads, cereals and seeds. Soluble fiber is found in some foods and absorbs fluid, which can help relieve diarrhea. Foods high in soluble fiber include: applesauce, bananas (ripe), canned fruit, orange sections, boiled potatoes, white rice, products made with white flour, oatmeal, cream of rice, cream of wheat, and farina. Drink 8-10 glasses on non-alcoholic, un-caffeinated fluid a day to prevent dehydration.
Impaired White Blood Cell Function
White blood cells (WBC) are important for fighting infection. This treatment can affect your WBCs ability to function, putting you at a higher risk of getting an infection. You should let your doctor or nurse know right away if you have a fever (temperature greater than 100.4), sore throat or cold, shortness of breath, cough, burning with urination, or a sore that doesn't heal.
Tips to preventing infection:
Low Platelet Count (Thrombocytopenia)
Platelets help your blood clot, so when the count is low you are at a higher risk of bleeding. Let your doctor or nurse know if you have any excess bruising or bleeding, including nose bleeds, bleeding gums or blood in your urine or stool. If the platelet count becomes too low, you may receive a transfusion of platelets.
Fatigue is very common during cancer treatment and is an overwhelming feeling of exhaustion that is not usually relieved by rest. While on cancer treatment, and for a period after, you may need to adjust your schedule to manage fatigue. Plan times to rest during the day and conserve energy for more important activities. Exercise can help combat fatigue; a simple daily walk with a friend can help. Talk to your healthcare team for helpful tips on dealing with this side effect.
Decrease in Appetite
Nutrition is an important part of your care. Cancer treatment can affect your appetite and, in some cases, the side effects of treatment can make eating difficult. Ask your nurse about nutritional counseling services at your treatment center to help with food choices.
Rash, very dry, and/or itchy skin may occur. Antihistamines (like diphenhydramine) or topical steroids can be used to control symptoms, if needed. It is important to prevent scratching and breaking of the skin, given the risk for skin infections with lowered white blood cell counts on this therapy. Oatmeal baths can be used to help with dry, itchy skin. Use an alcohol-free moisturizer on your skin and lips, avoiding moisturizers with perfumes or scents. If your skin does crack or bleed, be sure to keep the area clean to avoid infection. Be sure to notify your healthcare provider of any rash that develops, as this can be a reaction. They can give you more tips on caring for your skin.
Interleukin-2 can cause or worsen pre-existing heart problems. Notify your healthcare provider if you have sudden weight gain or swelling in the ankles or legs, irregular heartbeat or feel dizzy.
Exposure of an unborn child to this medication could cause birth defects, so you should not become pregnant or father a child while on this medication. Effective birth control is necessary during treatment. Even if your menstrual cycle stops or you believe you are not producing sperm, you could still be fertile and conceive. You should consult with your healthcare team before breastfeeding while receiving this medication.
OncoLink is designed for educational purposes only and is not engaged in rendering medical advice or professional services. The information provided through OncoLink should not be used for diagnosing or treating a health problem or a disease. It is not a substitute for professional care. If you have or suspect you may have a health problem or have questions or concerns about the medication that you have been prescribed, you should consult your health care provider.
Information Provided By: www.oncolink.org | © 2016 Trustees of The University of Pennsylvania