Tolerance and efficacy of intranasal administration of recombinant beta serine interferon in healthy adults

J Infect Dis. 1988 Jul;158(1):166-75. doi: 10.1093/infdis/158.1.166.

Abstract

We performed two studies to determine the dose-related tolerance and the efficacy of recombinant beta serine interferon (rIFN-beta ser) in experimental rhinovirus infection. In the tolerance study, 120 healthy adults received intranasal sprays of rIFN-beta ser or placebo daily for 25 d. No differences in nasal symptoms were found. Rhinoscopy detected more mucosal bleeding sites in high-dose (38%) versus low-dose (12.5%) or placebo (12.5%) recipients. There were more subepithelial lymphocytes in nasal biopsy specimens in the high-dose (54%) than the low-dose (17%) or placebo (17%) groups. In the efficacy study, 34 volunteers received daily nasal drops of IFN, beginning 36 h before challenge and for three days afterwards. The numbers of infections and days of shedding of virus were not reduced, but colds occurred less often in the high-dose (25%) than in the low-dose (55%) or placebo (64%) recipients. Nasal mucus weights were lower in the high-dose (mean +/- SD g per five days; 5 +/- 4) than placebo (31 +/- 37) recipients. Thus, rIFN-beta ser may have a more favorable therapeutic ratio than do previously tested alpha interferons.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Administration, Intranasal
  • Adult
  • Antiviral Agents / administration & dosage
  • Antiviral Agents / adverse effects
  • Antiviral Agents / therapeutic use*
  • Common Cold / microbiology
  • Common Cold / pathology
  • Common Cold / prevention & control*
  • Evaluation Studies as Topic
  • Female
  • Humans
  • Interferon Type I / administration & dosage*
  • Interferon Type I / adverse effects
  • Interferon Type I / therapeutic use
  • Interferon beta-1a
  • Interferon beta-1b
  • Interferon-beta*
  • Lymphocytes / pathology
  • Male
  • Nasal Mucosa / pathology
  • Patient Acceptance of Health Care
  • Recombinant Proteins / administration & dosage*
  • Recombinant Proteins / adverse effects
  • Recombinant Proteins / therapeutic use
  • Rhinovirus / isolation & purification
  • Self Administration

Substances

  • Antiviral Agents
  • Interferon Type I
  • Recombinant Proteins
  • Interferon beta-1b
  • Interferon-beta
  • Interferon beta-1a