Cancer immunotherapy (interleukin-2)

Aldesleukin (interleukin-2) (ألديسلوكين)

Aldesleukin is a man-made form of interleukin-2, a protein that activates immune cells to attack cancer. It is used for some cases of advanced kidney cancer and melanoma in specialist centres, and can cause serious side effects that need close monitoring in hospital, sometimes in intensive care.

This medicine is used under close medical supervision, usually by a specialist. Never start, stop or change it without your doctor.

What it is used for

  • Treating advanced (metastatic) kidney cancer in selected patients
  • Treating advanced melanoma, in some countries

How it is used

  • It is given only in hospital as a drip into a vein by a team experienced in cancer treatment
  • It is given in courses planned by your specialist
  • Heart and lung function are checked before treatment, and blood pressure, weight, urine output and blood tests are closely watched during it

Possible side effects

  • Fluid leaking from blood vessels, causing low blood pressure, swelling, weight gain and reduced kidney function
  • Fever, chills and flu-like symptoms
  • Nausea, vomiting and diarrhoea
  • Confusion, marked drowsiness or mood changes
  • Rash, itching and a higher risk of infection

Who should not use it

  • Serious heart or lung disease, or abnormal heart or lung tests
  • People who have had an organ transplant
  • Allergy to aldesleukin or any of its ingredients

Before and while using it

  • Fluid leak can be dangerous, which is why treatment is given under close monitoring
  • It increases the risk of serious bacterial infection; tell the team about any fever or redness around a line
  • Tell the team at once about any confusion or marked drowsiness
  • It can cause immune problems of the thyroid or other organs that need follow-up
  • Do not drive after treatment until your doctor says you can

Medicine interactions

  • Steroids can reduce the effect of treatment and are used only if the doctor decides
  • Blood pressure medicines can make low blood pressure worse
  • Medicines that can harm the kidneys, liver or heart need caution
  • Iodine contrast dyes can cause delayed reactions after treatment; tell the X-ray team

Pregnancy and breastfeeding

  • It is not used in pregnancy; use effective contraception during treatment as your doctor advises
  • Do not breastfeed during treatment

How to store it

  • It is stored and prepared in the hospital pharmacy

Get medical help straight away if

  • Your face, lips or tongue swell, or you find it hard to breathe.
  • You get a severe rash, blistering or peeling skin.
  • A side effect worries you or doesn’t go away: contact your doctor or pharmacist.

Questions about this medicine?

Talk to a doctor by video, or send your question by text.

Source: Standard international medicine references

This guide is general information and doesn’t replace advice from your doctor or pharmacist. Don’t start, stop or change a medicine without asking them, and always read the leaflet in the pack.