Keywords:
CANCER
;
CELLS
;
tumor
;
BLOOD
;
CELL
;
Germany
;
THERAPY
;
TIME
;
PATIENT
;
TRANSPLANTATION
;
treatment
;
BONE-MARROW
;
BREAST-CANCER
;
TARGET
;
chemotherapy
;
EFFICIENT
;
STEM-CELLS
;
PROGENITOR CELLS
;
CANCER-PATIENTS
;
BODY
;
CYCLOPHOSPHAMIDE
;
CANCER PATIENTS
;
PERIPHERAL-BLOOD
;
MULTICENTER
;
MULTIPLE-MYELOMA
;
SINGLE
;
HIGH-DOSE CHEMOTHERAPY
;
multiple myeloma
;
ONCOLOGY
;
WEIGHT
;
stem cells
;
dexamethasone
;
pegfilgrastim
;
MOBILIZATION
;
immunology
;
STEM
;
myeloma
;
ADJUNCT
;
ADMINISTRATION PEGFILGRASTIM
;
apheresis
;
DAILY FILGRASTIM
;
peripheral blood stem cell
;
PRETREATED LYMPHOMA PATIENTS
;
REGIMEN
;
STAGE-II
Abstract:
High-dose chemotherapy followed by autologous blood stem cell transplantation is the standard treatment for myeloma patients. In this study, CAD (cyclophosphamide, adriamycin, dexamethasone) chemotherapy and a single dose of peg. lgrastim (12 mg) was highly effective ve in mobilizing peripheral blood stem cells (PBSCs) for subsequent transplantation, with 88% of patients (n = 26) achieving the CD34(+) cell harvest target of 〉= 7.50 x 106 CD34(+) cells/ kg body weig ht, following a median of two apheresis procedures (range 1 -4) and with. rst apheresis performed at a median day 13 after CAD application (range 10 -20). Patients treated with peg. lgrastim showed a reduced time to. rst apheresis procedure from mobilization compared with. lgrastim-mobilized historical matched controls (n = 52, P = 0.015). The peg. lgrastim mobilization regimen allowed for transplantation of a median of 3.58 x 10 6 CD34(+) cells/ kg body weight while leaving suf. ficient stored cells for a second high-dose regimen and back-ups in most patients. Engraftment following transplantation was comparable to. lgrastim, with a median time of 14 days to leucocyte 〉= 1.0 x 109/l (range 10 -21) and 11 days to platelets 〉= 20 x 109/l (range 0 -15). The results of this study thus provide further support for the clinical utility of peg. lgrastim for the mobilization of PBSC following chemotherapy in cancer patients scheduled for transplantation
Type of Publication:
Journal article published
Deep Link:
http://www.dkfz.de/cgi-bin/sel?http://www.dkfz.de/PublicationManager/Show/ShowJournal.aspx%3fpublishedId=4368
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