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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
1991-7-25
pubmed:abstractText
To test the value of recombinant human granulocyte-macrophage colony stimulating factor for the treatment of delayed engraftment following high dose therapy and autologous hematopoietic stem cell transplantation, we enrolled 12 patients with recurrent non-Hodgkin's lymphoma or Hodgkin's disease having an absolute granulocyte count less than 150 x 10(6)/l on day 30 after autologous hematopoietic stem cell infusion in an open-label, nonrandomized study. These patients were compared to 21 similar historical control patients who were not treated with colony stimulating factor. Overall, the patients treated with granulocyte-macrophage colony stimulating factor had a mean absolute granulocyte count of 704 x 10(6)/l on day 44 after stem cell infusion compared to a mean absolute granulocyte count of 408 x 10(6)/l in historical controls (p = 0.008). The number of documented bacterial and fungal infections occurring after day 30 (9 vs 0, p = 0.01) was significantly reduced in the study group. The toxicity attributed to the granulocyte-macrophage colony stimulating factor was minimal with only one patient experiencing chills. Recombinant human granulocyte-macrophage colony stimulating factor appears to be effective for the treatment of delayed engraftment following high-dose therapy and autologous hematopoietic transplantation for lymphoid malignancies, with most patients having accelerated granulocytic recovery and a reduced incidence of infections.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0268-3369
pubmed:author
pubmed:issnType
Print
pubmed:volume
7
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
139-43
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:1675592-Adolescent, pubmed-meshheading:1675592-Adult, pubmed-meshheading:1675592-Bacterial Infections, pubmed-meshheading:1675592-Bone Marrow Transplantation, pubmed-meshheading:1675592-Cell Survival, pubmed-meshheading:1675592-Child, pubmed-meshheading:1675592-Child, Preschool, pubmed-meshheading:1675592-Combined Modality Therapy, pubmed-meshheading:1675592-Dose-Response Relationship, Drug, pubmed-meshheading:1675592-Female, pubmed-meshheading:1675592-Graft Rejection, pubmed-meshheading:1675592-Granulocyte-Macrophage Colony-Stimulating Factor, pubmed-meshheading:1675592-Hematopoietic Stem Cell Transplantation, pubmed-meshheading:1675592-Hematopoietic Stem Cells, pubmed-meshheading:1675592-Hodgkin Disease, pubmed-meshheading:1675592-Humans, pubmed-meshheading:1675592-Lymphoma, Non-Hodgkin, pubmed-meshheading:1675592-Male, pubmed-meshheading:1675592-Middle Aged, pubmed-meshheading:1675592-Recombinant Proteins, pubmed-meshheading:1675592-Transplantation, Autologous
pubmed:year
1991
pubmed:articleTitle
The use of recombinant human granulocyte-macrophage colony stimulating factor for the treatment of delayed engraftment following high dose therapy and autologous hematopoietic stem cell transplantation for lymphoid malignancies.
pubmed:affiliation
Department of Internal Medicine, University of Nebraska Medical Center, Omaha 68198-3330.
pubmed:publicationType
Journal Article