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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1B
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pubmed:dateCreated |
1998-5-13
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pubmed:abstractText |
Granulocyte colony stimulating factor (G-CSF) and granulocyte macrophage colony stimulating factor (GM-CSF) are cytokines which have been extensively administered as monotherapy to patients with a variety of hematopoietic disorders at dosages of 5 mcg/kg/day. Because their spectrum of activity is both singular and simultaneously overlapping, we postulated that combined therapy would be more advantageous than monotherapy. Since 1992 we have carried out a study of G-CSF and GM-CSF as monotherapy or in combination in pediatric patients with solid tumors following chemotherapy induced nadirs of 0-800 WBC/mm3. When combined, the cytokines were given twice per day at 2.5 or 5.0 mcg/kg. For the monotherapy groups, either cytokine at 5 mcg/kg or 10 mcg/kg was given once daily. The mean time to recovery from neutropenia nadir ranged from 6.6-8.2 days in patients receiving a total of 10 mcg/kg/day compared to 10.4-10.6 days in patients treated with 5 mcg/kg/day. Side effects were ephemeral eosinophilia. The dosage of 10 mcg/kg/day appears to be a better dosage for pediatric patients with a slight advantage in the combined twice a day schedule (6.6 days).
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0250-7005
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
18
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
489-92
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9568167-Adolescent,
pubmed-meshheading:9568167-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:9568167-Child,
pubmed-meshheading:9568167-Child, Preschool,
pubmed-meshheading:9568167-Female,
pubmed-meshheading:9568167-Granulocyte Colony-Stimulating Factor,
pubmed-meshheading:9568167-Granulocyte-Macrophage Colony-Stimulating Factor,
pubmed-meshheading:9568167-Humans,
pubmed-meshheading:9568167-Infant,
pubmed-meshheading:9568167-Male,
pubmed-meshheading:9568167-Neoplasms,
pubmed-meshheading:9568167-Neutropenia,
pubmed-meshheading:9568167-Time Factors
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pubmed:articleTitle |
Shortened time to recovery from chemotherapy induced neutropenia in pediatric patients with high dose combined cytokines.
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pubmed:affiliation |
Oncology Service, Ospedale Pediatrico Bambino Gesu, Rome, Italy.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
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