Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
1994-12-7
pubmed:abstractText
The hemopoietic growth factor filgrastim (r-metHu G-CSF) stimulates granulopoiesis after autologous BMT and can also be used as a peripheral blood progenitor cell (PBPC)-mobilizing agent. Rapid platelet recovery follows the addition of filgrastim-mobilized PBPC to autologous BMT. We have now studied 29 adults with malignant lymphoma, Hodgkin's disease or ALL to assess the ability of filgrastim-mobilized PBPC to rapidly and durably restore hemopoiesis without bone marrow (BM) infusion. Patients with a high yield of PBPC from three leukaphereses, defined as > 30 x 10(4)/kg GM-CFC, were eligible for PBPC transplant without BM. Patients with a low yield of GM-CFC received both PBPC and BM infusion. After filgrastim therapy 12 or 24 micrograms/kg/day by continuous sc infusion for 6 or 7 days, a high yield was obtained in 11 of 29 patients. Kinetics of recovery of both the platelet and neutrophil counts were more rapid in the high yield group than in the low yield group. The platelet count recovered to > 20 x 10(9)/l at a median of 9 days, to > 50 x 10(9)/l at 11 days and the neutrophil count to > 0.5 x 10(9)/l at 9 days in the high yield group compared with 12 days, 37 days and 10 days, respectively, in the low yield group (p = 0.028, p < 0.001 and p = 0.027). Fewer platelet transfusions were required in the high yield group (median 11 vs 29.5 units, p = 0.021).(ABSTRACT TRUNCATED AT 250 WORDS)
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
0268-3369
pubmed:author
pubmed:issnType
Print
pubmed:volume
14
pubmed:owner
NLM
pubmed:authorsComplete
N
pubmed:pagination
105-11
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:7524904-Adolescent, pubmed-meshheading:7524904-Adult, pubmed-meshheading:7524904-Antineoplastic Agents, pubmed-meshheading:7524904-Female, pubmed-meshheading:7524904-Granulocyte Colony-Stimulating Factor, pubmed-meshheading:7524904-Hematopoiesis, pubmed-meshheading:7524904-Hematopoietic Stem Cell Transplantation, pubmed-meshheading:7524904-Hematopoietic Stem Cells, pubmed-meshheading:7524904-Hodgkin Disease, pubmed-meshheading:7524904-Humans, pubmed-meshheading:7524904-Leukemia, Myeloid, Acute, pubmed-meshheading:7524904-Leukocyte Count, pubmed-meshheading:7524904-Lymphoma, Non-Hodgkin, pubmed-meshheading:7524904-Male, pubmed-meshheading:7524904-Middle Aged, pubmed-meshheading:7524904-Platelet Count, pubmed-meshheading:7524904-Recombinant Proteins, pubmed-meshheading:7524904-Transplantation, Autologous
pubmed:year
1994
pubmed:articleTitle
Phase II study of autologous filgrastim (G-CSF)-mobilized peripheral blood progenitor cells to restore hemopoiesis after high-dose chemotherapy for lymphoid malignancies.
pubmed:affiliation
Royal Melbourne Hospital Department of Clinical Haematology and Medical Oncology.
pubmed:publicationType
Journal Article, Clinical Trial, Research Support, Non-U.S. Gov't, Clinical Trial, Phase II