Effectiveness of etoposide chemomobilization in lymphoma patients undergoing auto-SCT

Autor: Thomas C. Shea, Amber N Essenmacher, Paul Brown, Andrew Sharf, William A. Wood, Kamakshi V. Rao, Jonathan S. Serody, James M. Coghill, Robert Irons, Paul M. Armistead, Julia Whitley, Stefanie Sarantopoulos, Ravi K. Goyal, D. A. Gabriel
Rok vydání: 2012
Předmět:
Zdroj: Bone Marrow Transplantation. 48:771-776
ISSN: 1476-5365
0268-3369
Popis: The effectiveness of stem cell mobilization with G-CSF in lymphoma patients is suboptimal. We reviewed our institutional experience using chemomobilization with etoposide (VP-16; 375 mg/m2 on days +1 and +2) and G-CSF (5 μg/kg twice daily from day +3 through the final day of collection) in 159 patients with lymphoma. This approach resulted in successful mobilization (>2 × 106 CD34+ cells collected) in 94% of patients (83% within 4 apheresis sessions). Fifty-seven percent of patients yielded at least 5 × 106 cells in ⩽2 days and were defined as good mobilizers. The regimen was safe with a low rate of rehospitalization. Average costs were $14 923 for good mobilizers and $27 044 for poor mobilizers (P
Databáze: OpenAIRE