Second donation of granulocyte-colony-stimulating factor-mobilized peripheral blood progenitor cells: risk factors associated with a low yield of CD34+ cells

Autor: Gerhard Ehninger, Martin Bornhäuser, Linda Lerche, Kristin Zimmer, Kristina Hölig, Uwe Platzbecker, Claudia Rutt
Rok vydání: 2005
Předmět:
Zdroj: Transfusion. 45:11-15
ISSN: 1537-2995
0041-1132
Popis: BACKGROUND: There are still limited data on the efficacy and safety of repeated donations of granulocyte–colony-stimulating factor (G–CSF)-mobilized peripheral blood progenitor cells (PBPCs) for allogeneic transplantation. STUDY DESIGN AND METHODS: Sixty-seven healthy donors undergoing two consecutive mobilizations of PBPCs within a median interval of 5 months (range, 0.1-47 months) were investigated. For both first mobilization (FM) and second mobilization (SM), G–CSF (lenograstim) at 7.5 µg per kg per day was administered. RESULTS: The nonhematologic side effects were comparable between both mobilizations. A significantly lower yield of CD34+ cells × 106 per kg of donor weight was obtained on Day 5 of SM in female (n = 31; FM, 5.0; SM, 3.23; p = 0.008) but not in male (n = 36; FM, 5.96; SM, 5.36; p = 0.24) donors. Multivariate analysis identified a lower CD34+ blood concentration on Day 5 of FM (p
Databáze: OpenAIRE