Use of iron sucrose and red blood cell transfusions in anaemic cancer patients in France (OncoFer study)
Autor: | Florian Scotté, Alain Toledano, Ladan Duvillié, Dominique Spaeth, Isabelle Pithois Merli, Stéphanie Perot, Elisabeth Luporsi, Roland Bugat, Marc Espié |
---|---|
Rok vydání: | 2016 |
Předmět: |
Adult
Male 0301 basic medicine medicine.medical_specialty Pediatrics Population Iron sucrose Ferric Compounds Gastroenterology Glucaric Acid Hemoglobins 03 medical and health sciences 0302 clinical medicine Interquartile range Neoplasms Internal medicine medicine Humans Maltose Adverse effect education Aged Retrospective Studies Ferric Oxide Saccharated education.field_of_study business.industry Cancer Anemia Retrospective cohort study Middle Aged medicine.disease Red blood cell 030104 developmental biology medicine.anatomical_structure Oncology Hematologic Neoplasms 030220 oncology & carcinogenesis Ferritins Cohort Female France Erythrocyte Transfusion business medicine.drug |
Zdroj: | Supportive Care in Cancer. 25:973-982 |
ISSN: | 1433-7339 0941-4355 |
Popis: | This report describes the results of an observational, retrospective cohort study, evaluating the use of iron sucrose (IS) and red blood cell (RBC) transfusions in patients with cancer in routine clinical practice in France. A parallel investigated cohort treated with ferric carboxymaltose (FCM) has been reported earlier. Data of patients with a solid tumour or haematological malignancy who have received IS or an RBC transfusion during 2010 from 3 months prior (M−3) to 3 months post first treatment (M+3) were analysed. Data from 46 patients who had received IS (400 mg median total iron dose) and 357 patients who had received RBC transfusions as first treatment (baseline) were included. Median haemoglobin levels improved from 9.9 g/dL (interquartile range 9.2; 11.0 g/dL) at baseline to 12.4 g/dL (11.4; 13.1 g/dL) at M+3 in IS-treated patients and from 8.2 g/dL (7.8; 8.8 g/dL) at baseline to 10.1 g/dL (8.8; 11.1 g/dL) in transfused patients. An erythropoiesis-stimulating agent was given to 54.3 and 28.9% of patients in the IS and the RBC transfusion groups, respectively, resulting in slightly better mean haemoglobin increase in both groups (2.4 vs 1.5 g/dL and 2.0 vs 1.6 g/dL, respectively). No severe nor serious adverse reaction and no hypersensitivity reactions were reported. Both IS and RBC transfusions effectively increased Hb levels in patients with cancer. IS was safe and well tolerated in this population. Considering prior reported results with FCM, using FCM may reduce ESA dose requirements and the required number of infusions. |
Databáze: | OpenAIRE |
Externí odkaz: |