Abstract
The aim of this study was to show a lower incidence of febrile episodes in multiple myeloma patients receiving lenograstim vs. filgrastim after high-dose cyclophosphamide for stem cell mobilization. Patients treated with cyclophosphamide were randomly assigned to receive filgrastim or lenograstim. Primary endpoint was the incidence of febrile episodes. 5.1% patients developed a febrile episode, 9.1% with filgrastim and 1.1% with lenograstim. Lenograstim group presented a significantly higher absolute CD34+ cell number compared with the filgrastim group but no differences were detected for collection efficacy. The study demonstrated a lower incidence of febrile episodes with lenograstim compared to filgrastim.
Copyright © 2010 Elsevier Ltd. All rights reserved.
Publication types
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Comparative Study
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Multicenter Study
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Randomized Controlled Trial
MeSH terms
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Adjuvants, Immunologic / therapeutic use*
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Adolescent
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Adult
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Aged
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Antineoplastic Agents, Alkylating / adverse effects
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Combined Modality Therapy
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Cyclophosphamide / adverse effects
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Female
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Fever / etiology
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Fever / prevention & control*
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Filgrastim
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Granulocyte Colony-Stimulating Factor / therapeutic use*
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Hematopoietic Stem Cell Mobilization / adverse effects*
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Humans
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Incidence
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Lenograstim
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Male
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Middle Aged
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Multiple Myeloma / complications
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Multiple Myeloma / therapy*
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Peripheral Blood Stem Cell Transplantation / adverse effects*
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Prospective Studies
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Recombinant Proteins / therapeutic use
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Survival Rate
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Transplantation, Autologous
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Treatment Outcome
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Young Adult
Substances
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Adjuvants, Immunologic
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Antineoplastic Agents, Alkylating
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Recombinant Proteins
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Granulocyte Colony-Stimulating Factor
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Lenograstim
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Cyclophosphamide
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Filgrastim