Lenograstim reduces the incidence of febrile episodes, when compared with filgrastim, in multiple myeloma patients undergoing stem cell mobilization

Leuk Res. 2011 Jul;35(7):899-903. doi: 10.1016/j.leukres.2010.10.029. Epub 2010 Dec 4.

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.

Publication types

  • Comparative Study
  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Adjuvants, Immunologic / therapeutic use*
  • Adolescent
  • Adult
  • Aged
  • Antineoplastic Agents, Alkylating / adverse effects
  • Combined Modality Therapy
  • Cyclophosphamide / adverse effects
  • Female
  • Fever / etiology
  • Fever / prevention & control*
  • Filgrastim
  • Granulocyte Colony-Stimulating Factor / therapeutic use*
  • Hematopoietic Stem Cell Mobilization / adverse effects*
  • Humans
  • Incidence
  • Lenograstim
  • Male
  • Middle Aged
  • Multiple Myeloma / complications
  • Multiple Myeloma / therapy*
  • Peripheral Blood Stem Cell Transplantation / adverse effects*
  • Prospective Studies
  • Recombinant Proteins / therapeutic use
  • Survival Rate
  • Transplantation, Autologous
  • Treatment Outcome
  • Young Adult

Substances

  • Adjuvants, Immunologic
  • Antineoplastic Agents, Alkylating
  • Recombinant Proteins
  • Granulocyte Colony-Stimulating Factor
  • Lenograstim
  • Cyclophosphamide
  • Filgrastim