A randomized double-blind multicenter phase III study of fixed-dose single-administration pegfilgrastim versus daily filgrastim in patients receiving myelosuppressive chemotherapy

التفاصيل البيبلوغرافية
العنوان: A randomized double-blind multicenter phase III study of fixed-dose single-administration pegfilgrastim versus daily filgrastim in patients receiving myelosuppressive chemotherapy
المؤلفون: V. Zani, M. R. Clemens, H. Koelbl, Salvatore Siena, Martine Piccart, B. C. Liang, V. Guillem, José Baselga, Pere Gascón, Hellmut Samonigg, J. Renwick, A. Galid, M. D. Green, Roy I. Lalisang
المصدر: Annals of oncology : official journal of the European Society for Medical Oncology. 14(1)
سنة النشر: 2002
مصطلحات موضوعية: Adult, medicine.medical_specialty, Neutropenia, Filgrastim, Paclitaxel, Neutrophils, Breast Neoplasms, Docetaxel, Drug Administration Schedule, Polyethylene Glycols, Double-Blind Method, Antineoplastic Combined Chemotherapy Protocols, Granulocyte Colony-Stimulating Factor, medicine, Humans, Aged, Neoplasm Staging, Myelosuppressive Chemotherapy, business.industry, Hematology, Middle Aged, medicine.disease, Recombinant Proteins, Surgery, Granulocyte colony-stimulating factor, Oncology, Doxorubicin, Anesthesia, Delayed-Action Preparations, Female, Taxoids, business, Lipegfilgrastim, Febrile neutropenia, Pegfilgrastim, medicine.drug
الوصف: We evaluated the efficacy of a single fixed 6 mg dose of pegfilgrastim (a pegylated version of filgrastim) per cycle of chemotherapy, compared with daily administration of filgrastim, in the provision of neutrophil support.Patients (n = 157) were randomized to receive either a single 6 mg subcutaneous (s.c.) injection of pegfilgrastim or daily 5 mg/kg s.c. injections of filgrastim, after doxorubicin and docetaxel chemotherapy (60 mg/m(2) and 75 mg/m(2), respectively). Duration of grade 4 neutropenia, depth of neutrophil nadir, incidence of febrile neutropenia, time to neutrophil recovery and safety information were recorded.A single 6 mg injection of pegfilgrastim was as effective as daily injections of filgrastim for all efficacy measures for all cycles. The mean duration of grade 4 neutropenia in cycle 1 was 1.8 and 1.6 days for the pegfilgrastim and filgrastim groups, respectively. Results for all efficacy end points in cycles 2-4 were consistent with the results from cycle 1. A trend towards a lower incidence of febrile neutropenia was noted across all cycles with pegfilgrastim compared with filgrastim (13% versus 20%, respectively). A single fixed dose of pegfilgrastim was as safe and well tolerated as standard daily filgrastim.A single fixed dose of pegfilgrastim administered once per cycle of chemotherapy was comparable to multiple daily injections of filgrastim in safely providing neutrophil support during myelosuppressive chemotherapy. Pegfilgrastim may have utility in other clinical settings of neutropenia.
تدمد: 0923-7534
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ed09897ba0c07ad05843ddafb180690d
https://pubmed.ncbi.nlm.nih.gov/12488286
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....ed09897ba0c07ad05843ddafb180690d
قاعدة البيانات: OpenAIRE