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Pegfilgrastim reduces the length of hospitalization and the time to engraftment in multiple myeloma patients treated with melphalan 200 and auto-SCT compared with filgrastim

Samaras, Panagiotis ; Blickenstorfer, Marcel ; Siciliano, Raffaele ; Haile, Sarah ; Buset, Elefteri ; Petrausch, Ulf ; Mischo, Axel ; Honegger, Hanspeter ; Schanz, Urs ; Stussi, Georg ; Stahel, Rolf ; Knuth, Alexander ; Stenner-Liewen, Frank ; Renner, Christoph

In: Annals of Hematology, 2011, vol. 90, no. 1, p. 89-94

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    Titre
    • Pegfilgrastim reduces the length of hospitalization and the time to engraftment in multiple myeloma patients treated with melphalan 200 and auto-SCT compared with filgrastim
    Auteur
    • Samaras, Panagiotis. Department of Oncology, University Hospital Zürich, Rämistrasse 100, 8091, Zürich, Switzerland
    • Blickenstorfer, Marcel. Department of Oncology, University Hospital Zürich, Rämistrasse 100, 8091, Zürich, Switzerland
    • Siciliano, Raffaele. Medical Oncology, Triemli City Hospital, Zürich, Switzerland
    • Haile, Sarah. Biostatistics Unit, Institute of Social and Preventive Medicine, University of Zürich, Zürich, Switzerland
    • Buset, Elefteri. Department of Oncology, University Hospital Zürich, Rämistrasse 100, 8091, Zürich, Switzerland
    • Petrausch, Ulf. Department of Oncology, University Hospital Zürich, Rämistrasse 100, 8091, Zürich, Switzerland
    • Mischo, Axel. Department of Oncology, University Hospital Zürich, Rämistrasse 100, 8091, Zürich, Switzerland
    • Honegger, Hanspeter. Medical Oncology, Triemli City Hospital, Zürich, Switzerland
    • Schanz, Urs. Department of Hematology, University Hospital Zürich, Zürich, Switzerland
    • Stussi, Georg. Department of Hematology, University Hospital Zürich, Zürich, Switzerland
    • Stahel, Rolf. Department of Oncology, University Hospital Zürich, Rämistrasse 100, 8091, Zürich, Switzerland
    • Knuth, Alexander. Department of Oncology, University Hospital Zürich, Rämistrasse 100, 8091, Zürich, Switzerland
    • Stenner-Liewen, Frank. Department of Oncology, University Hospital Zürich, Rämistrasse 100, 8091, Zürich, Switzerland
    • Renner, Christoph. Department of Oncology, University Hospital Zürich, Rämistrasse 100, 8091, Zürich, Switzerland
    Type de document
    • Postprint
    Identifiant OAI-PMH
    • oai:doc.rero.ch:312496
    Summary
    To reduce the duration of neutropenia after conditioning chemotherapy and autologous peripheral blood stem cell transplantation (APBSCT), granulocyte-colony stimulating factors (G-CSF) are commonly administered. We retrospectively evaluated the impact of pegfilgrastim compared to filgrastim on neutrophil engraftment, hospital stay, and supportive measures in patients with multiple myeloma after conditioning with Melphalan 200 (Mel200) followed by APBSCT. Ninety-two APBSCT after Mel200 treatment were performed in 72 patients between January 2006 and December 2009 at our institution. Patients received either single-dose pegfilgrastim (n = 46; 50%), or daily filgrastim (n = 46; 50%) after APBSCT (median duration of filgrastim use, 9days; range, 3-14days). Duration of neutropenia grade IV was shorter with pegfilgrastim compared with filgrastim (median, 5days (range, 3-14days) versus 6days (range, 3-9days), p = 0.0079). The length of hospitalization differed significantly (pegfilgrastim (median, 14.5days; range, 11-47days) versus filgrastim (median, 15.5days; range, 12-64days), p = 0.024). Pegfilgrastim-treated patients had less red blood cell transfusions (median, 0 transfusions (range, 0-10) versus 0.5 transfusions (range, 0-9), p = 0.00065). Pegfilgrastim was associated with reduced cost of the treatment procedure compared with filgrastim (p = 0.031). Pegfilgrastim appears to be at least equivalent to filgrastim without additional expenditure in myeloma patients treated with Mel200 and APBSCT