Prior chemotherapy does not prevent effective mobilisation by G-CSF of peripheral blood progenitor cells
1992

G-CSF Mobilizes Blood Stem Cells in Cancer Patients

Sample size: 21 publication Evidence: moderate

Author Information

Author(s): E. DeLuca, W.P. Sheridan, D. Watson, J. Szer, C.G. Begley

Primary Institution: The Walter and Eliza Hall Institute of Medical Research

Hypothesis

Can G-CSF effectively mobilize peripheral blood progenitor cells in patients who have undergone prior chemotherapy?

Conclusion

G-CSF can successfully mobilize progenitor cells into the peripheral blood even after intensive chemotherapy.

Supporting Evidence

  • G-CSF increased the number of peripheral blood progenitor cells by a median of 76-fold.
  • Maximal levels of progenitor cells were observed on days 5 and 6 after G-CSF treatment.
  • Two patients showed comparable levels of progenitor cells after a second cycle of G-CSF.

Takeaway

This study shows that a medicine called G-CSF can help collect special blood cells from cancer patients, even if they have had strong treatments before.

Methodology

Patients received G-CSF for 6 or 7 days, followed by leukapheresis to collect progenitor cells.

Potential Biases

Potential bias due to the small sample size and patient selection.

Limitations

The study had variability in patient responses due to prior chemotherapy treatments.

Participant Demographics

Patients with non-myeloid malignancies, including acute lymphoblastic leukaemia and non-Hodgkin's lymphoma.

Statistical Information

P-Value

p<0.02

Statistical Significance

p<0.05

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