- « Previous
- Clinical Pharmacology
- Next »
Leukine
Clinical Pharmacology
Leukine
PBPCs from patients treated at the 250 mcg/m2/day dose had significantly higher number of granulocyte-macrophage colony-forming units (CFU-GM) than those collected without mobilization. The mean value after thawing was 11.41 x 104 CFU-GM/kg for all Leukine mobilized patients, compared to 0.96 x 104/kg for the non-mobilized group. A similar difference was observed in the mean number of erythrocyte burst-forming units (BFU-E) collected (23.96 x 104/kg for patients mobilized with 250 mcg/m2 doses of Leukine administered SC vs. 1.63 x 104/kg for non-mobilized patients).
After transplantation, mobilized subjects had shorter times to myeloid engraftment, and fewer days between transplantation and the last platelet transfusion compared to non-mobilized subjects. Neutrophil recovery (ANC >500/mm3) was more rapid in patients administered Leukine following PBPC transplantation with Leukine-mobilized cells (see table below). Mobilized patients also had fewer days to the last platelet transfusion and last RBC transfusion, and a shorter duration of hospitalization than did non-mobilized subjects.
Route for Mobilization |
Post-transplant Leukine |
ENGRAFTMENT (median value in days) |
||
ANC>500/mm3 |
Last platelet transfusion |
|||
| No mobilization | - |
no |
29 |
28 |
| Leukine 250 mcg/m2 |
IV |
no |
21 |
24 |
IV |
yes |
12 |
19 |
|
SC |
yes |
12 |
17 |
|
A second retrospective review of data from patients undergoing PBPC at another single transplant center was also conducted. Leukine was given SC at 250 mcg/m2/day once a day (n=10) or twice a day (n=21) until completion of the phereses. Phereses were begun on day 5 of Leukine administration and continued until the targeted MNC count of 9 x 108/kg or CD34+ cell count of 1 x 106/kg was reached. There was no difference in CD34+ cell count in patients receiving Leukine once or twice a day. The median time to ANC>500/mm3 was 12 days and to platelet recovery (>25,000/mm3) was 23 days.
Generic Name: Sargramostim
- « Previous
- Clinical Pharmacology
- Next »
Cancer
Get the latest treatment options.
Cancer and Exercise
Resting to conserve energy may not be the best remedy for fatigue during radiation therapy. See more WebMD Videos »
