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Hematologic effects of recombinant human granulocyte colony-stimulating
factor in patients with malignancy
A Lindemann, F Herrmann, W Oster, G Haffner, W Meyenburg, LM Souza and R Mertelsmann
Department of Hematology, University of Mainz, FRG.
The effect of recombinant human granulocyte colony-stimulating factor
(G-CSF) on hematologic parameters was evaluated in a phase I clinical study
in 18 patients with advanced malignancy. G-CSF was administered once daily
as a 30-minute infusion for 14 days; three patients each were treated at
increasing dose levels of 1, 3, 10, 30, and 60 micrograms kg-1 day-1. A
transient decrease in neutrophil and monocyte counts was observed
immediately after the G-CSF infusion, followed by a dose-dependent increase
of up to 15-fold. G-CSF-induced neutrophils exhibited an increased O2-
radical production, and serum levels of enzymes related to granulocyte
turnover, including lysozyme and elastase, were markedly elevated during
therapy. A dose-dependent depression of platelet counts occurred in the
second third of the treatment course, followed by a spontaneous recovery
despite continuing therapy. G-CSF was well-tolerated; minor to moderate
bone pain was the most common side effect. The primary course of the
malignant diseases studied was not significantly altered. G-CSF appears to
be an appropriate means to selectively increase the number of functionally
competent polymorphonuclear phagocytes.
Volume 74,
Issue 8,
pp. 2644-2651,
12/01/1989
Copyright © 1989 by The American Society of Hematology

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