ŠMARDOVÁ, Lenka, Andreas ENGERT, Hans HAVERKAMP, J. RAEMAKERS, J. BAARS, Beate PFISTNER, Volker DIEHL and Andreas JOSTING. Successful mobilization of peripheral blood stem cells with the DHAP regimen (dexamethasone, cytarabine, cisplatinum) plus granulocyte colony-stimulating factor in patients with relapsed Hodgkin's disease. LEUKEMIA & LYMPHOMA. 2005, vol. 46, No 7, p. 1017-1022. ISSN 1042-8194.
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Basic information
Original name Successful mobilization of peripheral blood stem cells with the DHAP regimen (dexamethasone, cytarabine, cisplatinum) plus granulocyte colony-stimulating factor in patients with relapsed Hodgkin's disease
Name in Czech Mobilizace periferních kmenových buněk pomocí režimu DHAP (dexamethazon, cytarabin, cisplatina) a G-CSF u pacientů s relabovaným Hodgkinským lymfomem
Authors ŠMARDOVÁ, Lenka, Andreas ENGERT, Hans HAVERKAMP, J. RAEMAKERS, J. BAARS, Beate PFISTNER, Volker DIEHL and Andreas JOSTING.
Edition LEUKEMIA & LYMPHOMA, 2005, 1042-8194.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30200 3.2 Clinical medicine
Country of publisher United Kingdom of Great Britain and Northern Ireland
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 1.295
Organization unit Faculty of Medicine
UT WoS 000230304000007
Keywords in English stem cell mobilization; cells; DHAP; Hodgkin's lymphoma
Tags cells, DHAP, Hodgkin's lymphoma, stem cell mobilization
Tags International impact, Reviewed
Changed by Changed by: MUDr. Lenka Šmardová, učo 19749. Changed: 27/6/2009 22:16.
Abstract
High-dose chemotherapy followed by autologous stem cell transplantation can improve the outcome of relapsed and refractory Hodgkins disease (HD) patients. The objective of the trial was to determine the mobilizing potential of the DHAP salvage regimen (dexamethasone, cytarabine, cisplatin) for the collection of peripheral blood stem cells (PBSC) in patients with relapsed HD. The target yield of harvesting CD34 + cells was more or = 2 x 10(6)/kg in order to support the subsequent myeloablative chemotherapy. Most of the 105 patients included were intensively pre-treated with different combination chemotherapy regimens prior to mobilization. The use of DHAP followed by granulocyte colony-stimulating factor (G-CSF; 10 microg/kg) resulted in the successful collection of adequate numbers of PBSC in 97.1% of patients (102 of 105) with a median harvest of CD34+ cells of 13 x 10(6)/kg (range 2.6 - 85.1). More than 2.0 x 10(6) CD34+ cells/kg were achieved in 65 of 103 (63%) patients after 1 apheresis, the maximum number of aphereses for all patients was 3. It was found that the optimal time of PBSC harvest was at days 13 - 16 after initiating the mobilization regimen. These results demonstrate that the salvage chemotherapy regimen, such as DHAP combined with G-CSF, can be successfully used to mobilize PBSC in HD patients.
Abstract (in Czech)
Mobilizace periferních kmenových buněk pomocí režimu DHAP (dexamethazon, cytarabin, cisplatina) a G-CSF u pacientů s relabovaným Hodgkinským lymfomem.
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