Successful treatment with Protein C of febrile neutropenia in pediatric patients during cancer therapy

Immunopharmacol Immunotoxicol. 2009 Jun;31(2):293-8. doi: 10.1080/08923970802552415.

Abstract

Febrile Neutropenia (FN) is a complication of chemotherapy in childhood cancer and at the same time secondary deficit of Protein C (PC) is often present during sepsis in children with cancer. In this study we have compared the clinical outcome of two different groups. At the onset of FN during chemotherapy the first group (patients with a secondary deficit of PC) received Protein C Concentrate (PCC) replacement while the other group without PC deficiency received only symptomatic therapies. We report that PC replacement could shorten duration of FN and improve the clinical outcome. The administration of PCC was safe and without any complications.

Publication types

  • Controlled Clinical Trial

MeSH terms

  • Antineoplastic Agents / adverse effects*
  • Antineoplastic Agents / therapeutic use
  • Child
  • Child, Preschool
  • Female
  • Fever / chemically induced
  • Fever / drug therapy*
  • Humans
  • Leukemia / drug therapy
  • Lymphoma / drug therapy
  • Male
  • Neutropenia / chemically induced
  • Neutropenia / drug therapy*
  • Protein C / therapeutic use*
  • Sarcoma / drug therapy
  • Sepsis / drug therapy
  • Treatment Outcome

Substances

  • Antineoplastic Agents
  • Protein C