Effect of recombinant human granulocyte-macrophage colony stimulating factor on progenitor cells in patients with advanced malignancies

Br J Haematol. 1990 Jan;74(1):36-44. doi: 10.1111/j.1365-2141.1990.tb02535.x.

Abstract

Haemopoietic progenitor cell levels were determined in the blood and marrow of 37 patients with advanced malignancies undergoing a phase I/II clinical trial of 0.3-30 micrograms/kg/d recombinant human granulocyte-macrophage colony stimulating factor (rGM-CSF). After injection of rGM-CSF, the absolute number of circulating progenitor cells fell initially but after 4 d of infusion a dose-dependent increase was observed in progenitor cells of all lineages with a slight bias favouring granulocyte-macrophage progenitors. A mean 8.4-fold increase in GM-CFC and a 3.3-fold increase in BFU-E were observed at a dose level of 20 micrograms/kg/d of rGM-CSF. Patients with malignant lymphoma showed a greater response than other patients at the same dose level and the CFU-E rise correlated with the haematocrit. This study suggests that GM-CSF may be of value in elevating circulating progenitor cells for subsequent autografting.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Blood Cell Count
  • Bone Marrow / pathology
  • Colony-Forming Units Assay
  • Colony-Stimulating Factors / therapeutic use*
  • Drug Evaluation
  • Female
  • Granulocyte-Macrophage Colony-Stimulating Factor
  • Growth Substances / therapeutic use*
  • Hematopoietic Stem Cells / pathology*
  • Humans
  • Male
  • Middle Aged
  • Neoplasms / blood*
  • Neoplasms / drug therapy
  • Neoplasms / pathology

Substances

  • Colony-Stimulating Factors
  • Growth Substances
  • Granulocyte-Macrophage Colony-Stimulating Factor