Optimal blood stem cell mobilization using 10 micrograms/kg granulocyte colony-stimulating factor (G-CSF) alone for high-dose melphalan intensification in multiple myeloma: an intrapatient controlled study

Am J Hematol. 1994 Oct;47(2):135-8. doi: 10.1002/ajh.2830470214.

Abstract

A recent randomized multicentric French study has shown that intensification with stem cell rescue improves the response rate and progression-free survival in multiple myeloma. Transplantation with primed peripheral blood stem cells (PBSC) displays a faster hematological recovery, especially for platelets, as compared with a bone marrow stem cell graft. In multiple myeloma, the optimal mobilization method for PBSC is unknown. The present study compares mobilization with cyclophosphamide 4 g/m2 + G-CSF 5 micrograms/kg versus G-CSF 5 micrograms/kg alone versus G-CSF 10 micrograms/kg alone in two cases of multiple myeloma, using an intrapatient controlled evaluation of the amount of CD34-positive cells obtained during each leukapheresis. In both cases, the highest CD34-positive cells yield was obtained with G-CSF at 10 micrograms/kg. Despite the low number of cases, this method, devoid of life-threatening toxicity, might be of greatest interest in multiple myeloma.

Publication types

  • Case Reports
  • Clinical Trial
  • Comparative Study
  • Controlled Clinical Trial

MeSH terms

  • Antigens, CD / analysis
  • Antigens, CD34
  • Belgium / epidemiology
  • Blood Transfusion
  • Combined Modality Therapy
  • Cyclophosphamide / pharmacology
  • Cyclophosphamide / therapeutic use
  • Dose-Response Relationship, Drug
  • Drug Synergism
  • Drug Therapy, Combination
  • Flow Cytometry
  • Granulocyte Colony-Stimulating Factor / pharmacology*
  • Granulocyte Colony-Stimulating Factor / therapeutic use
  • Hematopoietic Stem Cells / cytology*
  • Hematopoietic Stem Cells / drug effects
  • Hematopoietic Stem Cells / immunology
  • Humans
  • Leukapheresis
  • Male
  • Melphalan / pharmacology*
  • Melphalan / therapeutic use
  • Middle Aged
  • Multiple Myeloma / blood*
  • Multiple Myeloma / epidemiology
  • Multiple Myeloma / therapy*

Substances

  • Antigens, CD
  • Antigens, CD34
  • Granulocyte Colony-Stimulating Factor
  • Cyclophosphamide
  • Melphalan