Randomized trial of filgrastim versus chemotherapy and filgrastim mobilization of hematopoietic progenitor cells for rescue in autologous transplantation.

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Presentation transcript:

Randomized trial of filgrastim versus chemotherapy and filgrastim mobilization of hematopoietic progenitor cells for rescue in autologous transplantation by Uma Narayanasami, Rajani Kanteti, Julie Morelli, Alanna Klekar, Asma Al-Olama, Claire Keating, Colleen O'Connor, Eugene Berkman, John K. Erban, Kellie A. Sprague, Kenneth B. Miller, and David P. Schenkein Blood Volume 98(7):2059-2064 October 1, 2001 ©2001 by American Society of Hematology

Schematic representation of treatment protocol Schematic representation of treatment protocol.Patients with relapsed or refractory NHL or HD who were eligible for autologous transplantation were randomized to receive G-CSF alone or cyclophosphamide (5 g/m2) and G-CSF for HPC mobilization after salvage t... Schematic representation of treatment protocol.Patients with relapsed or refractory NHL or HD who were eligible for autologous transplantation were randomized to receive G-CSF alone or cyclophosphamide (5 g/m2) and G-CSF for HPC mobilization after salvage therapy with CEPP. All patients received the same dose of cyclophosphamide, followed by etoposide, before autologous transplantation. Involved field radiotherapy was given for bulky disease (mass greater than 5 cm). Uma Narayanasami et al. Blood 2001;98:2059-2064 ©2001 by American Society of Hematology

Kaplan-Meier curves for OS and PFS Kaplan-Meier curves for OS and PFS.Broken lines denote the G-CSF only arm A, and solid lines denote Chemo+G-CSF arm B. (A) OS: 79% in arm A, 77% in arm B at a median follow-up of 21 months (P = .85). Kaplan-Meier curves for OS and PFS.Broken lines denote the G-CSF only arm A, and solid lines denote Chemo+G-CSF arm B. (A) OS: 79% in arm A, 77% in arm B at a median follow-up of 21 months (P = .85). (B) PFS: median 17 months in arm A, 25 months in arm B (P = .8). (C) PFS in patients with NHL: median 17 months in arm A, 25 months in arm B (P = .77). (D) PFS in patients with HD: 60% in arm A, 67% in arm B at 21 months (P = .77). Uma Narayanasami et al. Blood 2001;98:2059-2064 ©2001 by American Society of Hematology