Second mobilization of peripheral blood progenitor cells in patients with poor first mobilization

Transplant Proc. 2003 Aug;35(5):2027-8. doi: 10.1016/s0041-1345(03)00710-3.

Abstract

The aim of this study was to analyse the efficacy of 2 second mobilization (MB) protocols in 2 groups of patients who failed to obtain enough peripheral blood progenitor cells (PBPC) in the first MB. In 1 group (8 patients), 10 microg/kg of G-CSF was administered, and in the other group (8 patients), a double dosage (10 microg/kg twice a day) was administered. Both groups of patients received Cyclophosphamide (1.5 g/kg) 10 days before the apheresis. No difference was found among both groups of patients in diagnosis, previous chemotherapy, and time elapsed after the first MB. Administration of higher doses of G-CSF decreased the number of apheresis needed in the second MB to complete 2 x 10(6)/kg of CD34+ cells. It also increased the number of patients who achieved sufficient CD34+, namely, 75% versus 50%.

MeSH terms

  • Blood Cells / cytology
  • Blood Component Removal / methods
  • Cyclophosphamide / therapeutic use
  • Flow Cytometry
  • Granulocyte Colony-Stimulating Factor / therapeutic use
  • Hematopoietic Stem Cell Mobilization / methods*
  • Hodgkin Disease / therapy
  • Humans
  • Leukemia / therapy
  • Multiple Myeloma / therapy
  • Neoplasms / therapy
  • Recombinant Proteins
  • Stem Cell Transplantation*
  • Transplantation, Autologous

Substances

  • Recombinant Proteins
  • Granulocyte Colony-Stimulating Factor
  • Cyclophosphamide