[Use of granulocyte growth factors: recommendations of the Portuguese Society of Hematology]

Acta Med Port. 2008 Sep-Oct;21(5):412-26. Epub 2009 Jan 16.
[Article in Portuguese]

Abstract

The administration of cytotoxic chemotherapy may be complicated by the emergence of neutropenia and febrile neutropenia, frequently determining hospital admission and intravenous treatment with broad spectrum antibiotics. Frequently, it is necessary to reduce the dose or to delay the administration of the cytotoxic drugs reducing the relative dose intensity of the chemotherapy regimen. Granulocyte growth factors stimulate the proliferation and differentiation of neutrophils and reduce the number of days of severe neutropenia and febrile neutropenia associated with cytotoxic chemotherapy. They are also indicated for the collection of hematopoietic progenitors for autologous and allogeneic transplantation, as well as in non malignant diseases associated with chronic neutropenia. This article reviews the evidence supporting the use of granulocyte growth factors in Hematology.

Publication types

  • Practice Guideline
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Antineoplastic Agents / adverse effects
  • Antineoplastic Agents / therapeutic use
  • Filgrastim
  • Granulocyte Colony-Stimulating Factor / therapeutic use*
  • Humans
  • Lenograstim
  • Leukemia / drug therapy
  • Lymphoproliferative Disorders / drug therapy
  • Myelodysplastic Syndromes / drug therapy
  • Neutropenia / chemically induced
  • Neutropenia / drug therapy*
  • Polyethylene Glycols
  • Recombinant Proteins / therapeutic use
  • Risk Factors

Substances

  • Antineoplastic Agents
  • Recombinant Proteins
  • Granulocyte Colony-Stimulating Factor
  • pegfilgrastim
  • Polyethylene Glycols
  • Lenograstim
  • Filgrastim