Evidence map›Paper›PMID 38589646›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2024

Efficacy of delayed pegfilgrastim administration following consolidation therapy with high-dose cytarabine (HiDAC) in acute myeloid leukemia (AML) patients.

Spencer K Yingling, Joshua Francis, Kelsea Seago, Salah Ud Din Safi, Sijin Wen, Aaron Cumpston

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Spencer K YinglingDepartment of Pharmacy, West Virginia University Hospital, Morgantown, WV, USA. spencer.k.yingling@gmail.com.ORCID http://orcid.org/0000-0002-3456-1186
Joshua FrancisDepartment of Pharmacy, West Virginia University Hospital, Morgantown, WV, USA.
Kelsea SeagoDepartment of Pharmacy, West Virginia University Hospital, Morgantown, WV, USA.
Salah Ud Din SafiOsborn Hematopoietic Malignancy and Transplantation Program, West Virginia University, Morgantown, WV, USA.
Sijin WenDepartment of Biostatistics, West Virginia University, Morgantown, WV, USA.
Aaron CumpstonDepartment of Pharmacy, West Virginia University Hospital, Morgantown, WV, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo study the effects of delaying pegfilgrastim administration following high-dose cytarabine (HiDAC) consolidation in AML patients on time to neutrophil count recovery, infectious complications, and survival.

methodsSingle-center retrospective chart review of 55 patients receiving pegfilgrastim as early administration (within 72 h) or delayed administration (after 72 h) of HiDAC.

resultsThe difference in neutrophil recovery time was similar between the early and delayed groups (18 days versus 19 days, p < 0.28). Infections were seen in four patients in the early administration group following chemotherapy compared to none in the delayed group (p = 0.04). Febrile neutropenia rates were also decreased in the delayed administration group (23.1% versus 10.3%, p = 0.28) as well as a trend towards longer median survival (16 months versus 19 months, p = 0.69) and overall survival (21 months versus 31 months, p = 0.47).

conclusionA difference in time to neutrophil recovery was not observed between the early and delayed administration groups yet decreased infectious complications may support the delayed administration of pegfilgrastim in these patients.

Indexed as

CytarabineFilgrastimLeukemia, Myeloid, AcutePolyethylene GlycolsAntineoplastic Combined Chemotherapy ProtocolsConsolidation ChemotherapyHumansRetrospective StudiesCytarabineFilgrastimpegfilgrastimPolyethylene GlycolsGrowth factorsHiDACHigh-dose cytarabinePegfilgrastimTimingWhite blood cell growth factors

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.