Evidence map›Paper›PMID 40468685›Full record

ArticleThoracic cancer2025

Association Between Baseline Neutrophil Count and Febrile Neutropenia Following Docetaxel and Ramucirumab With Prophylactic Pegfilgrastim.

Tomonori Makiguchi, Haruka Odagiri, Hisashi Tanaka, Kageaki Taima, Sadatomo Tasaka

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Article in Thoracic cancer, 2025. 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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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Tomonori MakiguchiDepartment of Respiratory Medicine, Hirosaki University Graduate School of Medicine, Hirosaki City, Japan.ORCID https://orcid.org/0000-0001-9249-7904
Haruka OdagiriDepartment of Respiratory Medicine, Hirosaki University Graduate School of Medicine, Hirosaki City, Japan.
Hisashi TanakaDepartment of Respiratory Medicine, Hirosaki University Graduate School of Medicine, Hirosaki City, Japan.ORCID https://orcid.org/0000-0003-2009-0210
Kageaki TaimaDepartment of Respiratory Medicine, Hirosaki University Graduate School of Medicine, Hirosaki City, Japan.
Sadatomo TasakaDepartment of Respiratory Medicine, Hirosaki University Graduate School of Medicine, Hirosaki City, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with non-small cell lung cancer (NSCLC) receiving docetaxel (DTX) and ramucirumab (RAM) regimen frequently experience febrile neutropenia (FN). We aimed to clarify the incidence rate and predictive factors of FN under prophylactic pegfilgrastim.

methodsFifty-four patients with NSCLC received DTX + RAM from 2018 to 2023 in our hospital. Age, gender, performance status (PS), treatment line, prior thoracic irradiation, body mass index (BMI), neutrophil count at baseline (BNC) and the lowest neutrophil count (LNC), serum albumin, and incidence of FN were recorded. The correlation between BNC and LNC was analyzed. We evaluated the association between BNC and FN using logistic regression analysis. The baseline characteristics of two groups stratified by the cutoff BNC using the ROC curve were compared.

resultsAll the patients received prophylactic pegfilgrastim. Three (5.5%) patients experienced FN. There was a significant correlation between BNC and LNC (r

conclusionOur data showed the incidence rate of FN receiving DTX + RAM with prophylactic pegfilgrastim was 5.5%. Despite prophylactic pegfilgrastim, BNC was correlated with LNC and might be predictive of FN. We should be careful of BNC even if it meets the criteria for starting DTX + RAM treatment.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungDocetaxelFebrile NeutropeniaFilgrastimLung NeoplasmsNeutrophilsPolyethylene GlycolsAgedFemaleHumansMaleMiddle AgedRamucirumabRetrospective StudiesAntibodies, Monoclonal, HumanizedDocetaxelFilgrastimpegfilgrastimPolyethylene GlycolsRamucirumabbaseline neutrophil countdocetaxelfebrile neutropeniapegfilgrastimramucirumab

Identifiers

PMID40468685
PMCPMC12138040

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