Evidence map›Paper›PMID 42827181›Full record

Trial reportCancer chemotherapy and pharmacology2026

Continuous infusion of granulocyte colony-stimulating factor is associated with an advantage in neutrophil recovery in pediatric oncologic disorders.

Yi-Lun Wang, Tsung-Yen Chang, Shih-Hsiang Chen, Yi-Wen Hsiao, Yu-Chuan Wen, Tang-Her Jaing

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer chemotherapy and pharmacology, 2026. 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

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Yi-Lun WangDivisions of Hematology/Oncology, Department of Pediatrics, Chang Gung Children's Hospital, Chang Gung University, 5 Fu-Shin Street, Kwei-Shan, 333, Taoyuan, Taiwan. g987669@gmail.com.ORCID https://orcid.org/0000-0002-0003-5153
Tsung-Yen ChangDivisions of Hematology/Oncology, Department of Pediatrics, Chang Gung Children's Hospital, Chang Gung University, 5 Fu-Shin Street, Kwei-Shan, 333, Taoyuan, Taiwan.
Shih-Hsiang ChenDivisions of Hematology/Oncology, Department of Pediatrics, Chang Gung Children's Hospital, Chang Gung University, 5 Fu-Shin Street, Kwei-Shan, 333, Taoyuan, Taiwan.
Yi-Wen HsiaoDepartment of Nursing, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Yu-Chuan WenDepartment of Nursing, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Tang-Her JaingDivisions of Hematology/Oncology, Department of Pediatrics, Chang Gung Children's Hospital, Chang Gung University, 5 Fu-Shin Street, Kwei-Shan, 333, Taoyuan, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe use of intensified chemotherapy has significantly improved overall survival (OS) and relapse-free survival (RFS) in cancer patients. However, it also increases the risk of chemotherapy-induced neutropenia (CIN). Granulocyte colony-stimulating factor (G-CSF) is commonly used to hasten neutrophil recovery, but limited research has focused on the superiority of different routes of G-CSF administration. MATERIALS AND

methodsThis was a randomized, prospective, single-institution study. Twenty-eight participants were enrolled and randomly assigned to experimental and control arms in a 1:1 ratio. At the end of the study, 20 cases were eligible for statistical analysis. The primary endpoint was the duration from the onset of neutropenia to steady neutrophil recovery. Secondary endpoints included the safety profile, 7-day emergency return rate, and the occurrence of infectious or febrile events.

resultsThe mean duration from CIN to neutrophil recovery was 6.2 days in the intravenous drip (IVD) group and 7.6 days in the intravenous injection (IVI) group (P = 0.0068). The mean difference between the two groups was 1.4 days. A significantly lower incidence of febrile neutropenia (FN) was observed in the IVD group compared to the IVI group (15% vs. 50%, P = 0.0407). Adverse effects (AEs) were comparable between the two groups.

conclusionsThe IVD route of G-CSF administration leads to faster neutrophil recovery and reduces the risk of FN. All evaluable AEs are comparable between the two groups. These findings suggest that the IVD route may be a preferable option for optimizing supportive care in cancer patients with CIN.

Indexed as

Antineoplastic AgentsChemotherapy-Induced Febrile NeutropeniaGranulocyte Colony-Stimulating FactorNeoplasmsNeutropeniaNeutrophilsAdolescentChildChild, PreschoolFemaleHumansInfusions, IntravenousMaleProspective StudiesAntineoplastic AgentsGranulocyte Colony-Stimulating FactorChemotherapy-induced neutropeniaG-CSFNeutrophil recoveryPediatric hematology/oncologyToxicity

Identifiers

PMID42827181
PMCPMC13633165

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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.