G-CSF Only Versus Chemotherapy and G-CSF Peripheral Blood Stem Cell Mobilization for Autologous Hematopoietic Stem Cell Transplant-Assessing a Change in Regime due to the COVID-19 Pandemic.

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Tác giả: Thea Chandler, James Griffin, Matthew Holt, Marina Karakantza, Christopher Parrish, Frances Seymour, Julia S Wolf

Ngôn ngữ: eng

Ký hiệu phân loại: 573.798 *Flying

Thông tin xuất bản: United States : Journal of clinical apheresis , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 741788

Autologous stem cell transplant (ASCT) requires the collection of hematopoietic progenitor cells, commonly by apheresis (HPC-A). These CD34+ cells can be mobilized using Granulocyte Colony Stimulating Factor (G-CSF) only or chemomobilization plus G-CSF. Both methods may additionally include Plerixafor. The emergence of COVID-19 led to recommendations for preferential G-CSF only mobilization. To assess the impact of this recommendation on HPC-A harvesting, we analyzed data from the NHS Blood and Transplant Stem Cell Collection Registry for 1342 patients undergoing 2431 HPC-A procedures between 01/01/2019 and 31/12/2021. We compared G-CSF only, cyclophosphamide plus G-CSF (Cyclo-G) and G-CSF plus alternative chemotherapy (Chemo+G) mobilization. The outcomes collected were pre-apheresis CD34+ count, CD34+ yield per procedure, total CD34+ yield, number of apheresis procedures required to achieve the CD34+ target, mobilization failure, and Plerixafor use (+P). In multiple myeloma (MM), Cyclo-G (+/-P) mobilization produced significantly higher CD34+ yields than G-CSF only (7.44 vs. 4.75 × 10
1. G
2. Csf
3. Only
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