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10.1016/j.transci.2021.103197

http://scihub22266oqcxt.onion/10.1016/j.transci.2021.103197
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34175195!ä!34175195

suck abstract from ncbi


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pmid34175195      Transfus+Apher+Sci 2021 ; 60 (5): 103197
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  • Cyclophosphamide plus etoposide is a safe and effective mobilization regimen in patients with multiple myeloma #MMPMID34175195
  • Heider M; Grass S; Dill V; Ramisch S; Winter C; Verbeek M; Gotze KS; Bassermann F; Jilg S
  • Transfus Apher Sci 2021[Oct]; 60 (5): 103197 PMID34175195show ga
  • High-dose chemotherapy followed by autologous stem cell transplantation is a major component in the treatment of patients with multiple myeloma. As a prerequisite, the successful collection of a sufficient number of viable peripheral blood hematopoietic CD34+ cells is critical. A common standard protocol for mobilization is currently not defined and critically discussed especially in German-speaking Europe. In times of the Covid-19 pandemic, safe and effective strategies have to be chosen to minimize hospitalization times and severe courses. In this single-center retrospective analysis, safety and efficacy of cyclophosphamide plus etoposide (CE) and growth-factor support (n = 33) was compared to cyclophosphamide mono treatment and growth-factor support (n = 49) in 82 patients with multiple myeloma at first diagnosis. CE was superior to cyclophosphamide mono with a significantly higher number of collected CD34+ cells (15.46 x 10(6) CD34(+) cells/kg vs. 9.92 x 10(6) CD34(+) cells/kg), significantly faster engraftment of granulocytes after stem cell transplantation (day 10.5 vs. day 11.6), shorter duration of the inpatient stay (17.47 days vs. 19.16 days) and significantly less transfusions (8.82 % vs. 30.61 % patients receiving transfusions). The safety profile was comparable in both groups and in line with published data. We conclude that CE is a safe and highly effective mobilization protocol in patients with multiple myeloma at first diagnosis and appears to be superior to the commonly used cyclophosphamide mono regimen.
  • |Aged[MESH]
  • |Antineoplastic Combined Chemotherapy Protocols/*pharmacology/therapeutic use[MESH]
  • |COVID-19[MESH]
  • |Cyclophosphamide/administration & dosage/adverse effects/*pharmacology[MESH]
  • |Etoposide/administration & dosage/adverse effects/*pharmacology[MESH]
  • |Female[MESH]
  • |Granulocyte Colony-Stimulating Factor/pharmacology[MESH]
  • |Hematopoietic Stem Cell Mobilization/*methods[MESH]
  • |Hematopoietic Stem Cells/*drug effects[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Melphalan/administration & dosage[MESH]
  • |Middle Aged[MESH]
  • |Multiple Myeloma/blood/*therapy[MESH]
  • |Myeloma Proteins/analysis[MESH]
  • |Pandemics[MESH]
  • |Peripheral Blood Stem Cell Transplantation/*methods[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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