Darbepoetin alfa administration in patients with non-Hodgkin lymphoma and chemotherapy-induced anemia receiving (±R) CHOP.

نویسندگان

  • Ruth Pettengell
  • Antonio Salar Silvestre
  • Matthias Schwenkglenks
  • Francesca Gaia Rossi
  • Ulrich Duehrsen
  • Gregor Verhoef
  • Pieternella Johanna Lugtenburg
  • Tracey Wheeler
  • Beatriz Pujol
  • Corinne Haioun
چکیده

IMPACT NHL was a multicenter, observational study in adults with non-Hodgkin lymphoma receiving CHOP (cyclophosphamide, doxorubicin, vincristine, and prednisolone) chemotherapy with or without rituximab. Erythropoietin-stimulating agent treatment was given according to routine clinical practice and physician preference. In a subanalysis, outcomes were evaluated in 207 patients who received darbepoetin alfa (DA). The most common reason (81%) for initiating DA was low/declining hemoglobin (Hb) concentration. Mean (±standard deviation) duration of DA exposure was 8.8 ± 6.9 weeks (mean number of doses, 5.1 ± 4.6). Overall, 23% of patients had chemotherapy and DA treatment synchronized more than 75% of the time. At the time of DA initiation, 67% of patients had Hb concentrations in the guideline-recommended range (9-11 g/dl). Of 89 patients with Hb concentrations <10 g/dl at DA initiation and still receiving DA 5 weeks later, 92% (Kaplan-Meier) achieved Hb concentrations 10-12 g/dl between week 5 and at the end of treatment.

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Optimizing the dose and schedule of darbepoetin alfa in patients with chemotherapy-induced anemia.

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عنوان ژورنال:
  • Hematology

دوره 18 1  شماره 

صفحات  -

تاریخ انتشار 2013