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J Korean Soc Ther Radiol > Volume 13(1); 1995 > Article
Journal of the Korean Society for Therapeutic Radiology 1995;13(1): 79-86.
Effect of Granulocyte-Macrophage Colony-Stimulating Factor (GM-CSF) on Neutropenia Occuring during Radiotherapy
Ji Young Jang, Ihl Bohng Choi, Su Mi Chung, In Ah Kim, Chul Seong Kay, Chun Chu Kim, Chee Hwa Han, Kyung Sub Shinn
1Department of Radiation Therapy, Catholic University Medical College, Seoul, Korea.
2Department of Internal Medicine, Catholic University Medical College, Seoul, Korea.
To assess the efficacy of recombinant human granulocyte-macrophage colony-stimulatin g factor(GM-CSF) in the neutropenia by radiotherapy.
Eleven patients with various solid tumor were treated with a daily subcutaneous dose of GM-CSF(3-7 microgram/kg) for 5 days during the radiotherapy. Before and during the course of the study all the patients were monitored by the recording of physical examination, the complete blood count with differential and reticulocyte count and liver function test. Eight patients received patients received prior or concurrent chemotherapy.
In 10 patients, the neutrophilic nadir was significantly elevated and the length of time that patients had a neutrophil count below 103/mm3, a threshold known to be critical to acquiring infective complications was shortened following GM-CSF injection. A significant rise (two fold or greater) of neutrophil count was seen in 10 of 11 patients. In most patients, discountinuation of GM-CSF resulted in a prompt return of granulocyte counts toward baseline. However the neutrophil count remained elevated over 103/mm3 during radiation therapy, and radiotherapy delays were avoided. Other peripheral blood components including monocytes and platelets also increased after GM-CSF treatment. No siginificant toxicity was encountered with subcutaneous GM-CSF treatment.
GM-CSF was well tolerated by subcutaneous route and induced improvement in the neutropenia caused by radiotherapy.
Key Words: Recombinant human granulocyte macrophage-colony stimulating factor(GM-CSF), Neutropenia, Radiotherapy
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