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Clinical significance of primary prophylactic pegylated‐granulocyte‐colony stimulating factor after the administration of ramucirumab plus docetaxel in patients with previously treated non‐small cell lung cancer

机译:初级预防聚乙二醇粒细胞 - 菌落刺激因子在先前治疗非小细胞肺癌患者中ramucirumab加多西紫杉醇后的临床意义

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Whether primary prophylactic pegylated-granulocyte-colony stimulating factor (PEG-G-CSF) should be administered immediately after the initiation of ramucirumab plus docetaxel (DR) to prevent the occurrence of febrile neutropenia (FN) is unclear. Our retrospective study aimed to elucidate whether PEG-G-CSF could control the occurrence of FN as a result of DR in patients with previously treated non-small-cell lung cancer. Thirty-three patients with previously treated non-small-cell lung cancer who had received DR were eligible for our analysis. Of the 33 patients, 29 received prophylactic PEG-G-CSF immediately after DR, but none developed FN. However, FN was observed in 2 (50%) of the 4 patients that were not administered PEG-CSF. The overall response and disease control rates in the 29 patients with prophylactic PEG-GSF were 31% and 62%, respectively. The median progression-free and overall survival rates of the patients with and without prophylactic PEG-GSF were 177 and 163?days (P?=?0.20), and 628 and 274?days (P?=?0.13), respectively. Primary prophylactic PEG-G-CSF suppressed the occurrence of FN secondary to the administration of DR. ? 2019 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd.
机译:在启动Ramucirumab加多西紫杉醇(DR)后,应立即给予原丙烯酸酯纤维素细胞 - 菌落刺激因子(PEG-G-CSF)以防止发热中性蛋白酶(FN)的发生尚不清楚。我们的回顾性研究旨在阐明PEG-G-CSF是否可以根据患者博士控制FN的发生,以前治疗的非小细胞肺癌博士。已收到DR的33名患有先前治疗的非小细胞肺癌的患者有资格进行分析。在33例患者中,29例接受了博士后立即接受预防性PEG-G-CSF,但没有开发FN。然而,在未施用PEG-CSF的4例患者中观察到Fn(50%)。预防PEG-GSF患​​者的总体反应和疾病控制率分别为31%和62%。患者的中位进展和整体存活率和不具有预防性PEG-GSF的患者为177和163?天(P?= 0.20),628和274?天(P?= 0.13)。初级预防性PEG-G-CSF抑制了博士施用的FN次级的发生。 ? 2019年的作者。中国肺部肿瘤集团和约翰瓦里和儿子澳大利亚发表的胸癌

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