
pmid: 26754633
Plerixafor in combination with granulocyte colony-stimulating factor (G-CSF) has been shown to improve the rates of successful peripheral blood stem cell (PBSC) mobilization in patients with malignant lymphoma or multiple myeloma (MM) who experienced prior failure of PBSC mobilization. We evaluated the mobilization results of re-mobilization using plerixafor and G-CSF in insufficiently mobilizing patients. Forty-four patients with lymphoma (n = 29) or MM (n = 15) were included in the study. The median age was 50 (range, 24-64) years. Previous mobilization regimens were chemotherapy with G-CSF (n = 28), including cyclophosphamide with G-CSF (n = 15), and G-CSF only (n = 16). All patients with lymphoma achieved at least partial response (PR) before the mobilization, including 13 complete responses (CRs). Eleven patients with MM achieved at least PR and four patients with MM were in stable disease before mobilization. The median number of apheresis was 3 (range, 1-6). The median yield of PBSC collections was 3.41 (0.13-38.11) × 10(6) CD34(+) cells/kg. Thirty-four (77.3 %) patients had successful collections defined as at least 2 × 10(6) CD34(+) cells/kg. The rate of successful collections was not different between the two underlying diseases (79.3 % in lymphoma and 73.3 % in MM). Of the entire cohort, 38 (86.4 %) of patients went on to receive an autologous transplant. Previous long-term use of high-risk drugs (>4 cycles use of alkylating agents, platinum-containing agents, or thalidomide) (HR 10.8, 95 % CI 1.1-110.0, P = 0.043) and low platelet count (<100 × 10(9)/L) 1 day before the first apheresis (HR 27.9, 95 % CI 2.9-273.7, P = 0.004) were independent prognostic factors for predicting failure of PBSC re-mobilization using plerixafor and G-CSF. In conclusion, re-mobilization using plerixafor and G-CSF showed a success rate of 77.3 % in patients with lymphoma or MM who experienced prior failure of PBSC mobilization, and the majority of them underwent autologous transplant. Therefore, plerixafor-based re-mobilization was an effective method in poor mobilizers.
Adult, Male, Benzylamines, Lymphoma, 610, Mobilization, Cyclams, Lymphoma/epidemiology, Multiplemyeloma, Granulocyte colony-stimulating factor, Young Adult, Multiple myeloma, Heterocyclic Compounds, Granulocyte Colony-Stimulating Factor, Republic of Korea, Humans, Treatment Failure, Retrospective Studies, Granulocyte Colony-Stimulating Factor/administration & dosage*, Prognostic factor, Malignant lymphoma, Multiple Myeloma/diagnosis*, Plerixafor, Middle Aged, Prognosis, Lymphoma/drug therapy*, Lymphoma/diagnosis*, Multiple Myeloma/epidemiology, Female, Republic of Korea/epidemiology, Multiple Myeloma/drug therapy*, Multiple Myeloma, Heterocyclic Compounds/administration & dosage*
Adult, Male, Benzylamines, Lymphoma, 610, Mobilization, Cyclams, Lymphoma/epidemiology, Multiplemyeloma, Granulocyte colony-stimulating factor, Young Adult, Multiple myeloma, Heterocyclic Compounds, Granulocyte Colony-Stimulating Factor, Republic of Korea, Humans, Treatment Failure, Retrospective Studies, Granulocyte Colony-Stimulating Factor/administration & dosage*, Prognostic factor, Malignant lymphoma, Multiple Myeloma/diagnosis*, Plerixafor, Middle Aged, Prognosis, Lymphoma/drug therapy*, Lymphoma/diagnosis*, Multiple Myeloma/epidemiology, Female, Republic of Korea/epidemiology, Multiple Myeloma/drug therapy*, Multiple Myeloma, Heterocyclic Compounds/administration & dosage*
| selected citations These citations are derived from selected sources. This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 6 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Average | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Average | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Average |
