PMID- 12900776 OWN - NLM STAT- MEDLINE DCOM- 20040504 LR - 20181130 IS - 0268-3369 (Print) IS - 0268-3369 (Linking) VI - 32 IP - 4 DP - 2003 Aug TI - Pegfilgrastim, a sustained-duration form of filgrastim, significantly improves neutrophil recovery after autologous marrow transplantation in rhesus macaques. PG - 399-404 AB - Daily administration of filgrastim decreases the duration of severe neutropenia in the clinical setting. A sustained-duration form of filgrastim, pegfilgrastim, significantly reduces scheduling protocols to a single injection per chemotherapy cycle while maintaining therapeutic efficiency. We examined the ability of a single injection of pegfilgrastim to significantly improve neutrophil recovery following autologous bone marrow transplantation (AuBMT) in rhesus macaques. On day 1, postmyeloablation (920 cGy x-irradiation) and AuBMT, animals received either 0.1% autologous serum for 18 consecutive days (n=13), or single doses of pegfilgrastim via the subcutaneous (s.c.) or intravenous (i.v.) route (300 or 100 micro g/kg), or a single dose of filgrastim at 300 micro g/kg via the s.c. or i.v. route, or filgrastim at 10 micro g/kg via the s.c. route (n=4) on a daily basis (range=days 12-17). Pharmacokinetic parameters and neutrophil recovery were assessed. A single dose of pegfilgrastim via the i.v. or s.c. route was as effective as daily filgrastim administration, resulting in significant improvement of neutrophil recovery after myeloablation and ABuMT. Effective pegfilgrastim plasma concentrations were maintained in neutropenic animals until after the onset of hematopoietic recovery. Enhanced pharmacokinetics in AuBMT cohorts are consistent with self-regulating, neutrophil-mediated clearance. FAU - Farese, A M AU - Farese AM AD - Greenebaum Cancer Center, University of Maryland, Baltimore, MD 21201, USA. FAU - Yang, B-B AU - Yang BB FAU - Roskos, L AU - Roskos L FAU - Stead, R B AU - Stead RB FAU - MacVittie, T J AU - MacVittie TJ LA - eng PT - Journal Article PL - England TA - Bone Marrow Transplant JT - Bone marrow transplantation JID - 8702459 RN - 0 (Cytokines) RN - 0 (Recombinant Proteins) RN - 143011-72-7 (Granulocyte Colony-Stimulating Factor) RN - 3A58010674 (pegfilgrastim) RN - 3WJQ0SDW1A (Polyethylene Glycols) RN - PVI5M0M1GW (Filgrastim) SB - IM MH - Animals MH - Antineoplastic Combined Chemotherapy Protocols MH - Bone Marrow Cells MH - Bone Marrow Transplantation/*methods MH - Cohort Studies MH - Cytokines/metabolism MH - Filgrastim MH - Granulocyte Colony-Stimulating Factor/*analogs & derivatives/*pharmacokinetics/*pharmacology MH - Macaca mulatta MH - Male MH - Neutropenia MH - Neutrophils/drug effects/*metabolism MH - Polyethylene Glycols MH - Recombinant Proteins/metabolism MH - Time Factors MH - Transplantation Conditioning MH - Transplantation, Autologous EDAT- 2003/08/06 05:00 MHDA- 2004/05/05 05:00 CRDT- 2003/08/06 05:00 PHST- 2003/08/06 05:00 [pubmed] PHST- 2004/05/05 05:00 [medline] PHST- 2003/08/06 05:00 [entrez] AID - 1704156 [pii] AID - 10.1038/sj.bmt.1704156 [doi] PST - ppublish SO - Bone Marrow Transplant. 2003 Aug;32(4):399-404. doi: 10.1038/sj.bmt.1704156.