PMID- 29171913 OWN - NLM STAT- MEDLINE DCOM- 20180814 LR - 20180814 IS - 1600-0609 (Electronic) IS - 0902-4441 (Linking) VI - 100 IP - 3 DP - 2018 Mar TI - MONITOR-GCSF DLBCL subanalysis: Treatment patterns/outcomes with biosimilar filgrastim for chemotherapy-induced/febrile neutropenia prophylaxis. PG - 241-246 LID - 10.1111/ejh.13002 [doi] AB - OBJECTIVE: Prospective data on the use of granulocyte-colony-stimulating factor (G-CSF) in non-Hodgkin's lymphoma and its aggressive subtypes, including diffuse large B-cell lymphoma (DLBCL), are limited. MONITOR-GCSF is a pan-European, multicenter, prospective, observational study aiming to describe treatment patterns and clinical outcomes in patients receiving biosimilar filgrastim in the prophylaxis of chemotherapy-induced neutropenia (CIN) and febrile neutropenia (FN). METHODS: This analysis describes patient characteristics, treatment patterns, and outcomes for 245 patients with stage 3 or 4 DLBCL receiving /=65 years and >/=70 years. Outcomes of interest included the incidence of CIN and FN, antibiotic prophylaxis, biosimilar filgrastim prophylaxis, and adverse events (AEs). RESULTS: MONITOR-GCSF included 245 patients with DLBCL. Of these patients, 87 (35.5%) experienced one or more CIN (any grade) episode and 24 (9.8%) experienced FN (any grade). The most frequent AE reported was bone pain (n = 7, 2.9%), followed by arthralgia (n = 2, 0.8%) and back pain (n = 2, 0.8%). CONCLUSION: In real-life practice, biosimilar filgrastim demonstrated clinical effectiveness and safety in patients with DLBCL. The large percentage of patients aged >/=65 years adds to the evidence on how to best treat older patients with DLBCL receiving myelosuppressive chemotherapy. CI - (c) 2017 The Authors. European Journal of Haematology Published by John Wiley &Sons Ltd. FAU - Gascon, Pere AU - Gascon P AD - Department of Hematology-Oncology, University of Barcelona, Barcelona, Spain. FAU - Krendyukov, Andriy AU - Krendyukov A AD - Sandoz Biopharmaceuticals/Hexal AG, Holzkirchen, Germany. FAU - Hobel, Nadja AU - Hobel N AD - Sandoz Biopharmaceuticals/Hexal AG, Holzkirchen, Germany. FAU - Aapro, Matti AU - Aapro M AD - Institut Multidisciplinaire d'Oncologie, Clinique de Genolier, Genolier, Switzerland. LA - eng PT - Journal Article PT - Multicenter Study PT - Observational Study DEP - 20171229 PL - England TA - Eur J Haematol JT - European journal of haematology JID - 8703985 RN - 0 (Anti-Bacterial Agents) RN - 0 (Biosimilar Pharmaceuticals) RN - 0 (Hematologic Agents) RN - 0 (Myeloablative Agonists) RN - PVI5M0M1GW (Filgrastim) SB - IM MH - Adult MH - Aged MH - Anti-Bacterial Agents/administration & dosage MH - Antineoplastic Combined Chemotherapy Protocols/administration & dosage/adverse effects MH - Arthralgia/chemically induced/physiopathology/prevention & control MH - Back Pain/chemically induced/physiopathology/prevention & control MH - Bacterial Infections/prevention & control MH - Biosimilar Pharmaceuticals/*therapeutic use MH - Bone and Bones/drug effects/physiopathology MH - Febrile Neutropenia/chemically induced/physiopathology/*prevention & control MH - Female MH - Filgrastim/*therapeutic use MH - Hematologic Agents/*therapeutic use MH - Humans MH - Lymphoma, Large B-Cell, Diffuse/*drug therapy/pathology MH - Male MH - Middle Aged MH - Myeloablative Agonists/administration & dosage/adverse effects MH - Neoplasm Staging MH - Patient Safety MH - Prospective Studies MH - Treatment Outcome OTO - NOTNLM OT - non-Hodgkin's lymphoma OT - socio-economics and ethics OT - supportive care EDAT- 2017/11/25 06:00 MHDA- 2018/08/15 06:00 CRDT- 2017/11/25 06:00 PHST- 2017/11/17 00:00 [accepted] PHST- 2017/11/25 06:00 [pubmed] PHST- 2018/08/15 06:00 [medline] PHST- 2017/11/25 06:00 [entrez] AID - 10.1111/ejh.13002 [doi] PST - ppublish SO - Eur J Haematol. 2018 Mar;100(3):241-246. doi: 10.1111/ejh.13002. Epub 2017 Dec 29.