PMID- 31489570 OWN - NLM STAT- MEDLINE DCOM- 20191223 LR - 20191223 IS - 1179-1918 (Electronic) IS - 1173-2563 (Linking) VI - 39 IP - 10 DP - 2019 Oct TI - Mecapegfilgrastim in Chemotherapy-Induced Neutropenia: A Profile of Its Use in China. PG - 1009-1018 LID - 10.1007/s40261-019-00836-y [doi] AB - Mecapegfilgrastim (HHPG-19K) is a long-acting pegylated recombinant human granulocyte-colony stimulating factor (rhG-CSF) that is administered subcutaneously as prophylaxis once per chemotherapy cycle as a weight-adjusted dose of 100 microg/kg or as a 6 mg fixed dose. It is approved in China to reduce the incidence of infection, as manifested by febrile neutropenia, in patients with non-myeloid malignancies receiving myelosuppressive anti-cancer therapy associated with a clinically significant incidence of febrile neutropenia. In phase III trials, once per cycle prophylaxis with mecapegfilgrastim was more effective than placebo in reducing the incidence of grade >/= 3 neutropenia in cycle 1 in patients with advanced non-small cell lung cancer and was more effective than filgrastim at reducing the mean duration of grade >/= 3 neutropenia in cycle 1 in patients with breast cancer. The tolerability and safety profiles of mecapegfilgrastim were similar to those of filgrastim, with no unexpected adverse events (AEs); most adverse reactions in cycle 1 were mild or moderate in severity. Thus, mecapegfilgrastim is an effective and generally well tolerated treatment option for patients with non-myeloid malignancies receiving myelosuppressive chemotherapy, and extends the options available for managing chemotherapy-induced neutropenia in China. FAU - Al-Salama, Zaina T AU - Al-Salama ZT AD - Springer, Private Bag 65901, Mairangi Bay, Auckland, 0754, New Zealand. demail@springer.com. FAU - Keam, Susan J AU - Keam SJ AD - Springer, Private Bag 65901, Mairangi Bay, Auckland, 0754, New Zealand. LA - eng PT - Journal Article PT - Review PL - New Zealand TA - Clin Drug Investig JT - Clinical drug investigation JID - 9504817 RN - 0 (Antineoplastic Agents) RN - 0 (Recombinant Proteins) RN - 143011-72-7 (Granulocyte Colony-Stimulating Factor) RN - 3WJQ0SDW1A (Polyethylene Glycols) RN - I4QL0KKG3K (pegylated granulocyte colony-stimulating factor) SB - IM MH - Antineoplastic Agents/*adverse effects/therapeutic use MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects/therapeutic use MH - Breast Neoplasms/drug therapy/epidemiology MH - Carcinoma, Non-Small-Cell Lung/drug therapy/epidemiology MH - China/epidemiology MH - Female MH - Granulocyte Colony-Stimulating Factor/*therapeutic use MH - Humans MH - Lung Neoplasms/drug therapy/epidemiology MH - Male MH - Neutropenia/*chemically induced/epidemiology/*prevention & control MH - Polyethylene Glycols/*therapeutic use MH - Recombinant Proteins/therapeutic use EDAT- 2019/09/07 06:00 MHDA- 2019/12/24 06:00 CRDT- 2019/09/07 06:00 PHST- 2019/09/07 06:00 [pubmed] PHST- 2019/12/24 06:00 [medline] PHST- 2019/09/07 06:00 [entrez] AID - 10.1007/s40261-019-00836-y [pii] AID - 10.1007/s40261-019-00836-y [doi] PST - ppublish SO - Clin Drug Investig. 2019 Oct;39(10):1009-1018. doi: 10.1007/s40261-019-00836-y.