PMID- 31663634 OWN - NLM STAT- MEDLINE DCOM- 20210708 LR - 20210708 IS - 1098-1101 (Electronic) IS - 0733-2459 (Linking) VI - 35 IP - 1 DP - 2020 Jan TI - The comparison of effectiveness and safety between different biosimilars of G-CSF in the mobilization of peripheral blood stem cells (PBSCs) for autologous transplantation (autologous peripheral blood stem cell transplantation, auto-PBSCT). PG - 4-8 LID - 10.1002/jca.21750 [doi] AB - BACKGROUND: Autologous peripheral blood marrow stem cell transplantation (auto-PBSCT) preceded by high-dose chemotherapy is a well-known method of treatment for patients with hematological cancers. Performing the procedure entails obtaining from the patient their own stem cells from peripheral blood using G-CSF. Currently, various filgrastim biosimilars are widely used. AIM OF THE STUDY: The purpose of this study is to compare the efficacy and safety of three different biosimilars of filgrastim in PBSC mobilization in patients with hematological malignancies. MATERIALS AND METHODS: This is a retrospective analysis of 282 patients (118 women and 164 men) who underwent stem cells mobilization for auto-PBSCT in the Department of Hematology in Wroclaw in 2012-2014. Three filgrastim biosimilars were used: Tevagrastim (95), Nivestim (92), and Zarzio (95). Ninety patients (32%) were diagnosed with multiple myeloma, 55 (19%) with Hodgkin's lymphoma, 90 (32%) with NHLs, 20 (7%) with acute myeloid leukemia, and 27 (10%) with another hematological cancer. RESULTS: The mean number of CD34+ cells collected during the first leukapheresis was 5.95 x 10(6) /kg for Tevagrastim, 7.08 x 10(6) /kg for Nivestim, and 6.8 x 10(6) /kg for Zarzio (P > .05). The necessary number of leukapheresis for patients receiving Zarzio, Nivestim, and Tevagrastim was 1.32, 1.37, and 1.66, respectively (P > .05). The percentage of effective mobilizations was 88.2% for Zarzio, 86.2% for Nivestim, and 84.9% for Tevagrastim. The side effects included bone pain and headache. CONCLUSION: All tested biosimilars demonstrated similar effectiveness and safety profiles in patients with hematological tumors undergoing PBSC mobilization; therefore, they can be used interchangeably. CI - (c) 2019 Wiley Periodicals, Inc. FAU - Wicherska-Pawlowska, Katarzyna AU - Wicherska-Pawlowska K AUID- ORCID: 0000-0001-6021-1123 AD - Department of Hematology, Blood Cancer and Bone Marrow Transplantation, Wroclaw University Hospital, Wroclaw, Lower Silesia, Poland. AD - Wroclaw Medical University, Wroclaw, Lower Silesia, Poland. FAU - Rybka, Justyna AU - Rybka J AD - Department of Hematology, Blood Cancer and Bone Marrow Transplantation, Wroclaw University Hospital, Wroclaw, Lower Silesia, Poland. AD - Wroclaw Medical University, Wroclaw, Lower Silesia, Poland. FAU - Prajs, Iwona AU - Prajs I AD - Department of Hematology, Blood Cancer and Bone Marrow Transplantation, Wroclaw University Hospital, Wroclaw, Lower Silesia, Poland. FAU - Szmigiel, Katarzyna AU - Szmigiel K AD - Wroclaw Medical University, Wroclaw, Lower Silesia, Poland. FAU - Tyc, Joanna AU - Tyc J AD - Wroclaw Medical University, Wroclaw, Lower Silesia, Poland. FAU - Fraczak, Ewa AU - Fraczak E AD - Department of Hematology, Blood Cancer and Bone Marrow Transplantation, Wroclaw University Hospital, Wroclaw, Lower Silesia, Poland. FAU - Biedron, Monika AU - Biedron M AD - Department of Hematology, Blood Cancer and Bone Marrow Transplantation, Wroclaw University Hospital, Wroclaw, Lower Silesia, Poland. FAU - Kalicinska, Elzbieta AU - Kalicinska E AD - Department of Hematology, Blood Cancer and Bone Marrow Transplantation, Wroclaw University Hospital, Wroclaw, Lower Silesia, Poland. FAU - Szymczak, Donata AU - Szymczak D AD - Department of Hematology, Blood Cancer and Bone Marrow Transplantation, Wroclaw University Hospital, Wroclaw, Lower Silesia, Poland. FAU - Wrobel, Tomasz AU - Wrobel T AD - Department of Hematology, Blood Cancer and Bone Marrow Transplantation, Wroclaw University Hospital, Wroclaw, Lower Silesia, Poland. AD - Wroclaw Medical University, Wroclaw, Lower Silesia, Poland. LA - eng PT - Comparative Study PT - Journal Article DEP - 20191030 PL - United States TA - J Clin Apher JT - Journal of clinical apheresis JID - 8216305 RN - 0 (Antigens, CD34) RN - 0 (Biosimilar Pharmaceuticals) RN - 143011-72-7 (Granulocyte Colony-Stimulating Factor) RN - PVI5M0M1GW (Filgrastim) SB - IM MH - Antigens, CD34/metabolism MH - Biosimilar Pharmaceuticals/*metabolism MH - Female MH - Filgrastim/*analogs & derivatives/therapeutic use MH - Granulocyte Colony-Stimulating Factor/*metabolism MH - Hodgkin Disease/drug therapy MH - Humans MH - Leukapheresis MH - Leukemia, Myeloid, Acute/drug therapy MH - Lymphoma, Non-Hodgkin/drug therapy MH - Male MH - Multiple Myeloma/drug therapy MH - Peripheral Blood Stem Cell Transplantation/*methods MH - Peripheral Blood Stem Cells/cytology MH - Retrospective Studies MH - Transplantation, Autologous/*methods OTO - NOTNLM OT - auto-PBSCT OT - biosimilars of G-CSF OT - mobilization of PBSCs EDAT- 2019/10/31 06:00 MHDA- 2021/07/09 06:00 CRDT- 2019/10/31 06:00 PHST- 2019/01/14 00:00 [received] PHST- 2019/08/17 00:00 [revised] PHST- 2019/09/07 00:00 [accepted] PHST- 2019/10/31 06:00 [pubmed] PHST- 2021/07/09 06:00 [medline] PHST- 2019/10/31 06:00 [entrez] AID - 10.1002/jca.21750 [doi] PST - ppublish SO - J Clin Apher. 2020 Jan;35(1):4-8. doi: 10.1002/jca.21750. Epub 2019 Oct 30.