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吉赛欣(国产重组人粒细胞集落刺激因子注射液)用于中国化疗患者的安全性和有效性的临床研究

Clinical study on safety and efficacy of JiSaiXin (recombinant human granulocyte colony stimulating factor injection manufactured in China) for Chinese undergoing chemotherapy.

作者信息

Wang Lin, Huang Xin-En

机构信息

Department of Chemotherapy, the Affiliated Jiangsu Cancer Hospital of Nanjing Medical University and Jiangsu Institute of Cancer Research, Nanjing, China E-mail : huangxinen06 @163.com.

出版信息

Asian Pac J Cancer Prev. 2015;16(1):299-301. doi: 10.7314/apjcp.2015.16.1.299.

Abstract

OBJECTIVES

To assess safety and efficacy of JiSaiXin (Recombinant Human Granulocyte Colony Stimulating Factor Injection manufactured in China, G-CSF) 150ug per day for three days and whether this regimen could reduce the incidence of febrile neutropenia caused by chemotherapy.

METHOD

From July 2014 to December 2014 patients treated by chemotherapy in our hospital were randomly divided into two groups: Group A with prophylactic use of G-CSF (JiSaiXin) 24 hours after chemotherapy for consecutive 3 days; and Group B with G-CSF (JiSaiXin) after neutropenia. Routine blood tests were performed 7 days and 14 days after chemotherapy.

RESULTS

A total of 100 patients fulfilled study criteria, and the incidence of severe neutropenia (grade III/IV) and the incidence of febrile neutropenia in Group A were lower than those in Group B. Nine patients were found severe neutropenia (grade III/IV) in Group B, but one in Group A, three febrile neutropenia in Group B, but 0 in Group A.

CONCLUSIONS

This study suggested that prophylactic use of G-CSF (JiSaiXin) 150ug per day 24 hours after chemotherapy for consecutive 3 days is safe and could be effective for preventing febrile neutropenia in patients with chemotherapy.

摘要

目的

评估国产吉赛欣(重组人粒细胞集落刺激因子注射液,G-CSF)每日150微克,连续使用三天的安全性和有效性,以及该方案是否能降低化疗引起的发热性中性粒细胞减少症的发生率。

方法

2014年7月至2014年12月,在我院接受化疗的患者被随机分为两组:A组在化疗后24小时预防性使用G-CSF(吉赛欣),连续使用3天;B组在出现中性粒细胞减少后使用G-CSF(吉赛欣)。化疗后7天和14天进行血常规检查。

结果

共有100例患者符合研究标准,A组严重中性粒细胞减少(III/IV级)的发生率和发热性中性粒细胞减少症的发生率低于B组。B组有9例患者出现严重中性粒细胞减少(III/IV级),而A组为1例;B组有3例发热性中性粒细胞减少症患者,而A组为0例。

结论

本研究表明,化疗后24小时每日预防性使用150微克G-CSF(吉赛欣),连续使用3天是安全的,并且对预防化疗患者的发热性中性粒细胞减少症可能有效。

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