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Mobilization of hematopoietic stem cells with cyclophosphamide or cytarabine in combination with granulocyte colony-stimulating factor in patients with multiple myeloma, who are candidates for autologous stem cell transplantation

https://doi.org/10.18821/0234-5730-2017-62-4-180-187

Abstract

In our research the comparison of different regimes of mobilization of HSC were carried out. First regime: conduct stimulation of granulopoiesis using granulocyte colony-stimulating factor (GCSF). Other regimes: of mobilization with chemotherapy (cyclophosphamide or cytarabine). The efficiency and the toxicity were  assessed. The grafts with satisfactory cellularity were obtained in 91% patients. The number of CD34+ cell/ml were obtained in the first apheresis and from whole mobilization in patients with complete remission (CR) were more than the number of in patients with < CR. CD34+ cell number in the blood correlate well with total number of CD34+ yielded from apheresis in same day. The number of CD34+ cells/microliter yielded from mobilization was more in group with сhemomobilization than in group with GCSF only. In comparison two groups of сhemomobilization: the number of CD34+ in peripheral blood in day apheresis was more in group with  AraC-GCSF; р = 0.173. There was revealed lesser toxicity in group with AraC-GCSF.

About the Authors

D. V. Babenetskaya
Federal Almazov North-West Medical Research Centre
Russian Federation

Babenetskaya D.V., hematologist

St. Petersburg, 197341



D. V. Motorin
Federal Almazov North-West Medical Research Centre
Russian Federation

St. Petersburg, 197341



A. V. Petrov
Federal Almazov North-West Medical Research Centre
Russian Federation

St. Petersburg, 197341



Yu. A. Alekseeva
Federal Almazov North-West Medical Research Centre
Russian Federation

St. Petersburg, 197341



A. Yu. Zaritskey
Federal Almazov North-West Medical Research Centre
Russian Federation

St. Petersburg, 197341



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Babenetskaya D.V., Motorin D.V., Petrov A.V., Alekseeva Yu.A., Zaritskey A.Yu. Mobilization of hematopoietic stem cells with cyclophosphamide or cytarabine in combination with granulocyte colony-stimulating factor in patients with multiple myeloma, who are candidates for autologous stem cell transplantation. Russian journal of hematology and transfusiology. 2017;62(4):180-187. (In Russ.) https://doi.org/10.18821/0234-5730-2017-62-4-180-187

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ISSN 0234-5730 (Print)
ISSN 2411-3042 (Online)