Pegfilgrastim for primary prophylaxis of febrile neutropenia in breast cancer patients undergoing TAC chemotherapy.
10.4174/astr.2018.94.5.223
- Author:
Jihyoun LEE
1
;
Jong Eun LEE
;
Zisun KIM
;
Sun Wook HAN
;
Sung Mo HUR
;
Sung Yong KIM
;
Min Hyuk LEE
;
Cheol Wan LIM
Author Information
1. Department of Surgery, Soonchunhyang University Seoul Hospital, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Breast neoplasms;
Adjuvant chemotherapy;
Febrile neutropenia;
Granulocyte colony-stimulating factor
- MeSH:
Analgesics;
Breast Neoplasms*;
Breast*;
Chemotherapy, Adjuvant;
Cyclophosphamide;
Doxorubicin;
Drug Therapy*;
Febrile Neutropenia*;
Granulocyte Colony-Stimulating Factor;
Humans;
Incidence;
Neutropenia
- From:Annals of Surgical Treatment and Research
2018;94(5):223-228
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Primary prophylaxis with granulocyte colony-stimulating factor can effectively prevent febrile neutropenia (FN) during breast cancer treatment. The aims of this study were to evaluate the incidence of FN and the ANC profile in patients undergoing chemotherapy and pegfilgrastim primary prophylaxis. METHODS: Patients receiving 6 cycles of adjuvant docetaxel, doxorubicin, and cyclophosphamide (TAC) chemotherapy were included in this study. Pegfilgrastim was administered with analgesics 24 hours after treatment. Laboratory tests were performed on day 0 (before chemotherapy) and ANC was measured daily starting day 5 until it were restored to 1,000/mm3. Bone pain was checked via the numeral rating scale (NRS). RESULTS: A total of 61 patients and 366 cycles were evaluated. Mean age was 49.2 ± 7.1 years. FN was seen in 5 patients (16.4%) and 12 cycles (3.3%) with pegfilgrastim. Grades 3 and 4 neutropenia was seen in 91.5% of cycles with FN. The ANC nadir was most commonly seen at day 7 and the mean ANC nadir depth was 265.7/m3. Age was negatively correlated with nadir depth (r = −0.137, P = 0.009). Severe pain higher than NRS 7 occurred in less than 20% of patients after the administration of pegfilgrastim. CONCLUSION: Incidence of FN was low during the chemotherapy by primary prophylaxis with pegfilgrastim. The ANC nadir was seen on day 7 after chemotherapy. Bone pain with pegfilgrastim was well tolerated during TAC chemotherapy.
