Do you use G-CSF for a patient with ALL admitted for febrile neutropenia with prolonged count recovery?
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Do you use GCSF for a patient with ALL admitted for febrile neutropenia with prolonged count recovery?
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2 Answers
Mednet MemberInvited Expert
Medical Oncology · University of Washington
Answered on
I agree with this response. To highlight one other consideration: G-CSF is not routinely given during COG-based, pediatric-inspired therapy like the C10403 regimen (Stock et al., PMID 30658992). However, when patients treated with this approach in our system develop neutropenic fever, we will usuall...
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Mednet MemberInvited Expert
Hematology · Montefiore
Answered on
Acknowledging the lack of definitive data, in our group we use G-CSF as primary prophylaxis in adult patients with ALL treated with intensive chemotherapy and hardly ever need to re-administered if they develop FN subsequently. That said, for prolonged neutropenia despite prior G-CSF, we may adminis...
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