Dose and schedule effect of G-GSF for stem cell mobilization in healthy donors for allogeneic transplantation

Leuk Lymphoma. 2002 Jul;43(7):1391-4. doi: 10.1080/10428190290033323.

Abstract

In the present review, we analyze the literature regarding the dose and schedule effects of granulocyte stimulating factor (G-CSF) for stem cell mobilization of healthy donors for allogeneic stem cell transplantation. There is now evidence for a dose and schedule dependency of G-CSF in mobilizing peripheral blood progenitor cells (PBSC) in healthy donors for allogeneic stem cell transplantation. In general, a dose between 10 and 16 microg/kg split into two doses is recommended. Leukapheresis should be performed on day 4 or 5. A higher dose of G-CSF might be appropriate in donors with low CD34+ baseline cell count (< 2000/ml) or if a high CD34+ cell number is required. However, a higher dose of G-CSF results in a higher acute toxicity like bone and muscle pain or headache. Severe adverse events like thromboembolic events, cerebrovascular incidents, anaphylactoid reactions and an atraumatic splenic rupture have been rarely reported. A prolonged follow-up of the donors is needed to rule out late toxicity of the donors.

Publication types

  • Review

MeSH terms

  • Blood Donors
  • Dose-Response Relationship, Drug
  • Drug Administration Schedule
  • Granulocyte Colony-Stimulating Factor / administration & dosage*
  • Hematopoietic Stem Cell Mobilization / methods*
  • Humans
  • Leukapheresis / methods
  • Peripheral Blood Stem Cell Transplantation / methods*
  • Transplantation, Homologous / methods

Substances

  • Granulocyte Colony-Stimulating Factor