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[Clinical study of recombinant human granulocyte-colony stimulating factor (KW-2228) in pediatric field. 1. Effectiveness on neutropenia by various causes and safety].

Abstract
The effect of KW-2228, a derivative of recombinant human granulocyte colony stimulating factor, on neutropenia in children was studied in 23 cases of aplastic anemia, 13 cases of chronic benign neutropenia, 6 cases of congenital neutropenia (Kostmann type), 2 cases of cyclic neutropenia, 2 cases associated with glycogenosis type Ib and 1 cases associated with immune deficiency. KW-2228 was administered at 1-8 micrograms/kg subcutaneously and at 2-16 micrograms/kg intravenously. As a principle, the administration was started at low doses and continued for 7-28 days increasing the doses in the cases who didn't respond to the treatment well. The response rate of all the cases by the physicians in charge was 81. 8% (36/44). The mean absolute neutrophil count was increased from 304 to 1,300/microliters in aplastic anemia, from 204 to 3,027/microliters in chronic benign type, from 125 to 2,193/microliters in Kostmann type, and from 360 to 2,007 microliters in others. KW-2228 did not induce any noteworthy serious side effects. These results indicated that KW-2228 is a useful drug to treat neutropenia in children.
AuthorsM Sakurai, M Ito, Y Hanawa, I Tsukimoto, S Imashuku, K Ueda, H Nishihira, T Fujimoto, Y Ohashi
Journal[Rinsho ketsueki] The Japanese journal of clinical hematology (Rinsho Ketsueki) Vol. 34 Issue 2 Pg. 111-8 (Feb 1993) ISSN: 0485-1439 [Print] Japan
PMID7684091 (Publication Type: Clinical Trial, Journal Article)
Chemical References
  • Granulocyte Colony-Stimulating Factor
  • nartograstim
Topics
  • Adolescent
  • Age Factors
  • Anemia, Aplastic (blood, drug therapy)
  • Child
  • Child, Preschool
  • Female
  • Granulocyte Colony-Stimulating Factor (administration & dosage, therapeutic use)
  • Humans
  • Infant
  • Infant, Newborn
  • Injections, Intravenous
  • Injections, Subcutaneous
  • Male
  • Neutropenia (classification, drug therapy)

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