[A trial use of prostaglandin E1 for prevention of hepatic veno-occlusive disease after allogeneic bone marrow transplantation].

Abstract

We performed retrospective analysis of hepatic veno-occlusive disease (VOD) in 57 cases with leukemia after allogeneic bone marrow transplantation (BMT). Prostaglandin E1 (PGE1) was used to prevent VOD in 8 cases at a dose of 0.3 micrograms/kg/hr from day -8 to day 30. No VOD was noted in the PGE1 group, while the incidence of VOD was 8/49 (16.3%) in the non PGE1 group. In twelve patients with pretransplant liver dysfunction, VOD was noted in 0/3 in the PGE1 group and 4/9 (44.4%) in the non PGE1 group, respectively. However, prophylactic effects of PGE1 on VOD is not significant in this study, so further studies are needed to determine the efficacy of PGE1. One of 8 patients with PGE1 prophylaxis had edema and erythema on extremities, however, severe toxicity was not experienced.

• Authors: S Morio, H Oh, K Kogure, H Ishii, A Ishii, C Nakaseko, T Ikegami, E Kawano, Y Matsuura, M Nishimura
• Journal: [Rinsho ketsueki] The Japanese journal of clinical hematology (Rinsho Ketsueki) Vol. 35 Issue 9 Pg. 846-52 (Sep 1994) ISSN: 0485-1439 [Print] Japan
• PMID: 7967053 (Publication Type: Clinical Trial, English Abstract, Journal Article)

Chemical References

• Alprostadil

Topics

• Adolescent
• Adult
• Alprostadil (therapeutic use)
• Bone Marrow Transplantation (adverse effects)
• Female
• Hepatic Veno-Occlusive Disease (etiology, prevention & control)
• Humans
• Male
• Middle Aged
• Premedication
• Retrospective Studies