A matched‐pair analysis reveals marginally reduced CD34+ cell mobilization on second occasion in 27 related donors who underwent peripheral blood stem cell collection twice at the same institution

Transfusion ◽  
2019 ◽  
Vol 59 (11) ◽  
pp. 3442-3447 ◽  
Author(s):  
Melanie Velier ◽  
Angela Granata ◽  
Stefania Bramanti ◽  
Boris Calmels ◽  
Sabine Furst ◽  
...  
2021 ◽  
Vol 14 (10) ◽  
pp. 1022
Author(s):  
Amir Sabet ◽  
Nicolai Mader ◽  
Jörg Thomas Bittenbring ◽  
Fadi Khreish ◽  
Frank Grünwald ◽  
...  

Peptide receptor radionuclide therapy (PRRT) of metastatic neuroendocrine tumors (NET) can be successfully repeated but may eventually be dose-limited. Since 177Lu-DOTATATE dose limitation may come from hematological rather than renal function, hematological peripheral blood stem cell backup might be desirable. Here, we report our initial experience of peripheral blood stem-cell collection (PBSC) in patients with treatment-related cytopenia and therefore high risk of bone-marrow failure. Five patients with diffuse bone-marrow infiltration of NET and relevant myelosuppression (≥grade 2) received PBSC before one PRRT cycle with 177Lu-DOTATATE (7.6 ± 0.8 GBq/cycle). Standard stem-cell mobilization with Granulocyte-colony stimulating factor (G-CSF) was applied, and successful PBSC was defined as a collection of >2 × 106/kg CD34+ cells. In case of initial failure, Plerixafor was administered in addition to G-CSF prior to apheresis. PBSC was successfully performed in all patients with no adverse events. Median cumulative activity was 44.8 GBq (range, 21.3–62.4). Three patients had been previously treated with PRRT, two of which needed the addition of Plerixafor for stem-cell mobilization. Only one of five patients required autologous peripheral blood stem-cell transplantation during the median follow up time of 28 months. PBSC collection seems to be feasible in NET with bone-marrow involvement and might be worth considering as a backup strategy prior to PRRT, in order to overcome dose-limiting bone-marrow toxicity.


2012 ◽  
Vol 47 (3) ◽  
pp. 345-350 ◽  
Author(s):  
Fei-yi Wu ◽  
Kee Khiang Heng ◽  
Rohani Binte Salleh ◽  
Teck Guan Soh ◽  
Jing Jing Lee ◽  
...  

Cytotherapy ◽  
2012 ◽  
Vol 14 (7) ◽  
pp. 823-829 ◽  
Author(s):  
Juan-Manuel Sancho ◽  
Mireia Morgades ◽  
Joan-Ramon Grifols ◽  
Jordi Juncà ◽  
Ramon Guardia ◽  
...  

2018 ◽  
Vol 24 (1) ◽  
pp. 175-184 ◽  
Author(s):  
David F. Stroncek ◽  
Bronwen E. Shaw ◽  
Brent R. Logan ◽  
Deidre M. Kiefer ◽  
Bipin N. Savani ◽  
...  

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