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10.1016/j.bbmt.2014.04.020

http://scihub22266oqcxt.onion/10.1016/j.bbmt.2014.04.020
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suck abstract from ncbi


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pmid24769325      Biol+Blood+Marrow+Transplant 2014 ; 20 (8): 1224-8
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  • Phase I study of the safety and pharmacokinetics of plerixafor in children undergoing a second allogeneic hematopoietic stem cell transplantation for relapsed or refractory leukemia #MMPMID24769325
  • Srinivasan A; Panetta JC; Cross S; Pillai A; Triplett BM; Shook DR; Dallas MH; Hartford C; Sunkara A; Kang G; Jacobsen J; Choi J; Leung W
  • Biol Blood Marrow Transplant 2014[Aug]; 20 (8): 1224-8 PMID24769325show ga
  • The safety, pharmacokinetics and biological effect of plerixafor in children as part of a conditioning regimen for chemo-sensitization in allogeneic hematopoietic stem cell transplantation (HSCT) have not been studied. This is a phase I study of plerixafor designed to evaluate its tolerability at dose of 0.24 mg/kg given intravenously on day -4 (level 1), day -4, and day -3 (level 2), or day -4, -3, and day -2 (level 3) in combination with fludarabine, thiotepa, melphalan, and rabbit anti-thymocytic globulin for a second allogeneic HSCT in children with refractory or relapsed leukemia. Immunophenotype analysis was performed on blood and bone marrow prior to and after plerixafor administration. Twelve patients were enrolled. Plerixafor at all 3 levels was well tolerated without dose-limiting toxicity. Transient gastrointestinal side effects of National Cancer Institute grade 1 or 2 in severity were the most common adverse events. The area under the concentration-time curve increased proportionally to the dose level. Plerixafor clearance was higher in males, and increased linearly with body weight, and glomerular filtration rate. The clearance decreased and the elimination half-life increased significantly from dose level 1 to 3 (P < 0.001). Biologically, the proportion of CXCR4-positive blasts and lymphocytes both in the bone marrow and peripheral blood, increased after plerixafor administration.
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