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High-dose therapy/stem cell support: Comparison of mice and humans

✍ Scribed by Beverly A. Teicher; David Northey; Jia Yuan; Emil Frei III


Publisher
John Wiley and Sons
Year
1996
Tongue
French
Weight
646 KB
Volume
65
Category
Article
ISSN
0020-7136

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✦ Synopsis


A murine high-dose therapylstem cell support model is described using female BALB/c mice bearing the EMT-6 mammary carcinoma. Peripheral blood cells were prepared in syngeneic donor animals mobilized by treatment with cyclophosphamide and rhG-CSF. The most effective support regimen includes administration of fluid by gavage, rhG-CSF twice per day for I 2 days and peripheral blood cells administered i.v. on the day after cytotoxic therapy. Dose escalations of 2.2to 13-fold over the usual conventional dose were possible in mice treated with single doses of cyclophosphamide, carmustine, melphalan, thiotepa, carboplatin or total body radiation, which compare favorably with dose escalations achievable in humans. Depletion and recovery rates of white blood cells and granulocytes in the mice were similar to those seen in humans. Rapid weight loss is a major factor in limiting further dose escalation. Single high-dose therapy with cyclophosphamide, melphalan, thiotepa and carboplatin, but not 5-fluorouracil, produced longer tumor growth delays than standard regimens of the same drugs. For melphalan and thiotepa, there was a direct correlation between drug dose, tumor growth delay and tumor surviving fraction. With cyclophosphamide, the tumor growth delay with high-dose therapy was greater than expected from the dose increase and the tumor surviving fraction data.


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