Zarzio®, biosimilar of filgrastim, in prophylaxis of chemotherapy-induced neutropenia in routine practice: a French prospective multicentric study

Purpose Chemotherapy-induced neutropenia is a serious and potentially life-threatening consequence of cancer treatment. Prophylactic treatment with granulocyte-colony stimulating factor (G-CSF) decreases the incidence of febrile neutropenia, the rate of hospitalization, and the use of antibiotics in...

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Veröffentlicht in:Supportive care in cancer 2016-05, Vol.24 (5), p.1991-1998
Hauptverfasser: Nahon, Sophie, Rastkhah, Mansour, Ben Abdelghani, Meher, Soumoudronga, Ravaka-Fatoma, Gasnereau, Isabelle, Labourey, Jean-Luc
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container_end_page 1998
container_issue 5
container_start_page 1991
container_title Supportive care in cancer
container_volume 24
creator Nahon, Sophie
Rastkhah, Mansour
Ben Abdelghani, Meher
Soumoudronga, Ravaka-Fatoma
Gasnereau, Isabelle
Labourey, Jean-Luc
description Purpose Chemotherapy-induced neutropenia is a serious and potentially life-threatening consequence of cancer treatment. Prophylactic treatment with granulocyte-colony stimulating factor (G-CSF) decreases the incidence of febrile neutropenia, the rate of hospitalization, and the use of antibiotics in patients at risk. The aim of this study was to assess efficacy, safety, and use of Zarzio ® —biosimilar of Neupogen ® (G-CSF; filgrastim)—in prophylaxis of chemotherapy-induced neutropenia in current practice in cancer patients. Methods We conducted an observational, prospective, longitudinal, and multicentric study in France. The incidence of neutropenia was evaluated at each cycle of chemotherapy. Results One hundred eighty-four patients (women, 64.7 %; mean age, 61.7 years) with solid tumor (89.7 %; breast cancer, 50.5 %) or non-Hodgkin lymphoma (10.3 %) were included. The risk of febrile neutropenia based on chemotherapy regimen was >20 % for 32.1 % of patients. No case of febrile neutropenia was reported. Neutropenia was the cause of hospitalization and/or antibiotic therapy in 10 patients. The most frequent adverse events related to Zarzio ® were pain, in particular bone pain. No serious adverse event related to Zarzio ® was reported. Conclusion The results obtained in real-life conditions confirm that Zarzio ® is efficient and well tolerated in cancer patients.
doi_str_mv 10.1007/s00520-015-2986-0
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Prophylactic treatment with granulocyte-colony stimulating factor (G-CSF) decreases the incidence of febrile neutropenia, the rate of hospitalization, and the use of antibiotics in patients at risk. The aim of this study was to assess efficacy, safety, and use of Zarzio ® —biosimilar of Neupogen ® (G-CSF; filgrastim)—in prophylaxis of chemotherapy-induced neutropenia in current practice in cancer patients. Methods We conducted an observational, prospective, longitudinal, and multicentric study in France. The incidence of neutropenia was evaluated at each cycle of chemotherapy. Results One hundred eighty-four patients (women, 64.7 %; mean age, 61.7 years) with solid tumor (89.7 %; breast cancer, 50.5 %) or non-Hodgkin lymphoma (10.3 %) were included. The risk of febrile neutropenia based on chemotherapy regimen was &gt;20 % for 32.1 % of patients. No case of febrile neutropenia was reported. Neutropenia was the cause of hospitalization and/or antibiotic therapy in 10 patients. The most frequent adverse events related to Zarzio ® were pain, in particular bone pain. No serious adverse event related to Zarzio ® was reported. 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Prophylactic treatment with granulocyte-colony stimulating factor (G-CSF) decreases the incidence of febrile neutropenia, the rate of hospitalization, and the use of antibiotics in patients at risk. The aim of this study was to assess efficacy, safety, and use of Zarzio ® —biosimilar of Neupogen ® (G-CSF; filgrastim)—in prophylaxis of chemotherapy-induced neutropenia in current practice in cancer patients. Methods We conducted an observational, prospective, longitudinal, and multicentric study in France. The incidence of neutropenia was evaluated at each cycle of chemotherapy. Results One hundred eighty-four patients (women, 64.7 %; mean age, 61.7 years) with solid tumor (89.7 %; breast cancer, 50.5 %) or non-Hodgkin lymphoma (10.3 %) were included. The risk of febrile neutropenia based on chemotherapy regimen was &gt;20 % for 32.1 % of patients. No case of febrile neutropenia was reported. Neutropenia was the cause of hospitalization and/or antibiotic therapy in 10 patients. The most frequent adverse events related to Zarzio ® were pain, in particular bone pain. No serious adverse event related to Zarzio ® was reported. Conclusion The results obtained in real-life conditions confirm that Zarzio ® is efficient and well tolerated in cancer patients.</description><subject>Aged</subject><subject>Antineoplastic Agents - adverse effects</subject><subject>Antineoplastic Combined Chemotherapy Protocols</subject><subject>Biosimilar Pharmaceuticals - administration &amp; dosage</subject><subject>Biosimilar Pharmaceuticals - adverse effects</subject><subject>Chemotherapy-Induced Febrile Neutropenia - diagnosis</subject><subject>Chemotherapy-Induced Febrile Neutropenia - epidemiology</subject><subject>Chemotherapy-Induced Febrile Neutropenia - etiology</subject><subject>Chemotherapy-Induced Febrile Neutropenia - prevention &amp; control</subject><subject>Female</subject><subject>Filgrastim - administration &amp; dosage</subject><subject>Filgrastim - adverse effects</subject><subject>France - epidemiology</subject><subject>Hematologic Agents - administration &amp; dosage</subject><subject>Hematologic Agents - adverse effects</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Musculoskeletal Pain - chemically induced</subject><subject>Neoplasms - drug therapy</subject><subject>Nursing</subject><subject>Nursing Research</subject><subject>Oncology</subject><subject>Original</subject><subject>Original Article</subject><subject>Pain Medicine</subject><subject>Prospective Studies</subject><subject>Rehabilitation Medicine</subject><subject>Treatment Outcome</subject><issn>0941-4355</issn><issn>1433-7339</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9kUGOFCEYhYnROO3oAdwYDjDoDwVF48LETBw1mcSNbtwQioIuJlVQgaqJ7TW8h4fwZFK2TnTjiuR_73vA_xB6SuE5BZAvCoBgQIAKwtS-JXAP7ShvGiKbRt1HO1CcEt4IcYYelXIDQKUU7CE6Y60ASRXs0LfPJn8N6cf3C9yFVMIURpNx8tiH8ZBNWcJ0gUPEc07zcBzNl1A21Q5uSsvgspmPJMR-ta7H0a1LtbkYzIbktC4huooauwTrXmKDr7KLdtjSyuzq9NbhaR03NS45WFyWtT8-Rg-8GYt78vs8R5-u3ny8fEeuP7x9f_n6mljO2UJU3-2BC-stN0oyIYXphPdC9q3iCoyzsu1a3lALvLOeCmokWNFIcI5z5Ztz9OqUO6_d5PpfbzCjnnOYTD7qZIL-V4lh0Id0q_kehGSsBtBTgK3_Kdn5O5aC3hrSp4Z0bUhvDWmozLO_L70j_lRSDexkKFWKB5f1TVpzrIv4T-pPslmiag</recordid><startdate>20160501</startdate><enddate>20160501</enddate><creator>Nahon, Sophie</creator><creator>Rastkhah, Mansour</creator><creator>Ben Abdelghani, Meher</creator><creator>Soumoudronga, Ravaka-Fatoma</creator><creator>Gasnereau, Isabelle</creator><creator>Labourey, Jean-Luc</creator><general>Springer Berlin Heidelberg</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>20160501</creationdate><title>Zarzio®, biosimilar of filgrastim, in prophylaxis of chemotherapy-induced neutropenia in routine practice: a French prospective multicentric study</title><author>Nahon, Sophie ; Rastkhah, Mansour ; Ben Abdelghani, Meher ; Soumoudronga, Ravaka-Fatoma ; Gasnereau, Isabelle ; Labourey, Jean-Luc</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-9db8045cfc4a972575ab5ff57d69490aec76b6431c04bcf151a70c5370ee449f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Antineoplastic Agents - adverse effects</topic><topic>Antineoplastic Combined Chemotherapy Protocols</topic><topic>Biosimilar Pharmaceuticals - administration &amp; dosage</topic><topic>Biosimilar Pharmaceuticals - adverse effects</topic><topic>Chemotherapy-Induced Febrile Neutropenia - diagnosis</topic><topic>Chemotherapy-Induced Febrile Neutropenia - epidemiology</topic><topic>Chemotherapy-Induced Febrile Neutropenia - etiology</topic><topic>Chemotherapy-Induced Febrile Neutropenia - prevention &amp; control</topic><topic>Female</topic><topic>Filgrastim - administration &amp; dosage</topic><topic>Filgrastim - adverse effects</topic><topic>France - epidemiology</topic><topic>Hematologic Agents - administration &amp; dosage</topic><topic>Hematologic Agents - adverse effects</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Middle Aged</topic><topic>Musculoskeletal Pain - chemically induced</topic><topic>Neoplasms - drug therapy</topic><topic>Nursing</topic><topic>Nursing Research</topic><topic>Oncology</topic><topic>Original</topic><topic>Original Article</topic><topic>Pain Medicine</topic><topic>Prospective Studies</topic><topic>Rehabilitation Medicine</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nahon, Sophie</creatorcontrib><creatorcontrib>Rastkhah, Mansour</creatorcontrib><creatorcontrib>Ben Abdelghani, Meher</creatorcontrib><creatorcontrib>Soumoudronga, Ravaka-Fatoma</creatorcontrib><creatorcontrib>Gasnereau, Isabelle</creatorcontrib><creatorcontrib>Labourey, Jean-Luc</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nahon, Sophie</au><au>Rastkhah, Mansour</au><au>Ben Abdelghani, Meher</au><au>Soumoudronga, Ravaka-Fatoma</au><au>Gasnereau, Isabelle</au><au>Labourey, Jean-Luc</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Zarzio®, biosimilar of filgrastim, in prophylaxis of chemotherapy-induced neutropenia in routine practice: a French prospective multicentric study</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><addtitle>Support Care Cancer</addtitle><date>2016-05-01</date><risdate>2016</risdate><volume>24</volume><issue>5</issue><spage>1991</spage><epage>1998</epage><pages>1991-1998</pages><issn>0941-4355</issn><eissn>1433-7339</eissn><abstract>Purpose Chemotherapy-induced neutropenia is a serious and potentially life-threatening consequence of cancer treatment. Prophylactic treatment with granulocyte-colony stimulating factor (G-CSF) decreases the incidence of febrile neutropenia, the rate of hospitalization, and the use of antibiotics in patients at risk. The aim of this study was to assess efficacy, safety, and use of Zarzio ® —biosimilar of Neupogen ® (G-CSF; filgrastim)—in prophylaxis of chemotherapy-induced neutropenia in current practice in cancer patients. Methods We conducted an observational, prospective, longitudinal, and multicentric study in France. The incidence of neutropenia was evaluated at each cycle of chemotherapy. Results One hundred eighty-four patients (women, 64.7 %; mean age, 61.7 years) with solid tumor (89.7 %; breast cancer, 50.5 %) or non-Hodgkin lymphoma (10.3 %) were included. The risk of febrile neutropenia based on chemotherapy regimen was &gt;20 % for 32.1 % of patients. No case of febrile neutropenia was reported. Neutropenia was the cause of hospitalization and/or antibiotic therapy in 10 patients. The most frequent adverse events related to Zarzio ® were pain, in particular bone pain. No serious adverse event related to Zarzio ® was reported. Conclusion The results obtained in real-life conditions confirm that Zarzio ® is efficient and well tolerated in cancer patients.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26507190</pmid><doi>10.1007/s00520-015-2986-0</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
Antineoplastic Agents - adverse effects
Antineoplastic Combined Chemotherapy Protocols
Biosimilar Pharmaceuticals - administration & dosage
Biosimilar Pharmaceuticals - adverse effects
Chemotherapy-Induced Febrile Neutropenia - diagnosis
Chemotherapy-Induced Febrile Neutropenia - epidemiology
Chemotherapy-Induced Febrile Neutropenia - etiology
Chemotherapy-Induced Febrile Neutropenia - prevention & control
Female
Filgrastim - administration & dosage
Filgrastim - adverse effects
France - epidemiology
Hematologic Agents - administration & dosage
Hematologic Agents - adverse effects
Humans
Incidence
Male
Medicine
Medicine & Public Health
Middle Aged
Musculoskeletal Pain - chemically induced
Neoplasms - drug therapy
Nursing
Nursing Research
Oncology
Original
Original Article
Pain Medicine
Prospective Studies
Rehabilitation Medicine
Treatment Outcome
title Zarzio®, biosimilar of filgrastim, in prophylaxis of chemotherapy-induced neutropenia in routine practice: a French prospective multicentric study
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