Acute Lymphoid Leukemia, Acute Myeloid Leukemia, Hepatoblastoma, Lymphoma, Neuroblastoma, Retinoblastoma
Conditions
Brief summary
The purpose of this study is to explore the effect of G-CSF combination with GM-CSF on prevention and treatment of infection in children with malignant tumor.
Detailed description
G-CSF Alone or Combination With GM-CSF on Prevention and Treatment of Infection in Children With Malignant Tumor.
Interventions
Granulocyte-macrophage colony-stimulating factor (GM-CSF) is a hematopoietic CSFs that decrease the duration and severity of neutropenia for patients receiving chemotherapy. GM-CSF is a stimulator of the growth and differentiation of hematopoietic progenitor cells committed to neutrophils, monocytes or eosinophils.
Granulocyte colony-stimulating factor (G-CSF) is a hematopoietic CSFs that decrease the duration and severity of neutropenia for patients receiving chemotherapy. G-CSF is a relatively specific stimulator of the growth and differentiation of hematopoietic progenitor cells committed to the neutrophil lineage.
Granulocyte-macrophage colony-stimulating factor (GM-CSF) and granulocyte colony-stimulating factor (G-CSF) are hematopoietic CSFs that decrease the duration and severity of neutropenia for patients receiving chemotherapy. GM-CSF and G-CSF share a number of biologic activities, GM-CSF seems to be more potent against fungi.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with malignant tumor including acute myeloid leukemia (AML) after complete remission, acute lymphocytic leukemia (ALL) after complete remission, stage III or IV lymphoma after partial remission or complete remission, stage III or IV neuroblastoma (NB) or retinoblastoma (RB). * Eastern Cooperative Oncology Group performance status ≤ 2. * Did not receive treatment of CSFs in two weeks. * Without symptomatic infection and with normal values of C-reactive protein or procalcitonin. * The first time of ANC \< 1.5\*10\^9/L after chemotherapy. * More than 24 h after the last chemotherapy. * The function of liver was normal.
Exclusion criteria
* Allergic to GM-CSF or drugs which expressed in Escherichia coli. * Patients with infection, diabetes or primary immunodeficiency. * Patients infected with hepatitis B, hepatitis C or HIV. * Patients confirmed autoimmune thrombocytopenic purpura.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| assess the incidence of infection in patients after chemotherapy | within 20 days after chemotherapy |
Countries
China