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Miscellaneous Complications

Adverse side-effects associated with G-CSF in patients with chronic myeloid leukemia undergoing allogeneic peripheral blood stem cell transplantation

Bone Marrow Transplantation volume 25, pages 1197–1201 (2000)Cite this article

Abstract

Administration of the myeloid growth factor G-CSF after allogeneic hematopoietic stem cell transplantation is usually well tolerated, and associated with rapid hematopoietic engraftment. We report a high incidence (50%) of side-effects associated with post-transplant G-CSF in patients with chronic phase chronic myeloid leukemia undergoing allogeneic HLA-identical sibling peripheral blood stem cell transplantation. One or more of the following signs and symptoms were observed shortly after the subcutaneous injection of G-CSF: dyspnea, chest pain, nausea, hypoxemia, diaphoresis, anaphylaxis, syncope and flushing. These reactions led to discontinuation of G-CSF in the majority of patients. Predictive factors could not be identified, and the underlying mechanism leading to these reactions is unknown. Bone Marrow Transplantation (2000) 25, 1197–1201.

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Authors and Affiliations

  1. Division of Bone Marrow Transplantation and Stem Cell Biology, Washington University School of Medicine, St Louis, MO, USA

    H Khoury, D Adkins, R Brown, R Vij, P Westervelt, K Trinkaus, LT Goodnough & JF DiPersio

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  1. H Khoury
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  2. D Adkins
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  3. R Brown
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  4. R Vij
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  6. K Trinkaus
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  7. LT Goodnough
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  8. JF DiPersio
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Khoury, H., Adkins, D., Brown, R. et al. Adverse side-effects associated with G-CSF in patients with chronic myeloid leukemia undergoing allogeneic peripheral blood stem cell transplantation. Bone Marrow Transplant 25, 1197–1201 (2000). https://doi.org/10.1038/sj.bmt.1702423

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  • DOI: https://doi.org/10.1038/sj.bmt.1702423

Keywords

  • G-CSF
  • CML
  • BMT
  • side-effects

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