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Clin Transl Oncol ; 12(12): 843-8, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21156416

RESUMO

OBJECTIVE: The aim of the project was to assess the effectiveness and safety of weekly epoetin-beta (EB) in patients with gastrointestinal cancer (GIC) subjected to concomitant chemoradiotherapy (CCTRT). METHODS: In this clinical prospective and multicentre cohort study EB was administered at a dose of 30,000 IU/ week, during CCTRT and in the four weeks thereafter, and suspended if haemoglobin (Hb) increased >2 g/dl or Hb >12-13 g/dl. Effectiveness was defi ned as Hb increase ≥1 g/dl vs. baseline. Time to response, treatment toxicity and transfusion requirements were also assessed. RESULTS: EB was effective in 75.8% of the evaluable population within a median of four weeks from EB initiation, without blood transfusions. Over 80% of all patients remained below the threshold (Hb ≤13 g/dl) and no study drug-related adverse reactions were recorded. CONCLUSION: Weekly EB proved to be effective and well tolerated by patients with GIC subjected to CCTRT.


Assuntos
Anemia/etiologia , Antineoplásicos/administração & dosagem , Eritropoetina/administração & dosagem , Neoplasias Gastrointestinais/terapia , Adulto , Idoso , Idoso de 80 Anos ou mais , Anemia/metabolismo , Antineoplásicos/uso terapêutico , Quimiorradioterapia , Estudos de Coortes , Esquema de Medicação , Eritropoetina/uso terapêutico , Feminino , Neoplasias Gastrointestinais/complicações , Hemoglobinas , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Proteínas Recombinantes/administração & dosagem , Proteínas Recombinantes/uso terapêutico , Resultado do Tratamento
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