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Published in: International Orthopaedics 4/2012

01-04-2012 | Original Paper

Two different dosing regimens of human recombinant erythropoietin beta during preoperative autologous blood donation in patients having hip arthroplasty

Authors: Melita Buljan, Damir Nemet, Branka Golubic-Cepulic, Goran Bicanic, Branko Tripkovic, Domagoj Delimar

Published in: International Orthopaedics | Issue 4/2012

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Abstract

Purpose

Our aim was to evaluate the effectiveness of two different dosing regimens of human recombinant erythropoietin (rHu-EPO) for preoperative autologous blood collection in patients undergoing total hip arthroplasty (THA).

Methods

Prospective randomised trials in which erythropoietin 15,000 IU was administered intravenously twice a week or 30,000 IU once a week (total 90,000 IU) combined with ferrous II sulphate (Ferro-Gradumet 2) orally and compared with Ferro-Gradumet 2 alone.

Results

Although different dosing regimens of rHu-EPO administration during preoperative autologous blood donation have similar effects on the collection of two units of autologous blood, preoperative haemoglobin level and perioperative allogenic blood transfusion, a once weekly dose regimen of rHu-EPO was more convenient (although not statistically significantly) for patients.

Conclusion

We recommend the more practical and comfortable but yet highly effective therapeutic regimen with a single weekly intravenous administration of rHu-EPO for patients scheduled for THA.
Literature
1.
go back to reference Mercuriali F, Biffi E, Inghilleri G, Vinci A (1989) Low hematocrit: limiting factor in autologous blood predonation program. In: Genetet B, Habibi B (eds) Castelli D. Transfusion in Europe Paris ISBT, Paris Mercuriali F, Biffi E, Inghilleri G, Vinci A (1989) Low hematocrit: limiting factor in autologous blood predonation program. In: Genetet B, Habibi B (eds) Castelli D. Transfusion in Europe Paris ISBT, Paris
3.
go back to reference Mercuriali F, Zanella A, Barosi G, Inghilleri G, Biffi E, Vinci A, Colotti MT (1993) Use of erythropoietin to increase the volume of autologous blood donated by orthopedic patients. Transfusion 33(1):55–60PubMedCrossRef Mercuriali F, Zanella A, Barosi G, Inghilleri G, Biffi E, Vinci A, Colotti MT (1993) Use of erythropoietin to increase the volume of autologous blood donated by orthopedic patients. Transfusion 33(1):55–60PubMedCrossRef
5.
go back to reference Cheung WK, Goon BL, Guilfoyle MC, Wacholtz MC (1998) Pharmacokinetics and pharmacodynamics of recombinant human erythropoietin after single and multiple subcutaneous doses to healthy subjects. Clin Pharmacol Ther 64(4):412–423. doi:10.1016/S0009-9236(98)90072-8 PubMedCrossRef Cheung WK, Goon BL, Guilfoyle MC, Wacholtz MC (1998) Pharmacokinetics and pharmacodynamics of recombinant human erythropoietin after single and multiple subcutaneous doses to healthy subjects. Clin Pharmacol Ther 64(4):412–423. doi:10.​1016/​S0009-9236(98)90072-8 PubMedCrossRef
6.
go back to reference Kaufman JS, Reda DJ, Fye CL, Goldfarb DS, Henderson WG, Kleinman JG, Vaamonde CA (1998) Subcutaneous compared with intravenous epoetin in patients receiving hemodialysis. Department of Veterans Affairs Cooperative Study Group on Erythropoietin in Hemodialysis Patients. N Engl J Med 339(9):578–583. doi:10.1056/NEJM199808273390902 PubMedCrossRef Kaufman JS, Reda DJ, Fye CL, Goldfarb DS, Henderson WG, Kleinman JG, Vaamonde CA (1998) Subcutaneous compared with intravenous epoetin in patients receiving hemodialysis. Department of Veterans Affairs Cooperative Study Group on Erythropoietin in Hemodialysis Patients. N Engl J Med 339(9):578–583. doi:10.​1056/​NEJM199808273390​902 PubMedCrossRef
8.
go back to reference Eckardt KU, Casadevall N (2003) Pure red-cell aplasia due to anti-erythropoietin antibodies. Nephrol Dial Transplant 18(5):865–869PubMedCrossRef Eckardt KU, Casadevall N (2003) Pure red-cell aplasia due to anti-erythropoietin antibodies. Nephrol Dial Transplant 18(5):865–869PubMedCrossRef
9.
go back to reference Casadevall N, Nataf J, Viron B, Kolta A, Kiladjian JJ, Martin-Dupont P, Michaud P, Papo T, Ugo V, Teyssandier I, Varet B, Mayeux P (2002) Pure red-cell aplasia and antierythropoietin antibodies in patients treated with recombinant erythropoietin. N Engl J Med 346(7):469–475. doi:10.1056/NEJMoa011931346/7/469 PubMedCrossRef Casadevall N, Nataf J, Viron B, Kolta A, Kiladjian JJ, Martin-Dupont P, Michaud P, Papo T, Ugo V, Teyssandier I, Varet B, Mayeux P (2002) Pure red-cell aplasia and antierythropoietin antibodies in patients treated with recombinant erythropoietin. N Engl J Med 346(7):469–475. doi:10.​1056/​NEJMoa011931346/​7/​469 PubMedCrossRef
10.
go back to reference Co E (1997) Guide to the preparation, use and quality assurance of blood components, 3rd edn. Council of Europe Press, Strassbourg Co E (1997) Guide to the preparation, use and quality assurance of blood components, 3rd edn. Council of Europe Press, Strassbourg
12.
go back to reference Rosencher N, Kerkkamp HE, Macheras G, Munuera LM, Menichella G, Barton DM, Cremers S, Abraham IL (2003) Orthopedic Surgery Transfusion Hemoglobin European Overview (OSTHEO) study: blood management in elective knee and hip arthroplasty in Europe. Transfusion 43(4):459–469PubMedCrossRef Rosencher N, Kerkkamp HE, Macheras G, Munuera LM, Menichella G, Barton DM, Cremers S, Abraham IL (2003) Orthopedic Surgery Transfusion Hemoglobin European Overview (OSTHEO) study: blood management in elective knee and hip arthroplasty in Europe. Transfusion 43(4):459–469PubMedCrossRef
13.
go back to reference Laupacis A, Feagan B, Wong C (1993) Effectiveness of perioperative recombinant human erythropoietin in elective hip replacement. COPES Study Group. Lancet 342(8867):378PubMedCrossRef Laupacis A, Feagan B, Wong C (1993) Effectiveness of perioperative recombinant human erythropoietin in elective hip replacement. COPES Study Group. Lancet 342(8867):378PubMedCrossRef
14.
go back to reference Faris PM, Ritter MA, Abels RI (1996) The effects of recombinant human erythropoietin on perioperative transfusion requirements in patients having a major orthopaedic operation. The American Erythropoietin Study Group. J Bone Joint Surg Am 78(1):62–72PubMed Faris PM, Ritter MA, Abels RI (1996) The effects of recombinant human erythropoietin on perioperative transfusion requirements in patients having a major orthopaedic operation. The American Erythropoietin Study Group. J Bone Joint Surg Am 78(1):62–72PubMed
15.
go back to reference Goldberg MA, McCutchen JW, Jove M, Di Cesare P, Friedman RJ, Poss R, Guilfoyle M, Frei D, Young D (1996) A safety and efficacy comparison study of two dosing regimens of epoetin alfa in patients undergoing major orthopedic surgery. Am J Orthop (Belle Mead NJ) 25(8):544–552 Goldberg MA, McCutchen JW, Jove M, Di Cesare P, Friedman RJ, Poss R, Guilfoyle M, Frei D, Young D (1996) A safety and efficacy comparison study of two dosing regimens of epoetin alfa in patients undergoing major orthopedic surgery. Am J Orthop (Belle Mead NJ) 25(8):544–552
16.
go back to reference Cody J, Daly C, Campbell M, Donaldson C, Khan I, Vale L, Wallace S, Macleod A (2005) Frequency of administration of recombinant human erythropoietin for anaemia of end-stage renal disease in dialysis patients. Cochrane Database Syst Rev (3):CD003895. doi:10.1002/14651858.CD003895.pub2 Cody J, Daly C, Campbell M, Donaldson C, Khan I, Vale L, Wallace S, Macleod A (2005) Frequency of administration of recombinant human erythropoietin for anaemia of end-stage renal disease in dialysis patients. Cochrane Database Syst Rev (3):CD003895. doi:10.​1002/​14651858.​CD003895.​pub2
17.
go back to reference Avall A, Hyllner M, Bengtson JP, Carlsson L, Bengtsson A (2003) Recombinant human erythropoietin in preoperative autologous blood donation did not influence the haemoglobin recovery after surgery. Acta Anaesthesiol Scand 47(6):687–692PubMedCrossRef Avall A, Hyllner M, Bengtson JP, Carlsson L, Bengtsson A (2003) Recombinant human erythropoietin in preoperative autologous blood donation did not influence the haemoglobin recovery after surgery. Acta Anaesthesiol Scand 47(6):687–692PubMedCrossRef
18.
go back to reference Perez-Ruixo JJ, Krzyzanski W, Hing J (2008) Pharmacodynamic analysis of recombinant human erythropoietin effect on reticulocyte production rate and age distribution in healthy subjects. Clin Pharmacokinet 47(6):399–415PubMedCrossRef Perez-Ruixo JJ, Krzyzanski W, Hing J (2008) Pharmacodynamic analysis of recombinant human erythropoietin effect on reticulocyte production rate and age distribution in healthy subjects. Clin Pharmacokinet 47(6):399–415PubMedCrossRef
19.
go back to reference Ramakrishnan R, Cheung WK, Wacholtz MC, Minton N, Jusko WJ (2004) Pharmacokinetic and pharmacodynamic modeling of recombinant human erythropoietin after single and multiple doses in healthy volunteers. J Clin Pharmacol 44(9):991–1002. doi:10.1177/0091270004268411 Ramakrishnan R, Cheung WK, Wacholtz MC, Minton N, Jusko WJ (2004) Pharmacokinetic and pharmacodynamic modeling of recombinant human erythropoietin after single and multiple doses in healthy volunteers. J Clin Pharmacol 44(9):991–1002. doi:10.​1177/​0091270004268411​
20.
go back to reference Salido JA, Marin LA, Gomez LA, Zorrilla P, Martinez C (2002) Preoperative hemoglobin levels and the need for transfusion after prosthetic hip and knee surgery: analysis of predictive factors. J Bone Joint Surg Am 84-A(2):216–220PubMed Salido JA, Marin LA, Gomez LA, Zorrilla P, Martinez C (2002) Preoperative hemoglobin levels and the need for transfusion after prosthetic hip and knee surgery: analysis of predictive factors. J Bone Joint Surg Am 84-A(2):216–220PubMed
22.
go back to reference Cheung W, Minton N, Gunawardena K (2001) Pharmacokinetics and pharmacodynamics of epoetin alfa once weekly and three times weekly. Eur J Clin Pharmacol 57(5):411–418PubMedCrossRef Cheung W, Minton N, Gunawardena K (2001) Pharmacokinetics and pharmacodynamics of epoetin alfa once weekly and three times weekly. Eur J Clin Pharmacol 57(5):411–418PubMedCrossRef
25.
go back to reference Rossert J, Casadevall N, Eckardt KU (2004) Anti-erythropoietin antibodies and pure red cell aplasia. J Am Soc Nephrol 15(2):398–406PubMedCrossRef Rossert J, Casadevall N, Eckardt KU (2004) Anti-erythropoietin antibodies and pure red cell aplasia. J Am Soc Nephrol 15(2):398–406PubMedCrossRef
26.
go back to reference Bennett CL, Luminari S, Nissenson AR, Tallman MS, Klinge SA, McWilliams N, McKoy JM, Kim B, Lyons EA, Trifilio SM, Raisch DW, Evens AM, Kuzel TM, Schumock GT, Belknap SM, Locatelli F, Rossert J, Casadevall N (2004) Pure red-cell aplasia and epoetin therapy. N Engl J Med 351(14):1403–1408. doi:10.1056/NEJMoa040528351/14/1403 PubMedCrossRef Bennett CL, Luminari S, Nissenson AR, Tallman MS, Klinge SA, McWilliams N, McKoy JM, Kim B, Lyons EA, Trifilio SM, Raisch DW, Evens AM, Kuzel TM, Schumock GT, Belknap SM, Locatelli F, Rossert J, Casadevall N (2004) Pure red-cell aplasia and epoetin therapy. N Engl J Med 351(14):1403–1408. doi:10.​1056/​NEJMoa040528351/​14/​1403 PubMedCrossRef
27.
go back to reference Lee JH, Yoon KS, Park JS, Kang SB, Do SH, Kim JY (1999) Recombinant human erythropoietin using preoperative autologous donation in lumbar stenosis operations. J Korean Soc Spine Surg 6(3):5 Lee JH, Yoon KS, Park JS, Kang SB, Do SH, Kim JY (1999) Recombinant human erythropoietin using preoperative autologous donation in lumbar stenosis operations. J Korean Soc Spine Surg 6(3):5
28.
go back to reference Goodnough LT, Skikne B, Brugnara C (2000) Erythropoietin, iron, and erythropoiesis. Blood 96(3):823–833PubMed Goodnough LT, Skikne B, Brugnara C (2000) Erythropoietin, iron, and erythropoiesis. Blood 96(3):823–833PubMed
Metadata
Title
Two different dosing regimens of human recombinant erythropoietin beta during preoperative autologous blood donation in patients having hip arthroplasty
Authors
Melita Buljan
Damir Nemet
Branka Golubic-Cepulic
Goran Bicanic
Branko Tripkovic
Domagoj Delimar
Publication date
01-04-2012
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 4/2012
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-011-1367-7

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