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Published in: Supportive Care in Cancer 6/2006

01-06-2006 | Short Communication

Palifermin for oral mucositis in the high-dose chemotherapy and stem cell transplant setting: the Royal Adelaide Hospital Cancer Centre experience

Authors: Dorothy Keefe, Jude Lees, Noemi Horvath

Published in: Supportive Care in Cancer | Issue 6/2006

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Abstract

Goals of work

the aim of this paper was to review the initial use of Palifermin(rHu-KGF1) in a single institution, for the prevention of oral mucositis in high-dose chemotherapy and stem cell transplantation.

Methods

the case records of the first five patients treated with Palifermin at the Royal Adelaide Hospital Cancer Centre were reviewed, and incidence,severity and duration of the oral mucositis were recorded, as well as demographics and toxicities.

Results

two of the five patients developed grade 4 mucositis, and the remaining three patients developed grade 2 mucositis. Palifemin was well tolerated with only one patient developing a rash.

Conclusions

the severity of oral mucositis was less than would be expected in these patients without anti-mucositis therapy. Palifermin was well tolerated. Obviously this single institution report is from a very small cohort of patients, but it is encouraging for the ease of use of this drug in the future.
Literature
1.
go back to reference Spielberger R, Stiff P, Bensinger W, Gentile T, Weisdorf D, Kewalramani T, Shea T, Yanovich S, Hansen K, Noga S, McCarty J, LeMaistre CF, Sung EC, Blazar BR, Elhardt D, Chen MG, Emmanouilides C (2005) Palifermin for oral mucositis after intensive therapy for hematologic cancers. N Engl J Med 351(25):2590–2598CrossRef Spielberger R, Stiff P, Bensinger W, Gentile T, Weisdorf D, Kewalramani T, Shea T, Yanovich S, Hansen K, Noga S, McCarty J, LeMaistre CF, Sung EC, Blazar BR, Elhardt D, Chen MG, Emmanouilides C (2005) Palifermin for oral mucositis after intensive therapy for hematologic cancers. N Engl J Med 351(25):2590–2598CrossRef
2.
go back to reference Aaronson SA et al (1991) Keratinocyte growth factor: a fibroblast growth factor family member with unusual target cell specificity. Ann N Y Acad Sci 638:62–77PubMedCrossRef Aaronson SA et al (1991) Keratinocyte growth factor: a fibroblast growth factor family member with unusual target cell specificity. Ann N Y Acad Sci 638:62–77PubMedCrossRef
3.
go back to reference Sonis ST et al (2004) Perspectives on cancer therapy-induced mucosal injury: pathogenesis, measurement, epidemiology, and consequences for patients. Cancer 100(Suppl 9):1995–2025PubMedCrossRef Sonis ST et al (2004) Perspectives on cancer therapy-induced mucosal injury: pathogenesis, measurement, epidemiology, and consequences for patients. Cancer 100(Suppl 9):1995–2025PubMedCrossRef
4.
go back to reference Clarke SJ, Abdi E, Davis D (2001) Recombinant human keratinocyte growth factor (rHuKGF) prevents chemotherapy-induced mucositis in patients with advanced colorectal cancer: a randomized phase II trial. Proceedings of ASCO 20:383a (abstract) Clarke SJ, Abdi E, Davis D (2001) Recombinant human keratinocyte growth factor (rHuKGF) prevents chemotherapy-induced mucositis in patients with advanced colorectal cancer: a randomized phase II trial. Proceedings of ASCO 20:383a (abstract)
5.
go back to reference Farrell CL et al (1998) Keratinocyte growth factor protects mice from chemotherapy and radiation-induced gastrointestinal injury and mortality. Cancer Res 58(5):933–939PubMed Farrell CL et al (1998) Keratinocyte growth factor protects mice from chemotherapy and radiation-induced gastrointestinal injury and mortality. Cancer Res 58(5):933–939PubMed
6.
go back to reference Farrell CL et al (1999) Effects of keratinocyte growth factor in the squamous epithelium of the upper aerodigestive tract of normal and irradiated mice. Int J Radiat Biol 75(5):609–620PubMedCrossRef Farrell CL et al (1999) Effects of keratinocyte growth factor in the squamous epithelium of the upper aerodigestive tract of normal and irradiated mice. Int J Radiat Biol 75(5):609–620PubMedCrossRef
Metadata
Title
Palifermin for oral mucositis in the high-dose chemotherapy and stem cell transplant setting: the Royal Adelaide Hospital Cancer Centre experience
Authors
Dorothy Keefe
Jude Lees
Noemi Horvath
Publication date
01-06-2006
Publisher
Springer-Verlag
Published in
Supportive Care in Cancer / Issue 6/2006
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-006-0048-3

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