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重组人白介素-11治疗化疗所致血小板减少的临床观察 被引量:12

Clinical research of recombinant human interleukin-11 therapy for chemotherapy induced thrombocytopenia
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摘要 目的:观察重组人白介素-11(rhIL-11)对恶性肿瘤患者因化疗所致血小板减少的疗效及毒副反应。方法:化疗后血小板低于25×109/L给予rhIL-11 50μg/(kg.d)皮下注射,血小板低于50×109/L给予rhIL-11 25μg/(kg.d)皮下注射,观察外周血小板变化,血小板升至≥75×109/L时停药。结果:血小板升至≥75×109/L所需时间:Ⅲ度22例(5.0±1.3)天,Ⅳ度8例(12.4±1.6)天。主要毒副反应为乏力、水肿、关节肌肉疼痛、注射部位疼痛。结论:重组人白介素-11(rhIL-11)有升高化疗后血小板减少的作用,毒副反应可耐受。 Objective :To observe the efficacy and side effects of recombinant human interleukin-11 (rhIL-11 )in the treatment of thrombocytopenia caused by chemotherapy in patients with malignancies. Methods:Platelets after chemotherapy less than 30 × 10^9/L were injected subcutaneously with rhIL-11 501xg/( kg.d), platelets less than 50 × 10^9/L with rhIL-11 25μg/(kg·d) subcutaneous injection to observe changes in peripheral platelet until the counts of platelets came to 75 × 10^9/L. Results:Observed the time required to platelets increased to ≥75 × 10^9/L. The time to grade Ⅲ thrombocytopenia were(5.0 ± 1.3 ) days,and that of grade Ⅳ were( 12.4 ±1.6) days. The main side effects including fatigue, edema,local pain of injection, arthralgia/muscular soreness. Conclusion: Recombinant human interleukin-11 ( rhIL-11 ) can elevate blood platelet count and a effective drug for treatment of thrombocytopenia caused by chemotherapy. Adverse reactions can be tolerated.
出处 《临床肿瘤学杂志》 CAS 2009年第5期452-453,共2页 Chinese Clinical Oncology
关键词 重组人白介素-11 化学治疗 血小板减少 Recombinant human interleukin-11 ( rhIL-11 ) Chemotherapy Thrombocytopenia
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参考文献6

  • 1Saitoh M,Taguchi K,Momose K,et al.Recombinant human interleukin-11 improved carboplation-induced thrombocytopenia without antitumor activities in mice bearing Lewis lung carcinoma cells[J].Cancer Chemother Pharmacol,2002,49(2):161-166.
  • 2Saitoh M,Taguchi K,Yasuda S,et al.Thrombopoietic activity of recombinant human interleukin-11 in nonhuman primates with ACNU-induced thrombocytopenia[J].J Interferon Cytokine Res,2000,20(6):539-555.
  • 3Tsimberidou AM,Giles FJ,khour I,et al.Low-dose interleukin-11 in patients with bone marrow failure:update of the M.D.Anderson cancer center experience[J].Ann Oncol,2005,16(1):139-145.
  • 4赖伏英,方芳,孙黎,何群,陈朝晖,方云祥.重组人白介素11对豚鼠血小板减少的治疗作用[J].湖南医科大学学报,2002,27(1):19-20. 被引量:11
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二级参考文献3

  • 1[1]Isaacs C,Robert NJ,Bailey FA,et al. Randomized placebo-controlled study of recombinant human interleukin-11 to prevent chemotherapy-induced thrombocytopenia in patients with breast cancer receiving dose-intensive cyclophosphamide and doxorubicin [J]. J Clin Oncol, 1997, 15:3368- 3377.
  • 2[2]John W, Smith H. Tolerability and side-effect profile of rhIL-11 [J]. Oncology,2000,14(9):41- 47.
  • 3赖伏英,方芳,孙黎,陈朝晖,何群,方云祥.重组人白介素-11对人骨髓细胞生长的影响[J].中国新药杂志,2001,10(7):510-512. 被引量:28

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