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 defined 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
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