1. Drug-induced pneumonitis risk in diffuse large B-cell/follicular lymphoma patients treated with R-CHOP-like regimen is associated with the use of granulocyte colony-stimulating growth factors.
- Author
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Kaprio E, Prusila R, Tokola S, Kuusisto MEL, Jantunen E, Kuitunen H, Turpeenniemi-Hujanen T, and Kuittinen O
- Subjects
- Humans, Male, Female, Middle Aged, Aged, Retrospective Studies, Adult, Lung Diseases, Interstitial chemically induced, Aged, 80 and over, Pneumonia chemically induced, Risk Factors, Young Adult, Rituximab adverse effects, Rituximab therapeutic use, Rituximab administration & dosage, Antineoplastic Combined Chemotherapy Protocols adverse effects, Antineoplastic Combined Chemotherapy Protocols therapeutic use, Granulocyte Colony-Stimulating Factor therapeutic use, Granulocyte Colony-Stimulating Factor administration & dosage, Lymphoma, Large B-Cell, Diffuse drug therapy, Vincristine adverse effects, Vincristine therapeutic use, Cyclophosphamide adverse effects, Cyclophosphamide therapeutic use, Prednisone therapeutic use, Prednisone adverse effects, Prednisone administration & dosage, Doxorubicin adverse effects, Doxorubicin therapeutic use, Lymphoma, Follicular drug therapy
- Abstract
Background: Rituximab-based combinations are the standard of care in diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma (FL). Despite being on market for over 20 years, some of the adverse effects associated with the use of rituximab are not well known. Drug-induced interstitial pneumonitis (DIP) is a potentially fatal complication of the treatment. Granulocyte colony-stimulating factors (G-CSF) are supportive agents commonly used to prevent neutropenic infections. G-CSF are reported to have pulmonary toxicity, but the risk of DIP is greater when used in combination with other potentially pulmotoxic agents., Methods: In this retrospective study, we reported the G-CSF use and risk of DIP in 234 DLBCL patients and 87 FL patients receiving R-CHOP-type immunochemotherapy., Results: In 72% of patients, the treatment included a G-CSF support. The overall incidence of treatment-induced pneumonitis was 6.9% in this patient group. All the DIP cases (n = 16) were among patients receiving G-CSF support (p = 0.03). Older age (over 60 years) and higher disease stage (Ann Arbor 3-4) also increased the risk of DIP., Conclusions: These findings suggest that the use of G-CSF increases the risk of DIP, when used in combination with rituximab-containing regimen., (© 2023 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.)
- Published
- 2024
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