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Efficacy of Plinabulin vs Pegfilgrastim for Prevention of Docetaxel-Induced Neutropenia in Patients With Solid Tumors

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Key Points Question Can plinabulin, a selective immunomodulating microtubule-binding agent, perform as well as pegfilgrastim to prevent chemotherapy-induced neutropenia and its clinical consequences? Findings In this randomized clinical trial of… Click to show full abstract

Key Points Question Can plinabulin, a selective immunomodulating microtubule-binding agent, perform as well as pegfilgrastim to prevent chemotherapy-induced neutropenia and its clinical consequences? Findings In this randomized clinical trial of 105 patients, plinabulin had comparable efficacy to pegfilgrastim for the prevention of chemotherapy-induced neutropenia with better safety findings, less bone pain, and a lower immunosuppressive profile. Meaning The findings of this study suggest that plinabulin’s same-day dosing compared with pegfilgrastim’s next-day dosing offers distinct advantages including reducing use of health care services.

Keywords: plinabulin pegfilgrastim; pegfilgrastim prevention; induced neutropenia; efficacy plinabulin

Journal Title: JAMA Network Open
Year Published: 2022

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