Biosimilar Filgrastim in Autologous Peripheral Blood Hematopoietic Stem Cell Mobilization and Post-Transplant Hematologic Recovery

Publisher: Bentham Science Publishers

E-ISSN: 1875-533x|23|21|2217-2229

ISSN: 0929-8673

Source: Current Medicinal Chemistry, Vol.23, Iss.21, 2016-08, pp. : 2217-2229

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Abstract

To date, two kinds of Granulocyte Colony-Stimulating Factors (G-CSF) have beenapproved for autologous peripheral blood hematopoietic stem cell (PBSCs) mobilization and posttransplanthematologic recovery after high-dose chemotherapy: filgrastim (originator andbiosimilar) and lenograstim. Biosimilar filgrastim has been approved on the basis of comparableefficacy and safety in clinical studies where it has been used as chemotherapy-induced febrileneutropenia prophylaxis, but no specific pre-registration studies have been published in thetransplant setting. Hence, there is still general skepticism about the role of biosimilar G-CSFs inthis setting of patients. This review of biochemical, pre-clinical and clinical data suggestssignificant comparability of biosimilar filgrastim with both originator filgrastim and lenograstim inautologous PBSCs mobilization and post-autograft hematologic recovery.