About
Plerixafor is a potent and selective CXCR4 chemokine receptor antagonist, specifically designed for use in combination with granulocyte-colony stimulating factor (G-CSF) to mobilize hematopoietic stem cells (HSCs) to the peripheral blood. This mobilization is crucial for subsequent collection and autologous transplantation in adult patients diagnosed with non-Hodgkin's lymphoma (NHL) and multiple myeloma (MM). The drug functions by reversibly blocking the binding of stromal cell-derived factor-1 alpha (SDF-1α) to its receptor CXCR4 on the surface of hematopoietic stem cells. This disruption effectively dislodges HSCs from their protective niche within the bone marrow microenvironment, allowing them to circulate in the bloodstream. The increased presence of CD34+ cells in the peripheral blood significantly enhances the efficiency of apheresis, facilitating the collection of a sufficient number of stem cells required for successful engraftment and rapid hematopoietic recovery following high-dose chemotherapy. Its targeted mechanism offers a valuable option, particularly for patients who are poor mobilizers with G-CSF alone.
Uses
- Mobilization of hematopoietic stem cells for autologous transplantation.
- Treatment of non-Hodgkin's lymphoma.
- Treatment of multiple myeloma.
- Used in conjunction with G-CSF.
Directions For Use
Administered via subcutaneous injection, typically once daily for 2-4 days prior to apheresis.
Benefits
- Increases the yield of CD34+ cells.
- Facilitates successful autologous stem cell transplantation.
- Reduces the number of apheresis sessions required.
- Offers an alternative for poor mobilizers.
- Improves engraftment rates post-transplant.
- Enhances patient outcomes in specific hematologic malignancies.
Side Effects
- Injection site reactions
- Diarrhea
- Nausea
- Fatigue
- Headache
- Dizziness
- Abdominal pain
- Arthralgia
- Insomnia
- Peripheral edema
- Splenomegaly
- Thrombocytopenia
Safety Measures
- Alcohol - Avoid alcohol as it may exacerbate gastrointestinal side effects or fatigue.
- Pregnancy - Not recommended during pregnancy due to potential fetal harm; use effective contraception.
- Breastfeeding - Discontinue breastfeeding as the drug may pass into breast milk and harm the infant.
- Liver - Use with caution in patients with severe hepatic impairment; dose adjustment may be necessary.
- Kidney - Dose adjustment is required for patients with moderate to severe renal impairment.
- Lung - Generally safe for lung conditions, but monitor for any unusual respiratory symptoms.
Disclaimer
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