Evaluation of the safety and feasibility of rapid rituximab infusion.
Asia Pac J Clin Oncol
; 8(1): 71-5, 2012 Mar.
Article
em En
| MEDLINE
| ID: mdl-22369446
ABSTRACT
AIM:
To assess safety of rapid infusion by measuring infusion-related side effects and toxicities.METHODS:
Participants received the first rituximab infusion according to the manufacturers' recommendations. If well-tolerated, they then received the second and subsequent infusions at a rate of 20% of the dose over the first 30 min and the remaining 80% over the next hour. Premedication was administered for all the infusions.RESULTS:
A total of 243 infusions in 65 consecutive participants were evaluated. Six experienced a grade 1 reaction and one a grade 3 transfusion-related adverse event. Three of these participants were withdrawn from the rapid infusion study. The other four participants (grade 1 only participants) were re-challenged. The same premedication was used as in the first rapid infusion. On experiencing a grade 1 reaction, promethazine 12.5 mg i.v. was administered and infusion recommenced at 50% of the previous rate upon the resolution of symptoms. Three patients developed a grade 1 adverse event and one patient experienced no adverse reaction. The three patients who did not tolerate the second rapid infusion were withdrawn from this study.CONCLUSION:
A rituximab infusion over 90-min was safe and feasible for participants who seek treatment at ambulatory cancer centre. The new regimen has been adopted as a standard practice with better resource utilization.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Anticorpos Monoclonais Murinos
/
Neoplasias
/
Antineoplásicos
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article