SUBCUTANEOUS RECOMBINANT-HUMAN-ERYTHROPOIETIN IN CHILDREN WITH RENAL ANEMIA ON CONTINUOUS AMBULATORY PERITONEAL-DIALYSIS

被引:6
作者
AUFRICHT, C [1 ]
BALZAR, E [1 ]
STEGER, H [1 ]
LOTHALLER, MA [1 ]
FRENZEL, K [1 ]
KOHLHAUSER, C [1 ]
KISS, H [1 ]
KHOSS, AE [1 ]
KERNOVA, T [1 ]
机构
[1] UNIV VIENNA, DEPT PEDIAT, A-1010 VIENNA, AUSTRIA
关键词
ERYTHROPOIETIN CHILDREN; CONTINUOUS AMBULATORY PERITONEAL DIALYSIS;
D O I
10.1111/j.1651-2227.1993.tb12608.x
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Subcutaneous recombinant human erythropoietin (rHuEpo) treatment of renal anemia was performed in four boys and eight girls on CAPD, aged 0.8-12.5 (mean 7.4) years. In contrast to previous studies, our therapeutic goal was not set with a hematocrit of 30% but with full correction of anemia. Following a maximum weekly rHuEpo dosage of median 120 (range 100 240) IU/kg body weight, hematocrit increased in 10 children from 24 (14-29)% within 12 (4-17) weeks to 40.1 (33.5-48.4)%. The weekly increase in hematocrit was 1.27 (0.5-3.1)%. The corrected reticulocyte count increased from 1.3 (0.7-1.8)% to 2.3 (1.4-3.9)% within 4 (2-6) weeks. Eight children fulfilled the protocol; six with an uncomplicated course were able to maintain a hematocrit of 37.1 (35.1-42.7)% with only one sc medication per week of approximately two-thirds of their highest weekly rHuEpo dosage. No serious adverse effect of rHuEpo therapy was observed.
引用
收藏
页码:959 / 962
页数:4
相关论文
共 10 条
[1]   EXERCISE TOLERANCE AFTER ANEMIA CORRECTION WITH RECOMBINANT-HUMAN-ERYTHROPOIETIN IN END-STAGE RENAL-DISEASE [J].
BARALDI, E ;
MONTINI, G ;
ZANCONATO, S ;
ZACCHELLO, G ;
ZACCHELLO, F .
PEDIATRIC NEPHROLOGY, 1990, 4 (06) :623-626
[2]   CORRECTION OF THE ANEMIA OF END-STAGE RENAL-DISEASE WITH RECOMBINANT-HUMAN-ERYTHROPOIETIN - RESULTS OF A COMBINED PHASE-I AND PHASE-II CLINICAL-TRIAL [J].
ESCHBACH, JW ;
EGRIE, JC ;
DOWNING, MR ;
BROWNE, JK ;
ADAMSON, JW .
NEW ENGLAND JOURNAL OF MEDICINE, 1987, 316 (02) :73-78
[3]   BENEFITS AND RISKS OF ANEMIA CORRECTION WITH RECOMBINANT-HUMAN-ERYTHROPOIETIN IN CHILDREN MAINTAINED BY HEMODIALYSIS [J].
MONTINI, G ;
ZACCHELLO, G ;
BARALDI, E ;
ZANCONATO, S ;
SUPPIEJ, A ;
FABRIS, F ;
ANDREETTA, B ;
PAVANELLO, L ;
ZACCHELLO, F .
JOURNAL OF PEDIATRICS, 1990, 117 (04) :556-560
[4]   ONE YEARS EXPERIENCE WITH RECOMBINANT ERYTHROPOIETIN IN CHILDREN UNDERGOING CONTINUOUS AMBULATORY OR CYCLING PERITONEAL-DIALYSIS [J].
OFFNER, G ;
HOYER, PF ;
LATTA, K ;
WINKLER, L ;
BRODEHL, J ;
SCIGALLA, P .
PEDIATRIC NEPHROLOGY, 1990, 4 (05) :498-500
[5]   RECOMBINANT-HUMAN-ERYTHROPOIETIN THERAPY IN CHILDREN MAINTAINED BY HEMODIALYSIS [J].
RIGDEN, SPA ;
MONTINI, G ;
MORRIS, M ;
CLARK, KGA ;
HAYCOCK, GB ;
CHANTLER, C ;
HILL, RC .
PEDIATRIC NEPHROLOGY, 1990, 4 (06) :618-622
[6]  
SCIGALLA P, 1989, CONTRIB NEPHROL, V76, P227
[7]   USE OF SUBCUTANEOUS RECOMBINANT HUMAN ERYTHROPOIETIN IN CHILDREN UNDERGOING CONTINUOUS CYCLING PERITONEAL-DIALYSIS [J].
SINAITRIEMAN, L ;
SALUSKY, IB ;
FINE, RN .
JOURNAL OF PEDIATRICS, 1989, 114 (04) :550-554
[8]   COST-EFFECTIVENESS OF WEEKLY AND FORTNIGHTLY SUBCUTANEOUS ERYTHROPOIETIN [J].
THOMAS, M ;
SAKER, BM ;
THATCHER, GN ;
HURST, PE ;
MOODY, H .
LANCET, 1990, 335 (8704) :1533-1534
[9]   RECOMBINANT-HUMAN-ERYTHROPOIETIN THERAPY IN PEDIATRIC-PATIENTS RECEIVING LONG-TERM PERITONEAL-DIALYSIS [J].
WARADY, BA ;
SABATH, RJ ;
SMITH, CA ;
ALON, U ;
HELLERSTEIN, S .
PEDIATRIC NEPHROLOGY, 1991, 5 (06) :718-723
[10]   EFFECT OF HUMAN ERYTHROPOIETIN DERIVED FROM RECOMBINANT-DNA ON THE ANEMIA OF PATIENTS MAINTAINED BY CHRONIC-HEMODIALYSIS [J].
WINEARLS, CG ;
PIPPARD, MJ ;
DOWNING, MR ;
OLIVER, DO ;
REID, C ;
COTES, PM .
LANCET, 1986, 2 (8517) :1175-1178