Document 0903 DOCN M95A0903 TI Granulocyte growth factors: achieving a consensus. DT 9510 AU Boogaerts M; Cavalli F; Cortes-Funes H; Gatell JM; Gianni AM; Khayat D; Levy Y; Link H; University Hospital, Leuven, Belgium. SO Ann Oncol. 1995 Mar;6(3):237-44. Unique Identifier : AIDSLINE MED/95336959 AB A consensus meeting held under the auspices of the European School of Oncology concluded that the use of granulocyte growth factors is definitely indicated, or acceptable given existing evidence, in the following circumstances: to alleviate congenital neutropenia; in the mobilisation of peripheral blood progenitor cells for autotransfusion; to encourage engraftment following bone marrow transplantation and in cases of failed engraftment; to support continuation of ganciclovir anti-CMV therapy in certain patients with AIDS, where the switch to foscarnet is contraindicated or where toxicity to foscarnet develops. It was also agreed that there is an overwhelming need for carefully controlled clinical trials in a wide range of indications in which growth factor use may improve outcome. In the majority of tumours, the possible benefit of dose optimisation and intensification, and therefore the role of growth factors in support of such measures has still to be defined. Extramedullary toxicities may in these instances become dose limiting. DE AIDS-Related Opportunistic Infections/THERAPY Bone Marrow Transplantation Granulocyte Colony-Stimulating Factor/*THERAPEUTIC USE Hematologic Diseases/DRUG THERAPY/THERAPY Hematopoietic Stem Cell Transplantation Hematopoietic Stem Cells Human Neoplasms/DRUG THERAPY/THERAPY Neutropenia/THERAPY CONSENSUS DEVELOPMENT CONFERENCE JOURNAL ARTICLE REVIEW SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).