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Logothethis CJ, Finn LD, Smith TS, Kilbourn RG, Ellerhorst JA, Zukiwski AA, Sella A, Tu SM, Amato RJ: Escalated MVAC with or without recombinant human granulocyte-macrophage colony stimulating factor for the initial treatment of advanced malignant urothelial tumors: results of a randomized trial. J Clin Oncol 1995, 13:2272-2277.
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Heil G, Chadid L, Hoelzer D, Seipelt G, Mitrou P, Huber Ch, Kolbe K, Mertelsmann R, Lindemann A, Frisch J, Nicolay U, Gaus W, Heimpel H: GM-CSF in a double-blind randomized placebo-controlled trial in therapy of adult patients with de novo acute myeloid leukemia. Leukemia 1995, 9:3-9.
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Rowe JM, Andersen J, Mazza J, Bennett JM, Paietta E, Hayes FA, Oette D, Cassileth PA, Stadtmauer EA, Wiernik PH: A randomized placebo-controlled phase III study of granulocyte-macrophage colony-stimulating factor in adult patients (> 55 to 70 years of age) with acute myelogenous leukemia: a study of the Eastern Cooperative Oncology Group (E 1490). Blood 1995, 86:457-462.
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Bunn PA, Crowley J, Kelly K, Hazuka MB, Beasly K, Upchurch C, Livingston R: Chemoradiotherapy with or without granulocyte-macrophage colony-stimulating factor in the treatment of limited-stage small-cell lung cancer: a prospective phase III randomized study of the Southwest Oncology Group. J Clin Oncol 1995, 13:1632-1641. This study had to be stopped early because of the development of prolonged cytopenia in patients treated concomitantly with GM-CSF and thoracic irradiation. The mechanism is unknown but probably due to the fact that a large proportion of the circulating progenitor cells that are mobilized during the regenerative phase after chemotherapy are irradiated during their passage through the heart and large mediastinal vessels.
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Ottmann OG, Hoelzer D, Gracien E, Ganser A, Kelly K, Reutzel R, Lipp T, Busch FW, Schwonzen M, Heil G, Wandt H, Koch P, Kolbe K, Heyll A, Bentz M, Peters S, Diedrich R, Delhling J, Meyer P, Nowrousian MR, Löffler B, Weiss A, Kneba M, Fôller A, Graf M, Hecht T: Concomitant granulocyte colony-stimulating factor and induction chemoradiotherapy in adult acute lymphoblastic leukemia: a phase III trial. Blood 1995, 86:444-450. This study demonstrates that concomitant administration of chemotherapy and G-CSF is possible without development of prolonged cytopenia.
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