|
nadir measurements (measurements of ANC and platelet nadir are
based on twice weekly CBC only)
|
dose-adjustment (dose adjustments above starting dose level (level
1) apply to etoposide, doxorubicin and cyclophosphamide. Dose adjustments
below starting dose level (level 1) apply to cyclophosphamide only. )
|
| if nadir ANC at least 0.5 × 109/L |
20% increase in etoposide, doxorubicin, and cyclophosphamide above
last cycle |
| if nadir ANC less than 0.5 × 109/L on 1 or 2 measurements |
same dose(s) as last cycle |
| if nadir ANC less than 0.5 × 109/L on at least 3 measurements |
20% decrease in etoposide, doxorubicin, and cyclophosphamide below
last cycle |
| if nadir platelet count < 25 × 109/L on 1 measurement |
20% decrease in etoposide, doxorubicin, and cyclophosphamide below
last cycle |
All patients received G-CSF beginning on day 6 and continued until the
ANC was more than 5 × 10