Efficacy and Safety of Pegylated Recombinant Human Granulocyte Stimulating Factor in Secondary Prevention of Albumin Paclitaxel Combined With S-1 in the First-line Treatment of Advanced Pancreatic Cancer
(2) Patients with Advanced Pancreatic Cancer diagnosed by histopathology,the expected survival time is more than 3 months;
(3) Neutropenia of ≥2 degree occurred with the albumin paclitaxel + S-1 regimen in the previous cycle.
(4) KPS score≥70points;
(5) The peripheral blood routine of the patients was normal: ANC ≥ 2.0x109 / L, platelet count ≥ 90 × 109 / L, HB ≥ 80g / L before enrollment, and there was no bleeding tendency;
(6) Patients volunteered to participate in the trial and signed a written informed consent to be followed up.
You may not be if
(1) There are currently hard-to-control infections or systemic antibiotic treatment within 72 h of chemotherapy;
(2) Any abnormal bone marrow hyperplasia and other abnormal hematopoietic function;
(3) Patients who had received bone marrow or hematopoietic stem cell transplantation within the previous 3 months;
(4) Previous patients with other malignant tumors not cured, or brain metastases;
(5) Liver function tests total bilirubin (TBIL), alanine aminotransferase (ALT), and aspartate aminotransferase (AST) are \>2.5 times the upper limit of normal, if the above indicators are \>5 times due to liver metastasis Upper limit of normal value;
(6) Renal function test: serum creatinine (Cr) exceeded the upper limit of normal value;
(7) Allergic to this product or other biological products derived from genetically engineered escherichia coli;
(8) Suffering from a mental or nervous system disorder, lacking self-awareness or coordination;
(9) Patients who are expected to have a short survival and have difficulty tolerating chemotherapy;
(10) Pregnant and nursing female patients;
(11) People who are using other drugs of the same category or are in clinical trials of other drugs;
(12) The investigator judges patients who are not suitable for participation.