Ig. Ron et al., TIME DEPENDENCY OF HEMATOPOIETIC GROWTH-FACTOR COUPLED TO CHRONOTOXICITY OF CARBOPLATIN, Cancer chemotherapy and pharmacology, 42(2), 1998, pp. 135-141
A growing body of data suggests that cancer therapy may be improved an
d toxicity reduced by administration of antineoplastic agents and cyto
kines at carefully selected times of the day. The time-dependent effec
ts of each of the drugs have been documented, but not their mutual tim
e dependencies. In the present studies we sought to determine the best
time for granulocyte colony-stimulating factor (G-CSF) administration
after carboplatin treatment. Carboplatin was injected in different gr
oups of ICR mice at four different circadian stages for 5 consecutive
days. Mice were synchronized with an alternation of 12 h of light (fro
m 6:00 a.m. to 6:00 p.m.) and 12 h of darkness. After the last injecti
on, peripheral WBCs of three mice from each group were counted every 4
h over a 24-h period. Bone marrow toxicity was estimated with the mea
n 24-h WBC count. The most severe leukopenia occurred in the group inj
ected at 3:00 p.m. -9 h after light onset. The second set of experimen
ts evaluated the time-dependent effect of G-CSF when singly injected o
r given after carboplatin injections for 5 days only at 3:00 p.m. G-CS
F was injected into various groups on days 8 and 9 at the same four di
fferent circadian stages. On the 10th day after the first injection, p
eripheral WBCs of three mice from each group were counted every 4 h ov
er a 24-h period. Time-dependent effects were observed when G-CSF was
injected as a single agent. When G-CSF was given at various times to t
he group with the most severe carboplatin-induced leukopenia, peripher
al WBC count recovery was monitored at all injection times; it reached
its highest level (exceeding even that of the control) when G-CSF was
injected at 3:00 a.m. Dosing times of both chemotherapy and growth fa
ctor are relevant for optimization of carboplatin's hematologic tolera
bility.