Gastroenterology and Hepatology

PegIFN


Lab Value: Package Insert Recommendation:

TWBC

< 1.5

Reduce peginterferon alfa-2b dose by 50% and reevaluate

< 1.0

Discontinue peginterferon alfa-2b until resolution


ANC
< 0.75 Peginterferon alfa-2a: reduce dose to 135 µg/wk and reevaluate
Peginterferon alfa-2b: reduce dose by 50% and reevaluate

< 0.50

Discontinue peginterferon alfa until resolution

Platelet

< 80,000

Peginterferon alfa-2b: reduce dose by 50% and reevaluate
< 50,000 Peginterferon alfa-2a: reduce dose to 90 µg/wk and reevaluate
Peginterferon alfa-2b: discontinue until resolution
< 25,000

Peginterferon alfa-2a: discontinue until resolution





edited 12th July 2010

Laboratory Values

Manufacturer Package Insert Recommendations

White blood cell count

< 1.5 x 109/L

Reduce peginterferon alfa-2b dose by 50% and reevaluate

< 1.0 x 109/L

Discontinue peginterferon alfa-2b until resolution

Absolute neutrophil count*

< 0.75 x 109/L

Peginterferon alfa-2a: reduce dose to 135 µg/wk and reevaluate
Peginterferon alfa-2b: reduce dose by 50% and reevaluate

< 0.50 x 109/L

Discontinue peginterferon alfa until resolution

Platelet count

< 80,000/mm3

Peginterferon alfa-2b: reduce dose by 50% and reevaluate

< 50,000/mm3

Peginterferon alfa-2a: reduce dose to 90 µg/wk and reevaluate
Peginterferon alfa-2b: discontinue until resolution

< 25,000/mm3

Peginterferon alfa-2a: discontinue until resolution