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Frequently Asked Questions
 
Get to Know Neulasta®
 
How do I administer Neulasta®?
How can Neulasta® be effective when it is given only once per chemotherapy cycle?
How can a single fixed dose of Neulasta® be effective regardless of a patient’s weight? Won’t lighter patients require less and heavier patients more?
How do Neulasta® and Filgrastim compare in terms of efficacy, safety, and tolerability?
Is Neulasta® contraindicated for certain patient types?
What adverse events were observed with Neulasta®?
 
How do I administer Neulasta®?
The recommended dosage is a single subcutaneous injection administered once per chemotherapy cycle. Neulasta® is supplied as a preservative-free solution containing 6 mg of pegfilgrastim
(10 mg/mL) in a prefilled single-dose syringe with a 27-gauge, 1/2-inch needle and an UltraSafe® Needle Guard. It should be administered at least 24 hours after myelosuppressive chemotherapy, but no sooner than 14 days prior to the next cycle.9
 
How can Neulasta® be effective when it is given only once per chemotherapy cycle?
Clearance of a single 6-mg dose of Neulasta® appears to be self-regulated, allowing it to remain in the blood until the post-nadir absolute neutrophil count (ANC) returns to normal. The serum concentration declines rapidly at the onset of neutrophil recovery.9
 
How can a single fixed dose of Neulasta® be effective irrespective of a patient’s weight? Won’t lighter patients require less and heavier patients more?
Neulasta® exhibits patient-specific pharmacokinetics that provide for consistent neutrophil response independent of weight, tumor type, or chemotherapy regimen. When administered 24 hours after chemotherapy, a single 6-mg fixed dose of Neulasta® provides effective protection from neutropenic complications for patients, irrespective of their weight.8,9
 
How do Neulasta® and Filgrastim compare in terms of efficacy, safety, and tolerability?
In phase 3 clinical trials, Neulasta® was comparable to Filgrastim on all efficacy, safety, and tolerability measures7-9:
 
Duration of severe neutropenia (ANC < 500/µL)
Rate of febrile neutropenia (ANC < 500/µL; T > 38.2°C)
Depth of ANC nadir
Time to ANC recovery
Safety
 
Is Neulasta® contraindicated for certain patient types?
Neulasta® is contraindicated in patients with a known hypersensitivity to E coli-derived proteins, pegfilgrastim, Filgrastim, or any other component of the product.
 
What adverse events were observed with Neulasta®?
 
UltraSafe® is a registered trademark of SafetySyringes, Inc™.