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Updated: Jun 23, 2026

Generation and Culturing of Primary Human Keratinocytes from Adult Skin
Published on: December 22, 2017
Keratinocyte growth factor
1SUNY Upstate Medical University, Regional Oncology Center, Division of Hematology and Oncology, Department of Medicine, Syracuse, NY 13210, USA.
Abstract:
Mucositis occurs in over 90% of patients undergoing stem cell transplantation for hematological malignancies. It is associated with significant morbidity in the form of pain, dysphagia and decreased oral intake, as well as mortality. Palifermin is a recombinant keratinocyte growth factor that has been shown to be effective in decreasing the incidence, severity and duration of mucositis in Phase III trials. Improvement in patient functioning during hematopoietic stem cell transplants has also been reported. This review deals with the preclinical data and the clinical trials that have been carried out with this agent in patients with hematologic malignancies. In addition limited Phase I and II data on solid tumors is available and will be included.
Insights
Palifermin significantly reduces the incidence and severity of mucositis, a common side effect of stem cell transplantation for hematologic malignancies. This agent improves patient functioning and reduces associated morbidity during treatment.
Area of Science:
- Oncology
- Hematology
- Gastroenterology
Background:
- Mucositis affects over 90% of patients undergoing stem cell transplantation for hematologic malignancies.
- It causes significant pain, dysphagia, decreased oral intake, and mortality.
- Current treatments for mucositis are limited.
Purpose of the Study:
- To review preclinical data and clinical trials of palifermin for mucositis in hematologic malignancies.
- To include available Phase I and II data on palifermin in solid tumors.
Main Methods:
- Review of preclinical studies on palifermin.
- Analysis of Phase III clinical trials evaluating palifermin in hematologic malignancies.
- Inclusion of Phase I and II data for solid tumors.
Main Results:
- Palifermin demonstrated efficacy in decreasing the incidence, severity, and duration of mucositis in Phase III trials.
- Palifermin has shown improvement in patient functioning during hematopoietic stem cell transplants.
- Preclinical data supports the mechanism of action.
Conclusions:
- Palifermin is an effective agent for managing mucositis in patients undergoing stem cell transplantation for hematologic malignancies.
- Palifermin improves patient outcomes and reduces treatment-related morbidity.
- Further investigation in solid tumors may be warranted.
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