Inclusion Criteria:
- Histologically diagnosed non-Hodgkin's lymphoma patients treated by CHOP-regimen or R
(Rituximab)-CHOP regimen at 21±5 days interval
- Age >= 20 years old
- The patients with at least one of the following risk factor of neutropenic fever at
initiation of anti-cancer treatment
1. Age >= 65 years old
2. Progressed stage of disease (Ann Arbor stage III)
3. History of previous anti-cancer treatment
4. History of previous radiotherapy (Including bone region includes bone marrow)
5. Bone marrow involvement
6. Comorbid neutropenia (neutrophils < 1,500/uL ) before the initiation of
anti-cancer treatment
7. Comorbid anemia (hemoglobin < 12.0 g/dL ) before the initiation of anti-cancer
treatment
8. Evidence of activated inflammation
9. Existence of open wound
10. Poor health state (ECOG 2)
11. Poor nutritional state (Serum albumin < 3.5 g/dL)
12. Kidney disease or renal insufficiency
13. Liver disease (chronic hepatitis or cirrhosis) or hepatic insufficiency
14. Chronic Obstructive Pulmonary Disease (COPD)
15. Cardiovascular disease
16. Diabetes mellitus
- Increased cardiac output by 50% above the baseline without clinically significant
abnormal findings on MUGA or echocardiography
- life expectancy >=6 months
- Amenorrhea less than 1 year (less than 1 year after menopause) or premenopausal
female with negative response to serum or urine pregnancy test before initiation of
the treatment
- Voluntary participants with written consent agreement for this study
Exclusion Criteria:
- The patients treated by other anti-cancer treatment except CHOP regimen or R
(Rituximab)-CHOP regimen at 21 days interval
- Pregnant or breast feeding woman, fertile woman without appropriate contraception
- Patients with hypersensitivity against study drugs
- Patients treated by other study medication or co-treatment with anticancer
chemotherapy, hormone therapy, and immunotherapy