Sargramostim (Leukine, Prokine)

Other Medications · Approved since 1991

US FDA Approved EU EMA Approved ES Hospital use other indication IV, Subcutaneous 16 Clinical Trials
GM-CSF receptor

Description

Sargramostim is a recombinant granulocyte-macrophage colony-stimulating factor (GM-CSF) that functions as a hematopoietic growth factor and immune system modulator. In colorectal cancer treatment, sargramostim serves dual roles as supportive care to enhance white blood cell recovery following chemotherapy and as an immunotherapy adjuvant to boost anti-tumor immune responses. It is commonly used to reduce the risk of infection in patients receiving myelosuppressive chemotherapy regimens and has been incorporated into vaccine-based immunotherapy protocols for advanced colorectal cancer.

Mechanism of Action

Sargramostim binds to GM-CSF receptors on hematopoietic progenitor cells and mature immune cells, stimulating the proliferation, differentiation, and activation of granulocytes, macrophages, and dendritic cells. This mechanism enhances both innate and adaptive immune responses while promoting bone marrow recovery from chemotherapy-induced myelosuppression. The drug also enhances antigen presentation by dendritic cells, making it valuable as an adjuvant in cancer vaccine strategies.

Molecular Targets

Side Effects

Bone pain Fatigue Fever Headache Nausea Injection site reactions Muscle aches Diarrhea

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT05269381 Phase 1
Recruiting
Personalized Neoantigen Peptide-Based Vaccine in Combination With Pembrolizumab for Treatment of Advanced Solid Tumors
United States
NCT07327411 Phase 2
Not yet recruiting
Cetuximab β Combined With PRaG Regimen in the Treatment of EGFR-positive Advanced Refractory Solid Tumors
China
NCT03761914 Phase 1
Archived
Galinpepimut-S in Combination With Pembrolizumab in Patients With Selected Advanced Cancers
United States
NCT01064375 Phase 1
Archived
Safety Study of DNA Vaccine Delivered by Intradermal Electroporation to Treat Colorectal Cancer
Sweden
NCT00103142 Phase 2
Archived
Vaccine Therapy in Treating Patients With Liver or Lung Metastases From Colorectal Cancer
United States
NCT00088413 Phase 1
Archived
PANVAC-V and PANVAC-F Vaccines Plus Sargramostim to Treat Advanced Cancer
United States
View all 16 clinical trials →