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Balugrastim is a long-acting recombinant fusion protein composed of human serum albumin and granulocyte colony-stimulating factor (G-CSF), developed for the prevention of severe neutropenia in cancer patients receiving myelosuppressive chemotherapy. The fusion with albumin extends the half-life of G-CSF, allowing for once-per-cycle, fixed-dose subcutaneous administration. Balugrastim stimulates the production and function of neutrophils by acting as a granulocyte colony-stimulating factor replacement, thereby reducing the incidence and duration of chemotherapy-induced neutropenia and febrile neutropenia. It has demonstrated non-inferiority to pegfilgrastim in phase III clinical trials involving breast cancer patients undergoing chemotherapy[2][4][5][7].
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