Breast Cancer, Lung Cancer, Ovarian Cancer
Conditions
Keywords
solid tumour, unknown primary tumour, carboplatin, paclitaxel
Brief summary
The purpose of this study is to provide dose-finding information regarding the efficacy and kinetics of peripheral blood progenitor cell (PBPC) mobilisation by pegfilgrastim and to determine if carboplatin/paclitaxel can be delivered at a reduced cycle interval when supported by pegfilgrastim-mobilised PBPCs in whole blood.
Interventions
chemotherapy
Growth factor for mobilization
Chemotherapy
Sponsors
Study design
Eligibility
Inclusion criteria
- Pathologically confirmed diagnosis of malignancy (solid tumour) suitable for treatment with intensified carboplatin and paclitaxel - Previously untreated with chemotherapy or radiotherapy - ECOG performance status 0 to 2 inclusive - Life expectancy greater than or equal to 12 weeks - ANC greater than or equal to 2.0 x 10\^9/L, platelets greater than 100 x 10\^9/L - Glomerular filtration rate greater than 60 mL/min
Exclusion criteria
- Active infection requiring treatment with systemic (IV or oral) anti-infectives (antibiotic, antifungal, antiviral) within 72 hours of randomisation - Known to be HIV positive - Any premalignant myeloid condition or any malignancy with myeloid characteristics (e.g., myelodysplastic syndromes, acute or chronic myelogenous leukaemia) - Prior malignancy within the last 5 years, with the exception of surgically cured basal/squamous skin cell carcinoma, and/or carcinoma of the cervix in-situ - History of impaired cardiac status \[e.g., severe heart disease (NYHA greater than 2), cardiomyopathy, or congestive heart failure\] - Bone marrow involvement of disease - Major surgery within 2 weeks before randomisation - Known sensitivity to E. coli derived drug products (e.g., filgrastim) - Previous exposure to pegfilgrastim
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| PBPC mobilization profiles and success rate of achieving planned chemotherapy administration on time. | Cycle 0, and through 4 cycles |
Secondary
| Measure | Time frame |
|---|---|
| PBPC kinetics and response to chemotherapy treatment | Cycles 1-4 |