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A Study of Neutropenia and Anemia Management in Patients With Solid Tumors Receiving Myelotoxic Chemotherapy

A Prospective Observational Study of Neutropenia and Anemia Management in Subjects With Solid Tumors Receiving Myelotoxic Chemotherapy

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT00883181
Enrollment
1370
Registered
2009-04-17
Start date
2006-11-30
Completion date
2014-09-30
Last updated
2017-03-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Breast Cancer, Non-Small Cell Lung Cancer, Ovarian Cancer, Small Cell Lung Cancer

Brief summary

The primary objective was to describe the incidence of febrile neutropenia based on granulocyte-colony stimulating factor (G-CSF) use (primary, secondary, treatment, or no usage) in patients receiving myelotoxic chemotherapy.

Detailed description

This is a multi-center international observational study of patients receiving myelotoxic regimens, with an investigator assessed risk of febrile neutropenia ≥ 20%, for the treatment of solid tumors (breast, ovarian and lung). This is an observational study in which patient risk factors were qualitatively (but not quantitatively) assessed, and adherence to G-CSF primary prophylaxis was at the discretion of physicians and not mandated by the protocol.

Interventions

None listed

Sponsors

Amgen
Lead SponsorINDUSTRY

Study design

Observational model
OTHER
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Subjects greater than or equal to 18 years old with breast, ovarian or lung cancer receiving chemotherapy in any schedule, e.g. dose dense or standard chemotherapy. * These subjects must have an Investigator assessed risk of febrile neutropenia (FN) ≥20% (based on 2006 European Organisation for Research and Treatment of Cancer (EORTC) G-CSF Guidelines

Exclusion criteria

\- Subjects with concurrent administration of radiotherapy are not eligible (previous radiotherapy is permitted if terminated at least 2 weeks prior to commencing applicable chemotherapy in this study).

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Febrile Neutropenia (FN)Cycles 1 - 8 (approximately 24 weeks)Febrile neutropenia was defined as a single oral temperature ≥ 38.3°C, or a temperature of ≥ 38.0°C for ≥ 1 hour with a neutrophil count of \< 500 cells/mm² or \< 1000 cells/mm² and predicted to fall below 500 cells/mm².
Percentage of Participants Who Received No Prophylaxis or Treatment With Granulocyte Colony-stimulating Factors (G-CSF) Who Experienced Febrile NeutropeniaCycles 1 - 8 (approximately 24 weeks)FN was defined as a single oral temperature ≥ 38.3°C, or a temperature of ≥ 38.0°C for ≥ 1 hour with a neutrophil count of \< 500 cells/mm² or \< 1000 cells/mm² and predicted to fall below 500 cells/mm². Assignment to G-CSF use groups was programmatically derived rather than assigned by the investigator. Participants in the No G-CSF use group received no G-CSF prophylaxis or treatment at any time during cycles 1 to 8.
Percentage of Participants Receiving Primary Prophylaxis With Pegfilgrastim Who Experienced Febrile NeutropeniaCycles 1 - 8 (approximately 24 weeks)FN was defined as a single oral temperature ≥ 38.3°C, or a temperature of ≥ 38.0°C for ≥ 1 hour with a neutrophil count of \< 500 cells/mm² or \< 1000 cells/mm² and predicted to fall below 500 cells/mm². Primary prophylaxis with pegfilgrastim was defined as receiving pegfilgrastim starting in cycle 1 on day 1 to 7 if chemotherapy completed by day 7 and day 1 to 11 if chemotherapy completed after day 7. Assignment to G-CSF use groups was programmatically derived rather than assigned by the investigator. Participants were assigned to a G-CSF use group that represented the 'best' G-CSF therapy they received at any point in the study. Participants who received G-CSF support from the beginning of Cycle 1 were assigned to primary prophylaxis regardless of whether they continued to receive G-CSF support in subsequent cycles.
Percentage of Participants Receiving Primary Prophylaxis With Any Daily G-CSF Who Experienced Febrile NeutropeniaCycles 1 - 8 (approximately 24 weeks)FN was defined as a single oral temperature ≥ 38.3°C, or a temperature of ≥ 38.0°C for ≥ 1 hour with a neutrophil count of \< 500 cells/mm² or \< 1000 cells/mm² and predicted to fall below 500 cells/mm². Primary prophylaxis was defined as receiving any daily G-CSF (e.g. filgrastim or lenograstim) starting in cycle 1 on day 1 to 7 if chemotherapy completed by day 7 and day 1 to 11 if chemotherapy completed after day 7. Assignment to G-CSF use groups was programmatically derived rather than assigned by the investigator. Participants were assigned to a G-CSF use group that represented the 'best' G-CSF therapy they received at any point in the study. Participants who received G-CSF support from the beginning of cycle 1 were assigned to primary prophylaxis regardless of whether they continued to receive G-CSF support in subsequent cycles.
Percentage of Participants Receiving Secondary Prophylaxis With Pegfilgrastim Who Experienced Febrile NeutropeniaCycles 1 - 8 (approximately 24 weeks)FN was defined as a single oral temperature ≥ 38.3°C, or a temperature of ≥ 38.0°C for ≥ 1 hour with a neutrophil count of \< 500 cells/mm² or \< 1000 cells/mm² and predicted to fall below 500 cells/mm². Secondary prophylaxis with pegfilgrastim was defined as receiving pegfilgrastim starting in cycle 2 onwards on day 1 to 7 if chemotherapy completed by day 7 and day 1 to 11 if chemotherapy completed after day 7. Assignment to G-CSF use groups was programmatically derived rather than assigned by the investigator. Participants were assigned to a G-CSF use group that represented the 'best' G-CSF therapy they received at any point in the study. Adherence of G-CSF support in subsequent cycles was not required for secondary prophylaxis; just an initiation of pegfilgrastim support in the beginning of cycle 2 or later. Results include the FN event that may have triggered the secondary prophylaxis treatment.
Percentage of Participants Receiving Secondary Prophylaxis With Any Daily G-CSF Who Experienced Febrile NeutropeniaCycles 1 - 8 (approximately 24 weeks)FN was defined as a single oral temperature ≥ 38.3°C, or a temperature of ≥ 38.0°C for ≥ 1 hour with a neutrophil count of \< 500 cells/mm² or \< 1000 cells/mm² and predicted to fall below 500 cells/mm². Secondary prophylaxis was defined as receiving any daily G-CSF starting in cycle 2 onwards on day 1 to 7 if chemotherapy completed by day 7 and day 1 to 11 if chemotherapy completed after day 7. Assignment to G-CSF use groups was programmatically derived rather than assigned by the investigator. Participants were assigned to a G-CSF use group that represented the 'best' G-CSF therapy they received at any point in the study. Adherence of G-CSF support in subsequent cycles was not required for secondary prophylaxis; just an initiation of G-CSF support in the beginning of cycle 2 or later. Results include the FN event that may have triggered the secondary prophylaxis treatment.
Percentage of Participants Receiving Primary Prophylaxis With an Other G-CSF Who Experienced Febrile NeutropeniaCycles 1 - 8 (approximately 24 weeks)FN was defined as a single oral temperature ≥ 38.3°C, or a temperature of ≥ 38.0°C for ≥ 1 hour with a neutrophil count of \< 500 cells/mm² or \< 1000 cells/mm² and predicted to fall below 500 cells/mm². Primary prophylaxis was defined as receiving any other G-CSF starting in cycle 1 on day 1 to 7 if chemotherapy completed by day 7 and day 1 to 11 if chemotherapy completed after day 7. Assignment to G-CSF use groups was programmatically derived rather than assigned by the investigator. Participants were assigned to a G-CSF use group that represented the 'best' G-CSF therapy they received at any point in the study. Participants who received G-CSF support from the beginning of cycle 1 were assigned to primary prophylaxis regardless of whether they continued to receive G-CSF support in subsequent cycles.
Percentage of Participants Receiving Secondary Prophylaxis With an Other G-CSF Who Experienced Febrile NeutropeniaCycles 1 - 8 (approximately 24 weeks)FN was defined as a single oral temperature ≥ 38.3°C, or a temperature of ≥ 38.0°C for ≥ 1 hour with a neutrophil count of \< 500 cells/mm² or \< 1000 cells/mm² and predicted to fall below 500 cells/mm². Secondary prophylaxis was defined as receiving any daily G-CSF starting in cycle 2 onwards on day 1 to 7 if chemotherapy completed by day 7 and day 1 to 11 if chemotherapy completed after day 7. Assignment to G-CSF use groups was programmatically derived rather than assigned by the investigator. Participants were assigned to a G-CSF use group that represented the 'best' G-CSF therapy they received at any point in the study. Adherence of G-CSF support in subsequent cycles was not required for secondary prophylaxis; just an initiation of G-CSF support in the beginning of cycle 2 or later. Results include the FN event that may have triggered the secondary prophylaxis treatment.
Percentage of Participants Receiving Treatment With Pegfilgrastim Who Experienced Febrile NeutropeniaCycles 1 - 8 (approximately 24 weeks)FN was defined as a single oral temperature ≥ 38.3°C, or a temperature of ≥ 38.0°C for ≥ 1 hour with a neutrophil count of \< 500 cells/mm² or \< 1000 cells/mm² and predicted to fall below 500 cells/mm². Treatment with pegfilgrastim is defined as participants who started pegfilgrastim treatment after day 7 of any cycle if chemotherapy completed by day 7 and after day 11 of any cycle if chemotherapy completed after day 7.
Percentage of Participants Receiving Treatment With Any Daily G-CSF Who Experienced Febrile NeutropeniaCycles 1 - 8 (approximately 24 weeks)FN was defined as a single oral temperature ≥ 38.3°C, or a temperature of ≥ 38.0°C for ≥ 1 hour with a neutrophil count of \< 500 cells/mm² or \< 1000 cells/mm² and predicted to fall below 500 cells/mm². Treatment with any daily G-CSF is defined as participants who started daily G-CSF treatment after day 7 of any cycle if chemotherapy completed by day 7 and after day 11 of any cycle if chemotherapy completed after day 7.
Percentage of Participants Receiving Treatment With Any Other G-CSF Who Experienced Febrile NeutropeniaCycles 1 - 8 (approximately 24 weeks)FN was defined as a single oral temperature ≥ 38.3°C, or a temperature of ≥ 38.0°C for ≥ 1 hour with a neutrophil count of \< 500 cells/mm² or \< 1000 cells/mm² and predicted to fall below 500 cells/mm². Treatment with any other G-CSF is defined as participants who started other G-CSF treatment after day 7 of any cycle if chemotherapy completed by day 7 and after day 11 of any cycle if chemotherapy completed after day 7.

Secondary

MeasureTime frameDescription
Number of Participants Who Received G-CSF During Cycles 1 to 8Cycles 1 - 8 (approximately 24 weeks)
Number of Days of Prophylaxis in Participants Receiving Primary Prophylaxis With PegfilgrastimCycles 1 - 8 (approximately 24 weeks)The average number of days of pegfilgrastim use per cycle was calculated across all administered cycles.
Number of Days of Prophylaxis in Participants Receiving Primary Prophylaxis With Any Daily G-CSFCycles 1 - 8 (approximately 24 weeks)The average number of days of daily G-CSF use per cycle was calculated across all administered cycles.
Number of Days of Prophylaxis in Participants Receiving Secondary Prophylaxis With PegfilgrastimCycles 1 - 8 (approximately 24 weeks)The average number of days of pegfilgrastim use per cycle was calculated across all administered cycles.
Number of Days of Prophylaxis in Participants Receiving Secondary Prophylaxis With Any Daily G-CSFCycles 1 - 8 (approximately 24 weeks)The average number of days of daily G-CSF use per cycle was calculated across all administered cycles.
Number of Days of Treatment in Participants Receiving Treatment With PegfilgrastimCycles 1 - 8 (approximately 24 weeks)The average number of days of pegfilgrastim use per cycle was calculated across all administered cycles.
Number of Days of Treatment in Participants Receiving Treatment With Any Daily G-CSFCycles 1 - 8 (approximately 24 weeks)
Percentage of Participants With Chemotherapy Dose Delays in Cycles 2 Through 8Cycles 2 - 8 (approximately 21 weeks)A dose delay is defined as a delay of more than 3 days in the start of chemotherapy measured since the start of the previous cycle. The percentage of participants with delays in chemotherapy administration are summarized by the length of delay (\> 3 days, \> 5 days, and \> 7 days) across cycles 2 through 8.
Percentage of Cycles With Chemotherapy Dose DelaysCycles 2 - 8 (approximately 21 days)A dose delay is defined as a delay of \> 3 days in the start of chemotherapy measured since the start of the previous cycle. The percentage of cycles delayed are summarized by the length of delay (\> 3 days, \> 5 days, and \> 7 days) across cycles 2 through 8.
Percentage of Participants With Chemotherapy Dose ReductionsCycles 1 - 8 (approximately 24 weeks)A participant is considered to have a dose reduction in a given cycle if there was a ≥ 15% reduction in dose of any chemotherapy agent planned for that cycle, relative to the dose planned at the baseline visit for that cycle.
Percentage of Cycles With Chemotherapy Dose ReductionsCycles 1 - 8 (approximately 24 weeks)A dose reduction in a given cycle is defined as a ≥ 15% reduction in dose of any chemotherapy agent planned for that cycle, relative to the dose planned at the baseline visit for that cycle.
Reasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Cycles 2 - 8 (approximately 21 weeks)A dose delay is defined as a delay of \> 3 days in the start of chemotherapy measured since the start of the previous cycle.
Reasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Cycles 1 - 8 (approximately 24 weeks)A dose reduction in a given cycle is defined as a ≥ 15% reduction in dose of any chemotherapy agent planned for that cycle, relative to the dose planned at the baseline visit for that cycle.
Number of Participants With Systemic Anti-infective Use in Cycles 1 to 8Cycles 1 - 8 (approximately 24 weeks)Number of participants with systemic anti-infective use, including antibiotics, anti-fungal and virostatic for prophylaxis or treatment.
Number of Participants With Unplanned HospitalizationsCycles 1 - 8 (approximately 24 weeks)Unplanned hospitalizations included only those which involved an overnight stay and occurred in cycles 1 to 8.
Investigator Assessed Clinical Response at End of TreatmentEnd of treatment (approximately 24 weeks)
Number of Participants With Hematological ToxicitiesCycles 1 - 8 (approximately 24 weeks)The number of participants experiencing treatment related grade 3 and 4 hematological toxicities during cycles 1 to 8. Participants experiencing both Grade 3 and Grade 4 toxicities are reported under Grade 4 only (maximum toxicity). Toxicity grades for hematology data are defined according to the Common Terminology Criteria for Adverse Events (CTCAE) version 3.0: Absolute neutrophil count (ANC) - Grade 3: \< 1.0 - 0.5 x 10\^9/L; ANC - Grade 4: \< 0.5 x 10\^9/L; White blood cells (WBC) - Grade 3: \< 2.0 - 1.0 x 10\^9/L; WBC - Grade 4: \< 1.0 x 10\^9/L; Hemoglobin - Grade 3: \< 8.0 - 6.5 g/dL; Hemoglobin - Grade 4: \< 6.5 g/dL; Platelets - Grade 3: \< 50 - 25 x 10\^9/L; Platelets - Grade 4: \< 25 x 10\^9/L.
Time to Disease ProgressionFrom cycle 1, day 1 until end of the long-term follow-up; median time on follow-up from cycle 1, day 1 was 52 months.Time to disease progression was calculated from cycle 1 day 1 to a date at which disease progression was first recorded. Participants who died due to causes other than disease progression were censored at the date of death. Participants who were alive and whose disease had not progressed at the most recent contact, or who were lost to follow-up, or with missing data, were censored at the date of last contact. Median time to disease progression was estimated from the Kaplan-Meier survival function.
Duration of Treatment With Erythropoiesis-stimulating Agents (ESAs)Cycles 1 - 8 (approximately 24 weeks)
Reason for Treatment With Erythropoiesis-stimulating AgentsCycles 1 - 8 (approximately 24 weeks)The reason treatment with an ESA was initiated as recorded by the investigator; participants may have more than one reason for initiating treatment.
Hemoglobin Level at Initiation of Erythropoiesis-stimulating Agent TreatmentCycles 1 - 8 (approximately 24 weeks)
Number of Clinical Visits in Cycles 1-8 by ESA UseCycles 1 - 8 (approximately 24 weeks)The average number of clinical visits per month (28 day period) during cycles 1 to 8 and during the period of ESA treatment in cycles 1 to 8.
Percentage of Participants Who Received ESAs and Required a Red Blood Cell (RBC) Transfusion After 5 Weeks of ESA TreatmentFrom 5 weeks post initiation of ESA treatment to the end of ESA treatment phase (EOTP) during cycles 1 - 8; maximum duration of ESA treatment was 23 weeks.Kaplan-Meier estimate of the percentage of participants with RBC transfusions from five weeks post initiation of ESA treatment until the end of ESA treatment during cycles 1 to 8.
Change in Hemoglobin During ESA Treatment PhaseInitiation of ESA treatment (last assessment on or prior to ESA day 1) and at end of ESA treatment; median duration of ESA treatment was 4 weeks, maximum was 23 weeks.
Percentage of Participants Who Received ESAs and Achieved Hematopoietic ResponseCycles 1 - 8 (approximately 24 weeks)Kaplan-Meier estimate of the percentage of participants in cycles 1 to 8 receiving ESA treatment who achieved a hematopoietic response during the ESA treatment phase, defined as a hemoglobin concentration ≥ 12 g/dL or a ≥ 2 g/dL rise in hemoglobin after starting ESA treatment.
Percentage of Participants Who Received ESAs and Achieved Hemoglobin ≥ 9 g/dL After 5 Weeks ESA TreatmentFrom 5 weeks post initiation of ESA treatment to the end of ESA treatment phase (EOTP) during cycles 1 - 8; maximum duration of ESA treatment was 23 weeks.Kaplan-Meier estimate of the percentage of participants achieving a hemoglobin level ≥ 9 g/dL during the period from five weeks after initiation of ESA treatment until the end of ESA treatment during cycles 1 to 8.
Percentage of Participants Who Received ESAs and Achieved Hemoglobin ≥ 10 g/dL After 5 Weeks ESA TreatmentFrom 5 weeks post initiation of ESA treatment to the end of ESA treatment phase (EOTP) during cycles 1 - 8; maximum duration of ESA treatment was 23 weeks.Kaplan-Meier estimate of the percentage of participants achieving a hemoglobin level ≥ 10 g/dL during the period from five weeks after initiation of ESA treatment until the end of ESA treatment during cycles 1 to 8.
Percentage of Participants Who Received ESAs and Achieved Hemoglobin ≥ 11 g/dL After 5 Weeks ESA TreatmentFrom 5 weeks post initiation of ESA treatment to the end of ESA treatment phase (EOTP) during cycles 1 - 8; maximum duration of ESA treatment was 23 weeks.Kaplan-Meier estimate of the percentage of participants achieving a hemoglobin level ≥ 11 g/dL during the period from five weeks after initiation of ESA treatment until the end of ESA treatment during cycles 1 to 8.
Percentage of Participants Who Received ESAs and Achieved Hemoglobin ≥ 12 g/dL After 5 Weeks ESA TreatmentFrom 5 weeks post initiation of ESA treatment to the end of ESA treatment phase (EOTP) during cycles 1 - 8; maximum duration of ESA treatment was 23 weeks.Kaplan-Meier estimate of the percentage of participants achieving a hemoglobin level ≥ 12 g/dL during the period from five weeks after initiation of ESA treatment until the end of ESA treatment during cycles 1 to 8.
Percentage of Participants Who Received ESAs and Achieved Hemoglobin From 10 to 12 g/dL After 5 Weeks ESA TreatmentFrom 5 weeks post initiation of ESA treatment to the end of ESA treatment phase (EOTP) during cycles 1 - 8; maximum duration of ESA treatment was 23 weeks.Kaplan-Meier estimate of the percentage of participants achieving a hemoglobin level from 10 to 12 g/dL during the period from five weeks after initiation of ESA treatment until the end of ESA treatment during cycles 1 to 8.
Percentage of Participants Who Received ESAs and Achieved Hemoglobin From 12 to 13 g/dL After 5 Weeks ESA TreatmentFrom 5 weeks post initiation of ESA treatment to the end of ESA treatment phase (EOTP) during cycles 1 - 8; maximum duration of ESA treatment was 23 weeks.Kaplan-Meier estimate of the percentage of participants achieving a hemoglobin level from 12 to 13 g/dL during the period from five weeks after initiation of ESA treatment until the end of ESA treatment during cycles 1 to 8.
Percentage of Participants Who Received ESAs and Achieved Hemoglobin From 10 to 12 g/dL 9 Weeks After Initiation of ESA Treatment9 weeks post initiation of ESA treatmentThe percentage of participants achieving a hemoglobin level from 10 to 12 g/dL after 9 weeks of ESA treatment.
Number of Participants With Systemic Transfusions in Cycles 1 to 8Cycles 1 - 8 (approximately 24 weeks)Number of participants who received transfusions, including platelets, packed red blood cells, whole blood, or other, during cycles 1 to 8.
Number of Transfusions Per Participant in Cycles 1 to 8Cycles 1 - 8 (approximately 24 weeks)

Participant flow

Recruitment details

A total of 1370 patients were enrolled at 87 sites in Europe, 5 sites in Canada, and 10 sites in Australia from December 2007 to October 2009. Of these, 1347 participants were included in the full analysis set (FAS) consisting of all enrolled patients who met protocol defined eligibility criteria and started at least 1 cycle of chemotherapy.

Pre-assignment details

Eligible patients were enrolled sequentially. Upon completion of all planned chemotherapy cycles, or following cessation of chemotherapy for any reason, patients were followed-up annually for 5 years or until disease progression or death.

Participants by arm

ArmCount
Full Analysis Set
Participants diagnosed with breast, ovarian, or lung cancer and receiving myelotoxic chemotherapy.
1,347
Total1,347

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdministrative Reason24
Overall StudyDeath31
Overall StudyDisease Progression94
Overall StudyHematological Adverse Event26
Overall StudyNoncompliance3
Overall StudyNon-hematological Adverse Event55
Overall StudyOther38
Overall StudyProtocol Deviation3
Overall StudyWithdrawal by Subject4

Baseline characteristics

CharacteristicFull Analysis Set
Age, Continuous56.4 years
STANDARD_DEVIATION 11.3
Anemia Symptoms
Anorexia
65 participants
Anemia Symptoms
Depression
113 participants
Anemia Symptoms
Dizziness and/or vertigo
49 participants
Anemia Symptoms
Dyspnea
101 participants
Anemia Symptoms
Fatigue/tiredness
197 participants
Anemia Symptoms
Headache
53 participants
Anemia Symptoms
Impaired cognitive function
17 participants
Anemia Symptoms
Impaired immune system
12 participants
Anemia Symptoms
Irritability
66 participants
Anemia Symptoms
Metabolic dysfunction
32 participants
Anemia Symptoms
Nausea
38 participants
Anemia Symptoms
Pallor/Pale skin
86 participants
Anemia Symptoms
Sexual dysfunction
54 participants
Anemia Symptoms
Tachycardia and/or palpitations
48 participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
0 - Normal Activity
874 participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
1 - Symptoms but Ambulatory
346 participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
2 - Confined to Bed ≤ 50% of Time
99 participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
3 - Confined to Bed ≥ 50% of Time
9 participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
4 - 100% Bedridden
0 participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
Missing
19 participants
Hemoglobin Level
< 11 g/dL
175 participants
Hemoglobin Level
≥ 11 g/dL
1091 participants
Hemoglobin Level
Missing
81 participants
Prior Febrile Neutropenia Episodes
Any prior FN episodes
35 participants
Prior Febrile Neutropenia Episodes
Missing
450 participants
Prior Febrile Neutropenia Episodes
No prior FN episodes
213 participants
Prior Treatment
Chemotherapy and radiotherapy
62 participants
Prior Treatment
Chemotherapy only
88 participants
Prior Treatment
Missing
2 participants
Prior Treatment
None
647 participants
Prior Treatment
Other
80 participants
Prior Treatment
Radiotherapy only
19 participants
Prior Treatment
Surgery
449 participants
Race/Ethnicity, Customized
Asian
4 participants
Race/Ethnicity, Customized
Black or African American
4 participants
Race/Ethnicity, Customized
Hispanic or Latino
3 participants
Race/Ethnicity, Customized
Not Applicable
8 participants
Race/Ethnicity, Customized
Other
4 participants
Race/Ethnicity, Customized
White or Caucasian
1324 participants
Sex: Female, Male
Female
1072 Participants
Sex: Female, Male
Male
275 Participants
Tumor Type
Breast cancer
829 participants
Tumor Type
Non-small cell lung cancer (NSCLC)
224 participants
Tumor Type
Ovarian cancer
157 participants
Tumor Type
Small cell lung cancer (SCLC)
137 participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
1 / 1570 / 2241 / 13737 / 7381 / 9038 / 829
serious
Total, serious adverse events
0 / 1571 / 2240 / 1371 / 7380 / 901 / 829

Outcome results

Primary

Percentage of Participants Receiving Primary Prophylaxis With an Other G-CSF Who Experienced Febrile Neutropenia

FN was defined as a single oral temperature ≥ 38.3°C, or a temperature of ≥ 38.0°C for ≥ 1 hour with a neutrophil count of \< 500 cells/mm² or \< 1000 cells/mm² and predicted to fall below 500 cells/mm². Primary prophylaxis was defined as receiving any other G-CSF starting in cycle 1 on day 1 to 7 if chemotherapy completed by day 7 and day 1 to 11 if chemotherapy completed after day 7. Assignment to G-CSF use groups was programmatically derived rather than assigned by the investigator. Participants were assigned to a G-CSF use group that represented the 'best' G-CSF therapy they received at any point in the study. Participants who received G-CSF support from the beginning of cycle 1 were assigned to primary prophylaxis regardless of whether they continued to receive G-CSF support in subsequent cycles.

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set participants who received primary prophylaxis with other G-CSF

ArmMeasureValue (NUMBER)
OvarianPercentage of Participants Receiving Primary Prophylaxis With an Other G-CSF Who Experienced Febrile Neutropenia0 percentage of participants
NSCLCPercentage of Participants Receiving Primary Prophylaxis With an Other G-CSF Who Experienced Febrile Neutropenia0 percentage of participants
Breast Stage I-IIIPercentage of Participants Receiving Primary Prophylaxis With an Other G-CSF Who Experienced Febrile Neutropenia17 percentage of participants
Breast MetastaticPercentage of Participants Receiving Primary Prophylaxis With an Other G-CSF Who Experienced Febrile Neutropenia0 percentage of participants
Breast TotalPercentage of Participants Receiving Primary Prophylaxis With an Other G-CSF Who Experienced Febrile Neutropenia14 percentage of participants
Primary

Percentage of Participants Receiving Primary Prophylaxis With Any Daily G-CSF Who Experienced Febrile Neutropenia

FN was defined as a single oral temperature ≥ 38.3°C, or a temperature of ≥ 38.0°C for ≥ 1 hour with a neutrophil count of \< 500 cells/mm² or \< 1000 cells/mm² and predicted to fall below 500 cells/mm². Primary prophylaxis was defined as receiving any daily G-CSF (e.g. filgrastim or lenograstim) starting in cycle 1 on day 1 to 7 if chemotherapy completed by day 7 and day 1 to 11 if chemotherapy completed after day 7. Assignment to G-CSF use groups was programmatically derived rather than assigned by the investigator. Participants were assigned to a G-CSF use group that represented the 'best' G-CSF therapy they received at any point in the study. Participants who received G-CSF support from the beginning of cycle 1 were assigned to primary prophylaxis regardless of whether they continued to receive G-CSF support in subsequent cycles.

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set participants who received primary prophylaxis with any daily G-CSF

ArmMeasureValue (NUMBER)
OvarianPercentage of Participants Receiving Primary Prophylaxis With Any Daily G-CSF Who Experienced Febrile Neutropenia0 percentage of participants
NSCLCPercentage of Participants Receiving Primary Prophylaxis With Any Daily G-CSF Who Experienced Febrile Neutropenia20 percentage of participants
SCLCPercentage of Participants Receiving Primary Prophylaxis With Any Daily G-CSF Who Experienced Febrile Neutropenia9 percentage of participants
Breast Stage I-IIIPercentage of Participants Receiving Primary Prophylaxis With Any Daily G-CSF Who Experienced Febrile Neutropenia6 percentage of participants
Breast MetastaticPercentage of Participants Receiving Primary Prophylaxis With Any Daily G-CSF Who Experienced Febrile Neutropenia17 percentage of participants
Breast TotalPercentage of Participants Receiving Primary Prophylaxis With Any Daily G-CSF Who Experienced Febrile Neutropenia7 percentage of participants
Primary

Percentage of Participants Receiving Primary Prophylaxis With Pegfilgrastim Who Experienced Febrile Neutropenia

FN was defined as a single oral temperature ≥ 38.3°C, or a temperature of ≥ 38.0°C for ≥ 1 hour with a neutrophil count of \< 500 cells/mm² or \< 1000 cells/mm² and predicted to fall below 500 cells/mm². Primary prophylaxis with pegfilgrastim was defined as receiving pegfilgrastim starting in cycle 1 on day 1 to 7 if chemotherapy completed by day 7 and day 1 to 11 if chemotherapy completed after day 7. Assignment to G-CSF use groups was programmatically derived rather than assigned by the investigator. Participants were assigned to a G-CSF use group that represented the 'best' G-CSF therapy they received at any point in the study. Participants who received G-CSF support from the beginning of Cycle 1 were assigned to primary prophylaxis regardless of whether they continued to receive G-CSF support in subsequent cycles.

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set participants who received primary prophylaxis with pegfilgrastim

ArmMeasureValue (NUMBER)
OvarianPercentage of Participants Receiving Primary Prophylaxis With Pegfilgrastim Who Experienced Febrile Neutropenia0 percentage of participants
NSCLCPercentage of Participants Receiving Primary Prophylaxis With Pegfilgrastim Who Experienced Febrile Neutropenia0 percentage of participants
SCLCPercentage of Participants Receiving Primary Prophylaxis With Pegfilgrastim Who Experienced Febrile Neutropenia21 percentage of participants
Breast Stage I-IIIPercentage of Participants Receiving Primary Prophylaxis With Pegfilgrastim Who Experienced Febrile Neutropenia9 percentage of participants
Breast MetastaticPercentage of Participants Receiving Primary Prophylaxis With Pegfilgrastim Who Experienced Febrile Neutropenia9 percentage of participants
Breast TotalPercentage of Participants Receiving Primary Prophylaxis With Pegfilgrastim Who Experienced Febrile Neutropenia9 percentage of participants
Primary

Percentage of Participants Receiving Secondary Prophylaxis With an Other G-CSF Who Experienced Febrile Neutropenia

FN was defined as a single oral temperature ≥ 38.3°C, or a temperature of ≥ 38.0°C for ≥ 1 hour with a neutrophil count of \< 500 cells/mm² or \< 1000 cells/mm² and predicted to fall below 500 cells/mm². Secondary prophylaxis was defined as receiving any daily G-CSF starting in cycle 2 onwards on day 1 to 7 if chemotherapy completed by day 7 and day 1 to 11 if chemotherapy completed after day 7. Assignment to G-CSF use groups was programmatically derived rather than assigned by the investigator. Participants were assigned to a G-CSF use group that represented the 'best' G-CSF therapy they received at any point in the study. Adherence of G-CSF support in subsequent cycles was not required for secondary prophylaxis; just an initiation of G-CSF support in the beginning of cycle 2 or later. Results include the FN event that may have triggered the secondary prophylaxis treatment.

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set participants who received secondary prophylaxis with other G-CSF

ArmMeasureValue (NUMBER)
OvarianPercentage of Participants Receiving Secondary Prophylaxis With an Other G-CSF Who Experienced Febrile Neutropenia25 percentage of participants
NSCLCPercentage of Participants Receiving Secondary Prophylaxis With an Other G-CSF Who Experienced Febrile Neutropenia0 percentage of participants
Breast Stage I-IIIPercentage of Participants Receiving Secondary Prophylaxis With an Other G-CSF Who Experienced Febrile Neutropenia0 percentage of participants
Breast MetastaticPercentage of Participants Receiving Secondary Prophylaxis With an Other G-CSF Who Experienced Febrile Neutropenia0 percentage of participants
Breast TotalPercentage of Participants Receiving Secondary Prophylaxis With an Other G-CSF Who Experienced Febrile Neutropenia0 percentage of participants
Primary

Percentage of Participants Receiving Secondary Prophylaxis With Any Daily G-CSF Who Experienced Febrile Neutropenia

FN was defined as a single oral temperature ≥ 38.3°C, or a temperature of ≥ 38.0°C for ≥ 1 hour with a neutrophil count of \< 500 cells/mm² or \< 1000 cells/mm² and predicted to fall below 500 cells/mm². Secondary prophylaxis was defined as receiving any daily G-CSF starting in cycle 2 onwards on day 1 to 7 if chemotherapy completed by day 7 and day 1 to 11 if chemotherapy completed after day 7. Assignment to G-CSF use groups was programmatically derived rather than assigned by the investigator. Participants were assigned to a G-CSF use group that represented the 'best' G-CSF therapy they received at any point in the study. Adherence of G-CSF support in subsequent cycles was not required for secondary prophylaxis; just an initiation of G-CSF support in the beginning of cycle 2 or later. Results include the FN event that may have triggered the secondary prophylaxis treatment.

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set participants who received secondary prophylaxis with any daily G-CSF

ArmMeasureValue (NUMBER)
OvarianPercentage of Participants Receiving Secondary Prophylaxis With Any Daily G-CSF Who Experienced Febrile Neutropenia27 percentage of participants
NSCLCPercentage of Participants Receiving Secondary Prophylaxis With Any Daily G-CSF Who Experienced Febrile Neutropenia13 percentage of participants
SCLCPercentage of Participants Receiving Secondary Prophylaxis With Any Daily G-CSF Who Experienced Febrile Neutropenia15 percentage of participants
Breast Stage I-IIIPercentage of Participants Receiving Secondary Prophylaxis With Any Daily G-CSF Who Experienced Febrile Neutropenia20 percentage of participants
Breast MetastaticPercentage of Participants Receiving Secondary Prophylaxis With Any Daily G-CSF Who Experienced Febrile Neutropenia22 percentage of participants
Breast TotalPercentage of Participants Receiving Secondary Prophylaxis With Any Daily G-CSF Who Experienced Febrile Neutropenia21 percentage of participants
Primary

Percentage of Participants Receiving Secondary Prophylaxis With Pegfilgrastim Who Experienced Febrile Neutropenia

FN was defined as a single oral temperature ≥ 38.3°C, or a temperature of ≥ 38.0°C for ≥ 1 hour with a neutrophil count of \< 500 cells/mm² or \< 1000 cells/mm² and predicted to fall below 500 cells/mm². Secondary prophylaxis with pegfilgrastim was defined as receiving pegfilgrastim starting in cycle 2 onwards on day 1 to 7 if chemotherapy completed by day 7 and day 1 to 11 if chemotherapy completed after day 7. Assignment to G-CSF use groups was programmatically derived rather than assigned by the investigator. Participants were assigned to a G-CSF use group that represented the 'best' G-CSF therapy they received at any point in the study. Adherence of G-CSF support in subsequent cycles was not required for secondary prophylaxis; just an initiation of pegfilgrastim support in the beginning of cycle 2 or later. Results include the FN event that may have triggered the secondary prophylaxis treatment.

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set participants who received secondary prophylaxis with pegfilgrastim

ArmMeasureValue (NUMBER)
OvarianPercentage of Participants Receiving Secondary Prophylaxis With Pegfilgrastim Who Experienced Febrile Neutropenia0 percentage of participants
NSCLCPercentage of Participants Receiving Secondary Prophylaxis With Pegfilgrastim Who Experienced Febrile Neutropenia36 percentage of participants
SCLCPercentage of Participants Receiving Secondary Prophylaxis With Pegfilgrastim Who Experienced Febrile Neutropenia40 percentage of participants
Breast Stage I-IIIPercentage of Participants Receiving Secondary Prophylaxis With Pegfilgrastim Who Experienced Febrile Neutropenia14 percentage of participants
Breast MetastaticPercentage of Participants Receiving Secondary Prophylaxis With Pegfilgrastim Who Experienced Febrile Neutropenia33 percentage of participants
Breast TotalPercentage of Participants Receiving Secondary Prophylaxis With Pegfilgrastim Who Experienced Febrile Neutropenia16 percentage of participants
Primary

Percentage of Participants Receiving Treatment With Any Daily G-CSF Who Experienced Febrile Neutropenia

FN was defined as a single oral temperature ≥ 38.3°C, or a temperature of ≥ 38.0°C for ≥ 1 hour with a neutrophil count of \< 500 cells/mm² or \< 1000 cells/mm² and predicted to fall below 500 cells/mm². Treatment with any daily G-CSF is defined as participants who started daily G-CSF treatment after day 7 of any cycle if chemotherapy completed by day 7 and after day 11 of any cycle if chemotherapy completed after day 7.

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set participants who received treatment with any daily G-CSF

ArmMeasureValue (NUMBER)
OvarianPercentage of Participants Receiving Treatment With Any Daily G-CSF Who Experienced Febrile Neutropenia44 percentage of participants
NSCLCPercentage of Participants Receiving Treatment With Any Daily G-CSF Who Experienced Febrile Neutropenia13 percentage of participants
SCLCPercentage of Participants Receiving Treatment With Any Daily G-CSF Who Experienced Febrile Neutropenia13 percentage of participants
Breast Stage I-IIIPercentage of Participants Receiving Treatment With Any Daily G-CSF Who Experienced Febrile Neutropenia12 percentage of participants
Breast MetastaticPercentage of Participants Receiving Treatment With Any Daily G-CSF Who Experienced Febrile Neutropenia25 percentage of participants
Breast TotalPercentage of Participants Receiving Treatment With Any Daily G-CSF Who Experienced Febrile Neutropenia14 percentage of participants
Primary

Percentage of Participants Receiving Treatment With Any Other G-CSF Who Experienced Febrile Neutropenia

FN was defined as a single oral temperature ≥ 38.3°C, or a temperature of ≥ 38.0°C for ≥ 1 hour with a neutrophil count of \< 500 cells/mm² or \< 1000 cells/mm² and predicted to fall below 500 cells/mm². Treatment with any other G-CSF is defined as participants who started other G-CSF treatment after day 7 of any cycle if chemotherapy completed by day 7 and after day 11 of any cycle if chemotherapy completed after day 7.

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set participants who received treatment with any other G-CSF

ArmMeasureValue (NUMBER)
NSCLCPercentage of Participants Receiving Treatment With Any Other G-CSF Who Experienced Febrile Neutropenia100 percentage of participants
Primary

Percentage of Participants Receiving Treatment With Pegfilgrastim Who Experienced Febrile Neutropenia

FN was defined as a single oral temperature ≥ 38.3°C, or a temperature of ≥ 38.0°C for ≥ 1 hour with a neutrophil count of \< 500 cells/mm² or \< 1000 cells/mm² and predicted to fall below 500 cells/mm². Treatment with pegfilgrastim is defined as participants who started pegfilgrastim treatment after day 7 of any cycle if chemotherapy completed by day 7 and after day 11 of any cycle if chemotherapy completed after day 7.

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set participants who received treatment with pegfilgrastim

ArmMeasureValue (NUMBER)
OvarianPercentage of Participants Receiving Treatment With Pegfilgrastim Who Experienced Febrile Neutropenia0 percentage of participants
NSCLCPercentage of Participants Receiving Treatment With Pegfilgrastim Who Experienced Febrile Neutropenia0 percentage of participants
SCLCPercentage of Participants Receiving Treatment With Pegfilgrastim Who Experienced Febrile Neutropenia0 percentage of participants
Primary

Percentage of Participants Who Received No Prophylaxis or Treatment With Granulocyte Colony-stimulating Factors (G-CSF) Who Experienced Febrile Neutropenia

FN was defined as a single oral temperature ≥ 38.3°C, or a temperature of ≥ 38.0°C for ≥ 1 hour with a neutrophil count of \< 500 cells/mm² or \< 1000 cells/mm² and predicted to fall below 500 cells/mm². Assignment to G-CSF use groups was programmatically derived rather than assigned by the investigator. Participants in the No G-CSF use group received no G-CSF prophylaxis or treatment at any time during cycles 1 to 8.

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set participants who received no prophylaxis or treatment with any G-CSF

ArmMeasureValue (NUMBER)
OvarianPercentage of Participants Who Received No Prophylaxis or Treatment With Granulocyte Colony-stimulating Factors (G-CSF) Who Experienced Febrile Neutropenia4 percentage of participants
NSCLCPercentage of Participants Who Received No Prophylaxis or Treatment With Granulocyte Colony-stimulating Factors (G-CSF) Who Experienced Febrile Neutropenia3 percentage of participants
SCLCPercentage of Participants Who Received No Prophylaxis or Treatment With Granulocyte Colony-stimulating Factors (G-CSF) Who Experienced Febrile Neutropenia5 percentage of participants
Breast Stage I-IIIPercentage of Participants Who Received No Prophylaxis or Treatment With Granulocyte Colony-stimulating Factors (G-CSF) Who Experienced Febrile Neutropenia1 percentage of participants
Breast MetastaticPercentage of Participants Who Received No Prophylaxis or Treatment With Granulocyte Colony-stimulating Factors (G-CSF) Who Experienced Febrile Neutropenia0 percentage of participants
Breast TotalPercentage of Participants Who Received No Prophylaxis or Treatment With Granulocyte Colony-stimulating Factors (G-CSF) Who Experienced Febrile Neutropenia1 percentage of participants
Primary

Percentage of Participants With Febrile Neutropenia (FN)

Febrile neutropenia was defined as a single oral temperature ≥ 38.3°C, or a temperature of ≥ 38.0°C for ≥ 1 hour with a neutrophil count of \< 500 cells/mm² or \< 1000 cells/mm² and predicted to fall below 500 cells/mm².

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set; Note: One participant with breast cancer had disease stage missing.

ArmMeasureValue (NUMBER)
OvarianPercentage of Participants With Febrile Neutropenia (FN)8 percentage of participants
NSCLCPercentage of Participants With Febrile Neutropenia (FN)8 percentage of participants
SCLCPercentage of Participants With Febrile Neutropenia (FN)15 percentage of participants
Breast Stage I-IIIPercentage of Participants With Febrile Neutropenia (FN)9 percentage of participants
Breast MetastaticPercentage of Participants With Febrile Neutropenia (FN)11 percentage of participants
Breast TotalPercentage of Participants With Febrile Neutropenia (FN)9 percentage of participants
Secondary

Change in Hemoglobin During ESA Treatment Phase

Time frame: Initiation of ESA treatment (last assessment on or prior to ESA day 1) and at end of ESA treatment; median duration of ESA treatment was 4 weeks, maximum was 23 weeks.

Population: Participants who received treatment with an ESA and with hemoglobin measurements available at both time points.

ArmMeasureValue (MEAN)Dispersion
OvarianChange in Hemoglobin During ESA Treatment Phase0.38 g/dLStandard Deviation 1.3
Secondary

Duration of Treatment With Erythropoiesis-stimulating Agents (ESAs)

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Participants who received treatment with an ESA

ArmMeasureValue (MEAN)Dispersion
OvarianDuration of Treatment With Erythropoiesis-stimulating Agents (ESAs)5.3 weeksStandard Deviation 4.6
Secondary

Hemoglobin Level at Initiation of Erythropoiesis-stimulating Agent Treatment

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Participants who received treatment with an ESA

ArmMeasureGroupValue (NUMBER)Dispersion
OvarianHemoglobin Level at Initiation of Erythropoiesis-stimulating Agent TreatmentHemoglobin < 9 g/dL19 participants 4.6
OvarianHemoglobin Level at Initiation of Erythropoiesis-stimulating Agent TreatmentHemoglobin 9 - 11 g/dL95 participants
OvarianHemoglobin Level at Initiation of Erythropoiesis-stimulating Agent TreatmentHemoglobin > 11 g/dL29 participants
OvarianHemoglobin Level at Initiation of Erythropoiesis-stimulating Agent TreatmentMissing4 participants
Secondary

Investigator Assessed Clinical Response at End of Treatment

Time frame: End of treatment (approximately 24 weeks)

Population: Full analysis set

ArmMeasureGroupValue (NUMBER)
OvarianInvestigator Assessed Clinical Response at End of TreatmentComplete response49 participants
OvarianInvestigator Assessed Clinical Response at End of TreatmentPartial response29 participants
OvarianInvestigator Assessed Clinical Response at End of TreatmentStable disease/No response23 participants
OvarianInvestigator Assessed Clinical Response at End of TreatmentProgressive disease31 participants
OvarianInvestigator Assessed Clinical Response at End of TreatmentNot done25 participants
OvarianInvestigator Assessed Clinical Response at End of TreatmentMissing0 participants
NSCLCInvestigator Assessed Clinical Response at End of TreatmentMissing0 participants
NSCLCInvestigator Assessed Clinical Response at End of TreatmentStable disease/No response41 participants
NSCLCInvestigator Assessed Clinical Response at End of TreatmentPartial response60 participants
NSCLCInvestigator Assessed Clinical Response at End of TreatmentProgressive disease64 participants
NSCLCInvestigator Assessed Clinical Response at End of TreatmentNot done51 participants
NSCLCInvestigator Assessed Clinical Response at End of TreatmentComplete response8 participants
SCLCInvestigator Assessed Clinical Response at End of TreatmentMissing0 participants
SCLCInvestigator Assessed Clinical Response at End of TreatmentProgressive disease33 participants
SCLCInvestigator Assessed Clinical Response at End of TreatmentPartial response38 participants
SCLCInvestigator Assessed Clinical Response at End of TreatmentStable disease/No response29 participants
SCLCInvestigator Assessed Clinical Response at End of TreatmentNot done20 participants
SCLCInvestigator Assessed Clinical Response at End of TreatmentComplete response17 participants
Breast Stage I-IIIInvestigator Assessed Clinical Response at End of TreatmentMissing17 participants
Breast Stage I-IIIInvestigator Assessed Clinical Response at End of TreatmentNot done383 participants
Breast Stage I-IIIInvestigator Assessed Clinical Response at End of TreatmentPartial response77 participants
Breast Stage I-IIIInvestigator Assessed Clinical Response at End of TreatmentStable disease/No response35 participants
Breast Stage I-IIIInvestigator Assessed Clinical Response at End of TreatmentProgressive disease8 participants
Breast Stage I-IIIInvestigator Assessed Clinical Response at End of TreatmentComplete response218 participants
Breast MetastaticInvestigator Assessed Clinical Response at End of TreatmentNot done21 participants
Breast MetastaticInvestigator Assessed Clinical Response at End of TreatmentMissing0 participants
Breast MetastaticInvestigator Assessed Clinical Response at End of TreatmentPartial response36 participants
Breast MetastaticInvestigator Assessed Clinical Response at End of TreatmentStable disease/No response11 participants
Breast MetastaticInvestigator Assessed Clinical Response at End of TreatmentProgressive disease18 participants
Breast MetastaticInvestigator Assessed Clinical Response at End of TreatmentComplete response4 participants
Breast TotalInvestigator Assessed Clinical Response at End of TreatmentStable disease/No response46 participants
Breast TotalInvestigator Assessed Clinical Response at End of TreatmentComplete response222 participants
Breast TotalInvestigator Assessed Clinical Response at End of TreatmentPartial response114 participants
Breast TotalInvestigator Assessed Clinical Response at End of TreatmentMissing17 participants
Breast TotalInvestigator Assessed Clinical Response at End of TreatmentProgressive disease26 participants
Breast TotalInvestigator Assessed Clinical Response at End of TreatmentNot done404 participants
Secondary

Number of Clinical Visits in Cycles 1-8 by ESA Use

The average number of clinical visits per month (28 day period) during cycles 1 to 8 and during the period of ESA treatment in cycles 1 to 8.

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set

ArmMeasureGroupValue (MEAN)Dispersion
OvarianNumber of Clinical Visits in Cycles 1-8 by ESA UseVisits per month during cycles 1 - 83.1 visits per monthStandard Deviation 1.6
OvarianNumber of Clinical Visits in Cycles 1-8 by ESA UseVisits per month during period of ESA treatment3.9 visits per monthStandard Deviation 3.2
NSCLCNumber of Clinical Visits in Cycles 1-8 by ESA UseVisits per month during cycles 1 - 82.8 visits per monthStandard Deviation 1.7
NSCLCNumber of Clinical Visits in Cycles 1-8 by ESA UseVisits per month during period of ESA treatmentNA visits per month
Secondary

Number of Days of Prophylaxis in Participants Receiving Primary Prophylaxis With Any Daily G-CSF

The average number of days of daily G-CSF use per cycle was calculated across all administered cycles.

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set participants who received primary prophylaxis with any daily G-CSF

ArmMeasureValue (MEAN)Dispersion
OvarianNumber of Days of Prophylaxis in Participants Receiving Primary Prophylaxis With Any Daily G-CSF3.67 daysStandard Deviation 1.63
NSCLCNumber of Days of Prophylaxis in Participants Receiving Primary Prophylaxis With Any Daily G-CSF3.95 daysStandard Deviation 1.18
SCLCNumber of Days of Prophylaxis in Participants Receiving Primary Prophylaxis With Any Daily G-CSF4.95 daysStandard Deviation 1.31
Breast Stage I-IIINumber of Days of Prophylaxis in Participants Receiving Primary Prophylaxis With Any Daily G-CSF4.77 daysStandard Deviation 1.72
Breast MetastaticNumber of Days of Prophylaxis in Participants Receiving Primary Prophylaxis With Any Daily G-CSF5.85 daysStandard Deviation 2.64
Breast TotalNumber of Days of Prophylaxis in Participants Receiving Primary Prophylaxis With Any Daily G-CSF4.88 daysStandard Deviation 1.84
Secondary

Number of Days of Prophylaxis in Participants Receiving Primary Prophylaxis With Pegfilgrastim

The average number of days of pegfilgrastim use per cycle was calculated across all administered cycles.

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set participants who received primary prophylaxis with pegfilgrastim

ArmMeasureValue (MEAN)Dispersion
OvarianNumber of Days of Prophylaxis in Participants Receiving Primary Prophylaxis With Pegfilgrastim1.00 daysStandard Deviation 0
NSCLCNumber of Days of Prophylaxis in Participants Receiving Primary Prophylaxis With Pegfilgrastim1.00 daysStandard Deviation 0
SCLCNumber of Days of Prophylaxis in Participants Receiving Primary Prophylaxis With Pegfilgrastim1.01 daysStandard Deviation 0.03
Breast Stage I-IIINumber of Days of Prophylaxis in Participants Receiving Primary Prophylaxis With Pegfilgrastim1.00 daysStandard Deviation 0.05
Breast MetastaticNumber of Days of Prophylaxis in Participants Receiving Primary Prophylaxis With Pegfilgrastim1.01 daysStandard Deviation 0.03
Breast TotalNumber of Days of Prophylaxis in Participants Receiving Primary Prophylaxis With Pegfilgrastim1.00 daysStandard Deviation 0.04
Secondary

Number of Days of Prophylaxis in Participants Receiving Secondary Prophylaxis With Any Daily G-CSF

The average number of days of daily G-CSF use per cycle was calculated across all administered cycles.

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set participants who received secondary prophylaxis with any daily G-CSF.

ArmMeasureValue (MEAN)Dispersion
OvarianNumber of Days of Prophylaxis in Participants Receiving Secondary Prophylaxis With Any Daily G-CSF3.66 daysStandard Deviation 1.82
NSCLCNumber of Days of Prophylaxis in Participants Receiving Secondary Prophylaxis With Any Daily G-CSF4.28 daysStandard Deviation 0.87
SCLCNumber of Days of Prophylaxis in Participants Receiving Secondary Prophylaxis With Any Daily G-CSF4.04 daysStandard Deviation 1.61
Breast Stage I-IIINumber of Days of Prophylaxis in Participants Receiving Secondary Prophylaxis With Any Daily G-CSF4.74 daysStandard Deviation 2.64
Breast MetastaticNumber of Days of Prophylaxis in Participants Receiving Secondary Prophylaxis With Any Daily G-CSF3.50 daysStandard Deviation 0.95
Breast TotalNumber of Days of Prophylaxis in Participants Receiving Secondary Prophylaxis With Any Daily G-CSF4.58 daysStandard Deviation 2.53
Secondary

Number of Days of Prophylaxis in Participants Receiving Secondary Prophylaxis With Pegfilgrastim

The average number of days of pegfilgrastim use per cycle was calculated across all administered cycles.

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set participants who received secondary prophylaxis with pegfilgrastim

ArmMeasureValue (MEAN)Dispersion
OvarianNumber of Days of Prophylaxis in Participants Receiving Secondary Prophylaxis With Pegfilgrastim1.00 daysStandard Deviation 0
NSCLCNumber of Days of Prophylaxis in Participants Receiving Secondary Prophylaxis With Pegfilgrastim1.00 daysStandard Deviation 0
SCLCNumber of Days of Prophylaxis in Participants Receiving Secondary Prophylaxis With Pegfilgrastim1.04 daysStandard Deviation 0.12
Breast Stage I-IIINumber of Days of Prophylaxis in Participants Receiving Secondary Prophylaxis With Pegfilgrastim1.02 daysStandard Deviation 0.21
Breast MetastaticNumber of Days of Prophylaxis in Participants Receiving Secondary Prophylaxis With Pegfilgrastim1.00 daysStandard Deviation 0
Breast TotalNumber of Days of Prophylaxis in Participants Receiving Secondary Prophylaxis With Pegfilgrastim1.02 daysStandard Deviation 0.2
Secondary

Number of Days of Treatment in Participants Receiving Treatment With Any Daily G-CSF

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set participants who received treatment with any daily G-CSF

ArmMeasureValue (MEAN)Dispersion
OvarianNumber of Days of Treatment in Participants Receiving Treatment With Any Daily G-CSF3.11 daysStandard Deviation 1.92
NSCLCNumber of Days of Treatment in Participants Receiving Treatment With Any Daily G-CSF4.45 daysStandard Deviation 1.18
SCLCNumber of Days of Treatment in Participants Receiving Treatment With Any Daily G-CSF2.83 daysStandard Deviation 1.21
Breast Stage I-IIINumber of Days of Treatment in Participants Receiving Treatment With Any Daily G-CSF2.95 daysStandard Deviation 1.5
Breast MetastaticNumber of Days of Treatment in Participants Receiving Treatment With Any Daily G-CSF2.38 daysStandard Deviation 0.75
Breast TotalNumber of Days of Treatment in Participants Receiving Treatment With Any Daily G-CSF2.84 daysStandard Deviation 1.39
Secondary

Number of Days of Treatment in Participants Receiving Treatment With Pegfilgrastim

The average number of days of pegfilgrastim use per cycle was calculated across all administered cycles.

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set participants who received treatment with pegfilgrastim

ArmMeasureValue (MEAN)Dispersion
OvarianNumber of Days of Treatment in Participants Receiving Treatment With Pegfilgrastim1.40 daysStandard Deviation 0.89
NSCLCNumber of Days of Treatment in Participants Receiving Treatment With Pegfilgrastim1.00 daysStandard Deviation 0
SCLCNumber of Days of Treatment in Participants Receiving Treatment With Pegfilgrastim1.00 days
Secondary

Number of Participants Who Received G-CSF During Cycles 1 to 8

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set

ArmMeasureGroupValue (NUMBER)
OvarianNumber of Participants Who Received G-CSF During Cycles 1 to 8Primary Prophylaxis - Any Daily G-CSF6 participants
OvarianNumber of Participants Who Received G-CSF During Cycles 1 to 8Secondary Prophylaxis - Pegfilgrastim11 participants
OvarianNumber of Participants Who Received G-CSF During Cycles 1 to 8Secondary Prophylaxis - Any Daily G-CSF15 participants
OvarianNumber of Participants Who Received G-CSF During Cycles 1 to 8No G-CSF Used82 participants
OvarianNumber of Participants Who Received G-CSF During Cycles 1 to 8Primary Prophylaxis - Pegfilgrastim24 participants
OvarianNumber of Participants Who Received G-CSF During Cycles 1 to 8Treatment - Other G-CSF0 participants
OvarianNumber of Participants Who Received G-CSF During Cycles 1 to 8Treatment - Any Daily G-CSF9 participants
OvarianNumber of Participants Who Received G-CSF During Cycles 1 to 8Treatment - Pegfilgrastim5 participants
OvarianNumber of Participants Who Received G-CSF During Cycles 1 to 8Primary Prophylaxis - Other G-CSF1 participants
OvarianNumber of Participants Who Received G-CSF During Cycles 1 to 8Secondary Prophylaxis - Other G-CSF4 participants
NSCLCNumber of Participants Who Received G-CSF During Cycles 1 to 8No G-CSF Used120 participants
NSCLCNumber of Participants Who Received G-CSF During Cycles 1 to 8Secondary Prophylaxis - Any Daily G-CSF24 participants
NSCLCNumber of Participants Who Received G-CSF During Cycles 1 to 8Treatment - Any Daily G-CSF15 participants
NSCLCNumber of Participants Who Received G-CSF During Cycles 1 to 8Secondary Prophylaxis - Pegfilgrastim14 participants
NSCLCNumber of Participants Who Received G-CSF During Cycles 1 to 8Primary Prophylaxis - Any Daily G-CSF20 participants
NSCLCNumber of Participants Who Received G-CSF During Cycles 1 to 8Treatment - Other G-CSF1 participants
NSCLCNumber of Participants Who Received G-CSF During Cycles 1 to 8Treatment - Pegfilgrastim2 participants
NSCLCNumber of Participants Who Received G-CSF During Cycles 1 to 8Primary Prophylaxis - Other G-CSF3 participants
NSCLCNumber of Participants Who Received G-CSF During Cycles 1 to 8Primary Prophylaxis - Pegfilgrastim22 participants
NSCLCNumber of Participants Who Received G-CSF During Cycles 1 to 8Secondary Prophylaxis - Other G-CSF3 participants
SCLCNumber of Participants Who Received G-CSF During Cycles 1 to 8Secondary Prophylaxis - Any Daily G-CSF13 participants
SCLCNumber of Participants Who Received G-CSF During Cycles 1 to 8Primary Prophylaxis - Any Daily G-CSF11 participants
SCLCNumber of Participants Who Received G-CSF During Cycles 1 to 8Treatment - Other G-CSF0 participants
SCLCNumber of Participants Who Received G-CSF During Cycles 1 to 8Primary Prophylaxis - Pegfilgrastim33 participants
SCLCNumber of Participants Who Received G-CSF During Cycles 1 to 8Primary Prophylaxis - Other G-CSF0 participants
SCLCNumber of Participants Who Received G-CSF During Cycles 1 to 8Secondary Prophylaxis - Pegfilgrastim15 participants
SCLCNumber of Participants Who Received G-CSF During Cycles 1 to 8Secondary Prophylaxis - Other G-CSF0 participants
SCLCNumber of Participants Who Received G-CSF During Cycles 1 to 8Treatment - Pegfilgrastim1 participants
SCLCNumber of Participants Who Received G-CSF During Cycles 1 to 8Treatment - Any Daily G-CSF8 participants
SCLCNumber of Participants Who Received G-CSF During Cycles 1 to 8No G-CSF Used56 participants
Breast Stage I-IIINumber of Participants Who Received G-CSF During Cycles 1 to 8Primary Prophylaxis - Pegfilgrastim360 participants
Breast Stage I-IIINumber of Participants Who Received G-CSF During Cycles 1 to 8Primary Prophylaxis - Any Daily G-CSF51 participants
Breast Stage I-IIINumber of Participants Who Received G-CSF During Cycles 1 to 8No G-CSF Used147 participants
Breast Stage I-IIINumber of Participants Who Received G-CSF During Cycles 1 to 8Treatment - Pegfilgrastim0 participants
Breast Stage I-IIINumber of Participants Who Received G-CSF During Cycles 1 to 8Secondary Prophylaxis - Other G-CSF1 participants
Breast Stage I-IIINumber of Participants Who Received G-CSF During Cycles 1 to 8Primary Prophylaxis - Other G-CSF6 participants
Breast Stage I-IIINumber of Participants Who Received G-CSF During Cycles 1 to 8Secondary Prophylaxis - Any Daily G-CSF64 participants
Breast Stage I-IIINumber of Participants Who Received G-CSF During Cycles 1 to 8Secondary Prophylaxis - Pegfilgrastim92 participants
Breast Stage I-IIINumber of Participants Who Received G-CSF During Cycles 1 to 8Treatment - Other G-CSF0 participants
Breast Stage I-IIINumber of Participants Who Received G-CSF During Cycles 1 to 8Treatment - Any Daily G-CSF17 participants
Breast MetastaticNumber of Participants Who Received G-CSF During Cycles 1 to 8Primary Prophylaxis - Any Daily G-CSF6 participants
Breast MetastaticNumber of Participants Who Received G-CSF During Cycles 1 to 8Treatment - Other G-CSF0 participants
Breast MetastaticNumber of Participants Who Received G-CSF During Cycles 1 to 8Secondary Prophylaxis - Other G-CSF1 participants
Breast MetastaticNumber of Participants Who Received G-CSF During Cycles 1 to 8Secondary Prophylaxis - Pegfilgrastim9 participants
Breast MetastaticNumber of Participants Who Received G-CSF During Cycles 1 to 8Primary Prophylaxis - Other G-CSF1 participants
Breast MetastaticNumber of Participants Who Received G-CSF During Cycles 1 to 8Treatment - Any Daily G-CSF4 participants
Breast MetastaticNumber of Participants Who Received G-CSF During Cycles 1 to 8Treatment - Pegfilgrastim0 participants
Breast MetastaticNumber of Participants Who Received G-CSF During Cycles 1 to 8Secondary Prophylaxis - Any Daily G-CSF9 participants
Breast MetastaticNumber of Participants Who Received G-CSF During Cycles 1 to 8Primary Prophylaxis - Pegfilgrastim32 participants
Breast MetastaticNumber of Participants Who Received G-CSF During Cycles 1 to 8No G-CSF Used28 participants
Breast TotalNumber of Participants Who Received G-CSF During Cycles 1 to 8Primary Prophylaxis - Other G-CSF7 participants
Breast TotalNumber of Participants Who Received G-CSF During Cycles 1 to 8Secondary Prophylaxis - Any Daily G-CSF73 participants
Breast TotalNumber of Participants Who Received G-CSF During Cycles 1 to 8Primary Prophylaxis - Any Daily G-CSF57 participants
Breast TotalNumber of Participants Who Received G-CSF During Cycles 1 to 8No G-CSF Used175 participants
Breast TotalNumber of Participants Who Received G-CSF During Cycles 1 to 8Secondary Prophylaxis - Other G-CSF2 participants
Breast TotalNumber of Participants Who Received G-CSF During Cycles 1 to 8Treatment - Pegfilgrastim0 participants
Breast TotalNumber of Participants Who Received G-CSF During Cycles 1 to 8Primary Prophylaxis - Pegfilgrastim393 participants
Breast TotalNumber of Participants Who Received G-CSF During Cycles 1 to 8Treatment - Any Daily G-CSF21 participants
Breast TotalNumber of Participants Who Received G-CSF During Cycles 1 to 8Treatment - Other G-CSF0 participants
Breast TotalNumber of Participants Who Received G-CSF During Cycles 1 to 8Secondary Prophylaxis - Pegfilgrastim101 participants
Secondary

Number of Participants With Hematological Toxicities

The number of participants experiencing treatment related grade 3 and 4 hematological toxicities during cycles 1 to 8. Participants experiencing both Grade 3 and Grade 4 toxicities are reported under Grade 4 only (maximum toxicity). Toxicity grades for hematology data are defined according to the Common Terminology Criteria for Adverse Events (CTCAE) version 3.0: Absolute neutrophil count (ANC) - Grade 3: \< 1.0 - 0.5 x 10\^9/L; ANC - Grade 4: \< 0.5 x 10\^9/L; White blood cells (WBC) - Grade 3: \< 2.0 - 1.0 x 10\^9/L; WBC - Grade 4: \< 1.0 x 10\^9/L; Hemoglobin - Grade 3: \< 8.0 - 6.5 g/dL; Hemoglobin - Grade 4: \< 6.5 g/dL; Platelets - Grade 3: \< 50 - 25 x 10\^9/L; Platelets - Grade 4: \< 25 x 10\^9/L.

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set

ArmMeasureGroupValue (NUMBER)
OvarianNumber of Participants With Hematological ToxicitiesGrade 4 white blood cells6 participants
OvarianNumber of Participants With Hematological ToxicitiesGrade 3 white blood cells17 participants
OvarianNumber of Participants With Hematological ToxicitiesGrade 4 platelets3 participants
OvarianNumber of Participants With Hematological ToxicitiesGrade 3 platelets8 participants
OvarianNumber of Participants With Hematological ToxicitiesGrade 3 absolute neutrophil count19 participants
OvarianNumber of Participants With Hematological ToxicitiesGrade 3 hemoglobin6 participants
OvarianNumber of Participants With Hematological ToxicitiesGrade 4 hemoglobin1 participants
OvarianNumber of Participants With Hematological ToxicitiesGrade 4 absolute neutrophil count23 participants
NSCLCNumber of Participants With Hematological ToxicitiesGrade 3 absolute neutrophil count7 participants
NSCLCNumber of Participants With Hematological ToxicitiesGrade 3 hemoglobin12 participants
NSCLCNumber of Participants With Hematological ToxicitiesGrade 4 hemoglobin6 participants
NSCLCNumber of Participants With Hematological ToxicitiesGrade 4 absolute neutrophil count18 participants
NSCLCNumber of Participants With Hematological ToxicitiesGrade 3 platelets2 participants
NSCLCNumber of Participants With Hematological ToxicitiesGrade 3 white blood cells11 participants
NSCLCNumber of Participants With Hematological ToxicitiesGrade 4 platelets3 participants
NSCLCNumber of Participants With Hematological ToxicitiesGrade 4 white blood cells8 participants
SCLCNumber of Participants With Hematological ToxicitiesGrade 4 platelets4 participants
SCLCNumber of Participants With Hematological ToxicitiesGrade 3 platelets3 participants
SCLCNumber of Participants With Hematological ToxicitiesGrade 3 absolute neutrophil count9 participants
SCLCNumber of Participants With Hematological ToxicitiesGrade 3 hemoglobin15 participants
SCLCNumber of Participants With Hematological ToxicitiesGrade 4 hemoglobin5 participants
SCLCNumber of Participants With Hematological ToxicitiesGrade 4 absolute neutrophil count13 participants
SCLCNumber of Participants With Hematological ToxicitiesGrade 4 white blood cells11 participants
SCLCNumber of Participants With Hematological ToxicitiesGrade 3 white blood cells5 participants
Breast Stage I-IIINumber of Participants With Hematological ToxicitiesGrade 3 platelets6 participants
Breast Stage I-IIINumber of Participants With Hematological ToxicitiesGrade 4 platelets3 participants
Breast Stage I-IIINumber of Participants With Hematological ToxicitiesGrade 4 absolute neutrophil count89 participants
Breast Stage I-IIINumber of Participants With Hematological ToxicitiesGrade 3 white blood cells71 participants
Breast Stage I-IIINumber of Participants With Hematological ToxicitiesGrade 4 white blood cells38 participants
Breast Stage I-IIINumber of Participants With Hematological ToxicitiesGrade 3 absolute neutrophil count45 participants
Breast Stage I-IIINumber of Participants With Hematological ToxicitiesGrade 3 hemoglobin47 participants
Breast Stage I-IIINumber of Participants With Hematological ToxicitiesGrade 4 hemoglobin9 participants
Breast MetastaticNumber of Participants With Hematological ToxicitiesGrade 4 white blood cells12 participants
Breast MetastaticNumber of Participants With Hematological ToxicitiesGrade 3 platelets3 participants
Breast MetastaticNumber of Participants With Hematological ToxicitiesGrade 4 hemoglobin3 participants
Breast MetastaticNumber of Participants With Hematological ToxicitiesGrade 3 absolute neutrophil count5 participants
Breast MetastaticNumber of Participants With Hematological ToxicitiesGrade 3 white blood cells8 participants
Breast MetastaticNumber of Participants With Hematological ToxicitiesGrade 4 absolute neutrophil count18 participants
Breast MetastaticNumber of Participants With Hematological ToxicitiesGrade 4 platelets0 participants
Breast MetastaticNumber of Participants With Hematological ToxicitiesGrade 3 hemoglobin7 participants
Breast TotalNumber of Participants With Hematological ToxicitiesGrade 4 platelets3 participants
Breast TotalNumber of Participants With Hematological ToxicitiesGrade 3 absolute neutrophil count50 participants
Breast TotalNumber of Participants With Hematological ToxicitiesGrade 4 absolute neutrophil count107 participants
Breast TotalNumber of Participants With Hematological ToxicitiesGrade 3 white blood cells79 participants
Breast TotalNumber of Participants With Hematological ToxicitiesGrade 4 white blood cells50 participants
Breast TotalNumber of Participants With Hematological ToxicitiesGrade 4 hemoglobin12 participants
Breast TotalNumber of Participants With Hematological ToxicitiesGrade 3 platelets9 participants
Breast TotalNumber of Participants With Hematological ToxicitiesGrade 3 hemoglobin54 participants
Secondary

Number of Participants With Systemic Anti-infective Use in Cycles 1 to 8

Number of participants with systemic anti-infective use, including antibiotics, anti-fungal and virostatic for prophylaxis or treatment.

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set

ArmMeasureValue (NUMBER)
OvarianNumber of Participants With Systemic Anti-infective Use in Cycles 1 to 823 participants
NSCLCNumber of Participants With Systemic Anti-infective Use in Cycles 1 to 846 participants
SCLCNumber of Participants With Systemic Anti-infective Use in Cycles 1 to 853 participants
Breast Stage I-IIINumber of Participants With Systemic Anti-infective Use in Cycles 1 to 8198 participants
Breast MetastaticNumber of Participants With Systemic Anti-infective Use in Cycles 1 to 820 participants
Breast TotalNumber of Participants With Systemic Anti-infective Use in Cycles 1 to 8218 participants
Secondary

Number of Participants With Systemic Transfusions in Cycles 1 to 8

Number of participants who received transfusions, including platelets, packed red blood cells, whole blood, or other, during cycles 1 to 8.

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set

ArmMeasureValue (NUMBER)
OvarianNumber of Participants With Systemic Transfusions in Cycles 1 to 820 participants
NSCLCNumber of Participants With Systemic Transfusions in Cycles 1 to 823 participants
SCLCNumber of Participants With Systemic Transfusions in Cycles 1 to 826 participants
Breast Stage I-IIINumber of Participants With Systemic Transfusions in Cycles 1 to 825 participants
Breast MetastaticNumber of Participants With Systemic Transfusions in Cycles 1 to 84 participants
Breast TotalNumber of Participants With Systemic Transfusions in Cycles 1 to 829 participants
Secondary

Number of Participants With Unplanned Hospitalizations

Unplanned hospitalizations included only those which involved an overnight stay and occurred in cycles 1 to 8.

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set

ArmMeasureValue (NUMBER)
OvarianNumber of Participants With Unplanned Hospitalizations26 participants
NSCLCNumber of Participants With Unplanned Hospitalizations52 participants
SCLCNumber of Participants With Unplanned Hospitalizations41 participants
Breast Stage I-IIINumber of Participants With Unplanned Hospitalizations107 participants
Breast MetastaticNumber of Participants With Unplanned Hospitalizations18 participants
Breast TotalNumber of Participants With Unplanned Hospitalizations125 participants
Secondary

Number of Transfusions Per Participant in Cycles 1 to 8

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set

ArmMeasureGroupValue (NUMBER)
OvarianNumber of Transfusions Per Participant in Cycles 1 to 8> 2 Transfusions8 participants
OvarianNumber of Transfusions Per Participant in Cycles 1 to 8No Transfusions137 participants
OvarianNumber of Transfusions Per Participant in Cycles 1 to 82 Transfusions4 participants
OvarianNumber of Transfusions Per Participant in Cycles 1 to 81 Transfusion8 participants
NSCLCNumber of Transfusions Per Participant in Cycles 1 to 82 Transfusions4 participants
NSCLCNumber of Transfusions Per Participant in Cycles 1 to 8> 2 Transfusions3 participants
NSCLCNumber of Transfusions Per Participant in Cycles 1 to 8No Transfusions201 participants
NSCLCNumber of Transfusions Per Participant in Cycles 1 to 81 Transfusion16 participants
SCLCNumber of Transfusions Per Participant in Cycles 1 to 82 Transfusions5 participants
SCLCNumber of Transfusions Per Participant in Cycles 1 to 8No Transfusions111 participants
SCLCNumber of Transfusions Per Participant in Cycles 1 to 81 Transfusion17 participants
SCLCNumber of Transfusions Per Participant in Cycles 1 to 8> 2 Transfusions4 participants
Breast Stage I-IIINumber of Transfusions Per Participant in Cycles 1 to 82 Transfusions3 participants
Breast Stage I-IIINumber of Transfusions Per Participant in Cycles 1 to 8> 2 Transfusions3 participants
Breast Stage I-IIINumber of Transfusions Per Participant in Cycles 1 to 8No Transfusions713 participants
Breast Stage I-IIINumber of Transfusions Per Participant in Cycles 1 to 81 Transfusion19 participants
Breast MetastaticNumber of Transfusions Per Participant in Cycles 1 to 8> 2 Transfusions1 participants
Breast MetastaticNumber of Transfusions Per Participant in Cycles 1 to 8No Transfusions86 participants
Breast MetastaticNumber of Transfusions Per Participant in Cycles 1 to 81 Transfusion2 participants
Breast MetastaticNumber of Transfusions Per Participant in Cycles 1 to 82 Transfusions1 participants
Breast TotalNumber of Transfusions Per Participant in Cycles 1 to 82 Transfusions4 participants
Breast TotalNumber of Transfusions Per Participant in Cycles 1 to 81 Transfusion21 participants
Breast TotalNumber of Transfusions Per Participant in Cycles 1 to 8No Transfusions800 participants
Breast TotalNumber of Transfusions Per Participant in Cycles 1 to 8> 2 Transfusions4 participants
Secondary

Percentage of Cycles With Chemotherapy Dose Delays

A dose delay is defined as a delay of \> 3 days in the start of chemotherapy measured since the start of the previous cycle. The percentage of cycles delayed are summarized by the length of delay (\> 3 days, \> 5 days, and \> 7 days) across cycles 2 through 8.

Time frame: Cycles 2 - 8 (approximately 21 days)

Population: Full analysis set participants who received more than 1 cycle of chemotherapy

ArmMeasureGroupValue (NUMBER)
OvarianPercentage of Cycles With Chemotherapy Dose Delays> 7 Days Delay in One or More Cycles7 percentage of cycles
OvarianPercentage of Cycles With Chemotherapy Dose Delays> 5 Days Delay in One or More Cycles16 percentage of cycles
OvarianPercentage of Cycles With Chemotherapy Dose Delays> 3 Days Delay in One or More Cycles20 percentage of cycles
NSCLCPercentage of Cycles With Chemotherapy Dose Delays> 7 Days Delay in One or More Cycles9 percentage of cycles
NSCLCPercentage of Cycles With Chemotherapy Dose Delays> 3 Days Delay in One or More Cycles24 percentage of cycles
NSCLCPercentage of Cycles With Chemotherapy Dose Delays> 5 Days Delay in One or More Cycles19 percentage of cycles
SCLCPercentage of Cycles With Chemotherapy Dose Delays> 5 Days Delay in One or More Cycles19 percentage of cycles
SCLCPercentage of Cycles With Chemotherapy Dose Delays> 3 Days Delay in One or More Cycles24 percentage of cycles
SCLCPercentage of Cycles With Chemotherapy Dose Delays> 7 Days Delay in One or More Cycles8 percentage of cycles
Breast Stage I-IIIPercentage of Cycles With Chemotherapy Dose Delays> 7 Days Delay in One or More Cycles2 percentage of cycles
Breast Stage I-IIIPercentage of Cycles With Chemotherapy Dose Delays> 5 Days Delay in One or More Cycles5 percentage of cycles
Breast Stage I-IIIPercentage of Cycles With Chemotherapy Dose Delays> 3 Days Delay in One or More Cycles7 percentage of cycles
Breast MetastaticPercentage of Cycles With Chemotherapy Dose Delays> 3 Days Delay in One or More Cycles17 percentage of cycles
Breast MetastaticPercentage of Cycles With Chemotherapy Dose Delays> 5 Days Delay in One or More Cycles14 percentage of cycles
Breast MetastaticPercentage of Cycles With Chemotherapy Dose Delays> 7 Days Delay in One or More Cycles6 percentage of cycles
Breast TotalPercentage of Cycles With Chemotherapy Dose Delays> 5 Days Delay in One or More Cycles6 percentage of cycles
Breast TotalPercentage of Cycles With Chemotherapy Dose Delays> 3 Days Delay in One or More Cycles8 percentage of cycles
Breast TotalPercentage of Cycles With Chemotherapy Dose Delays> 7 Days Delay in One or More Cycles2 percentage of cycles
Secondary

Percentage of Cycles With Chemotherapy Dose Reductions

A dose reduction in a given cycle is defined as a ≥ 15% reduction in dose of any chemotherapy agent planned for that cycle, relative to the dose planned at the baseline visit for that cycle.

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set participants with actual regimens as planned (17 participants received a different regimen to what was planned and are thus excluded)

ArmMeasureValue (NUMBER)
OvarianPercentage of Cycles With Chemotherapy Dose Reductions16 percentage of cycles
NSCLCPercentage of Cycles With Chemotherapy Dose Reductions13 percentage of cycles
SCLCPercentage of Cycles With Chemotherapy Dose Reductions12 percentage of cycles
Breast Stage I-IIIPercentage of Cycles With Chemotherapy Dose Reductions6 percentage of cycles
Breast MetastaticPercentage of Cycles With Chemotherapy Dose Reductions16 percentage of cycles
Breast TotalPercentage of Cycles With Chemotherapy Dose Reductions7 percentage of cycles
Secondary

Percentage of Participants Who Received ESAs and Achieved Hematopoietic Response

Kaplan-Meier estimate of the percentage of participants in cycles 1 to 8 receiving ESA treatment who achieved a hematopoietic response during the ESA treatment phase, defined as a hemoglobin concentration ≥ 12 g/dL or a ≥ 2 g/dL rise in hemoglobin after starting ESA treatment.

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Participants who received treatment with an ESA

ArmMeasureValue (NUMBER)Dispersion
OvarianPercentage of Participants Who Received ESAs and Achieved Hematopoietic Response45 percentage of participants95% Confidence Interval 4.6
Secondary

Percentage of Participants Who Received ESAs and Achieved Hemoglobin ≥ 10 g/dL After 5 Weeks ESA Treatment

Kaplan-Meier estimate of the percentage of participants achieving a hemoglobin level ≥ 10 g/dL during the period from five weeks after initiation of ESA treatment until the end of ESA treatment during cycles 1 to 8.

Time frame: From 5 weeks post initiation of ESA treatment to the end of ESA treatment phase (EOTP) during cycles 1 - 8; maximum duration of ESA treatment was 23 weeks.

Population: Participants who received treatment with an ESA, and with hemoglobin \< 10 g/dL at initiation of ESA treatment and still on study 5 weeks after initiation of ESA treatment.

ArmMeasureValue (NUMBER)Dispersion
OvarianPercentage of Participants Who Received ESAs and Achieved Hemoglobin ≥ 10 g/dL After 5 Weeks ESA Treatment85 percentage of participants95% Confidence Interval 4.6
Secondary

Percentage of Participants Who Received ESAs and Achieved Hemoglobin ≥ 11 g/dL After 5 Weeks ESA Treatment

Kaplan-Meier estimate of the percentage of participants achieving a hemoglobin level ≥ 11 g/dL during the period from five weeks after initiation of ESA treatment until the end of ESA treatment during cycles 1 to 8.

Time frame: From 5 weeks post initiation of ESA treatment to the end of ESA treatment phase (EOTP) during cycles 1 - 8; maximum duration of ESA treatment was 23 weeks.

Population: Participants who received treatment with an ESA, and with hemoglobin \< 11 g/dL at initiation of ESA treatment and still on study 5 weeks after initiation of ESA treatment.

ArmMeasureValue (NUMBER)Dispersion
OvarianPercentage of Participants Who Received ESAs and Achieved Hemoglobin ≥ 11 g/dL After 5 Weeks ESA Treatment66 percentage of participants95% Confidence Interval 4.6
Secondary

Percentage of Participants Who Received ESAs and Achieved Hemoglobin ≥ 12 g/dL After 5 Weeks ESA Treatment

Kaplan-Meier estimate of the percentage of participants achieving a hemoglobin level ≥ 12 g/dL during the period from five weeks after initiation of ESA treatment until the end of ESA treatment during cycles 1 to 8.

Time frame: From 5 weeks post initiation of ESA treatment to the end of ESA treatment phase (EOTP) during cycles 1 - 8; maximum duration of ESA treatment was 23 weeks.

Population: Participants who received treatment with an ESA, and with hemoglobin \< 12 g/dL at initiation of ESA treatment and still on study 5 weeks after initiation of ESA treatment.

ArmMeasureValue (NUMBER)Dispersion
OvarianPercentage of Participants Who Received ESAs and Achieved Hemoglobin ≥ 12 g/dL After 5 Weeks ESA Treatment35 percentage of participants95% Confidence Interval 4.6
Secondary

Percentage of Participants Who Received ESAs and Achieved Hemoglobin ≥ 9 g/dL After 5 Weeks ESA Treatment

Kaplan-Meier estimate of the percentage of participants achieving a hemoglobin level ≥ 9 g/dL during the period from five weeks after initiation of ESA treatment until the end of ESA treatment during cycles 1 to 8.

Time frame: From 5 weeks post initiation of ESA treatment to the end of ESA treatment phase (EOTP) during cycles 1 - 8; maximum duration of ESA treatment was 23 weeks.

Population: Participants who received treatment with an ESA and with hemoglobin \< 9 g/dL at initiation of ESA treatment and still on study 5 weeks after initiation of ESA treatment.

ArmMeasureValue (NUMBER)Dispersion
OvarianPercentage of Participants Who Received ESAs and Achieved Hemoglobin ≥ 9 g/dL After 5 Weeks ESA Treatment58 percentage of participants95% Confidence Interval 4.6
Secondary

Percentage of Participants Who Received ESAs and Achieved Hemoglobin From 10 to 12 g/dL 9 Weeks After Initiation of ESA Treatment

The percentage of participants achieving a hemoglobin level from 10 to 12 g/dL after 9 weeks of ESA treatment.

Time frame: 9 weeks post initiation of ESA treatment

Population: Participants who received treatment with an ESA

ArmMeasureValue (NUMBER)Dispersion
OvarianPercentage of Participants Who Received ESAs and Achieved Hemoglobin From 10 to 12 g/dL 9 Weeks After Initiation of ESA Treatment15 percentage of participants95% Confidence Interval 4.6
Secondary

Percentage of Participants Who Received ESAs and Achieved Hemoglobin From 10 to 12 g/dL After 5 Weeks ESA Treatment

Kaplan-Meier estimate of the percentage of participants achieving a hemoglobin level from 10 to 12 g/dL during the period from five weeks after initiation of ESA treatment until the end of ESA treatment during cycles 1 to 8.

Time frame: From 5 weeks post initiation of ESA treatment to the end of ESA treatment phase (EOTP) during cycles 1 - 8; maximum duration of ESA treatment was 23 weeks.

Population: Participants who received treatment with an ESA, and with hemoglobin \< 10 g/dL at initiation of ESA treatment and still on study 5 weeks after initiation of ESA treatment.

ArmMeasureValue (NUMBER)Dispersion
OvarianPercentage of Participants Who Received ESAs and Achieved Hemoglobin From 10 to 12 g/dL After 5 Weeks ESA Treatment84 percentage of participants95% Confidence Interval 4.6
Secondary

Percentage of Participants Who Received ESAs and Achieved Hemoglobin From 12 to 13 g/dL After 5 Weeks ESA Treatment

Kaplan-Meier estimate of the percentage of participants achieving a hemoglobin level from 12 to 13 g/dL during the period from five weeks after initiation of ESA treatment until the end of ESA treatment during cycles 1 to 8.

Time frame: From 5 weeks post initiation of ESA treatment to the end of ESA treatment phase (EOTP) during cycles 1 - 8; maximum duration of ESA treatment was 23 weeks.

Population: Participants who received treatment with an ESA, and with hemoglobin \< 12 g/dL at initiation of ESA treatment and still on study 5 weeks after initiation of ESA treatment.

ArmMeasureValue (NUMBER)Dispersion
OvarianPercentage of Participants Who Received ESAs and Achieved Hemoglobin From 12 to 13 g/dL After 5 Weeks ESA Treatment30 percentage of participants95% Confidence Interval 4.6
Secondary

Percentage of Participants Who Received ESAs and Required a Red Blood Cell (RBC) Transfusion After 5 Weeks of ESA Treatment

Kaplan-Meier estimate of the percentage of participants with RBC transfusions from five weeks post initiation of ESA treatment until the end of ESA treatment during cycles 1 to 8.

Time frame: From 5 weeks post initiation of ESA treatment to the end of ESA treatment phase (EOTP) during cycles 1 - 8; maximum duration of ESA treatment was 23 weeks.

Population: Participants who received treatment with an ESA and still on study 5 weeks after initiation of ESA treatment.

ArmMeasureValue (NUMBER)Dispersion
OvarianPercentage of Participants Who Received ESAs and Required a Red Blood Cell (RBC) Transfusion After 5 Weeks of ESA Treatment11 percentage of participants95% Confidence Interval 4.6
Secondary

Percentage of Participants With Chemotherapy Dose Delays in Cycles 2 Through 8

A dose delay is defined as a delay of more than 3 days in the start of chemotherapy measured since the start of the previous cycle. The percentage of participants with delays in chemotherapy administration are summarized by the length of delay (\> 3 days, \> 5 days, and \> 7 days) across cycles 2 through 8.

Time frame: Cycles 2 - 8 (approximately 21 weeks)

Population: Full analysis set participants who received more than 1 cycle of chemotherapy

ArmMeasureGroupValue (NUMBER)
OvarianPercentage of Participants With Chemotherapy Dose Delays in Cycles 2 Through 8> 5 Days Delay in One or More Cycles39 percentage of participants
OvarianPercentage of Participants With Chemotherapy Dose Delays in Cycles 2 Through 8> 3 Days Delay in One or More Cycles48 percentage of participants
OvarianPercentage of Participants With Chemotherapy Dose Delays in Cycles 2 Through 8> 7 Days Delay in One or More Cycles24 percentage of participants
NSCLCPercentage of Participants With Chemotherapy Dose Delays in Cycles 2 Through 8> 5 Days Delay in One or More Cycles39 percentage of participants
NSCLCPercentage of Participants With Chemotherapy Dose Delays in Cycles 2 Through 8> 3 Days Delay in One or More Cycles46 percentage of participants
NSCLCPercentage of Participants With Chemotherapy Dose Delays in Cycles 2 Through 8> 7 Days Delay in One or More Cycles23 percentage of participants
SCLCPercentage of Participants With Chemotherapy Dose Delays in Cycles 2 Through 8> 5 Days Delay in One or More Cycles47 percentage of participants
SCLCPercentage of Participants With Chemotherapy Dose Delays in Cycles 2 Through 8> 3 Days Delay in One or More Cycles52 percentage of participants
SCLCPercentage of Participants With Chemotherapy Dose Delays in Cycles 2 Through 8> 7 Days Delay in One or More Cycles26 percentage of participants
Breast Stage I-IIIPercentage of Participants With Chemotherapy Dose Delays in Cycles 2 Through 8> 5 Days Delay in One or More Cycles22 percentage of participants
Breast Stage I-IIIPercentage of Participants With Chemotherapy Dose Delays in Cycles 2 Through 8> 3 Days Delay in One or More Cycles29 percentage of participants
Breast Stage I-IIIPercentage of Participants With Chemotherapy Dose Delays in Cycles 2 Through 8> 7 Days Delay in One or More Cycles9 percentage of participants
Breast MetastaticPercentage of Participants With Chemotherapy Dose Delays in Cycles 2 Through 8> 5 Days Delay in One or More Cycles40 percentage of participants
Breast MetastaticPercentage of Participants With Chemotherapy Dose Delays in Cycles 2 Through 8> 3 Days Delay in One or More Cycles47 percentage of participants
Breast MetastaticPercentage of Participants With Chemotherapy Dose Delays in Cycles 2 Through 8> 7 Days Delay in One or More Cycles21 percentage of participants
Breast TotalPercentage of Participants With Chemotherapy Dose Delays in Cycles 2 Through 8> 3 Days Delay in One or More Cycles31 percentage of participants
Breast TotalPercentage of Participants With Chemotherapy Dose Delays in Cycles 2 Through 8> 7 Days Delay in One or More Cycles10 percentage of participants
Breast TotalPercentage of Participants With Chemotherapy Dose Delays in Cycles 2 Through 8> 5 Days Delay in One or More Cycles24 percentage of participants
Secondary

Percentage of Participants With Chemotherapy Dose Reductions

A participant is considered to have a dose reduction in a given cycle if there was a ≥ 15% reduction in dose of any chemotherapy agent planned for that cycle, relative to the dose planned at the baseline visit for that cycle.

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set participants with actual regimens as planned (17 participants received a different regimen to what was planned and are thus excluded)

ArmMeasureValue (NUMBER)
OvarianPercentage of Participants With Chemotherapy Dose Reductions34 percentage of participants
NSCLCPercentage of Participants With Chemotherapy Dose Reductions25 percentage of participants
SCLCPercentage of Participants With Chemotherapy Dose Reductions22 percentage of participants
Breast Stage I-IIIPercentage of Participants With Chemotherapy Dose Reductions16 percentage of participants
Breast MetastaticPercentage of Participants With Chemotherapy Dose Reductions29 percentage of participants
Breast TotalPercentage of Participants With Chemotherapy Dose Reductions17 percentage of participants
Secondary

Reason for Treatment With Erythropoiesis-stimulating Agents

The reason treatment with an ESA was initiated as recorded by the investigator; participants may have more than one reason for initiating treatment.

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Participants who received treatment with an ESA

ArmMeasureGroupValue (NUMBER)Dispersion
OvarianReason for Treatment With Erythropoiesis-stimulating AgentsHemoglobin level134 participants 4.6
OvarianReason for Treatment With Erythropoiesis-stimulating AgentsRisk of chemotherapy induced anemia10 participants
OvarianReason for Treatment With Erythropoiesis-stimulating AgentsEvidence based guidelines3 participants
OvarianReason for Treatment With Erythropoiesis-stimulating AgentsOther anemia-related symptoms3 participants
Secondary

Reasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8

A dose reduction in a given cycle is defined as a ≥ 15% reduction in dose of any chemotherapy agent planned for that cycle, relative to the dose planned at the baseline visit for that cycle.

Time frame: Cycles 1 - 8 (approximately 24 weeks)

Population: Full analysis set participants with actual regimens as planned and with ≥ 15% chemotherapy dose reduction in any cycle.

ArmMeasureGroupValue (NUMBER)
OvarianReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Chemotherapy induced anemia3 cycles
OvarianReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Other16 cycles
OvarianReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Febrile neutropenia4 cycles
OvarianReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Hepatic toxicity0 cycles
OvarianReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Dose administration error1 cycles
OvarianReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Chemotherapy induced neutropenia15 cycles
OvarianReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Chemotherapy induced thrombocytopenia5 cycles
OvarianReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Gastrointestinal toxicity4 cycles
OvarianReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Missing36 cycles
OvarianReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Weight loss1 cycles
OvarianReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Reduced to assess dose/tolerability2 cycles
OvarianReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Other non-hematological reason31 cycles
OvarianReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Other hematological reason1 cycles
OvarianReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Neurological toxicity2 cycles
OvarianReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Participant preference2 cycles
NSCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Missing23 cycles
NSCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Neurological toxicity2 cycles
NSCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Gastrointestinal toxicity2 cycles
NSCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Other19 cycles
NSCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Reduced to assess dose/tolerability6 cycles
NSCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Chemotherapy induced neutropenia16 cycles
NSCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Participant preference0 cycles
NSCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Chemotherapy induced anemia7 cycles
NSCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Dose administration error0 cycles
NSCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Weight loss1 cycles
NSCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Chemotherapy induced thrombocytopenia4 cycles
NSCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Febrile neutropenia4 cycles
NSCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Other non-hematological reason13 cycles
NSCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Other hematological reason1 cycles
NSCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Hepatic toxicity1 cycles
SCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Weight loss5 cycles
SCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Febrile neutropenia3 cycles
SCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Chemotherapy induced neutropenia3 cycles
SCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Chemotherapy induced anemia2 cycles
SCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Chemotherapy induced thrombocytopenia2 cycles
SCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Other hematological reason2 cycles
SCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Gastrointestinal toxicity1 cycles
SCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Neurological toxicity2 cycles
SCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Hepatic toxicity2 cycles
SCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Other non-hematological reason10 cycles
SCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Dose administration error0 cycles
SCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Participant preference0 cycles
SCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Reduced to assess dose/tolerability1 cycles
SCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Other11 cycles
SCLCReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Missing27 cycles
Breast Stage I-IIIReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Gastrointestinal toxicity12 cycles
Breast Stage I-IIIReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Chemotherapy induced anemia2 cycles
Breast Stage I-IIIReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Other non-hematological reason33 cycles
Breast Stage I-IIIReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Dose administration error1 cycles
Breast Stage I-IIIReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Neurological toxicity17 cycles
Breast Stage I-IIIReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Missing109 cycles
Breast Stage I-IIIReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Chemotherapy induced neutropenia41 cycles
Breast Stage I-IIIReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Participant preference0 cycles
Breast Stage I-IIIReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Other20 cycles
Breast Stage I-IIIReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Chemotherapy induced thrombocytopenia0 cycles
Breast Stage I-IIIReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Febrile neutropenia15 cycles
Breast Stage I-IIIReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Hepatic toxicity0 cycles
Breast Stage I-IIIReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Weight loss0 cycles
Breast Stage I-IIIReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Other hematological reason0 cycles
Breast Stage I-IIIReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Reduced to assess dose/tolerability6 cycles
Breast MetastaticReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Chemotherapy induced neutropenia11 cycles
Breast MetastaticReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Hepatic toxicity0 cycles
Breast MetastaticReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Chemotherapy induced thrombocytopenia1 cycles
Breast MetastaticReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Other non-hematological reason8 cycles
Breast MetastaticReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Weight loss1 cycles
Breast MetastaticReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Chemotherapy induced anemia0 cycles
Breast MetastaticReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Neurological toxicity0 cycles
Breast MetastaticReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Dose administration error2 cycles
Breast MetastaticReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Participant preference0 cycles
Breast MetastaticReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Reduced to assess dose/tolerability1 cycles
Breast MetastaticReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Febrile neutropenia6 cycles
Breast MetastaticReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Missing35 cycles
Breast MetastaticReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Gastrointestinal toxicity2 cycles
Breast MetastaticReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Other10 cycles
Breast MetastaticReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Other hematological reason0 cycles
Breast TotalReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Weight loss1 cycles
Breast TotalReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Neurological toxicity17 cycles
Breast TotalReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Reduced to assess dose/tolerability7 cycles
Breast TotalReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Other hematological reason0 cycles
Breast TotalReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Chemotherapy induced anemia2 cycles
Breast TotalReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Hepatic toxicity0 cycles
Breast TotalReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Other non-hematological reason41 cycles
Breast TotalReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Chemotherapy induced thrombocytopenia1 cycles
Breast TotalReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Missing144 cycles
Breast TotalReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Other30 cycles
Breast TotalReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Gastrointestinal toxicity14 cycles
Breast TotalReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Participant preference0 cycles
Breast TotalReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Chemotherapy induced neutropenia52 cycles
Breast TotalReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Febrile neutropenia21 cycles
Breast TotalReasons for Cycles With ≥ 15% Chemotherapy Dose Reductions in Cycles 1-8Dose administration error3 cycles
Secondary

Reasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8

A dose delay is defined as a delay of \> 3 days in the start of chemotherapy measured since the start of the previous cycle.

Time frame: Cycles 2 - 8 (approximately 21 weeks)

Population: Full analysis set participants who received more than 1 cycle of chemotherapy and had \> 3 days delay in one or more cycles

ArmMeasureGroupValue (NUMBER)
OvarianReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Gastrointestinal Toxicity3 cycles
OvarianReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Febrile Neutropenia1 cycles
OvarianReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Neurological Toxicity3 cycles
OvarianReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Dose Administration Error0 cycles
OvarianReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Other24 cycles
OvarianReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Chemotherapy Induced Thrombocytopenia7 cycles
OvarianReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Chemotherapy Induced Neutropenia27 cycles
OvarianReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Participant Preference19 cycles
OvarianReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Other Non-Hematological Reason14 cycles
OvarianReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Chemotherapy Induced Anemia5 cycles
OvarianReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Hepatic Toxicity1 cycles
OvarianReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Other Hematological Reason2 cycles
OvarianReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Missing18 cycles
NSCLCReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Other Hematological Reason1 cycles
NSCLCReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Neurological Toxicity2 cycles
NSCLCReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Gastrointestinal Toxicity0 cycles
NSCLCReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Other33 cycles
NSCLCReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Chemotherapy Induced Neutropenia34 cycles
NSCLCReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Missing16 cycles
NSCLCReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Participant Preference19 cycles
NSCLCReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Chemotherapy Induced Anemia7 cycles
NSCLCReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Dose Administration Error3 cycles
NSCLCReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Other Non-Hematological Reason21 cycles
NSCLCReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Chemotherapy Induced Thrombocytopenia0 cycles
NSCLCReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Febrile Neutropenia6 cycles
NSCLCReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Hepatic Toxicity0 cycles
SCLCReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Febrile Neutropenia6 cycles
SCLCReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Chemotherapy Induced Neutropenia14 cycles
SCLCReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Chemotherapy Induced Anemia1 cycles
SCLCReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Chemotherapy Induced Thrombocytopenia4 cycles
SCLCReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Other Hematological Reason1 cycles
SCLCReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Gastrointestinal Toxicity2 cycles
SCLCReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Neurological Toxicity1 cycles
SCLCReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Hepatic Toxicity1 cycles
SCLCReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Other Non-Hematological Reason20 cycles
SCLCReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Dose Administration Error0 cycles
SCLCReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Participant Preference15 cycles
SCLCReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Other34 cycles
SCLCReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Missing14 cycles
Breast Stage I-IIIReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Gastrointestinal Toxicity3 cycles
Breast Stage I-IIIReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Participant Preference51 cycles
Breast Stage I-IIIReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Hepatic Toxicity4 cycles
Breast Stage I-IIIReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Chemotherapy Induced Anemia3 cycles
Breast Stage I-IIIReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Missing18 cycles
Breast Stage I-IIIReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Dose Administration Error0 cycles
Breast Stage I-IIIReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Neurological Toxicity5 cycles
Breast Stage I-IIIReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Other Hematological Reason8 cycles
Breast Stage I-IIIReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Other78 cycles
Breast Stage I-IIIReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Chemotherapy Induced Thrombocytopenia1 cycles
Breast Stage I-IIIReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Chemotherapy Induced Neutropenia41 cycles
Breast Stage I-IIIReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Febrile Neutropenia12 cycles
Breast Stage I-IIIReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Other Non-Hematological Reason44 cycles
Breast MetastaticReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Dose Administration Error0 cycles
Breast MetastaticReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Neurological Toxicity3 cycles
Breast MetastaticReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Chemotherapy Induced Thrombocytopenia1 cycles
Breast MetastaticReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Febrile Neutropenia3 cycles
Breast MetastaticReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Hepatic Toxicity0 cycles
Breast MetastaticReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Other Non-Hematological Reason6 cycles
Breast MetastaticReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Chemotherapy Induced Anemia0 cycles
Breast MetastaticReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Chemotherapy Induced Neutropenia9 cycles
Breast MetastaticReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Participant Preference16 cycles
Breast MetastaticReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Missing10 cycles
Breast MetastaticReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Other19 cycles
Breast MetastaticReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Gastrointestinal Toxicity1 cycles
Breast MetastaticReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Other Hematological Reason2 cycles
Breast TotalReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Participant Preference67 cycles
Breast TotalReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Chemotherapy Induced Anemia3 cycles
Breast TotalReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Febrile Neutropenia15 cycles
Breast TotalReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Gastrointestinal Toxicity4 cycles
Breast TotalReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Hepatic Toxicity4 cycles
Breast TotalReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Other Hematological Reason10 cycles
Breast TotalReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Other97 cycles
Breast TotalReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Dose Administration Error0 cycles
Breast TotalReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Chemotherapy Induced Neutropenia50 cycles
Breast TotalReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Chemotherapy Induced Thrombocytopenia2 cycles
Breast TotalReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Missing28 cycles
Breast TotalReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Other Non-Hematological Reason50 cycles
Breast TotalReasons for Cycles With > 3 Days Chemotherapy Dose Delays in Cycles 2 to 8Neurological Toxicity8 cycles
Secondary

Time to Disease Progression

Time to disease progression was calculated from cycle 1 day 1 to a date at which disease progression was first recorded. Participants who died due to causes other than disease progression were censored at the date of death. Participants who were alive and whose disease had not progressed at the most recent contact, or who were lost to follow-up, or with missing data, were censored at the date of last contact. Median time to disease progression was estimated from the Kaplan-Meier survival function.

Time frame: From cycle 1, day 1 until end of the long-term follow-up; median time on follow-up from cycle 1, day 1 was 52 months.

Population: Full analysis set

ArmMeasureValue (MEDIAN)
OvarianTime to Disease Progression12.4 months
NSCLCTime to Disease Progression6.5 months
SCLCTime to Disease Progression6.8 months
Breast Stage I-IIITime to Disease ProgressionNA months
Breast MetastaticTime to Disease Progression11.8 months
Breast TotalTime to Disease ProgressionNA months

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026