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Multi-level Evaluation of Chemotherapy-induced Febrile Neutropenia Prophylaxis, Outcomes, and Determinants With Granulocyte-colony Stimulating Factor

International, Prospective, Open-label, Multicenter, Pharmacoepidemiological Study to Determine Predictors of Clinical Outcomes in Chemotherapy-treated Cancer Patients at Risk for Febrile Neutropenia and Treated Prophylactically With Filgrastim Biosimilar.

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT01459653
Acronym
Monitor-GCSF
Enrollment
1496
Registered
2011-10-25
Start date
2010-03-31
Completion date
2013-08-31
Last updated
2016-01-11

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

Conditions

B-cell Lymphoma, Bladder Cancer, Breast Cancer, Cancer, Febrile Neutropenia, Lung Cancer, Multiple Myeloma, Ovarian Cancer, Prostate Cancer

Keywords

Febrile neutropenia, cancer, chemotherapy,, primary prophylaxis, secondary prophylaxis, filgrastim, granulocyte colony stimulating factor, observational study, noninterventional study

Brief summary

This international, prospective, observational, open-label, pharmaco-epidemiologic study observes cancer patients at risk for chemotherapy-induced febrile neutropenia (FN) who are receiving filgrastim biosimilar (EP2006) for primary or secondary FN prophylaxis to better describe the patient population at risk for FN and treated prophylactically in physician's best clinical judgement with filgrastim biosimilar (EP2006), to describe prophylaxis patterns involving filgrastim biosimilar (EP2006), and to evaluate hematology levels and variability in hematological outcomes, impact on chemotherapy delivery, radiotherapy, surgery, and mortality. Additionally the study aims to identify patient cohorts who are vulnerable to poor response to FN prophylaxis and experience break-through episodes of FN, understand the differences between prophylaxis responders and non-responders, and describe the degree to which prophylaxis of FN is in congruence with guideline recommendations.

Interventions

None listed

Sponsors

Sandoz
Lead SponsorINDUSTRY

Study design

Observational model
CASE_ONLY
Time perspective
PROSPECTIVE

Eligibility

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

Inclusion criteria

* Male or female adults (age \> / = 18 years) * Diagnosed with one of the following types and stages of tumors: stage III or IV breast cancer; stage III or IV ovarian cancer; stage III or IV bladder cancer; stage III or IV lung cancer; metastatic prostate cancer; stage III or IV diffuse large B-cell lymphoma; multiple myeloma. * Planned to receive primary prophylaxis with filgrastim biosimilar (EP2006) at the first cycle of chemotherapy (regardless of line of chemotherapy); or receiving secondary prophylaxis with filgrastim biosimilar (EP2006) irrespective of chemotherapy cycle. * Treated with commercially available filgrastim biosimilar per physician's best clinical judgment and per current European filgrastim biosimilar (EP2006) label. * Female patients must be either post-menopausal for one year or surgically sterile or using effective contraceptive methods such as barrier method with spermicide or an intra-uterine device. Oral contraceptive use is allowed. * Informed written consent to participate in the study by patients or their legal guardian.

Exclusion criteria

* Patients with myeloid malignancies, with the exception of multiple myeloma. * Sensitivity to filgrastim biosimilar or any other CSF. * Hypersensitivity to E. coli-derived proteins. * Radiotherapy to ≥ 20% of total body bone. * Infection within two weeks of starting current line of chemotherapy. * Patients with several medical condition(s) that in view of the investigator prohibits participation in the study. * Patients with willfully negligent nonadherence to their cancer treatment. * Use of any investigational agent in the 30 days prior to enrollment. * Women of childbearing potential not using the contraception method(s) described above. * Women who are breastfeeding.

Design outcomes

Primary

MeasureTime frameDescription
Incidence of OutcomesAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. Table presents incidences of different outcomes and composite outcome by chemotherapy risk group. \^Composite endpoint includes any of CIN grade 4, FN, CIN/FN-related hospitalization and CIN/FN-related chemotherapy disturbance. CIN: Chemotherapy-Induced Neutropenia; FN: Febrile Neutropenia; ANC: Absolute Neutrophil count; GIS: GCSF Initiation Score; Prophylaxis decision mentioned below are relative to EORTC guidelines (2010).
Incidence of CIN/FN-related Chemotherapy Disturbance by EP2006 Prophylaxis Type: Patient LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. CIN: Chemotherapy-Induced Neutropenia; FN: Febrile Neutropenia; ANC: Absolute Neutrophil count; GIS: GCSF Initiation Score; Prophylaxis decision mentioned below are relative to EORTC guidelines (2010).
Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. Table presents incidences of different outcomes and composite outcome by prophylaxis decision (relative to guidelines). \^Composite endpoint includes any of CIN grade 4, FN, CIN/FN-related hospitalization and CIN/FN-related chemotherapy disturbance. CIN: Chemotherapy-Induced Neutropenia; FN: Febrile Neutropenia; ANC: Absolute Neutrophil count; GIS: GCSF Initiation Score; Prophylaxis decision mentioned below are relative to EORTC guidelines (2010).
Incidence of CIN Grade 4 Episodes by EP2006 Dose: Patient LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. CIN: Chemotherapy-Induced Neutropenia; FN: Febrile Neutropenia; ANC: Absolute Neutrophil count; GIS: GCSF Initiation Score; Prophylaxis decision mentioned below are relative to EORTC guidelines (2010).
Incidence of Outcomes by Mean GIS: Patient LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. Table presents incidences of outcomes by day (mean GIS over all visits). \^Composite outcome includes CIN grade 4, FN, CIN/FN-related hospitalization and CIN/FN-related chemotherapy disturbance CIN: Chemotherapy-Induced Neutropenia; FN: Febrile Neutropenia; ANC: Absolute Neutrophil count; GIS: GCSF Initiation Score; Prophylaxis decision mentioned below are relative to EORTC guidelines (2010).
Incidence of Outcomes: Cycles LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. Table presents incidences of outcomes on a cycle level. \^Composite outcome includes CIN grade 4, FN, CIN/FN-related hospitalization and CIN/FN-related chemotherapy disturbance CIN: Chemotherapy-Induced Neutropenia; FN: Febrile Neutropenia; ANC: Absolute Neutrophil count; GIS: GCSF Initiation Score; Prophylaxis decision mentioned below are relative to EORTC guidelines (2010).
Incidence of Outcomes by Day of Study Drug Initiation: Cycle LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. Table presents incidences of outcomes on a cycle level by day of study drug initiation. \^Composite outcome includes CIN grade 4, FN, CIN/FN-related hospitalization and CIN/FN-related chemotherapy disturbance CIN: Chemotherapy-Induced Neutropenia; FN: Febrile Neutropenia; ANC: Absolute Neutrophil count; GIS: GCSF Initiation Score; Prophylaxis decision mentioned below are relative to EORTC guidelines (2010). \*Day of EP2006 initiation- Day 0 (during chemotherapy); \*\*Day of EP2006 initiation- Days 1-3 (per guidelines)
Incidence of Outcomes by Study Drug Duration: Cycle LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. Table presents incidences of outcomes on a cycle level by study drug duration. \^Composite outcome includes CIN grade 4, FN, CIN/FN-related hospitalization and CIN/FN-related chemotherapy disturbance CIN: Chemotherapy-Induced Neutropenia; FN: Febrile Neutropenia;
Number of Patients by Cause of DeathAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment.
Number of Participants With All-cause Mortality by Any/no Grade 4 CIN and/or FNAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. Table shows number of patients that died in each group. CIN: chemotherapy-induced neutropenia; FN: febrile neutropenia
Number of Participants With All-cause Mortality by CIN/FN-related Chemotherapy DisturbanceAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. Table shows number of patients who died by any or no CIN/FN related chemotherapy disturbance. CIN: chemotherapy-induced neutropenia; FN: febrile neutropenia
Number of Participants With Cancer-related Mortality by Any/no Grade 4 CIN or FNAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. Table presents number of patients that had a cancer-related death by any/no grade 4 CIN or FN CIN: chemotherapy-induced neutropenia; FN: febrile neutropenia
Number of Participants With Cancer-related Mortality by Any CIN/FN-related Chemotherapy DisturbanceAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. Table presents number of patients who had a cancer-related death by any/no CIN/FN-related chemotherapy disturbance CIN: chemotherapy-induced neutropenia; FN: febrile neutropenia
Number of Participants With Any CIN/FN-related Chemotherapy Disturbance by Prophylaxis TypeAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. Table presents number of patients with any CIN/FN-related chemotherapy disturbance by prophylaxis type. CIN: chemotherapy-induced neutropenia; FN: febrile neutropenia
Number of Participants With Any CIN/FN-related Chemotherapy Disturbance by Treatment DecisionAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. Table presents number of patients with any CIN/FN-related chemotherapy disturbances by treatment decision. CIN: chemotherapy-induced neutropenia; FN: febrile neutropenia
Predictors of Absolute Neutrophil CountAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 6: To examine the multilevel determinants (patient, center) of hematological outcomes of primary and secondary prophylaxis with EP2006 to better understand the variability in outcomes achieved. Hierarchical modeling was used to test the relationship of patient- and physician/center-level variables and treatment response in terms of ANC. This analysis was conducted at the cycle level using a 1-cycle lag between treatment patterns and outcomes, that is study drug treatment patterns in one cycle predicted the ANC value at the beginning of the next cycle. Log-transformed ANC values were used. Table presents predictors for ANC: GCSF decision, study drug dose, tumor type, patient gender, ECOG, Hb Since log-transformed Absolute Neutrophil Count (ANC) values were used, Exp(beta) can be interpreted in terms of % change in ANC for each unit change in predictor or for each category relative to the referent (for categorical variables); Hb=Hemoglobin
Patient/Center-level Covariance Parameter Estimates of Absolute Neutrophil CountAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 6: To examine the multilevel determinants (patient, center) of hematological outcomes of primary and secondary prophylaxis with EP2006 to better understand the variability in outcomes achieved. Mean and standard error estimated from ANCOVA
EP2006 Day of Initiation: Cycle DistributionAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery. Table presents number of cycles by day after chemotherapy.
EP2006 Cycles by Treatment DurationAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery
Chemotherapy Toxicity (%FN Risk)Enrollment cycle. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 1: To describe the cancer patients requiring chemotherapy who, in their treating physician's best clinical judgment, are receiving EP2006 for the primary or secondary prophylaxis of FN in terms of demographics, clinical status, medical history, concomitant comorbid conditions and current status of disease, and prior and concomitant medications. Chemotherapy regimens were classified for FN risk (\<10% risk, 10-20% risk or \>20% risk) according to the published rates in the EORTC Guidelines under consideration of agent(s) and schedules. ANC=Absolute Neutrophil Count; CIN=Chemotherapy-Induced Neutropenia; FN=Febrile Neutropenia;
Cancer Treatment Type - Ever Received During StudyAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 1: To describe the cancer patients requiring chemotherapy who, in their treating physician's best clinical judgment, are receiving EP2006 for the primary or secondary prophylaxis of FN in terms of demographics, clinical status, medical history, concomitant comorbid conditions and current status of disease, and prior and concomitant medications. ANC=Absolute Neutrophil Count; CIN=Chemotherapy-Induced Neutropenia; FN=Febrile Neutropenia;
Fever and Infections Ever During the StudyAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 1: To describe the cancer patients requiring chemotherapy who, in their treating physician's best clinical judgment, are receiving EP2006 for the primary or secondary prophylaxis of FN in terms of demographics, clinical status, medical history, concomitant comorbid conditions and current status of disease, and prior and concomitant medications. ANC=Absolute Neutrophil Count; CIN=Chemotherapy-Induced Neutropenia; FN=Febrile Neutropenia;
Clinical Events Ever During Study (Frequency Threshold: 5%)All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 1: To describe the cancer patients requiring chemotherapy who, in their treating physician's best clinical judgment, are receiving EP2006 for the primary or secondary prophylaxis of FN in terms of demographics, clinical status, medical history, concomitant comorbid conditions and current status of disease, and prior and concomitant medications. ANC=Absolute Neutrophil Count; CIN=Chemotherapy-Induced Neutropenia; FN=Febrile Neutropenia
Type of EP2006 ProphylaxisAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
Type of EP2006 Prophylaxis by GenderAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
Type of EP 2006 Prophylaxis by Age GroupAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
Type of EP 2006 Prophylaxis by Tumor TypeAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
Concomitant Antibiotic ProphylaxisAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Dose (All Cycles)All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Dose (Enrollment Cycle)Enrollment cycle. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Dose (Cycle 1)Cycle 1. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Dose (Cycle 2)Cycle 2. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Dose (Cycle 3)Cycle 3. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Dose (Cycle 4)Cycle 4. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Dose (Cycle 5)Cycle 5. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Dose (Cycle 6)Cycle 6. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Dose by Patient Weight: Cycle LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Dose by Tumor Type: Cycle LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
Patient Weight by Tumor Type (Solid Tumor vs. Hematological Tumor)All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Dose by Chemotherapy Toxicity: Cycle LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Day of Initiation: All CyclesAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Day of Initiation: Cycle 1Cycle 1. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Day of Initiation: Cycle 2Cycle 2. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Day of Initiation: Cycle 3Cycle 3. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Day of Initiation: Cycle 4Cycle 4. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Day of Initiation: Cycle 5Cycle 5. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Day of Initiation: Cycle 6Cycle 6. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Day of Initiation by Tumor Type (Solid Tumor vs. Hematological Tumor): Cycle LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Day of Initiation by Prophylaxis Type: Cycle LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Day of Initiation by Chemotherapy Toxicity: Cycle LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Treatment Duration in Any CycleAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Treatment Duration in Cycle 1Cycle 1. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Treatment Duration in Cycle 2Cycle 2. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Treatment Duration in Cycle 3Cycle 3. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Treatment Duration in Cycle 4Cycle 4. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Treatment Duration in Cycle 5Cycle 5. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Treatment Duration in Cycle 6Cycle 6. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Duration by Tumor Type: Cycle LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Duration by Prophylaxis Type: Cycle LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
EP2006 Duration by Chemotherapy Toxicity: Cycle LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.
Percentage of Patients With Each EORTC-identified Risk Factors for FN at BaselineEnrollment cycle. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 3: To determine the extent to which the primary and secondary prophylaxis of FN in cancer patients is in congruence with the EORTC best practice guidelines and dosing recommendations, and whether this is associated with better outcomes. \* Advanced disease is defined as Stage IV (Stage III or IV if multiple myeloma) AND prior chemotherapy in metastatic setting. The PRS is a quantification of eight individual patient risk factors (EORTC guidelines-2010). CV: cardiovascular; EORTC: European Organization for Research and Treatment in Cancer; FN: febrile neutropenia; Hb: hemoglobin
Percentage of Patients With Each EORTC-identified Risk Factors for FN in Patients With Chemotherapy Risk 10-20% at BaselineEnrollment cycle. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 3: To determine the extent to which the primary and secondary prophylaxis of FN in cancer patients is in congruence with the EORTC best practice guidelines and dosing recommendations, and whether this is associated with better outcomes. \* Advanced disease is defined as Stage IV (Stage III or IV if multiple myeloma) AND prior chemotherapy in metastatic setting CV: cardiovascular; EORTC: European Organization for Research and Treatment in Cancer; FN: febrile neutropenia; Hb: hemoglobin
Patient Risk Score (PRS) for All PatientsEnrollment cycle. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 3: To determine the extent to which the primary and secondary prophylaxis of FN in cancer patients is in congruence with the EORTC best practice guidelines and dosing recommendations, and whether this is associated with better outcomes. Patient risk score (PRS) shows the individual patient risk for FN.The PRS is a sum of eight weighted individual patient risk factors for FN and results in a possible score of 0 to 11 (highest risk for FN). The risk factors were assigned weights based on the level of risk specified by guidelines and SC consensus (age \> 65 years: 3.0; advanced disease: 1.5; history of FN: 3.0; No antibiotic prophylaxis: 0.5; poor performance/nutritional status: 1.5; female gender: 0.5; Hb\<12g/dL: 0.5; Renal, CV or liver disease: 0.5). Advanced disease: Stage IV or Stage III + prior chemotherapy in metastatic setting; CV: cardiovascular; EORTC: European Organization for Research and Treatment in Cancer; FN: febrile neutropenia
Patient Risk Score (PRS) for Patients Receiving Chemotherapy With 10-20% FN Risk by Tumor TypeEnrollment cycle. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 3: To determine the extent to which the primary and secondary prophylaxis of FN in cancer patients is in congruence with the EORTC best practice guidelines and dosing recommendations, and whether this is associated with better outcomes. Patient risk score (PRS) shows the individual patient risk for FN.The PRS is a sum of eight weighted individual patient risk factors for FN and results in a possible score of 0 to 11 (highest risk for FN). The risk factors were assigned weights based on the level of risk specified by guidelines and SC consensus (age \> 65 years: 3.0; advanced disease: 1.5; history of FN: 3.0; No antibiotic prophylaxis: 0.5; poor performance/nutritional status: 1.5; female gender: 0.5; Hb\<12g/dL: 0.5; Renal, CV or liver disease: 0.5). Advanced disease: Stage IV or Stage III + prior chemotherapy in metastatic setting; CV: cardiovascular; EORTC: European Organization for Research and Treatment in Cancer; FN: febrile neutropenia
Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN RiskAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 3: To determine the extent to which the primary and secondary prophylaxis of FN in cancer patients is in congruence with the EORTC best practice guidelines and dosing recommendations, and whether this is associated with better outcomes. FN: Febrile Neutropenia; EORTC: European Organisation for Research and Treatment of Cancer
Percentage of Patients With Each Chemotherapy Risk Score (CRS) Result by Tumor TypeAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 3: To determine the extent to which the primary and secondary prophylaxis of FN in cancer patients is in congruence with the EORTC best practice guidelines and dosing recommendations, and whether this is associated with better outcomes. The CRS quantifies whether the decision to initiate EP2006 as either primary or secondary prophylaxis is consistent with the EORTC guideline (2010) recommendation based upon the patient's chemotherapy toxicity (\<10%, 10-20% or \>20% risk of FN) and the PRS. There are three possible results: under-treated, correctly treated, over-treated
EP2006 Day of Initiation Relative to Guidelines by Cancer TypeAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 3: To determine the extent to which the primary and secondary prophylaxis of FN in cancer patients is in congruence with the EORTC best practice guidelines and dosing recommendations, and whether this is associated with better outcomes. \^ 168 cycles in which ZARZIO® was initiated on day 4 or later involved regimens deemed by the Study Steering Committee to be suitable for GCSF initiation any day after chemotherapy (day 1 or later), e.g., etoposide; hence, these patients were re-classified as being within guidelines DLBCL- Diffuse Large B-Cell Lymphoma. Guidelines refers to EORTC 2010 guidelines
GCSF Initiation Score (GIS)All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 3: To determine the extent to which the primary and secondary prophylaxis of FN in cancer patients is in congruence with the EORTC best practice guidelines and dosing recommendations, and whether this is associated with better outcomes. ANC=Absolute Neutrophil Count; GIS Score 0 (EP2006 initiated on day 0 of chemotherapy or on day 10 or later); GIS Score 0.50 (EP2006 initiated on days 7-9 of chemotherapy); GIS Score 0.75 (EP2006 initiated on days 4-6 of chemotherapy); GIS Score 1.00 (EP2006 initiated per EORTC guidelines (2010) on days 1-3 after chemotherapy) ANC=Absolute Neutrophil Count; CIN=Chemotherapy-Induced Neutropenia; EORTC=European Organization for Research and Treatment in Cancer; FN=Febrile Neutropenia; GCSF=Granulocyte Colony-Stimulating Factor; GIS=Granulocyte Colony-Stimulating Factor Initiation Score
GCSF Persistence Score (GPS)All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 3: To determine the extent to which the primary and secondary prophylaxis of FN in cancer patients is in congruence with the EORTC best practice guidelines and dosing recommendations, and whether this is associated with better outcomes. The GPS grades persistence based on the number of cycles in the line of chemotherapy in which EP2006 was administered, D, relative to the number of cycles in which it should have been continued, C. Thus, the GPS = D/C and ranges from 0 to 1.0 ANC=Absolute Neutrophil Count; CIN=Chemotherapy-Induced Neutropenia; EORTC=European Organization for Research and Treatment in Cancer; FN=Febrile Neutropenia; GCSF=Granulocyte Colony-Stimulating Factor
GCSF Congruence Score (GCS)All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 3: To determine the extent to which the primary and secondary prophylaxis of FN in cancer patients is in congruence with the EORTC best practice guidelines and dosing recommendations, and whether this is associated with better outcomes. The GCS is computed at the patient level as an overall grade of how congruent actual GCSF treatment is to recommended treatment. The GCS is computed as follows and scores range from 0 to 3: GCS = Σ(CRS + mean GIS over all cycles + GPS), with higher scores indicating higher congruence. CRS: Chemotherapy Risk Score (0 or 1 with 1 best); FN: febrile neutropenia; GCSF: granulocyte colony-stimulating factor; GIS=GCSF Initiation Score (0 to 1 with 1 best); GPS=GCSF persistence score (0 to 1 with 1 best);
Absolute Neutrophil Count (ANC) at EP2006 InitiationEnrollment cycle. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 4: To describe hematological outcomes observed in association with primary and secondary prophylactic use of EP2006 in patients at risk for FN; including break-through episodes of FN.
Absolute Neutrophil Count (ANC) Across All CyclesAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 4: To describe hematological outcomes observed in association with primary and secondary prophylactic use of EP2006 in patients at risk for FN; including break-through episodes of FN.
Number of Patients With CIN/FN Episodes: Patient LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 4: To describe hematological outcomes observed in association with primary and secondary prophylactic use of EP2006 in patients at risk for FN; including break-through episodes of FN. CIN: Chemotherapy-Induced Neutropenia; FN: Febrile Neutropenia; Chemotherapy disturbance=dose reduction, delay, and/or cancellation; Composite (any of CIN grade 4, FN, CIN/FN-related hospitalization or CIN/FN-related chemotherapy disturbance) A patient may fall into more than one or none of the categories displayed.
CIN/FN Episodes: Cycle LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 4: To describe hematological outcomes observed in association with primary and secondary prophylactic use of EP2006 in patients at risk for FN; including break-through episodes of FN. Chemotherapy-Induced Neutropenia (CIN); Febrile Neutropenia (FN); Chemotherapy disturbance=dose reduction, delay, and/or cancellation; Composite (any of CIN grade 4, FN, CIN/FN-related hospitalization \[RH\] or CIN/FN-related chemotherapy disturbance \[RCD\])
Incidence of Outcomes by Chemotherapy Risk: Patient LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. Table presents incidences of different outcomes and composite outcome by chemotherapy risk group. \^Composite endpoint includes any of CIN grade 4, FN, CIN/FN-related hospitalization and CIN/FN-related chemotherapy disturbance. CIN: Chemotherapy-Induced Neutropenia; FN: Febrile Neutropenia; ANC: Absolute Neutrophil count; GIS: GCSF Initiation Score; Prophylaxis decision mentioned below are relative to EORTC guidelines (2010).

Secondary

MeasureTime frameDescription
Characteristics of Clusters: Hemoglobin Study StartEnrollment cycle. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 7: To identify different latent clusters of end-stage cancer patients receiving chemotherapy and being treated with EP2006 for the treatment or primary or secondary prophylaxis of FN using statistical data-mining techniques to profile patients based on medical history, concomitant comorbid conditions, and current clinical status.
Characteristics of Clusters: ECOG Performance StatusEnrollment cycle. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 7: To identify different latent clusters of end-stage cancer patients receiving chemotherapy and being treated with EP2006 for the treatment or primary or secondary prophylaxis of FN using statistical data-mining techniques to profile patients based on medical history, concomitant comorbid conditions, and current clinical status. ECOG score is a severity scale from 0 to 5 (highest) to grade toxicity and is defined as follows: 0=none, 1=mild, 2=moderate, 3=severe, 4=life-threatening, 5=lethal. ECOG is described in more detail by Oken et al, Am J Clin Oncol (CCT) 5:649-655, 1982. FN=Febrile Neutropenia; ECOG: European Cooperative Oncology Group
Characteristics of Clusters: Cancer StageEnrollment cycle. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 7: To identify different latent clusters of end-stage cancer patients receiving chemotherapy and being treated with EP2006 for the treatment or primary or secondary prophylaxis of FN using statistical data-mining techniques to profile patients based on medical history, concomitant comorbid conditions, and current clinical status. FN=Febrile Neutropenia
Characteristics of Clusters: History of Antibiotic Use for CINEnrollment cycle. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 7: To identify different latent clusters of end-stage cancer patients receiving chemotherapy and being treated with EP2006 for the treatment or primary or secondary prophylaxis of FN using statistical data-mining techniques to profile patients based on medical history, concomitant comorbid conditions, and current clinical status. CIN=Chemotherapy Induced Neutropenia; FN=Febrile Neutropenia
Characteristics of Clusters: Liver, Renal and/or Cardiovascular DiseaseEnrollment cycle. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 7: To identify different latent clusters of end-stage cancer patients receiving chemotherapy and being treated with EP2006 for the treatment or primary or secondary prophylaxis of FN using statistical data-mining techniques to profile patients based on medical history, concomitant comorbid conditions, and current clinical status. FN=Febrile Neutropenia
Modeling Grade 4 CIN Episode: Cycle LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 8: To model patient- and center-level variables between patients who responded and those who did not respond to primary or secondary prophylaxis with EP2006. Objective 9: To model patient- and center-level variables between patients who had chemotherapy dose delays or reductions, surgery delays and cancellations, and radiotherapy delays, dose reductions, or cancellations vs. no such events during the course of primary or secondary prophylaxis with EP2006 Only results with a p-value of \<0.05 are added as statistical analyses appendices. CI: confidence interval; CIN: chemotherapy-induced neutropenia; GCSF: granulocyte colony-stimulating factor; GIS: GCSF Initiation Score
Modeling Grade 4 CIN Episode: Patient LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 8: To model patient- and center-level variables between patients who responded and those who did not respond to primary or secondary prophylaxis with EP2006. Objective 9: To model patient- and center-level variables between patients who had chemotherapy dose delays or reductions, surgery delays and cancellations, and radiotherapy delays, dose reductions, or cancellations vs. no such events during the course of primary or secondary prophylaxis with EP2006 Only results with a p-value of \<0.05 are shown in the statistical appendices. H/o=History of; CI=confidence interval; CIN=chemotherapy-induced neutropenia
Modeling FN Episode: Cycle LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 8: To model patient- and center-level variables between patients who responded and those who did not respond to primary or secondary prophylaxis with EP2006. Objective 9: To model patient- and center-level variables between patients who had chemotherapy dose delays or reductions, surgery delays and cancellations, and radiotherapy delays, dose reductions, or cancellations vs. no such events during the course of primary or secondary prophylaxis with EP2006. Only results with a p-value of \<0.05 are shown in the statistical appendices. CI: confidence interval; CIN: chemotherapy-induced neutropenia; FN: febrile neutropenia; ECOG: Eastern Cooperative Oncology Group
Modeling FN Episode: Patient LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 8: To model patient- and center-level variables between patients who responded and those who did not respond to primary or secondary prophylaxis with EP2006. Objective 9: To model patient- and center-level variables between patients who had chemotherapy dose delays or reductions, surgery delays and cancellations, and radiotherapy delays, dose reductions, or cancellations vs. no such events during the course of primary or secondary prophylaxis with EP2006 Only results with a p-value of \<0.05 are shown in the statistical appendices. CI: confidence interval; CIN: chemotherapy-induced neutropenia; FN: febrile neutropenia
Modeling CIN/FN-related Hospitalization: Cycle LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 8: To model patient- and center-level variables between patients who responded and those who did not respond to primary or secondary prophylaxis with EP2006. Objective 9: To model patient- and center-level variables between patients who had chemotherapy dose delays or reductions, surgery delays and cancellations, and radiotherapy delays, dose reductions, or cancellations vs. no such events during the course of primary or secondary prophylaxis with EP2006. Only results with a p-value of \<0.05 are shown in the statistical appendices. CI: confidence interval; CIN: chemotherapy-induced neutropenia; FN: febrile neutropenia; ECOG: Eastern Cooperative Oncology Group.
Modeling CIN/FN-related Hospitalization: Patient LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 8: To model patient- and center-level variables between patients who responded and those who did not respond to primary or secondary prophylaxis with EP2006. Objective 9: To model patient- and center-level variables between patients who had chemotherapy dose delays or reductions, surgery delays and cancellations, and radiotherapy delays, dose reductions, or cancellations vs. no such events during the course of primary or secondary prophylaxis with EP2006. Only results with a p-value of \<0.05 are shown in the statistical appendices. CI: confidence interval; CIN: chemotherapy-induced neutropenia; FN: febrile neutropenia; ECOG: Eastern Cooperative Oncology Group.
Modeling CIN/FN-related Chemotherapy Disturbance: Cycle LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 8: To model patient- and center-level variables between patients who responded and those who did not respond to primary or secondary prophylaxis with EP2006. Objective 9: To model patient- and center-level variables between patients who had chemotherapy dose delays or reductions, surgery delays and cancellations, and radiotherapy delays, dose reductions, or cancellations vs. no such events during the course of primary or secondary prophylaxis with EP2006. Only results with a p-value of \<0.05 are shown in the statistical appendices. CI: confidence interval; CIN: chemotherapy-induced neutropenia; GCSF: granulocyte colony-stimulating factor; GIS: GCSF Initiation Score; Chemotherapy disturbance=dose reduction, delay, and/or cancellation
Modeling CIN/FN-related Chemotherapy Disturbance: Patient Level (Patient-level Predictors)All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 8: To model patient- and center-level variables between patients who responded and those who did not respond to primary or secondary prophylaxis with EP2006. Objective 9: To model patient- and center-level variables between patients who had chemotherapy dose delays or reductions, surgery delays and cancellations, and radiotherapy delays, dose reductions, or cancellations vs. no such events during the course of primary or secondary prophylaxis with EP2006. Only results with a p-value of \<0.05 are shown in the statistical appendices. CI: confidence interval; CIN: chemotherapy-induced neutropenia; FN: febrile neutropenia
Modeling Composite Outcome (Any of CIN Grade 4, FN, CIN/FN-related Hospitalization, CIN/FN-related Chemotherapy Disturbance): Cycle LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 8: To model patient- and center-level variables between patients who responded and those who did not respond to primary or secondary prophylaxis with EP2006. Objective 9: To model patient- and center-level variables between patients who had chemotherapy dose delays or reductions, surgery delays and cancellations, and radiotherapy delays, dose reductions, or cancellations vs. no such events during the course of primary or secondary prophylaxis with EP2006. Only results with a p-value of \<0.05 are shown in the statistical appendices. CI: confidence interval; CIN: chemotherapy-induced neutropenia; ECOG: Eastern Cooperative Oncology Group; FN: febrile neutropenia; GCSF: granulocyte colony-stimulating factor; GIS: GCSF Initiation Score.
Modeling Composite Outcome (Any of CIN Grade 4, FN, CIN/FN-related Hospitalization, CIN/FN-related Chemotherapy Disturbance): Patient LevelAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 8: To model patient- and center-level variables between patients who responded and those who did not respond to primary or secondary prophylaxis with EP2006. Objective 9: To model patient- and center-level variables between patients who had chemotherapy dose delays or reductions, surgery delays and cancellations, and radiotherapy delays, dose reductions, or cancellations vs. no such events during the course of primary or secondary prophylaxis with EP2006. Only results with a p-value of \<0.05 are shown in the statistical appendices. CI: confidence interval; CIN: chemotherapy-induced neutropenia; ECOG: Eastern Cooperative Oncology Group; FN: febrile neutropenia; GCSF: granulocyte colony-stimulating factor; GIS: GCSF Initiation Score. H/o repeated infections refers at enrollment; H/o: History of
Patient-level Predictors for All-cause MortalityAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 10: To model patient- and center-level variables between patients who died vs. survived during the course of primary or secondary prophylaxis with EP2006, in all patients and those with break-through FN episodes. Table presents patient-level predictors for all-cause mortality: history of anemia at enrollment, liver/renal/cardiac comorbidity, poor performance (ECOG \>=2) during study
Patient-level Predictor for Cancer-related MortalityAll cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 daysObjective 10: To model patient- and center-level variables between patients who died vs. survived during the course of primary or secondary prophylaxis with EP2006 in all patients and those with break-through FN episodes. Table presents patient level predictors for cancer-related mortality: female gender, poor performance (ECOG \>=2) during study. ECOG score is a severity scale from 0 to 5 (highest) to grade toxicity and is defined as follows: 0=none, 1=mild, 2=moderate, 3=severe, 4=life-threatening, 5=lethal. ECOG is described in more detail by Oken et al, Am J Clin Oncol (CCT) 5:649-655, 1982.
Cohort IdentificationEnrollment cycle. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.Objective 7: To identify different latent clusters of end-stage cancer patients receiving chemotherapy and being treated with EP2006 for the treatment or primary or secondary prophylaxis of FN using statistical data-mining techniques to profile patients based on medical history, concomitant comorbid conditions, and current clinical status. A two-group solution converged and the groups differentiated on key baseline variables. However, the group sizes were too unevenly distributed for further analysis with the high risk group comprised of only 3.0% of the evaluable sample. ANC=Absolute Neutrophil Count; CIN=Chemotherapy-Induced Neutropenia; FN=Febrile Neutropenia

Countries

Austria, Belgium, Czechia, France, Germany, Hungary, Italy, Poland, Romania, Spain, Switzerland, United Kingdom

Participant flow

Participants by arm

ArmCount
EP2006, Evaluable Sample
Cancer patients treated with chemotherapy and who are prescribed commercially available filgrastim biosimilar for primary or secondary prophylaxis for FN. Only patients who had no major protocol violations and have a minimum of enrollment cycle and either one follow-up cycle or study end data with valid outcome data (i.e., ANC or completed CIN/FN data) belong to the evaluable sample and are analyzed.
1,447
Total1,447

Baseline characteristics

CharacteristicEP2006, Evaluable Sample
Age, Continuous61.3 years
STANDARD_DEVIATION 11.8
Body-Mass Index (BMI)26.3 kg/m^2
STANDARD_DEVIATION 5
Cancer stage by tumor type
Hematological tumor (n=330), Stage III
156 participants
Cancer stage by tumor type
Hematological tumor (n=330), Stage IV
151 participants
Cancer stage by tumor type
Hematological tumor (n=330), Stage unknown
23 participants
Cancer stage by tumor type
Solid tumor (n=1117), Stage III
454 participants
Cancer stage by tumor type
Solid tumor (n=1117), Stage IV
655 participants
Cancer stage by tumor type
Solid tumor (n=1117), Stage unknown
8 participants
Cancer stage & type
Bladder (stage III, n=64)
16 participants
Cancer stage & type
Bladder (stage IV, n=64)
48 participants
Cancer stage & type
Breast (stage III, n=466)
267 participants
Cancer stage & type
Breast (stage IV, n=466)
194 participants
Cancer stage & type
Breast (unknown, n=466)
5 participants
Cancer stage & type
Lung (stage III, n=345)
101 participants
Cancer stage & type
Lung (stage IV, n=345)
241 participants
Cancer stage & type
Lung (unknown, n=345)
3 participants
Cancer stage & type
Lymphoma (DLBCL) (stage III, n=245)
103 participants
Cancer stage & type
Lymphoma (DLBCL) (stage IV, n=245)
135 participants
Cancer stage & type
Lymphoma (DLBCL) (unknown, n=245)
7 participants
Cancer stage & type
Multiple myeloma (stage III, n=85)
53 participants
Cancer stage & type
Multiple myeloma (stage IV, n=85)
16 participants
Cancer stage & type
Multiple myeloma (unknown, N=85)
16 participants
Cancer stage & type
Ovarian (stage III, n=140)
63 participants
Cancer stage & type
Ovarian (stage IV, n=140)
77 participants
Cancer stage & type
Overall, Stage III
610 participants
Cancer stage & type
Overall, Stage IV
806 participants
Cancer stage & type
Overall, unknown
31 participants
Cancer stage & type
Prostate (stage III, n=102)
7 participants
Cancer stage & type
Prostate (stage IV, n=102)
95 participants
Cancer treatment
Chemotherapy cycle at study entry (1)
1046 participants
Cancer treatment
Chemotherapy cycle at study entry (2)
221 participants
Cancer treatment
Chemotherapy cycle at study entry (3)
93 participants
Cancer treatment
Chemotherapy cycle at study entry (4)
44 participants
Cancer treatment
Chemotherapy cycle at study entry (5)
26 participants
Cancer treatment
Chemotherapy cycle at study entry (6)
17 participants
Cancer type
Bladder
64 participants
Cancer type
Breast
466 participants
Cancer type
Lung
345 participants
Cancer type
Lymphoma (DLBCL)
245 participants
Cancer type
Multiple myeloma
85 participants
Cancer type
Ovarian
140 participants
Cancer type
Prostate
102 participants
Cause(s) of prior repeated infections
Cancer
8 participants
Cause(s) of prior repeated infections
Diabetes mellitus
2 participants
Cause(s) of prior repeated infections
High use of antibiotics
3 participants
Cause(s) of prior repeated infections
Immunosuppression
3 participants
Cause(s) of prior repeated infections
Neutropenia
11 participants
Cause(s) of prior repeated infections
Respiratory infections
15 participants
Cause(s) of prior repeated infections
Urinary tract infections
3 participants
Comorbidities
Allergies
90 participants
Comorbidities
Anemia
138 participants
Comorbidities
COPD
86 participants
Comorbidities
Coronary disease
93 participants
Comorbidities
Diabetes Type II
122 participants
Comorbidities
Hypertension
458 participants
ECOG score at enrollment
ECOG Score 0
553 participants
ECOG score at enrollment
ECOG Score 1
652 participants
ECOG score at enrollment
ECOG Score 2
121 participants
ECOG score at enrollment
ECOG Score 3
26 participants
ECOG score at enrollment
ECOG Score 4
1 participants
ECOG score at enrollment
ECOG score Missing
94 participants
Height165.6 cm
STANDARD_DEVIATION 8.5
History of prior CIN/FN and prior CIN/FN treatments
Any chemotherapy disturbance due to CIN/FN
48 participants
History of prior CIN/FN and prior CIN/FN treatments
Hospitalization for CIN/FN
33 participants
History of prior CIN/FN and prior CIN/FN treatments
Prior CIN grade 4 episodes (1)
79 participants
History of prior CIN/FN and prior CIN/FN treatments
Prior CIN grade 4 episodes (2)
5 participants
History of prior CIN/FN and prior CIN/FN treatments
Prior CIN grade 4 episodes (≥3)
15 participants
History of prior CIN/FN and prior CIN/FN treatments
Prior CIN grade 4 episodes (any)
106 participants
History of prior CIN/FN and prior CIN/FN treatments
Prior CIN grade 4 episodes (missing)
7 participants
History of prior CIN/FN and prior CIN/FN treatments
Prior FN
27 participants
History of prior CIN/FN and prior CIN/FN treatments
Prior treatments for CIN/FN (antibiotics)
44 participants
History of prior CIN/FN and prior CIN/FN treatments
Prior treatments for CIN/FN (antifungal)
7 participants
History of prior CIN/FN and prior CIN/FN treatments
Prior treatments for CIN/FN (antipyretics)
12 participants
History of prior CIN/FN and prior CIN/FN treatments
Prior treatments for CIN/FN (antiviral)
0 participants
History of prior CIN/FN and prior CIN/FN treatments
Prior treatments for CIN/FN (corticosteroids)
5 participants
History of prior CIN/FN and prior CIN/FN treatments
Prior treatments for CIN/FN (CSF therapy)
55 participants
History of prior clinical events
Bone pain
116 participants
History of prior clinical events
Headache
28 participants
History of prior clinical events
Joint pain
78 participants
History of prior clinical events
Muscle pain
31 participants
History of repeated infections
1 infectious episode in past 3 months
15 participants
History of repeated infections
2 infectious episodes in past 3 months
7 participants
History of repeated infections
3 or more infectious episodes in past 3 months
3 participants
History of repeated infections
History of any repeated infection
35 participants
History of repeated infections
Type of repeated infection (chronic)
8 participants
History of repeated infections
Type of repeated infection (recurrent, acute)
27 participants
Medical history
Bone pain
116 participants
Medical history
Epistaxis
8 participants
Medical history
GI bleeding
7 participants
Medical history
Headache
28 participants
Medical history
Joint pain
78 participants
Medical history
Muscle pain
31 participants
Medical history
Skin hemorrhage
1 participants
Prior cancer treatments
Bone marrow transplant
12 participants
Prior cancer treatments
Chemotherapy
460 participants
Prior cancer treatments
Hormonal therapy
198 participants
Prior cancer treatments
None
518 participants
Prior cancer treatments
Other (including CAM)
25 participants
Prior cancer treatments
Prior Chemotherapy, Adjuvant
196 participants
Prior cancer treatments
Prior Chemotherapy, metastatic setting
206 participants
Prior cancer treatments
Radiation therapy
274 participants
Prior cancer treatments
Surgery
472 participants
Prior cancer treatments
Targeted therapy
45 participants
Race/Ethnicity, Customized
African
7 participants
Race/Ethnicity, Customized
Asian
2 participants
Race/Ethnicity, Customized
Caucasian
1042 participants
Race/Ethnicity, Customized
Missing
395 participants
Race/Ethnicity, Customized
Other
1 participants
Region of Enrollment
Austria
27 participants
Region of Enrollment
Belgium
3 participants
Region of Enrollment
Czech Republic
50 participants
Region of Enrollment
France
395 participants
Region of Enrollment
Germany
145 participants
Region of Enrollment
Hungary
143 participants
Region of Enrollment
Italy
175 participants
Region of Enrollment
Poland
286 participants
Region of Enrollment
Romania
64 participants
Region of Enrollment
Spain
116 participants
Region of Enrollment
Switzerland
11 participants
Region of Enrollment
United Kingdom
32 participants
Sex: Female, Male
Female
886 Participants
Sex: Female, Male
Male
561 Participants
Treatment(s) for prior infections
Antibiotic
33 participants
Treatment(s) for prior infections
Antifungal
2 participants
Treatment(s) for prior infections
Antiviral
1 participants
Treatment(s) for prior infections
GCSF
2 participants
Weight72.1 kg
STANDARD_DEVIATION 15

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
36 / 1,496
serious
Total, serious adverse events
4 / 1,496

Outcome results

Primary

Absolute Neutrophil Count (ANC) Across All Cycles

Objective 4: To describe hematological outcomes observed in association with primary and secondary prophylactic use of EP2006 in patients at risk for FN; including break-through episodes of FN.

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

ArmMeasureValue (MEAN)Dispersion
EP2006Absolute Neutrophil Count (ANC) Across All Cycles4585.6 Per mm^3Standard Deviation 3889.8
Primary

Absolute Neutrophil Count (ANC) at EP2006 Initiation

Objective 4: To describe hematological outcomes observed in association with primary and secondary prophylactic use of EP2006 in patients at risk for FN; including break-through episodes of FN.

Time frame: Enrollment cycle. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: Number of patients in evaluable sample with initial ANC result

ArmMeasureValue (MEAN)Dispersion
EP2006Absolute Neutrophil Count (ANC) at EP2006 Initiation4429.7 Per mm^3Standard Deviation 4725.8
Primary

Cancer Treatment Type - Ever Received During Study

Objective 1: To describe the cancer patients requiring chemotherapy who, in their treating physician's best clinical judgment, are receiving EP2006 for the primary or secondary prophylaxis of FN in terms of demographics, clinical status, medical history, concomitant comorbid conditions and current status of disease, and prior and concomitant medications. ANC=Absolute Neutrophil Count; CIN=Chemotherapy-Induced Neutropenia; FN=Febrile Neutropenia;

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: The evaluable sample includes all patients in the safety sample (all patients who received at least one dose of the study medication) who had no major protocol violation and have a minimum of enrollment cycle and either one follow-up cycle or study end data with valid outcome data (i.e., ANC or completed CIN/FN data).

ArmMeasureGroupValue (NUMBER)
EP2006Cancer Treatment Type - Ever Received During StudyTargeted treatment89 participants
EP2006Cancer Treatment Type - Ever Received During StudySurgery100 participants
EP2006Cancer Treatment Type - Ever Received During StudyRadiotherapy102 participants
EP2006Cancer Treatment Type - Ever Received During StudyHormonal therapy85 participants
EP2006Cancer Treatment Type - Ever Received During StudyBone marrow transplant31 participants
EP2006Cancer Treatment Type - Ever Received During StudyOther (e.g., CAM)98 participants
Primary

Chemotherapy Toxicity (%FN Risk)

Objective 1: To describe the cancer patients requiring chemotherapy who, in their treating physician's best clinical judgment, are receiving EP2006 for the primary or secondary prophylaxis of FN in terms of demographics, clinical status, medical history, concomitant comorbid conditions and current status of disease, and prior and concomitant medications. Chemotherapy regimens were classified for FN risk (\<10% risk, 10-20% risk or \>20% risk) according to the published rates in the EORTC Guidelines under consideration of agent(s) and schedules. ANC=Absolute Neutrophil Count; CIN=Chemotherapy-Induced Neutropenia; FN=Febrile Neutropenia;

Time frame: Enrollment cycle. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: The evaluable sample includes all patients in the safety sample (all patients who received at least one dose of the study medication) who had no major protocol violation and have a minimum of enrollment cycle and either one follow-up cycle or study end data with valid outcome data. Please refer to baseline characteristics tables as well.

ArmMeasureGroupValue (NUMBER)
EP2006Chemotherapy Toxicity (%FN Risk)Low (<10%)154 participants
EP2006Chemotherapy Toxicity (%FN Risk)Medium (10-20%)650 participants
EP2006Chemotherapy Toxicity (%FN Risk)High (>20%)640 participants
EP2006Chemotherapy Toxicity (%FN Risk)Missing3 participants
Primary

CIN/FN Episodes: Cycle Level

Objective 4: To describe hematological outcomes observed in association with primary and secondary prophylactic use of EP2006 in patients at risk for FN; including break-through episodes of FN. Chemotherapy-Induced Neutropenia (CIN); Febrile Neutropenia (FN); Chemotherapy disturbance=dose reduction, delay, and/or cancellation; Composite (any of CIN grade 4, FN, CIN/FN-related hospitalization \[RH\] or CIN/FN-related chemotherapy disturbance \[RCD\])

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Number of cycles in evaluable sample

ArmMeasureGroupValue (NUMBER)
EP2006CIN/FN Episodes: Cycle LevelCIN any grade (n=7557)1083 cycles
EP2006CIN/FN Episodes: Cycle LevelCIN grade 3/4 (n=7541)602 cycles
EP2006CIN/FN Episodes: Cycle LevelCIN grade 4 (n=7541)294 cycles
EP2006CIN/FN Episodes: Cycle LevelFN (n=7532)105 cycles
EP2006CIN/FN Episodes: Cycle LevelCIN/FN-RH (n=7531)111 cycles
EP2006CIN/FN Episodes: Cycle LevelCIN/FN-RCD (n=6213)174 cycles
EP2006CIN/FN Episodes: Cycle LevelComposite (n=7570)507 cycles
Primary

Clinical Events Ever During Study (Frequency Threshold: 5%)

Objective 1: To describe the cancer patients requiring chemotherapy who, in their treating physician's best clinical judgment, are receiving EP2006 for the primary or secondary prophylaxis of FN in terms of demographics, clinical status, medical history, concomitant comorbid conditions and current status of disease, and prior and concomitant medications. ANC=Absolute Neutrophil Count; CIN=Chemotherapy-Induced Neutropenia; FN=Febrile Neutropenia

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: The evaluable sample includes all patients in the safety sample (all patients who received at least one dose of the study medication) who had no major protocol violation and have a minimum of enrollment cycle and either one follow-up cycle or study end data with valid outcome data (i.e., ANC or completed CIN/FN data)

ArmMeasureGroupValue (NUMBER)
EP2006Clinical Events Ever During Study (Frequency Threshold: 5%)Bone pain357 participants
EP2006Clinical Events Ever During Study (Frequency Threshold: 5%)Thrombocytopenia230 participants
EP2006Clinical Events Ever During Study (Frequency Threshold: 5%)Serum LDH increase222 participants
EP2006Clinical Events Ever During Study (Frequency Threshold: 5%)Muscle pain210 participants
EP2006Clinical Events Ever During Study (Frequency Threshold: 5%)Joint pain200 participants
EP2006Clinical Events Ever During Study (Frequency Threshold: 5%)Serum GGT increase178 participants
EP2006Clinical Events Ever During Study (Frequency Threshold: 5%)Serum ALP increase168 participants
EP2006Clinical Events Ever During Study (Frequency Threshold: 5%)Other neurological symptoms102 participants
EP2006Clinical Events Ever During Study (Frequency Threshold: 5%)Headache100 participants
EP2006Clinical Events Ever During Study (Frequency Threshold: 5%)Blood uric acid increase88 participants
Primary

Concomitant Antibiotic Prophylaxis

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

ArmMeasureGroupValue (NUMBER)
EP2006Concomitant Antibiotic ProphylaxisMissing11 participants
EP2006Concomitant Antibiotic ProphylaxisNo Concomitant antibiotic prophylaxis1261 participants
EP2006Concomitant Antibiotic ProphylaxisConcomitant antibiotic prophylaxis175 participants
Primary

EP2006 Cycles by Treatment Duration

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: All cycles from patients in the evaluable sample with study drug duration

ArmMeasureGroupValue (NUMBER)
EP2006EP2006 Cycles by Treatment Duration2 days339 cycles
EP2006EP2006 Cycles by Treatment Duration3 days729 cycles
EP2006EP2006 Cycles by Treatment Duration12 days20 cycles
EP2006EP2006 Cycles by Treatment Duration13 days8 cycles
EP2006EP2006 Cycles by Treatment Duration1 day211 cycles
EP2006EP2006 Cycles by Treatment Duration4 days422 cycles
EP2006EP2006 Cycles by Treatment Duration5 days2718 cycles
EP2006EP2006 Cycles by Treatment Duration6 days385 cycles
EP2006EP2006 Cycles by Treatment Duration7 days682 cycles
EP2006EP2006 Cycles by Treatment Duration8 days115 cycles
EP2006EP2006 Cycles by Treatment Duration9 days53 cycles
EP2006EP2006 Cycles by Treatment Duration10 days120 cycles
EP2006EP2006 Cycles by Treatment Duration11 days13 cycles
EP2006EP2006 Cycles by Treatment Duration14 days105 cycles
EP2006EP2006 Cycles by Treatment Duration>=15 days22 cycles
Primary

EP2006 Day of Initiation: All Cycles

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Cycles of patients in evaluable sample with day of initiation of study drug

ArmMeasureValue (MEAN)Dispersion
EP2006EP2006 Day of Initiation: All Cycles3.1 daysStandard Deviation 3
Primary

EP2006 Day of Initiation by Chemotherapy Toxicity: Cycle Level

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

ArmMeasureValue (MEAN)Dispersion
EP2006EP2006 Day of Initiation by Chemotherapy Toxicity: Cycle Level2.3 daysStandard Deviation 2.9
EP2006: FemaleEP2006 Day of Initiation by Chemotherapy Toxicity: Cycle Level3.0 daysStandard Deviation 3
EP2006: Risk >20%EP2006 Day of Initiation by Chemotherapy Toxicity: Cycle Level3.3 daysStandard Deviation 3
p-value: <0.000195% CI: [0.233, 0.5295]ANOVA
Primary

EP2006 Day of Initiation by Prophylaxis Type: Cycle Level

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

ArmMeasureValue (MEAN)Dispersion
EP2006EP2006 Day of Initiation by Prophylaxis Type: Cycle Level3.2 daysStandard Deviation 3
EP2006: FemaleEP2006 Day of Initiation by Prophylaxis Type: Cycle Level2.6 daysStandard Deviation 2.9
p-value: 0.010395% CI: [-0.4832, -0.0646]ANOVA
Primary

EP2006 Day of Initiation by Tumor Type (Solid Tumor vs. Hematological Tumor): Cycle Level

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

ArmMeasureValue (MEAN)Dispersion
EP2006EP2006 Day of Initiation by Tumor Type (Solid Tumor vs. Hematological Tumor): Cycle Level2.6 daysStandard Deviation 2.7
EP2006: FemaleEP2006 Day of Initiation by Tumor Type (Solid Tumor vs. Hematological Tumor): Cycle Level4.8 daysStandard Deviation 3.3
p-value: <0.000195% CI: [0.6382, 1.4874]ANOVA
Primary

EP2006 Day of Initiation: Cycle 1

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: Cycle 1. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: Cycles of patients in evaluable sample with study drug initiation day at cycle 1

ArmMeasureValue (MEAN)Dispersion
EP2006EP2006 Day of Initiation: Cycle 13.4 daysStandard Deviation 3.2
Primary

EP2006 Day of Initiation: Cycle 2

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: Cycle 2. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: Cycles of patients in evaluable sample with study drug initiation day at cycle 2

ArmMeasureValue (MEAN)Dispersion
EP2006EP2006 Day of Initiation: Cycle 23.1 daysStandard Deviation 3
Primary

EP2006 Day of Initiation: Cycle 3

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: Cycle 3. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: Cycles of patients in evaluable sample with study drug initiation day at cycle 3

ArmMeasureValue (MEAN)Dispersion
EP2006EP2006 Day of Initiation: Cycle 33.0 daysStandard Deviation 2.9
Primary

EP2006 Day of Initiation: Cycle 4

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: Cycle 4. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: Cycles of patients in evaluable sample with study drug initiation day at cycle 4

ArmMeasureValue (MEAN)Dispersion
EP2006EP2006 Day of Initiation: Cycle 43.0 daysStandard Deviation 2.9
Primary

EP2006 Day of Initiation: Cycle 5

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: Cycle 5. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: Cycles of patients in evaluable sample with study drug initiation day at cycle 5

ArmMeasureValue (MEAN)Dispersion
EP2006EP2006 Day of Initiation: Cycle 52.9 daysStandard Deviation 2.9
Primary

EP2006 Day of Initiation: Cycle 6

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: Cycle 6. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: Cycles of patients in evaluable sample with study drug initiation day at cycle 6

ArmMeasureValue (MEAN)Dispersion
EP2006EP2006 Day of Initiation: Cycle 63.0 daysStandard Deviation 2.9
Primary

EP2006 Day of Initiation: Cycle Distribution

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery. Table presents number of cycles by day after chemotherapy.

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Cycles of patients in evaluable sample with day of study drug initiation

ArmMeasureGroupValue (NUMBER)
EP2006EP2006 Day of Initiation: Cycle Distributionday 5404 cycles
EP2006EP2006 Day of Initiation: Cycle Distributionday 0795 cycles
EP2006EP2006 Day of Initiation: Cycle Distributionday11818 cycles
EP2006EP2006 Day of Initiation: Cycle Distributionday 2793 cycles
EP2006EP2006 Day of Initiation: Cycle Distributionday 3541 cycles
EP2006EP2006 Day of Initiation: Cycle Distributionday 4270 cycles
EP2006EP2006 Day of Initiation: Cycle Distributionday 6400 cycles
EP2006EP2006 Day of Initiation: Cycle Distributionday 7429 cycles
EP2006EP2006 Day of Initiation: Cycle Distributionday 8231 cycles
EP2006EP2006 Day of Initiation: Cycle Distributionday 959 cycles
EP2006EP2006 Day of Initiation: Cycle Distributionday1049 cycles
EP2006EP2006 Day of Initiation: Cycle Distributionday1136 cycles
EP2006EP2006 Day of Initiation: Cycle Distribution≥day12105 cycles
Primary

EP2006 Day of Initiation Relative to Guidelines by Cancer Type

Objective 3: To determine the extent to which the primary and secondary prophylaxis of FN in cancer patients is in congruence with the EORTC best practice guidelines and dosing recommendations, and whether this is associated with better outcomes. \^ 168 cycles in which ZARZIO® was initiated on day 4 or later involved regimens deemed by the Study Steering Committee to be suitable for GCSF initiation any day after chemotherapy (day 1 or later), e.g., etoposide; hence, these patients were re-classified as being within guidelines DLBCL- Diffuse Large B-Cell Lymphoma. Guidelines refers to EORTC 2010 guidelines

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Number of cycles with initiation on different days during chemotherapy for evaluable sample. A patient may have initiated EP2006 during chemotherapy on different days for different cycles. The categories therefore are not mutually exclusive on a patient level and the sum of patients may therefore exceed the sample size.

ArmMeasureGroupValue (NUMBER)
EP2006EP2006 Day of Initiation Relative to Guidelines by Cancer TypeLung305 cycles
EP2006EP2006 Day of Initiation Relative to Guidelines by Cancer TypeBreast178 cycles
EP2006EP2006 Day of Initiation Relative to Guidelines by Cancer TypeProstate26 cycles
EP2006EP2006 Day of Initiation Relative to Guidelines by Cancer TypeBladder122 cycles
EP2006EP2006 Day of Initiation Relative to Guidelines by Cancer TypeLymphoma (DLBCL)23 cycles
EP2006EP2006 Day of Initiation Relative to Guidelines by Cancer TypeMultiple myeloma32 cycles
EP2006EP2006 Day of Initiation Relative to Guidelines by Cancer TypeOvarian109 cycles
EP2006: FemaleEP2006 Day of Initiation Relative to Guidelines by Cancer TypeProstate278 cycles
EP2006: FemaleEP2006 Day of Initiation Relative to Guidelines by Cancer TypeLung691 cycles
EP2006: FemaleEP2006 Day of Initiation Relative to Guidelines by Cancer TypeOvarian332 cycles
EP2006: FemaleEP2006 Day of Initiation Relative to Guidelines by Cancer TypeMultiple myeloma167 cycles
EP2006: FemaleEP2006 Day of Initiation Relative to Guidelines by Cancer TypeBladder56 cycles
EP2006: FemaleEP2006 Day of Initiation Relative to Guidelines by Cancer TypeBreast1410 cycles
EP2006: FemaleEP2006 Day of Initiation Relative to Guidelines by Cancer TypeLymphoma (DLBCL)386 cycles
EP2006: Risk >20%EP2006 Day of Initiation Relative to Guidelines by Cancer TypeLung225 cycles
EP2006: Risk >20%EP2006 Day of Initiation Relative to Guidelines by Cancer TypeBreast624 cycles
EP2006: Risk >20%EP2006 Day of Initiation Relative to Guidelines by Cancer TypeBladder44 cycles
EP2006: Risk >20%EP2006 Day of Initiation Relative to Guidelines by Cancer TypeOvarian119 cycles
EP2006: Risk >20%EP2006 Day of Initiation Relative to Guidelines by Cancer TypeLymphoma (DLBCL)671 cycles
EP2006: Risk >20%EP2006 Day of Initiation Relative to Guidelines by Cancer TypeProstate95 cycles
EP2006: Risk >20%EP2006 Day of Initiation Relative to Guidelines by Cancer TypeMultiple myeloma37 cycles
p-value: <0.0001Chi-squared
Primary

EP2006 Dose (All Cycles)

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: All cycles from patients in the evaluable sample

ArmMeasureGroupValue (NUMBER)
EP2006EP2006 Dose (All Cycles)30 MIU/day3182 cycles
EP2006EP2006 Dose (All Cycles)48 MIU/day2756 cycles
EP2006EP2006 Dose (All Cycles)Other48 cycles
Primary

EP2006 Dose by Chemotherapy Toxicity: Cycle Level

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

ArmMeasureGroupValue (NUMBER)
EP2006EP2006 Dose by Chemotherapy Toxicity: Cycle Level30 MIU/day357 cycles
EP2006EP2006 Dose by Chemotherapy Toxicity: Cycle Level48 MIU/day189 cycles
EP2006: FemaleEP2006 Dose by Chemotherapy Toxicity: Cycle Level30 MIU/day1375 cycles
EP2006: FemaleEP2006 Dose by Chemotherapy Toxicity: Cycle Level48 MIU/day1159 cycles
EP2006: Risk >20%EP2006 Dose by Chemotherapy Toxicity: Cycle Level30 MIU/day1441 cycles
EP2006: Risk >20%EP2006 Dose by Chemotherapy Toxicity: Cycle Level48 MIU/day1402 cycles
p-value: 0.006795% CI: [1.068, 1.5061]Chi-squared
Primary

EP2006 Dose by Patient Weight: Cycle Level

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: All cycles treated

ArmMeasureGroupValue (NUMBER)
EP2006EP2006 Dose by Patient Weight: Cycle Level30 MIU/day1501 cycles
EP2006EP2006 Dose by Patient Weight: Cycle Level48 MIU/day771 cycles
EP2006: FemaleEP2006 Dose by Patient Weight: Cycle Level30 MIU/day1681 cycles
EP2006: FemaleEP2006 Dose by Patient Weight: Cycle Level48 MIU/day1985 cycles
p-value: <0.000195% CI: [1.8113, 2.9177]Chi-squared
Primary

EP2006 Dose by Tumor Type: Cycle Level

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

ArmMeasureGroupValue (NUMBER)
EP2006EP2006 Dose by Tumor Type: Cycle Level30 MIU/day2296 cycles
EP2006EP2006 Dose by Tumor Type: Cycle Level48 MIU/day2313 cycles
EP2006: FemaleEP2006 Dose by Tumor Type: Cycle Level30 MIU/day886 cycles
EP2006: FemaleEP2006 Dose by Tumor Type: Cycle Level48 MIU/day443 cycles
p-value: <0.000195% CI: [0.373, 0.6605]Chi-squared
Primary

EP2006 Dose (Cycle 1)

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: Cycle 1. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: Number of participants at cycle 1 with dose data

ArmMeasureGroupValue (NUMBER)
EP2006EP2006 Dose (Cycle 1)30 MIU/day593 participants
EP2006EP2006 Dose (Cycle 1)48 MIU/day434 participants
EP2006EP2006 Dose (Cycle 1)Other9 participants
Primary

EP2006 Dose (Cycle 2)

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: Cycle 2. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: Number of participants at cycle 2 with dose data

ArmMeasureGroupValue (NUMBER)
EP2006EP2006 Dose (Cycle 2)30 MIU/day627 participants
EP2006EP2006 Dose (Cycle 2)48 MIU/day507 participants
EP2006EP2006 Dose (Cycle 2)Other9 participants
Primary

EP2006 Dose (Cycle 3)

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: Cycle 3. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: Number of participants at cycle 3 with dose data

ArmMeasureGroupValue (NUMBER)
EP2006EP2006 Dose (Cycle 3)30 MIU/day597 participants
EP2006EP2006 Dose (Cycle 3)48 MIU/day519 participants
EP2006EP2006 Dose (Cycle 3)Other9 participants
Primary

EP2006 Dose (Cycle 4)

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: Cycle 4. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: Number of participants at cycle 4 with dose data

ArmMeasureGroupValue (NUMBER)
EP2006EP2006 Dose (Cycle 4)30 MIU/day548 participants
EP2006EP2006 Dose (Cycle 4)48 MIU/day490 participants
EP2006EP2006 Dose (Cycle 4)Other7 participants
Primary

EP2006 Dose (Cycle 5)

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: Cycle 5. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: Number of participants at cycle 5 with dose data

ArmMeasureGroupValue (NUMBER)
EP2006EP2006 Dose (Cycle 5)30 MIU/day431 participants
EP2006EP2006 Dose (Cycle 5)48 MIU/day424 participants
EP2006EP2006 Dose (Cycle 5)Other7 participants
Primary

EP2006 Dose (Cycle 6)

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: Cycle 6. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: Number of participants at cycle 6 with dose data

ArmMeasureGroupValue (NUMBER)
EP2006EP2006 Dose (Cycle 6)30 MIU/day386 participants
EP2006EP2006 Dose (Cycle 6)48 MIU/day382 participants
EP2006EP2006 Dose (Cycle 6)Other7 participants
Primary

EP2006 Dose (Enrollment Cycle)

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: Enrollment cycle. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: Number of participants at enrollment cycle with dose data

ArmMeasureGroupValue (NUMBER)
EP2006EP2006 Dose (Enrollment Cycle)30 MIU/day815 participants
EP2006EP2006 Dose (Enrollment Cycle)48 MIU/day610 participants
EP2006EP2006 Dose (Enrollment Cycle)Other9 participants
Primary

EP2006 Duration by Chemotherapy Toxicity: Cycle Level

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

ArmMeasureValue (MEAN)Dispersion
EP2006EP2006 Duration by Chemotherapy Toxicity: Cycle Level4.6 daysStandard Deviation 2.4
EP2006: FemaleEP2006 Duration by Chemotherapy Toxicity: Cycle Level5.0 daysStandard Deviation 2.2
EP2006: Risk >20%EP2006 Duration by Chemotherapy Toxicity: Cycle Level5.3 daysStandard Deviation 2.4
p-value: <0.000195% CI: [-0.0452, 0.1029]ANOVA
Primary

EP2006 Duration by Prophylaxis Type: Cycle Level

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

ArmMeasureValue (MEAN)Dispersion
EP2006EP2006 Duration by Prophylaxis Type: Cycle Level5.1 daysStandard Deviation 2.2
EP2006: FemaleEP2006 Duration by Prophylaxis Type: Cycle Level5.2 daysStandard Deviation 2.7
p-value: 0.896895% CI: [-0.0259, 0.0295]ANOVA
Primary

EP2006 Duration by Tumor Type: Cycle Level

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample by tumor type with data

ArmMeasureValue (MEAN)Dispersion
EP2006EP2006 Duration by Tumor Type: Cycle Level5.14 daysStandard Deviation 2.24
EP2006: FemaleEP2006 Duration by Tumor Type: Cycle Level5.03 daysStandard Deviation 2.56
p-value: 0.067795% CI: [-0.0075, 0.2136]ANOVA
Primary

EP2006 Treatment Duration in Any Cycle

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: All cycles from patients in the evaluable sample with study drug duration

ArmMeasureValue (MEAN)Dispersion
EP2006EP2006 Treatment Duration in Any Cycle5.1 daysStandard Deviation 2.3
Primary

EP2006 Treatment Duration in Cycle 1

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: Cycle 1. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: Cycles of participants in evaluable sample with study drug duration in cycle 1

ArmMeasureValue (MEAN)Dispersion
EP2006EP2006 Treatment Duration in Cycle 15.2 daysStandard Deviation 2.2
Primary

EP2006 Treatment Duration in Cycle 2

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: Cycle 2. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: Cycles of participants in evaluable sample with study drug duration in cycle 2

ArmMeasureValue (MEAN)Dispersion
EP2006EP2006 Treatment Duration in Cycle 25.1 daysStandard Deviation 2.3
Primary

EP2006 Treatment Duration in Cycle 3

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: Cycle 3. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: Cycles of participants in evaluable sample with study drug duration in cycle 3

ArmMeasureValue (MEAN)Dispersion
EP2006EP2006 Treatment Duration in Cycle 35.2 daysStandard Deviation 2.3
Primary

EP2006 Treatment Duration in Cycle 4

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: Cycle 4. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: Cycles of participants in evaluable sample with study drug duration in cycle 4

ArmMeasureValue (MEAN)Dispersion
EP2006EP2006 Treatment Duration in Cycle 45.1 daysStandard Deviation 2.3
Primary

EP2006 Treatment Duration in Cycle 5

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: Cycle 5. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: Cycles of participants in evaluable sample with study drug duration in cycle 5

ArmMeasureValue (MEAN)Dispersion
EP2006EP2006 Treatment Duration in Cycle 55.1 daysStandard Deviation 2.4
Primary

EP2006 Treatment Duration in Cycle 6

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: Cycle 6. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: Cycles of participants in evaluable sample with study drug duration in cycle 6

ArmMeasureValue (MEAN)Dispersion
EP2006EP2006 Treatment Duration in Cycle 65.0 daysStandard Deviation 2.4
Primary

Fever and Infections Ever During the Study

Objective 1: To describe the cancer patients requiring chemotherapy who, in their treating physician's best clinical judgment, are receiving EP2006 for the primary or secondary prophylaxis of FN in terms of demographics, clinical status, medical history, concomitant comorbid conditions and current status of disease, and prior and concomitant medications. ANC=Absolute Neutrophil Count; CIN=Chemotherapy-Induced Neutropenia; FN=Febrile Neutropenia;

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable consists of all patients who received at least one dose of study drug, who had no major protocol violations and have a minimum of enrollment cycle and either one follow-up cycle or study end data with valid outcome data (i.e. ANC or completed CIN/FN data).

ArmMeasureGroupValue (NUMBER)
EP2006Fever and Infections Ever During the StudyFever ever during study76 participants
EP2006Fever and Infections Ever During the StudyInfections ever during study231 participants
Primary

GCSF Congruence Score (GCS)

Objective 3: To determine the extent to which the primary and secondary prophylaxis of FN in cancer patients is in congruence with the EORTC best practice guidelines and dosing recommendations, and whether this is associated with better outcomes. The GCS is computed at the patient level as an overall grade of how congruent actual GCSF treatment is to recommended treatment. The GCS is computed as follows and scores range from 0 to 3: GCS = Σ(CRS + mean GIS over all cycles + GPS), with higher scores indicating higher congruence. CRS: Chemotherapy Risk Score (0 or 1 with 1 best); FN: febrile neutropenia; GCSF: granulocyte colony-stimulating factor; GIS=GCSF Initiation Score (0 to 1 with 1 best); GPS=GCSF persistence score (0 to 1 with 1 best);

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample with GCSF congruence score by tumor type

ArmMeasureValue (MEAN)Dispersion
EP2006GCSF Congruence Score (GCS)2.5 scores on a scaleStandard Deviation 0.6
EP2006: FemaleGCSF Congruence Score (GCS)2.5 scores on a scaleStandard Deviation 0.6
EP2006: Risk >20%GCSF Congruence Score (GCS)2.5 scores on a scaleStandard Deviation 0.5
Primary

GCSF Initiation Score (GIS)

Objective 3: To determine the extent to which the primary and secondary prophylaxis of FN in cancer patients is in congruence with the EORTC best practice guidelines and dosing recommendations, and whether this is associated with better outcomes. ANC=Absolute Neutrophil Count; GIS Score 0 (EP2006 initiated on day 0 of chemotherapy or on day 10 or later); GIS Score 0.50 (EP2006 initiated on days 7-9 of chemotherapy); GIS Score 0.75 (EP2006 initiated on days 4-6 of chemotherapy); GIS Score 1.00 (EP2006 initiated per EORTC guidelines (2010) on days 1-3 after chemotherapy) ANC=Absolute Neutrophil Count; CIN=Chemotherapy-Induced Neutropenia; EORTC=European Organization for Research and Treatment in Cancer; FN=Febrile Neutropenia; GCSF=Granulocyte Colony-Stimulating Factor; GIS=Granulocyte Colony-Stimulating Factor Initiation Score

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: The evaluable sample consists of all patients who received at least one dose of study medication, had no major protocol violation and have a minimum of enrollment cycle and either one follow-up cycle or study end data with valid outcome data (i.e., ANC or completed CIN/FN data)

ArmMeasureGroupValue (NUMBER)
EP2006GCSF Initiation Score (GIS)GIS score 0 (%)15.9 Percent of participants
EP2006GCSF Initiation Score (GIS)GIS score 0.50 (%)11.5 Percent of participants
EP2006GCSF Initiation Score (GIS)GIS score 0.75 (%)16.6 Percent of participants
EP2006GCSF Initiation Score (GIS)GIS score 1.0 (%)56.0 Percent of participants
Primary

GCSF Persistence Score (GPS)

Objective 3: To determine the extent to which the primary and secondary prophylaxis of FN in cancer patients is in congruence with the EORTC best practice guidelines and dosing recommendations, and whether this is associated with better outcomes. The GPS grades persistence based on the number of cycles in the line of chemotherapy in which EP2006 was administered, D, relative to the number of cycles in which it should have been continued, C. Thus, the GPS = D/C and ranges from 0 to 1.0 ANC=Absolute Neutrophil Count; CIN=Chemotherapy-Induced Neutropenia; EORTC=European Organization for Research and Treatment in Cancer; FN=Febrile Neutropenia; GCSF=Granulocyte Colony-Stimulating Factor

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Patients in the evaluable sample with a GCSF persistence score (GPS).

ArmMeasureGroupValue (NUMBER)
EP2006GCSF Persistence Score (GPS)GPS score 0123 participants
EP2006GCSF Persistence Score (GPS)GPS score 0.332 participants
EP2006GCSF Persistence Score (GPS)GPS score 0.602 participants
EP2006GCSF Persistence Score (GPS)GPS score 0.674 participants
EP2006GCSF Persistence Score (GPS)GPS score 0.751 participants
EP2006GCSF Persistence Score (GPS)GPS score 0.803 participants
EP2006GCSF Persistence Score (GPS)GPS score 11157 participants
EP2006GCSF Persistence Score (GPS)GPS score 0.503 participants
Primary

Incidence of CIN/FN-related Chemotherapy Disturbance by EP2006 Prophylaxis Type: Patient Level

Objective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. CIN: Chemotherapy-Induced Neutropenia; FN: Febrile Neutropenia; ANC: Absolute Neutrophil count; GIS: GCSF Initiation Score; Prophylaxis decision mentioned below are relative to EORTC guidelines (2010).

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample by prophylaxis type

ArmMeasureValue (NUMBER)
EP2006Incidence of CIN/FN-related Chemotherapy Disturbance by EP2006 Prophylaxis Type: Patient Level7.5 Percentage of participants
EP2006: FemaleIncidence of CIN/FN-related Chemotherapy Disturbance by EP2006 Prophylaxis Type: Patient Level15.0 Percentage of participants
Primary

Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient Level

Objective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. Table presents incidences of different outcomes and composite outcome by prophylaxis decision (relative to guidelines). \^Composite endpoint includes any of CIN grade 4, FN, CIN/FN-related hospitalization and CIN/FN-related chemotherapy disturbance. CIN: Chemotherapy-Induced Neutropenia; FN: Febrile Neutropenia; ANC: Absolute Neutrophil count; GIS: GCSF Initiation Score; Prophylaxis decision mentioned below are relative to EORTC guidelines (2010).

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample by prophylaxis decision (relative to guidelines)

ArmMeasureGroupValue (NUMBER)
EP2006Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient LevelFN5.2 percentage of participants
EP2006Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient LevelComposite^24.7 percentage of participants
EP2006Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient LevelCIN/FN-related chemotherapy disturbance14.7 percentage of participants
EP2006Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient LevelCIN grade 412.0 percentage of participants
EP2006Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient LevelCIN/FN-related hospitalization8.0 percentage of participants
EP2006: FemaleIncidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient LevelCIN grade 416.8 percentage of participants
EP2006: FemaleIncidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient LevelFN8.0 percentage of participants
EP2006: FemaleIncidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient LevelCIN/FN-related hospitalization7.1 percentage of participants
EP2006: FemaleIncidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient LevelCIN/FN-related chemotherapy disturbance8.8 percentage of participants
EP2006: FemaleIncidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient LevelComposite^26.0 percentage of participants
EP2006: Risk >20%Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient LevelCIN/FN-related hospitalization2.7 percentage of participants
EP2006: Risk >20%Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient LevelCIN grade 46.4 percentage of participants
EP2006: Risk >20%Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient LevelComposite^13.0 percentage of participants
EP2006: Risk >20%Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient LevelFN2.1 percentage of participants
EP2006: Risk >20%Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient LevelCIN/FN-related chemotherapy disturbance7.7 percentage of participants
Primary

Incidence of CIN Grade 4 Episodes by EP2006 Dose: Patient Level

Objective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. CIN: Chemotherapy-Induced Neutropenia; FN: Febrile Neutropenia; ANC: Absolute Neutrophil count; GIS: GCSF Initiation Score; Prophylaxis decision mentioned below are relative to EORTC guidelines (2010).

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample by study drug dose

ArmMeasureValue (NUMBER)
EP2006Incidence of CIN Grade 4 Episodes by EP2006 Dose: Patient Level11.3 percentage of participants
EP2006: FemaleIncidence of CIN Grade 4 Episodes by EP2006 Dose: Patient Level15.9 percentage of participants
Primary

Incidence of Outcomes

Objective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. Table presents incidences of different outcomes and composite outcome by chemotherapy risk group. \^Composite endpoint includes any of CIN grade 4, FN, CIN/FN-related hospitalization and CIN/FN-related chemotherapy disturbance. CIN: Chemotherapy-Induced Neutropenia; FN: Febrile Neutropenia; ANC: Absolute Neutrophil count; GIS: GCSF Initiation Score; Prophylaxis decision mentioned below are relative to EORTC guidelines (2010).

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample

ArmMeasureGroupValue (NUMBER)
EP2006Incidence of OutcomesCIN grade 413.2 percentage of participants
EP2006Incidence of OutcomesFN5.9 percentage of participants
EP2006Incidence of OutcomesCIN/FN related Hospitalization6.1 percentage of participants
EP2006Incidence of OutcomesCIN/FN-related chemotherapy disturbance9.5 percentage of participants
EP2006Incidence of OutcomesComposite^22.3 percentage of participants
Primary

Incidence of Outcomes by Chemotherapy Risk: Patient Level

Objective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. Table presents incidences of different outcomes and composite outcome by chemotherapy risk group. \^Composite endpoint includes any of CIN grade 4, FN, CIN/FN-related hospitalization and CIN/FN-related chemotherapy disturbance. CIN: Chemotherapy-Induced Neutropenia; FN: Febrile Neutropenia; ANC: Absolute Neutrophil count; GIS: GCSF Initiation Score; Prophylaxis decision mentioned below are relative to EORTC guidelines (2010).

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample by chemotherapy risk

ArmMeasureGroupValue (NUMBER)
EP2006Incidence of Outcomes by Chemotherapy Risk: Patient LevelFN3.9 percentage of participants
EP2006Incidence of Outcomes by Chemotherapy Risk: Patient LevelCIN grade 47.8 percentage of participants
EP2006Incidence of Outcomes by Chemotherapy Risk: Patient LevelComposite^16.9 percentage of participants
EP2006: FemaleIncidence of Outcomes by Chemotherapy Risk: Patient LevelComposite^20.9 percentage of participants
EP2006: FemaleIncidence of Outcomes by Chemotherapy Risk: Patient LevelCIN grade 411.8 percentage of participants
EP2006: FemaleIncidence of Outcomes by Chemotherapy Risk: Patient LevelFN3.5 percentage of participants
EP2006: Risk >20%Incidence of Outcomes by Chemotherapy Risk: Patient LevelFN8.9 percentage of participants
EP2006: Risk >20%Incidence of Outcomes by Chemotherapy Risk: Patient LevelComposite^25.2 percentage of participants
EP2006: Risk >20%Incidence of Outcomes by Chemotherapy Risk: Patient LevelCIN grade 415.9 percentage of participants
Primary

Incidence of Outcomes by Day of Study Drug Initiation: Cycle Level

Objective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. Table presents incidences of outcomes on a cycle level by day of study drug initiation. \^Composite outcome includes CIN grade 4, FN, CIN/FN-related hospitalization and CIN/FN-related chemotherapy disturbance CIN: Chemotherapy-Induced Neutropenia; FN: Febrile Neutropenia; ANC: Absolute Neutrophil count; GIS: GCSF Initiation Score; Prophylaxis decision mentioned below are relative to EORTC guidelines (2010). \*Day of EP2006 initiation- Day 0 (during chemotherapy); \*\*Day of EP2006 initiation- Days 1-3 (per guidelines)

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample by day of study drug initiation. As these are cycle-level analyses and since patients can be in more than one category over the course of the study, the sum of patients of all three categories may exceed the sample size.

ArmMeasureGroupValue (NUMBER)
EP2006Incidence of Outcomes by Day of Study Drug Initiation: Cycle LevelCIN grade 43.1 percentage of participants
EP2006Incidence of Outcomes by Day of Study Drug Initiation: Cycle LevelFN1.0 percentage of participants
EP2006Incidence of Outcomes by Day of Study Drug Initiation: Cycle LevelComposite^5.8 percentage of participants
EP2006: FemaleIncidence of Outcomes by Day of Study Drug Initiation: Cycle LevelComposite^5.4 percentage of participants
EP2006: FemaleIncidence of Outcomes by Day of Study Drug Initiation: Cycle LevelFN1.2 percentage of participants
EP2006: FemaleIncidence of Outcomes by Day of Study Drug Initiation: Cycle LevelCIN grade 42.8 percentage of participants
EP2006: Risk >20%Incidence of Outcomes by Day of Study Drug Initiation: Cycle LevelCIN grade 47.3 percentage of participants
EP2006: Risk >20%Incidence of Outcomes by Day of Study Drug Initiation: Cycle LevelFN2.1 percentage of participants
EP2006: Risk >20%Incidence of Outcomes by Day of Study Drug Initiation: Cycle LevelComposite^9.1 percentage of participants
Primary

Incidence of Outcomes by Mean GIS: Patient Level

Objective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. Table presents incidences of outcomes by day (mean GIS over all visits). \^Composite outcome includes CIN grade 4, FN, CIN/FN-related hospitalization and CIN/FN-related chemotherapy disturbance CIN: Chemotherapy-Induced Neutropenia; FN: Febrile Neutropenia; ANC: Absolute Neutrophil count; GIS: GCSF Initiation Score; Prophylaxis decision mentioned below are relative to EORTC guidelines (2010).

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample by mean GIS

ArmMeasureGroupValue (NUMBER)
EP2006Incidence of Outcomes by Mean GIS: Patient LevelCIN grade 417.7 percentage of participants
EP2006Incidence of Outcomes by Mean GIS: Patient LevelComposite^26.9 percentage of participants
EP2006: FemaleIncidence of Outcomes by Mean GIS: Patient LevelCIN grade 417.5 percentage of participants
EP2006: FemaleIncidence of Outcomes by Mean GIS: Patient LevelComposite^24.7 percentage of participants
EP2006: Risk >20%Incidence of Outcomes by Mean GIS: Patient LevelCIN grade 49.2 percentage of participants
EP2006: Risk >20%Incidence of Outcomes by Mean GIS: Patient LevelComposite^18.9 percentage of participants
Primary

Incidence of Outcomes by Study Drug Duration: Cycle Level

Objective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. Table presents incidences of outcomes on a cycle level by study drug duration. \^Composite outcome includes CIN grade 4, FN, CIN/FN-related hospitalization and CIN/FN-related chemotherapy disturbance CIN: Chemotherapy-Induced Neutropenia; FN: Febrile Neutropenia;

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample by study drug duration. As these are cycle-level analyses and since patients can be in more than one category over the course of the study, the sum of patients of all three categories may exceed the sample size.

ArmMeasureGroupValue (NUMBER)
EP2006Incidence of Outcomes by Study Drug Duration: Cycle LevelCIN/FN-related chemotherapy disturbance2.0 percentage of participants
EP2006Incidence of Outcomes by Study Drug Duration: Cycle LevelFN1.2 percentage of participants
EP2006Incidence of Outcomes by Study Drug Duration: Cycle LevelComposite^6.0 percentage of participants
EP2006Incidence of Outcomes by Study Drug Duration: Cycle LevelCIN grade 43.6 percentage of participants
EP2006: FemaleIncidence of Outcomes by Study Drug Duration: Cycle LevelComposite^5.8 percentage of participants
EP2006: FemaleIncidence of Outcomes by Study Drug Duration: Cycle LevelCIN grade 43.9 percentage of participants
EP2006: FemaleIncidence of Outcomes by Study Drug Duration: Cycle LevelFN1.2 percentage of participants
EP2006: FemaleIncidence of Outcomes by Study Drug Duration: Cycle LevelCIN/FN-related chemotherapy disturbance2.1 percentage of participants
EP2006: Risk >20%Incidence of Outcomes by Study Drug Duration: Cycle LevelCIN grade 45.5 percentage of participants
EP2006: Risk >20%Incidence of Outcomes by Study Drug Duration: Cycle LevelComposite^9.3 percentage of participants
EP2006: Risk >20%Incidence of Outcomes by Study Drug Duration: Cycle LevelCIN/FN-related chemotherapy disturbance4.7 percentage of participants
EP2006: Risk >20%Incidence of Outcomes by Study Drug Duration: Cycle LevelFN2.2 percentage of participants
Primary

Incidence of Outcomes: Cycles Level

Objective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. Table presents incidences of outcomes on a cycle level. \^Composite outcome includes CIN grade 4, FN, CIN/FN-related hospitalization and CIN/FN-related chemotherapy disturbance CIN: Chemotherapy-Induced Neutropenia; FN: Febrile Neutropenia; ANC: Absolute Neutrophil count; GIS: GCSF Initiation Score; Prophylaxis decision mentioned below are relative to EORTC guidelines (2010).

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

ArmMeasureGroupValue (NUMBER)
EP2006Incidence of Outcomes: Cycles LevelCIN/FN-related chemotherapy disturbance2.8 Percentage of participants
EP2006Incidence of Outcomes: Cycles LevelCIN grade 43.9 Percentage of participants
EP2006Incidence of Outcomes: Cycles LevelFN1.4 Percentage of participants
EP2006Incidence of Outcomes: Cycles LevelCIN/FN-related hospitalization1.5 Percentage of participants
EP2006Incidence of Outcomes: Cycles LevelComposite^6.7 Percentage of participants
Primary

Number of Participants With All-cause Mortality by Any/no Grade 4 CIN and/or FN

Objective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. Table shows number of patients that died in each group. CIN: chemotherapy-induced neutropenia; FN: febrile neutropenia

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample by any/no grade 4 CIN/FN

ArmMeasureValue (NUMBER)
EP2006Number of Participants With All-cause Mortality by Any/no Grade 4 CIN and/or FN10 participants
EP2006: FemaleNumber of Participants With All-cause Mortality by Any/no Grade 4 CIN and/or FN46 participants
p-value: 0.5977Log Rank
Primary

Number of Participants With All-cause Mortality by CIN/FN-related Chemotherapy Disturbance

Objective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. Table shows number of patients who died by any or no CIN/FN related chemotherapy disturbance. CIN: chemotherapy-induced neutropenia; FN: febrile neutropenia

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample by any or no CIN/FN related chemotherapy disturbance.

ArmMeasureValue (NUMBER)
EP2006Number of Participants With All-cause Mortality by CIN/FN-related Chemotherapy Disturbance3 participants
EP2006: FemaleNumber of Participants With All-cause Mortality by CIN/FN-related Chemotherapy Disturbance53 participants
p-value: 0.2435Log Rank
Primary

Number of Participants With Any CIN/FN-related Chemotherapy Disturbance by Prophylaxis Type

Objective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. Table presents number of patients with any CIN/FN-related chemotherapy disturbance by prophylaxis type. CIN: chemotherapy-induced neutropenia; FN: febrile neutropenia

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample by prophylaxis type

ArmMeasureValue (NUMBER)
EP2006Number of Participants With Any CIN/FN-related Chemotherapy Disturbance by Prophylaxis Type78 participants
EP2006: FemaleNumber of Participants With Any CIN/FN-related Chemotherapy Disturbance by Prophylaxis Type60 participants
p-value: 0.0002Log Rank
Primary

Number of Participants With Any CIN/FN-related Chemotherapy Disturbance by Treatment Decision

Objective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. Table presents number of patients with any CIN/FN-related chemotherapy disturbances by treatment decision. CIN: chemotherapy-induced neutropenia; FN: febrile neutropenia

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample by treatment decision with data

ArmMeasureValue (NUMBER)
EP2006Number of Participants With Any CIN/FN-related Chemotherapy Disturbance by Treatment Decision37 participants
EP2006: FemaleNumber of Participants With Any CIN/FN-related Chemotherapy Disturbance by Treatment Decision72 participants
EP2006: Risk >20%Number of Participants With Any CIN/FN-related Chemotherapy Disturbance by Treatment Decision29 participants
p-value: 0.0301Log Rank
Primary

Number of Participants With Cancer-related Mortality by Any CIN/FN-related Chemotherapy Disturbance

Objective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. Table presents number of patients who had a cancer-related death by any/no CIN/FN-related chemotherapy disturbance CIN: chemotherapy-induced neutropenia; FN: febrile neutropenia

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample by any/no CIN/FN-related chemotherapy disturbance with data

ArmMeasureValue (NUMBER)
EP2006Number of Participants With Cancer-related Mortality by Any CIN/FN-related Chemotherapy Disturbance2 participants
EP2006: FemaleNumber of Participants With Cancer-related Mortality by Any CIN/FN-related Chemotherapy Disturbance33 participants
p-value: 0.383Log Rank
Primary

Number of Participants With Cancer-related Mortality by Any/no Grade 4 CIN or FN

Objective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment. Table presents number of patients that had a cancer-related death by any/no grade 4 CIN or FN CIN: chemotherapy-induced neutropenia; FN: febrile neutropenia

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample by any/no grade 4 CIN or FN with data

ArmMeasureValue (NUMBER)
EP2006Number of Participants With Cancer-related Mortality by Any/no Grade 4 CIN or FN6 participants
EP2006: FemaleNumber of Participants With Cancer-related Mortality by Any/no Grade 4 CIN or FN29 participants
p-value: 0.763Log Rank
Primary

Number of Patients by Cause of Death

Objective 5: To describe the distribution of chemotherapy dose delays and reductions, surgery delays and cancellations, radiotherapy delays, dose reductions, and cancellations, and mortality (GCSF-related; FN-related; cancer-related; not related to GCSF, FN, or cancer; all-cause); and estimate the time-to-event for such events over the course of EP2006 treatment.

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Safety population, i.e. all patients who received at least one dose of study drug

ArmMeasureGroupValue (NUMBER)
EP2006Number of Patients by Cause of DeathCause of death specified as unknown4 participants
EP2006Number of Patients by Cause of DeathCause of death not documented2 participants
EP2006Number of Patients by Cause of DeathAll cause61 participants
EP2006Number of Patients by Cause of DeathCancer-related41 participants
EP2006Number of Patients by Cause of DeathNon-cancer related14 participants
Primary

Number of Patients With CIN/FN Episodes: Patient Level

Objective 4: To describe hematological outcomes observed in association with primary and secondary prophylactic use of EP2006 in patients at risk for FN; including break-through episodes of FN. CIN: Chemotherapy-Induced Neutropenia; FN: Febrile Neutropenia; Chemotherapy disturbance=dose reduction, delay, and/or cancellation; Composite (any of CIN grade 4, FN, CIN/FN-related hospitalization or CIN/FN-related chemotherapy disturbance) A patient may fall into more than one or none of the categories displayed.

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

ArmMeasureGroupValue (NUMBER)
EP2006Number of Patients With CIN/FN Episodes: Patient LevelCIN any grade504 participants
EP2006Number of Patients With CIN/FN Episodes: Patient LevelCIN grade 3/4332 participants
EP2006Number of Patients With CIN/FN Episodes: Patient LevelCIN grade 4191 participants
EP2006Number of Patients With CIN/FN Episodes: Patient LevelFN86 participants
EP2006Number of Patients With CIN/FN Episodes: Patient LevelCIN/FN-related hospitalization88 participants
EP2006Number of Patients With CIN/FN Episodes: Patient LevelCIN/FN-related chemotherapy disturbance138 participants
EP2006Number of Patients With CIN/FN Episodes: Patient LevelComposite323 participants
Primary

Patient/Center-level Covariance Parameter Estimates of Absolute Neutrophil Count

Objective 6: To examine the multilevel determinants (patient, center) of hematological outcomes of primary and secondary prophylaxis with EP2006 to better understand the variability in outcomes achieved. Mean and standard error estimated from ANCOVA

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample

ArmMeasureValue (NUMBER)
EP2006Patient/Center-level Covariance Parameter Estimates of Absolute Neutrophil Count1185 participants
Comparison: ANCOVA model was used taking into account center, patient within center-level and within-patient level (over time). This appendix describes the center-level.p-value: 0.0003ANCOVA
Comparison: ANCOVA model was used taking into account center, patient within center-level and within-patient level (over time). This appendix describes the patient within center-level.p-value: <0.0001ANCOVA
Comparison: ANCOVA model was used taking into account center, patient within center-level and within-patient level (over time). This appendix describes the within-patient level.p-value: <0.0001ANCOVA
Primary

Patient Risk Score (PRS) for All Patients

Objective 3: To determine the extent to which the primary and secondary prophylaxis of FN in cancer patients is in congruence with the EORTC best practice guidelines and dosing recommendations, and whether this is associated with better outcomes. Patient risk score (PRS) shows the individual patient risk for FN.The PRS is a sum of eight weighted individual patient risk factors for FN and results in a possible score of 0 to 11 (highest risk for FN). The risk factors were assigned weights based on the level of risk specified by guidelines and SC consensus (age \> 65 years: 3.0; advanced disease: 1.5; history of FN: 3.0; No antibiotic prophylaxis: 0.5; poor performance/nutritional status: 1.5; female gender: 0.5; Hb\<12g/dL: 0.5; Renal, CV or liver disease: 0.5). Advanced disease: Stage IV or Stage III + prior chemotherapy in metastatic setting; CV: cardiovascular; EORTC: European Organization for Research and Treatment in Cancer; FN: febrile neutropenia

Time frame: Enrollment cycle. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: Evaluable sample

ArmMeasureValue (MEAN)Dispersion
EP2006Patient Risk Score (PRS) for All Patients2.9 Scores on a scaleStandard Deviation 2
Primary

Patient Risk Score (PRS) for Patients Receiving Chemotherapy With 10-20% FN Risk by Tumor Type

Objective 3: To determine the extent to which the primary and secondary prophylaxis of FN in cancer patients is in congruence with the EORTC best practice guidelines and dosing recommendations, and whether this is associated with better outcomes. Patient risk score (PRS) shows the individual patient risk for FN.The PRS is a sum of eight weighted individual patient risk factors for FN and results in a possible score of 0 to 11 (highest risk for FN). The risk factors were assigned weights based on the level of risk specified by guidelines and SC consensus (age \> 65 years: 3.0; advanced disease: 1.5; history of FN: 3.0; No antibiotic prophylaxis: 0.5; poor performance/nutritional status: 1.5; female gender: 0.5; Hb\<12g/dL: 0.5; Renal, CV or liver disease: 0.5). Advanced disease: Stage IV or Stage III + prior chemotherapy in metastatic setting; CV: cardiovascular; EORTC: European Organization for Research and Treatment in Cancer; FN: febrile neutropenia

Time frame: Enrollment cycle. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: Patients with chemotherapy with 10-20% risk of FN in the evaluable sample by tumor type

ArmMeasureValue (MEAN)Dispersion
EP2006Patient Risk Score (PRS) for Patients Receiving Chemotherapy With 10-20% FN Risk by Tumor Type3.3 Scores on a scaleStandard Deviation 2
EP2006: FemalePatient Risk Score (PRS) for Patients Receiving Chemotherapy With 10-20% FN Risk by Tumor Type3.2 Scores on a scaleStandard Deviation 1.9
EP2006: Risk >20%Patient Risk Score (PRS) for Patients Receiving Chemotherapy With 10-20% FN Risk by Tumor Type3.4 Scores on a scaleStandard Deviation 2.4
Primary

Patient Weight by Tumor Type (Solid Tumor vs. Hematological Tumor)

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample by tumor type

ArmMeasureGroupValue (NUMBER)
EP2006Patient Weight by Tumor Type (Solid Tumor vs. Hematological Tumor)≤65 kg441 participants
EP2006Patient Weight by Tumor Type (Solid Tumor vs. Hematological Tumor)>65 kg676 participants
EP2006: FemalePatient Weight by Tumor Type (Solid Tumor vs. Hematological Tumor)≤65 kg135 participants
EP2006: FemalePatient Weight by Tumor Type (Solid Tumor vs. Hematological Tumor)>65 kg195 participants
p-value: 0.750995% CI: [0.6671, 1.3391]Chi-squared
Primary

Percentage of Patients With Each Chemotherapy Risk Score (CRS) Result by Tumor Type

Objective 3: To determine the extent to which the primary and secondary prophylaxis of FN in cancer patients is in congruence with the EORTC best practice guidelines and dosing recommendations, and whether this is associated with better outcomes. The CRS quantifies whether the decision to initiate EP2006 as either primary or secondary prophylaxis is consistent with the EORTC guideline (2010) recommendation based upon the patient's chemotherapy toxicity (\<10%, 10-20% or \>20% risk of FN) and the PRS. There are three possible results: under-treated, correctly treated, over-treated

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample: total and by tumor type

ArmMeasureGroupValue (NUMBER)
EP2006Percentage of Patients With Each Chemotherapy Risk Score (CRS) Result by Tumor TypeCorrectly or Over-treated (%)82.5 percentage of patients
EP2006Percentage of Patients With Each Chemotherapy Risk Score (CRS) Result by Tumor TypeUnder-treated (%)17.3 percentage of patients
EP2006: FemalePercentage of Patients With Each Chemotherapy Risk Score (CRS) Result by Tumor TypeCorrectly or Over-treated (%)83.7 percentage of patients
EP2006: FemalePercentage of Patients With Each Chemotherapy Risk Score (CRS) Result by Tumor TypeUnder-treated (%)16.3 percentage of patients
EP2006: Risk >20%Percentage of Patients With Each Chemotherapy Risk Score (CRS) Result by Tumor TypeUnder-treated (%)21.0 percentage of patients
EP2006: Risk >20%Percentage of Patients With Each Chemotherapy Risk Score (CRS) Result by Tumor TypeCorrectly or Over-treated (%)79.0 percentage of patients
p-value: 0.269895% CI: [0.4255, 1.2698]Chi-squared
Primary

Percentage of Patients With Each EORTC-identified Risk Factors for FN at Baseline

Objective 3: To determine the extent to which the primary and secondary prophylaxis of FN in cancer patients is in congruence with the EORTC best practice guidelines and dosing recommendations, and whether this is associated with better outcomes. \* Advanced disease is defined as Stage IV (Stage III or IV if multiple myeloma) AND prior chemotherapy in metastatic setting. The PRS is a quantification of eight individual patient risk factors (EORTC guidelines-2010). CV: cardiovascular; EORTC: European Organization for Research and Treatment in Cancer; FN: febrile neutropenia; Hb: hemoglobin

Time frame: Enrollment cycle. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: Evaluable sample

ArmMeasureGroupValue (NUMBER)
EP2006Percentage of Patients With Each EORTC-identified Risk Factors for FN at BaselineAdvanced disease*13.7 percentage of participants
EP2006Percentage of Patients With Each EORTC-identified Risk Factors for FN at BaselineHistory of FN1.9 percentage of participants
EP2006Percentage of Patients With Each EORTC-identified Risk Factors for FN at BaselineNo antibiotic prophylaxis87.8 percentage of participants
EP2006Percentage of Patients With Each EORTC-identified Risk Factors for FN at BaselinePoor performance and/or nutritional status13.1 percentage of participants
EP2006Percentage of Patients With Each EORTC-identified Risk Factors for FN at BaselineFemale gender61.2 percentage of participants
EP2006Percentage of Patients With Each EORTC-identified Risk Factors for FN at BaselineAge >=65 years41.3 percentage of participants
EP2006Percentage of Patients With Each EORTC-identified Risk Factors for FN at BaselineHb < 12 g/dL39.6 percentage of participants
EP2006Percentage of Patients With Each EORTC-identified Risk Factors for FN at BaselineRenal, CV, or liver disease23.1 percentage of participants
Primary

Percentage of Patients With Each EORTC-identified Risk Factors for FN in Patients With Chemotherapy Risk 10-20% at Baseline

Objective 3: To determine the extent to which the primary and secondary prophylaxis of FN in cancer patients is in congruence with the EORTC best practice guidelines and dosing recommendations, and whether this is associated with better outcomes. \* Advanced disease is defined as Stage IV (Stage III or IV if multiple myeloma) AND prior chemotherapy in metastatic setting CV: cardiovascular; EORTC: European Organization for Research and Treatment in Cancer; FN: febrile neutropenia; Hb: hemoglobin

Time frame: Enrollment cycle. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: Patients with chemotherapy risk 10-20% in evaluable sample

ArmMeasureGroupValue (NUMBER)
EP2006Percentage of Patients With Each EORTC-identified Risk Factors for FN in Patients With Chemotherapy Risk 10-20% at BaselineNo antibiotic prophylaxis91.3 percentage of patients
EP2006Percentage of Patients With Each EORTC-identified Risk Factors for FN in Patients With Chemotherapy Risk 10-20% at BaselineAge >=65 years44.6 percentage of patients
EP2006Percentage of Patients With Each EORTC-identified Risk Factors for FN in Patients With Chemotherapy Risk 10-20% at BaselineAdvanced disease*20.8 percentage of patients
EP2006Percentage of Patients With Each EORTC-identified Risk Factors for FN in Patients With Chemotherapy Risk 10-20% at BaselineHistory of FN2.0 percentage of patients
EP2006Percentage of Patients With Each EORTC-identified Risk Factors for FN in Patients With Chemotherapy Risk 10-20% at BaselinePoor performance and/or nutritional status13.3 percentage of patients
EP2006Percentage of Patients With Each EORTC-identified Risk Factors for FN in Patients With Chemotherapy Risk 10-20% at BaselineFemale gender57.8 percentage of patients
EP2006Percentage of Patients With Each EORTC-identified Risk Factors for FN in Patients With Chemotherapy Risk 10-20% at BaselineHb < 12 g/dL45.9 percentage of patients
EP2006Percentage of Patients With Each EORTC-identified Risk Factors for FN in Patients With Chemotherapy Risk 10-20% at BaselineRenal, CV, or liver disease26.9 percentage of patients
Primary

Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN Risk

Objective 3: To determine the extent to which the primary and secondary prophylaxis of FN in cancer patients is in congruence with the EORTC best practice guidelines and dosing recommendations, and whether this is associated with better outcomes. FN: Febrile Neutropenia; EORTC: European Organisation for Research and Treatment of Cancer

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

ArmMeasureGroupValue (NUMBER)
EP2006Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN RiskPrimary prophylaxis: Correctly treated (%)35.0 percentage of participants
EP2006Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN RiskSecondary prophylaxis: Correctly treated (%)0 percentage of participants
EP2006Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN RiskSecondary prophylaxis: Over-treated (%)0 percentage of participants
EP2006Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN RiskSecondary prophylaxis: Under-treated (%)9.3 percentage of participants
EP2006Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN RiskPrimary prophylaxis:Over-treated (%)0 percentage of participants
EP2006Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN RiskPrimary prophylaxis: Under-treated (%)0 percentage of participants
EP2006: FemalePercentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN RiskPrimary prophylaxis: Correctly treated (%)17.3 percentage of participants
EP2006: FemalePercentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN RiskSecondary prophylaxis: Over-treated (%)3.5 percentage of participants
EP2006: FemalePercentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN RiskPrimary prophylaxis:Over-treated (%)13.0 percentage of participants
EP2006: FemalePercentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN RiskSecondary prophylaxis: Correctly treated (%)3.1 percentage of participants
EP2006: FemalePercentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN RiskSecondary prophylaxis: Under-treated (%)8.1 percentage of participants
EP2006: FemalePercentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN RiskPrimary prophylaxis: Under-treated (%)0 percentage of participants
EP2006: Risk >20%Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN RiskSecondary prophylaxis: Under-treated (%)0 percentage of participants
EP2006: Risk >20%Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN RiskSecondary prophylaxis: Over-treated (%)2.6 percentage of participants
EP2006: Risk >20%Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN RiskPrimary prophylaxis: Correctly treated (%)0 percentage of participants
EP2006: Risk >20%Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN RiskPrimary prophylaxis: Under-treated (%)0 percentage of participants
EP2006: Risk >20%Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN RiskSecondary prophylaxis: Correctly treated (%)1.2 percentage of participants
EP2006: Risk >20%Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN RiskPrimary prophylaxis:Over-treated (%)6.9 percentage of participants
Primary

Predictors of Absolute Neutrophil Count

Objective 6: To examine the multilevel determinants (patient, center) of hematological outcomes of primary and secondary prophylaxis with EP2006 to better understand the variability in outcomes achieved. Hierarchical modeling was used to test the relationship of patient- and physician/center-level variables and treatment response in terms of ANC. This analysis was conducted at the cycle level using a 1-cycle lag between treatment patterns and outcomes, that is study drug treatment patterns in one cycle predicted the ANC value at the beginning of the next cycle. Log-transformed ANC values were used. Table presents predictors for ANC: GCSF decision, study drug dose, tumor type, patient gender, ECOG, Hb Since log-transformed Absolute Neutrophil Count (ANC) values were used, Exp(beta) can be interpreted in terms of % change in ANC for each unit change in predictor or for each category relative to the referent (for categorical variables); Hb=Hemoglobin

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Cycles for patients in evaluable sample with data

ArmMeasureValue (NUMBER)
EP2006Predictors of Absolute Neutrophil Count1185 participants
Comparison: GCSF treatment decision (under vs correct) as predictor for ANCp-value: 0.068395% CI: [0.84, 1.01]Regression, Logistic
Comparison: GCSF decision (Over vs correct) as predictor for ANCp-value: 0.001995% CI: [0.82, 0.96]Regression, Logistic
Comparison: GCSF decision (Under vs over) as predictor for ANCp-value: 0.446995% CI: [0.94, 1.15]Regression, Logistic
Comparison: Study drug dose (higher vs lower) as predictor for ANCp-value: 0.007995% CI: [1.03, 1.19]Regression, Logistic
Comparison: Tumor type (hematological vs solid) as predictor for ANCp-value: 0.000495% CI: [0.72, 0.91]Regression, Logistic
Comparison: Patient gender (female vs male) as predictor for ANCp-value: <0.000195% CI: [0.8, 0.92]Regression, Logistic
Comparison: ECOG (per 1 point) as predictor for ANCp-value: 0.023595% CI: [1.01, 1.08]Regression, Linear
Comparison: Hb (per g/dL) as predictor for ANCp-value: <0.000195% CI: [1.02, 1.05]Regression, Linear
Primary

Type of EP2006 Prophylaxis

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Delayed Primary: EP2006 initiated in cycle 2 or later with no CIN/FN in prior cycle.~True secondary: EP2006 initiated in cycle 2 or later following CIN/FN in prior cycle.

ArmMeasureGroupValue (NUMBER)
EP2006Type of EP2006 ProphylaxisPrimary (initiated in cycle1)1046 participants
EP2006Type of EP2006 ProphylaxisSecondary (initiated in cycle2 or later)401 participants
EP2006Type of EP2006 ProphylaxisDelayed primary245 participants
EP2006Type of EP2006 ProphylaxisTrue secondary156 participants
Primary

Type of EP 2006 Prophylaxis by Age Group

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample by age

ArmMeasureGroupValue (NUMBER)
EP2006Type of EP 2006 Prophylaxis by Age GroupPrimary (initiated in cycle1)626 participants
EP2006Type of EP 2006 Prophylaxis by Age GroupSecondary, initiated in cycle2 or later223 participants
EP2006: FemaleType of EP 2006 Prophylaxis by Age GroupPrimary (initiated in cycle1)420 participants
EP2006: FemaleType of EP 2006 Prophylaxis by Age GroupSecondary, initiated in cycle2 or later178 participants
p-value: 0.143295% CI: [0.9428, 1.5012]Chi-squared
Primary

Type of EP2006 Prophylaxis by Gender

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample by gender

ArmMeasureGroupValue (NUMBER)
EP2006Type of EP2006 Prophylaxis by GenderPrimary (initiated in cycle1)397 participants
EP2006Type of EP2006 Prophylaxis by GenderSecondary (initiated in cycle2 or later)164 participants
EP2006: FemaleType of EP2006 Prophylaxis by GenderPrimary (initiated in cycle1)649 participants
EP2006: FemaleType of EP2006 Prophylaxis by GenderSecondary (initiated in cycle2 or later)237 participants
p-value: 0.303895% CI: [0.6989, 1.1182]Chi-squared
Primary

Type of EP 2006 Prophylaxis by Tumor Type

Objective 2: To describe EP2006 primary or secondary prophylaxis patterns for FN over up to 6 cycles of chemotherapy, with or without prior, concurrent, or later radiotherapy or surgery.

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample by tumor type

ArmMeasureGroupValue (NUMBER)
EP2006Type of EP 2006 Prophylaxis by Tumor TypePrimary (initiated in cycle1)801 participants
EP2006Type of EP 2006 Prophylaxis by Tumor TypeSecondary (initiated in ≥cycle2)316 participants
EP2006: FemaleType of EP 2006 Prophylaxis by Tumor TypePrimary (initiated in cycle1)245 participants
EP2006: FemaleType of EP 2006 Prophylaxis by Tumor TypeSecondary (initiated in ≥cycle2)85 participants
p-value: 0.648395% CI: [0.5063, 1.5276]Chi-squared
Secondary

Characteristics of Clusters: Cancer Stage

Objective 7: To identify different latent clusters of end-stage cancer patients receiving chemotherapy and being treated with EP2006 for the treatment or primary or secondary prophylaxis of FN using statistical data-mining techniques to profile patients based on medical history, concomitant comorbid conditions, and current clinical status. FN=Febrile Neutropenia

Time frame: Enrollment cycle. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: A two-group solution converged and the groups differentiated on key baseline variables. However, the group sizes were too unevenly distributed for further analysis with the high risk group comprised of only 3.0% of the evaluable sample.~Only patients with data in each group are analyzed for cancer stage.

ArmMeasureGroupValue (NUMBER)
EP2006Characteristics of Clusters: Cancer StageCancer Stage IV681 participants
EP2006Characteristics of Clusters: Cancer StageCancer Stage III511 participants
EP2006: FemaleCharacteristics of Clusters: Cancer StageCancer Stage III12 participants
EP2006: FemaleCharacteristics of Clusters: Cancer StageCancer Stage IV29 participants
Secondary

Characteristics of Clusters: ECOG Performance Status

Objective 7: To identify different latent clusters of end-stage cancer patients receiving chemotherapy and being treated with EP2006 for the treatment or primary or secondary prophylaxis of FN using statistical data-mining techniques to profile patients based on medical history, concomitant comorbid conditions, and current clinical status. ECOG score is a severity scale from 0 to 5 (highest) to grade toxicity and is defined as follows: 0=none, 1=mild, 2=moderate, 3=severe, 4=life-threatening, 5=lethal. ECOG is described in more detail by Oken et al, Am J Clin Oncol (CCT) 5:649-655, 1982. FN=Febrile Neutropenia; ECOG: European Cooperative Oncology Group

Time frame: Enrollment cycle. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: A two-group solution converged and the groups differentiated on key baseline variables. However, the group sizes were too unevenly distributed for further analysis with the high risk group comprised of only 3.0% of the evaluable sample.~Only patients with data in each group are analyzed for ECOG performance status.

ArmMeasureValue (MEAN)Dispersion
EP2006Characteristics of Clusters: ECOG Performance Status0.75 Scores on a scaleStandard Deviation 0.72
EP2006: FemaleCharacteristics of Clusters: ECOG Performance Status0.87 Scores on a scaleStandard Deviation 0.61
Secondary

Characteristics of Clusters: Hemoglobin Study Start

Objective 7: To identify different latent clusters of end-stage cancer patients receiving chemotherapy and being treated with EP2006 for the treatment or primary or secondary prophylaxis of FN using statistical data-mining techniques to profile patients based on medical history, concomitant comorbid conditions, and current clinical status.

Time frame: Enrollment cycle. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: A two-group solution converged and the groups differentiated on key baseline variables. However, the group sizes were too unevenly distributed for further analysis with the high risk group comprised of only 3.0% of the evaluable sample.~Only patients with data in each group are analyzed for hemoglobin at study start.

ArmMeasureValue (MEAN)Dispersion
EP2006Characteristics of Clusters: Hemoglobin Study Start12.35 g/dLStandard Deviation 1.8
EP2006: FemaleCharacteristics of Clusters: Hemoglobin Study Start11.82 g/dLStandard Deviation 1.86
Secondary

Characteristics of Clusters: History of Antibiotic Use for CIN

Objective 7: To identify different latent clusters of end-stage cancer patients receiving chemotherapy and being treated with EP2006 for the treatment or primary or secondary prophylaxis of FN using statistical data-mining techniques to profile patients based on medical history, concomitant comorbid conditions, and current clinical status. CIN=Chemotherapy Induced Neutropenia; FN=Febrile Neutropenia

Time frame: Enrollment cycle. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: A two-group solution converged and the groups differentiated on key baseline variables. However, the group sizes were too unevenly distributed for further analysis with the high risk group comprised of only 3.0% of the evaluable sample.~Only patients with data in each group are analyzed for history of antibiotic use for CIN.

ArmMeasureGroupValue (NUMBER)
EP2006Characteristics of Clusters: History of Antibiotic Use for CINNo history for antibiotic use for CIN1190 participants
EP2006Characteristics of Clusters: History of Antibiotic Use for CINHistory for antibiotic use for CIN (Yes)2 participants
EP2006: FemaleCharacteristics of Clusters: History of Antibiotic Use for CINNo history for antibiotic use for CIN17 participants
EP2006: FemaleCharacteristics of Clusters: History of Antibiotic Use for CINHistory for antibiotic use for CIN (Yes)24 participants
Secondary

Characteristics of Clusters: Liver, Renal and/or Cardiovascular Disease

Objective 7: To identify different latent clusters of end-stage cancer patients receiving chemotherapy and being treated with EP2006 for the treatment or primary or secondary prophylaxis of FN using statistical data-mining techniques to profile patients based on medical history, concomitant comorbid conditions, and current clinical status. FN=Febrile Neutropenia

Time frame: Enrollment cycle. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: A two-group solution converged and the groups differentiated on key baseline variables. However, the group sizes were too unevenly distributed for further analysis with the high risk group comprised of only 3.0% of the evaluable sample.~Only patients with data in each group are analyzed for liver, renal and/or cardiovascular disease.

ArmMeasureGroupValue (NUMBER)
EP2006Characteristics of Clusters: Liver, Renal and/or Cardiovascular DiseaseNo Liver, renal and/or cardiovascular disease931 participants
EP2006Characteristics of Clusters: Liver, Renal and/or Cardiovascular DiseaseLiver, renal and/or cardiovascular disease (Yes)261 participants
EP2006: FemaleCharacteristics of Clusters: Liver, Renal and/or Cardiovascular DiseaseNo Liver, renal and/or cardiovascular disease19 participants
EP2006: FemaleCharacteristics of Clusters: Liver, Renal and/or Cardiovascular DiseaseLiver, renal and/or cardiovascular disease (Yes)22 participants
Secondary

Cohort Identification

Objective 7: To identify different latent clusters of end-stage cancer patients receiving chemotherapy and being treated with EP2006 for the treatment or primary or secondary prophylaxis of FN using statistical data-mining techniques to profile patients based on medical history, concomitant comorbid conditions, and current clinical status. A two-group solution converged and the groups differentiated on key baseline variables. However, the group sizes were too unevenly distributed for further analysis with the high risk group comprised of only 3.0% of the evaluable sample. ANC=Absolute Neutrophil Count; CIN=Chemotherapy-Induced Neutropenia; FN=Febrile Neutropenia

Time frame: Enrollment cycle. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician.

Population: The evaluable sample consists of all patients who received at least one dose of study medication, had no major protocol violation and have a minimum of enrollment cycle and either one follow-up cycle or study end data with valid outcome data (i.e., ANC or completed CIN/FN data).

ArmMeasureGroupValue (NUMBER)
EP2006Cohort IdentificationEP2006 - Group 11192 participants
EP2006Cohort IdentificationEP2006 - Group 243 participants
EP2006Cohort IdentificationMissing212 participants
Secondary

Modeling CIN/FN-related Chemotherapy Disturbance: Cycle Level

Objective 8: To model patient- and center-level variables between patients who responded and those who did not respond to primary or secondary prophylaxis with EP2006. Objective 9: To model patient- and center-level variables between patients who had chemotherapy dose delays or reductions, surgery delays and cancellations, and radiotherapy delays, dose reductions, or cancellations vs. no such events during the course of primary or secondary prophylaxis with EP2006. Only results with a p-value of \<0.05 are shown in the statistical appendices. CI: confidence interval; CIN: chemotherapy-induced neutropenia; GCSF: granulocyte colony-stimulating factor; GIS: GCSF Initiation Score; Chemotherapy disturbance=dose reduction, delay, and/or cancellation

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Cycles of patients in evaluable sample with CIN/FN-related chemotherapy disturbance with data

ArmMeasureValue (NUMBER)
EP2006Modeling CIN/FN-related Chemotherapy Disturbance: Cycle Level174 cycles
Comparison: CIN1/4 in previous cycle as cycle-level predictor for CIN/FN-related chemotherapy disturbancep-value: <0.00195% CI: [5.426, 14.699]Regression, Logistic
Comparison: Hematological cancer (vs. oncologic) as patient-level predictor for CIN/FN-related chemotherapy disturbancep-value: 0.00795% CI: [0.152, 0.74]Regression, Logistic
Comparison: Cancer patients seen in 2009 (per 1 patient) as center-level predictor for CIN/FN-related chemotherapy disturbancep-value: 0.00695% CI: [0.999, 1]Regression, Logistic
Comparison: Chemotherapy-treated cancer patients in 2009 (per 1 patient) as center-level predictor for CIN/FN-related chemotherapy disturbancep-value: <0.00195% CI: [1, 1.001]Regression, Logistic
Comparison: Center type: academic vs non-academic as center-level predictor for CIN/FN-related chemotherapy disturbancep-value: 0.02495% CI: [1.127, 5.353]Regression, Logistic
Comparison: Center type: academic-affiliated vs non-academic as center-level predictor for CIN/FN-related chemotherapy disturbancep-value: 0.0195% CI: [1.342, 8.331]Regression, Logistic
Secondary

Modeling CIN/FN-related Chemotherapy Disturbance: Patient Level (Patient-level Predictors)

Objective 8: To model patient- and center-level variables between patients who responded and those who did not respond to primary or secondary prophylaxis with EP2006. Objective 9: To model patient- and center-level variables between patients who had chemotherapy dose delays or reductions, surgery delays and cancellations, and radiotherapy delays, dose reductions, or cancellations vs. no such events during the course of primary or secondary prophylaxis with EP2006. Only results with a p-value of \<0.05 are shown in the statistical appendices. CI: confidence interval; CIN: chemotherapy-induced neutropenia; FN: febrile neutropenia

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample with CIN/FN-related chemotherapy disturbance data

ArmMeasureValue (NUMBER)
EP2006Modeling CIN/FN-related Chemotherapy Disturbance: Patient Level (Patient-level Predictors)138 cycles
Comparison: Female gender as patient-level predictor for CIN/FN-related chemotherapy disturbancep-value: 0.00695% CI: [1.218, 3.172]Regression, Logistic
Comparison: History of CIN4 at enrollment as patient-level predictor for CIN/FN-related chemotherapy disturbancep-value: 0.00195% CI: [1.469, 4.581]Regression, Logistic
Secondary

Modeling CIN/FN-related Hospitalization: Cycle Level

Objective 8: To model patient- and center-level variables between patients who responded and those who did not respond to primary or secondary prophylaxis with EP2006. Objective 9: To model patient- and center-level variables between patients who had chemotherapy dose delays or reductions, surgery delays and cancellations, and radiotherapy delays, dose reductions, or cancellations vs. no such events during the course of primary or secondary prophylaxis with EP2006. Only results with a p-value of \<0.05 are shown in the statistical appendices. CI: confidence interval; CIN: chemotherapy-induced neutropenia; FN: febrile neutropenia; ECOG: Eastern Cooperative Oncology Group.

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Number of cycles of patients in evaluable sample with CIN/FN-related hospitalization data

ArmMeasureValue (NUMBER)
EP2006Modeling CIN/FN-related Hospitalization: Cycle Level111 cycles
Comparison: ECOG score (per 1 point) as cycle-level predictor for CIN/FN-related hospitalizationp-value: <0.00195% CI: [1.397, 2.355]Regression, Logistic
Comparison: Concomitant antibiotic prophylaxis as cycle-level predictor for CIN/FN-related hospitalizationp-value: <0.00195% CI: [1.791, 6.065]Regression, Logistic
Comparison: CIN1/4 in previous cycles as cycle-level predictor for CIN/FN-related hospitalizationp-value: 0.00195% CI: [1.38, 3.524]Regression, Logistic
Comparison: Under- vs. correctly prophylacted as patient-level predictor for CIN/FN-related hospitalizationp-value: 0.03295% CI: [1.054, 3.293]Regression, Logistic
Comparison: Over- vs. correctly prophylacted as patient-level predictor for CIN/FN-related hospitalizationp-value: 0.02495% CI: [0.168, 0.879]Regression, Logistic
Comparison: Under- vs. over-prophylacted as patient-level predictor for CIN/FN-related hospitalizationp-value: 0.00195% CI: [1.964, 11.942]Regression, Logistic
Secondary

Modeling CIN/FN-related Hospitalization: Patient Level

Objective 8: To model patient- and center-level variables between patients who responded and those who did not respond to primary or secondary prophylaxis with EP2006. Objective 9: To model patient- and center-level variables between patients who had chemotherapy dose delays or reductions, surgery delays and cancellations, and radiotherapy delays, dose reductions, or cancellations vs. no such events during the course of primary or secondary prophylaxis with EP2006. Only results with a p-value of \<0.05 are shown in the statistical appendices. CI: confidence interval; CIN: chemotherapy-induced neutropenia; FN: febrile neutropenia; ECOG: Eastern Cooperative Oncology Group.

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample with CIN/FN-related hospitalization data

ArmMeasureValue (NUMBER)
EP2006Modeling CIN/FN-related Hospitalization: Patient Level88 participants
Comparison: ECOG ≥2 during study as patient-level predictor for CIN/FN-related hospitalizationp-value: <0.00195% CI: [1.55, 3.946]Regression, Logistic
Comparison: Over- vs. correctly prophylacted as patient-level predictor for CIN/FN-related hospitalizationp-value: 0.00295% CI: [0.21, 0.695]Regression, Logistic
Comparison: Under- vs. over-prophylacted as patient-level predictor for CIN/FN-related hospitalizationp-value: 0.00195% CI: [1.56, 6.192]Regression, Logistic
Secondary

Modeling Composite Outcome (Any of CIN Grade 4, FN, CIN/FN-related Hospitalization, CIN/FN-related Chemotherapy Disturbance): Cycle Level

Objective 8: To model patient- and center-level variables between patients who responded and those who did not respond to primary or secondary prophylaxis with EP2006. Objective 9: To model patient- and center-level variables between patients who had chemotherapy dose delays or reductions, surgery delays and cancellations, and radiotherapy delays, dose reductions, or cancellations vs. no such events during the course of primary or secondary prophylaxis with EP2006. Only results with a p-value of \<0.05 are shown in the statistical appendices. CI: confidence interval; CIN: chemotherapy-induced neutropenia; ECOG: Eastern Cooperative Oncology Group; FN: febrile neutropenia; GCSF: granulocyte colony-stimulating factor; GIS: GCSF Initiation Score.

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Cycles of patients from evaluable sample with composite outcome data

ArmMeasureValue (NUMBER)
EP2006Modeling Composite Outcome (Any of CIN Grade 4, FN, CIN/FN-related Hospitalization, CIN/FN-related Chemotherapy Disturbance): Cycle Level507 cycles
Comparison: GIS (1 vs. 0) as cycle-level predictor for composite outcome (any of CIN Grade 4, FN, CIN/FN-related hospitalization, CIN/FN-related chemotherapy disturbance)p-value: 0.00295% CI: [0.424, 0.821]Regression, Logistic
Comparison: Zarzio duration: 4-5 days vs. 6 or more as cycle-level predictor for composite outcome (any of CIN Grade 4, FN, CIN/FN-related hospitalization, CIN/FN-related chemotherapy disturbance)p-value: 0.00395% CI: [0.489, 0.859]Regression, Logistic
Comparison: Zarzio duration: 1-3 days vs. 6 or more as cycle-level predictor for composite outcome (any of CIN Grade 4, FN, CIN/FN-related hospitalization, CIN/FN-related chemotherapy disturbance)p-value: 0.00495% CI: [0.398, 0.842]Regression, Logistic
Comparison: ECOG score (per 1 point) as cycle-level predictor for composite outcome (any of CIN Grade 4, FN, CIN/FN-related hospitalization, CIN/FN-related chemotherapy disturbance)p-value: 0.00195% CI: [1.14, 1.643]Regression, Logistic
Comparison: Concomitant antibiotic prophylaxis as cycle-level predictor for composite outcome (any of CIN Grade 4, FN, CIN/FN-related hospitalization, CIN/FN-related chemotherapy disturbance)p-value: <0.00195% CI: [2.456, 4.985]Regression, Logistic
Comparison: CIN1/4 in previous cycle as cycle-level predictor for composite outcome (any of CIN Grade 4, FN, CIN/FN-related hospitalization, CIN/FN-related chemotherapy disturbance)p-value: <0.00195% CI: [3.096, 5.336]Regression, Logistic
Comparison: Female gender as patient-level predictor for composite outcome (any of CIN Grade 4, FN, CIN/FN-related hospitalization, CIN/FN-related chemotherapy disturbance)p-value: 0.00295% CI: [1.175, 2.033]Regression, Logistic
Comparison: History of CIN Grade 4 at enrollment as patient-level predictor for composite outcome (any of CIN Grade 4, FN, CIN/FN-related hospitalization, CIN/FN-related chemotherapy disturbance)p-value: 0.01795% CI: [1.088, 2.34]Regression, Logistic
Secondary

Modeling Composite Outcome (Any of CIN Grade 4, FN, CIN/FN-related Hospitalization, CIN/FN-related Chemotherapy Disturbance): Patient Level

Objective 8: To model patient- and center-level variables between patients who responded and those who did not respond to primary or secondary prophylaxis with EP2006. Objective 9: To model patient- and center-level variables between patients who had chemotherapy dose delays or reductions, surgery delays and cancellations, and radiotherapy delays, dose reductions, or cancellations vs. no such events during the course of primary or secondary prophylaxis with EP2006. Only results with a p-value of \<0.05 are shown in the statistical appendices. CI: confidence interval; CIN: chemotherapy-induced neutropenia; ECOG: Eastern Cooperative Oncology Group; FN: febrile neutropenia; GCSF: granulocyte colony-stimulating factor; GIS: GCSF Initiation Score. H/o repeated infections refers at enrollment; H/o: History of

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Patients in evaluable sample with composite outcome data

ArmMeasureValue (NUMBER)
EP2006Modeling Composite Outcome (Any of CIN Grade 4, FN, CIN/FN-related Hospitalization, CIN/FN-related Chemotherapy Disturbance): Patient Level323 participants
Comparison: Female gender as patient-level predictor for composite outcome (any of CIN Grade 4, FN, CIN/FN-related hospitalization, CIN/FN-related chemotherapy disturbance)p-value: 0.00695% CI: [1.152, 2.281]Regression, Logistic
Comparison: History of CIN4 at enrollment as patient-level predictor for composite outcome (any of CIN Grade 4, FN, CIN/FN-related hospitalization, CIN/FN-related chemotherapy disturbance)p-value: 0.00595% CI: [1.209, 2.979]Regression, Logistic
Comparison: History of repeated infections at enrollment as patient-level predictor for composite outcome (any of CIN Grade 4, FN, CIN/FN-related hospitalization, CIN/FN-related chemotherapy disturbance)p-value: 0.01695% CI: [1.2, 5.984]Regression, Logistic
Comparison: Over- vs. correctly prophylacted as patient-level predictor for composite outcome (any of CIN Grade 4, FN, CIN/FN-related hospitalization, CIN/FN-related chemotherapy disturbance)p-value: <0.00195% CI: [0.291, 0.66]Regression, Logistic
Comparison: Under- vs. over-prophylacted as patient-level predictor for composite outcome (any of CIN Grade 4, FN, CIN/FN-related hospitalization, CIN/FN-related chemotherapy disturbance)p-value: 0.00295% CI: [1.295, 3.256]Regression, Logistic
Comparison: GIS at enrollment (1 vs. 0) as patient-level predictor for composite outcome (any of CIN Grade 4, FN, CIN/FN-related hospitalization, CIN/FN-related chemotherapy disturbance)p-value: 0.02895% CI: [0.332, 0.939]Regression, Logistic
Secondary

Modeling FN Episode: Cycle Level

Objective 8: To model patient- and center-level variables between patients who responded and those who did not respond to primary or secondary prophylaxis with EP2006. Objective 9: To model patient- and center-level variables between patients who had chemotherapy dose delays or reductions, surgery delays and cancellations, and radiotherapy delays, dose reductions, or cancellations vs. no such events during the course of primary or secondary prophylaxis with EP2006. Only results with a p-value of \<0.05 are shown in the statistical appendices. CI: confidence interval; CIN: chemotherapy-induced neutropenia; FN: febrile neutropenia; ECOG: Eastern Cooperative Oncology Group

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Number of cycles of patients in evaluable sample with FN episode data

ArmMeasureValue (NUMBER)
EP2006Modeling FN Episode: Cycle Level105 cycles
Comparison: ECOG score (per 1 point) as cycle-level predictor for FN episodep-value: <0.00195% CI: [1.284, 2.179]Regression, Logistic
Comparison: Concomitant antibiotic prophylaxis as cycle-level predictor for FN episodep-value: <0.00195% CI: [2.777, 7.968]Regression, Logistic
Comparison: CIN1/4 in previous cycle as cycle-level predictor for FN episodep-value: 0.00295% CI: [1.342, 3.574]Regression, Logistic
Comparison: History of anaemia at enrollment as patient-level predictor for FN episodep-value: 0.0195% CI: [0.067, 0.687]Regression, Logistic
Comparison: Under- vs. over-prophylacted as patient-level predictor for FN episodep-value: 0.02595% CI: [1.169, 10.487]Regression, Logistic
Secondary

Modeling FN Episode: Patient Level

Objective 8: To model patient- and center-level variables between patients who responded and those who did not respond to primary or secondary prophylaxis with EP2006. Objective 9: To model patient- and center-level variables between patients who had chemotherapy dose delays or reductions, surgery delays and cancellations, and radiotherapy delays, dose reductions, or cancellations vs. no such events during the course of primary or secondary prophylaxis with EP2006 Only results with a p-value of \<0.05 are shown in the statistical appendices. CI: confidence interval; CIN: chemotherapy-induced neutropenia; FN: febrile neutropenia

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample with FN episode data

ArmMeasureValue (NUMBER)
EP2006Modeling FN Episode: Patient Level86 participants
Comparison: Patient age (per 1 year) as patient-level predictor for FN episodep-value: 0.00395% CI: [0.958, 0.991]Regression, Logistic
Comparison: ECOG ≥2 during study as patient-level predictor for FN episodep-value: <0.00195% CI: [1.61, 3.57]Regression, Logistic
Comparison: Concomitant antibiotic prophylaxis as patient-level predictor for FN episodep-value: 0.00195% CI: [1.45, 4.527]Regression, Logistic
Comparison: Over- vs. correctly prophylacted as patient-level predictor for FN episodep-value: <0.00195% CI: [0.108, 0.499]Regression, Logistic
Comparison: Under- vs. over-prophylacted as patient-level predictor for FN episodep-value: 0.01195% CI: [1.315, 8.084]Regression, Logistic
Secondary

Modeling Grade 4 CIN Episode: Cycle Level

Objective 8: To model patient- and center-level variables between patients who responded and those who did not respond to primary or secondary prophylaxis with EP2006. Objective 9: To model patient- and center-level variables between patients who had chemotherapy dose delays or reductions, surgery delays and cancellations, and radiotherapy delays, dose reductions, or cancellations vs. no such events during the course of primary or secondary prophylaxis with EP2006 Only results with a p-value of \<0.05 are added as statistical analyses appendices. CI: confidence interval; CIN: chemotherapy-induced neutropenia; GCSF: granulocyte colony-stimulating factor; GIS: GCSF Initiation Score

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Number of cycles in evaluable sample with any grade 4 CIN data

ArmMeasureValue (NUMBER)
EP2006Modeling Grade 4 CIN Episode: Cycle Level294 cycles
Comparison: GIS (1 vs. 0) as cycle-level predictor for CIN grade 4 episodep-value: 0.00395% CI: [0.365, 0.812]Regression, Logistic
Comparison: Concomitant antibiotic prophylaxis as cycle-level predictor for CIN grade 4 episodep-value: <0.00195% CI: [3.242, 7.092]Regression, Logistic
Comparison: CIN1/4 in previous cycle as cycle-level predictor for CIN grade 4 episodep-value: <0.00195% CI: [3.242, 7.092]Regression, Logistic
Comparison: History of CIN Grade 4 at enrollment as patient-level predictor for CIN grade 4 episodep-value: <0.00195% CI: [1.542, 3.925]Regression, Logistic
Comparison: Over- vs. correctly prophylacted as patient-level predictor for CIN grade 4 episodep-value: 0.00395% CI: [0.267, 0.766]Regression, Logistic
Secondary

Modeling Grade 4 CIN Episode: Patient Level

Objective 8: To model patient- and center-level variables between patients who responded and those who did not respond to primary or secondary prophylaxis with EP2006. Objective 9: To model patient- and center-level variables between patients who had chemotherapy dose delays or reductions, surgery delays and cancellations, and radiotherapy delays, dose reductions, or cancellations vs. no such events during the course of primary or secondary prophylaxis with EP2006 Only results with a p-value of \<0.05 are shown in the statistical appendices. H/o=History of; CI=confidence interval; CIN=chemotherapy-induced neutropenia

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample with data

ArmMeasureValue (NUMBER)
EP2006Modeling Grade 4 CIN Episode: Patient Level191 participants
Comparison: History of CIN Grade 4 at enrollment as patient-level predictor for CIN grade 4 episodep-value: 0.00195% CI: [1.592, 5.374]Regression, Logistic
Comparison: Concomitant antibiotic prophylaxis as patient-level predictor for CIN grade 4 episodep-value: 0.00595% CI: [1.331, 4.969]Regression, Logistic
Comparison: Over- vs. correctly prophylacted as patient-level predictor for CIN grade 4 episodep-value: <0.00195% CI: [0.193, 0.557]Regression, Logistic
Secondary

Patient-level Predictor for Cancer-related Mortality

Objective 10: To model patient- and center-level variables between patients who died vs. survived during the course of primary or secondary prophylaxis with EP2006 in all patients and those with break-through FN episodes. Table presents patient level predictors for cancer-related mortality: female gender, poor performance (ECOG \>=2) during study. ECOG score is a severity scale from 0 to 5 (highest) to grade toxicity and is defined as follows: 0=none, 1=mild, 2=moderate, 3=severe, 4=life-threatening, 5=lethal. ECOG is described in more detail by Oken et al, Am J Clin Oncol (CCT) 5:649-655, 1982.

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample with data

ArmMeasureValue (NUMBER)
EP2006Patient-level Predictor for Cancer-related Mortality1385 participants
Comparison: Female gender as patient-level predictor for cancer-related mortalityp-value: <0.000195% CI: [5.9567, 37.1225]Regression, Logistic
Comparison: Poor performance (ECOG \>=2) during study as patient-level predictorp-value: <0.000195% CI: [5.9567, 37.1225]Regression, Logistic
Secondary

Patient-level Predictors for All-cause Mortality

Objective 10: To model patient- and center-level variables between patients who died vs. survived during the course of primary or secondary prophylaxis with EP2006, in all patients and those with break-through FN episodes. Table presents patient-level predictors for all-cause mortality: history of anemia at enrollment, liver/renal/cardiac comorbidity, poor performance (ECOG \>=2) during study

Time frame: All cycles. Patients were evaluated at the enrollment cycle and then re-evaluated at each cycle for a maximum total of 6 cycles; however, the scheduling of these evaluations was left to the discretion of the physician, mean duration of study for 105 days

Population: Evaluable sample with data

ArmMeasureValue (NUMBER)
EP2006Patient-level Predictors for All-cause Mortality1272 participants
Comparison: Patient level predictor: History of anemia at enrollmentp-value: 0.011695% CI: [1.1931, 4.0803]Regression, Logistic
Comparison: Liver/renal/cardiac comorbidity as patient level predictorp-value: 0.005795% CI: [1.2754, 4.1656]Regression, Logistic
Comparison: Poor performance (ECOG \>=2) during study as patient level predictorp-value: <0.000195% CI: [8.2159, 37.4243]Regression, Logistic

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