B-cell Lymphoma, Bladder Cancer, Breast Cancer, Cancer, Febrile Neutropenia, Lung Cancer, Multiple Myeloma, Ovarian Cancer, Prostate Cancer
Conditions
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
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Incidence of Outcomes | 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 | 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). |
| Incidence of CIN/FN-related Chemotherapy Disturbance by EP2006 Prophylaxis Type: Patient Level | 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 | 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). |
| Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient Level | 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 | 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). |
| Incidence of CIN Grade 4 Episodes by EP2006 Dose: Patient Level | 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 | 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). |
| Incidence of Outcomes by Mean GIS: Patient Level | 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 | 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). |
| Incidence of Outcomes: Cycles Level | 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 | 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). |
| Incidence of Outcomes by Day of Study Drug Initiation: Cycle Level | 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 | 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) |
| Incidence of Outcomes by Study Drug Duration: Cycle Level | 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 | 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; |
| Number of Patients by Cause of Death | 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 | 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. |
| Number of Participants With All-cause Mortality by Any/no Grade 4 CIN and/or FN | 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 | 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 |
| Number of Participants With All-cause Mortality by CIN/FN-related Chemotherapy Disturbance | 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 | 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 |
| Number of Participants With Cancer-related Mortality by Any/no Grade 4 CIN or FN | 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 | 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 |
| Number of Participants With Cancer-related Mortality by Any CIN/FN-related Chemotherapy Disturbance | 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 | 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 |
| Number of Participants With Any CIN/FN-related Chemotherapy Disturbance by Prophylaxis Type | 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 | 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 |
| Number of Participants With Any CIN/FN-related Chemotherapy Disturbance by Treatment Decision | 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 | 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 |
| Predictors of Absolute Neutrophil Count | 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 | 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 |
| Patient/Center-level Covariance Parameter Estimates of Absolute Neutrophil Count | 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 | 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 |
| EP2006 Day of Initiation: Cycle Distribution | 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 | 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. |
| EP2006 Cycles by Treatment Duration | 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 | 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 |
| 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 Study | 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 | 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; |
| Fever and Infections Ever During the Study | 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 | 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; |
| 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 days | 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 |
| Type of EP2006 Prophylaxis | 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 | 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. |
| Type of EP2006 Prophylaxis by Gender | 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 | 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. |
| Type of EP 2006 Prophylaxis by Age Group | 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 | 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. |
| Type of EP 2006 Prophylaxis by Tumor Type | 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 | 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. |
| Concomitant Antibiotic Prophylaxis | 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 | 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 (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 days | 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 (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 Level | 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 | 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 Tumor Type: Cycle Level | 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 | 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. |
| 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 days | 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 Chemotherapy Toxicity: Cycle Level | 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 | 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: 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 days | 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 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 Day of Initiation: 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 Day of Initiation: 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 Day of Initiation: 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 Day of Initiation: 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 Day of Initiation: 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 Day of Initiation by Tumor Type (Solid Tumor vs. Hematological Tumor): Cycle Level | 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 | 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 Prophylaxis Type: Cycle Level | 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 | 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 Chemotherapy Toxicity: Cycle Level | 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 | 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 Any Cycle | 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 | 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 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 Treatment Duration in 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 Treatment Duration in 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 Treatment Duration in 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 Treatment Duration in 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 Treatment Duration in 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 Duration by Tumor Type: Cycle Level | 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 | 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 Prophylaxis Type: Cycle Level | 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 | 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 Chemotherapy Toxicity: Cycle Level | 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 | 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. |
| Percentage of Patients With Each EORTC-identified Risk Factors for FN at Baseline | 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 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 Baseline | 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 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 Patients | 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 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 Type | 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 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 Risk | 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 | 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 |
| Percentage of Patients With Each Chemotherapy Risk Score (CRS) Result by Tumor Type | 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 | 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 |
| EP2006 Day of Initiation Relative to Guidelines by Cancer Type | 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 | 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 |
| 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 days | 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 |
| 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 days | 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 |
| 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 days | 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); |
| Absolute Neutrophil Count (ANC) at EP2006 Initiation | 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 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 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 days | 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. |
| Number of Patients With CIN/FN Episodes: Patient Level | 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 | 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. |
| CIN/FN Episodes: Cycle Level | 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 | 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 \[RCD\]) |
| Incidence of Outcomes by Chemotherapy Risk: Patient Level | 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 | 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). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Characteristics of Clusters: Hemoglobin Study Start | 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 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 Status | 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 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 Stage | 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 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 CIN | 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 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 Disease | 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 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 Level | 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 | 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 |
| Modeling Grade 4 CIN Episode: Patient Level | 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 | 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 |
| Modeling FN Episode: Cycle Level | 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 | 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 |
| Modeling FN Episode: Patient Level | 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 | 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 |
| Modeling CIN/FN-related Hospitalization: Cycle Level | 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 | 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. |
| Modeling CIN/FN-related Hospitalization: Patient Level | 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 | 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. |
| Modeling CIN/FN-related Chemotherapy Disturbance: Cycle Level | 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 | 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 |
| 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 days | 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 |
| Modeling Composite Outcome (Any of CIN Grade 4, FN, CIN/FN-related Hospitalization, CIN/FN-related Chemotherapy Disturbance): Cycle Level | 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 | 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. |
| Modeling Composite Outcome (Any of CIN Grade 4, FN, CIN/FN-related Hospitalization, CIN/FN-related Chemotherapy Disturbance): Patient Level | 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 | 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 |
| Patient-level Predictors for All-cause Mortality | 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 | 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 |
| Patient-level Predictor for Cancer-related Mortality | 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 | 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. |
| Cohort Identification | 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 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
| Arm | Count |
|---|---|
| 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 |
| Total | 1,447 |
Baseline characteristics
| Characteristic | EP2006, Evaluable Sample |
|---|---|
| Age, Continuous | 61.3 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 |
| Height | 165.6 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 |
| Weight | 72.1 kg STANDARD_DEVIATION 15 |
Adverse events
| Event type | EG000 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
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | Absolute Neutrophil Count (ANC) Across All Cycles | 4585.6 Per mm^3 | Standard Deviation 3889.8 |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | Absolute Neutrophil Count (ANC) at EP2006 Initiation | 4429.7 Per mm^3 | Standard Deviation 4725.8 |
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).
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Cancer Treatment Type - Ever Received During Study | Targeted treatment | 89 participants |
| EP2006 | Cancer Treatment Type - Ever Received During Study | Surgery | 100 participants |
| EP2006 | Cancer Treatment Type - Ever Received During Study | Radiotherapy | 102 participants |
| EP2006 | Cancer Treatment Type - Ever Received During Study | Hormonal therapy | 85 participants |
| EP2006 | Cancer Treatment Type - Ever Received During Study | Bone marrow transplant | 31 participants |
| EP2006 | Cancer Treatment Type - Ever Received During Study | Other (e.g., CAM) | 98 participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Chemotherapy Toxicity (%FN Risk) | Low (<10%) | 154 participants |
| EP2006 | Chemotherapy Toxicity (%FN Risk) | Medium (10-20%) | 650 participants |
| EP2006 | Chemotherapy Toxicity (%FN Risk) | High (>20%) | 640 participants |
| EP2006 | Chemotherapy Toxicity (%FN Risk) | Missing | 3 participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | CIN/FN Episodes: Cycle Level | CIN any grade (n=7557) | 1083 cycles |
| EP2006 | CIN/FN Episodes: Cycle Level | CIN grade 3/4 (n=7541) | 602 cycles |
| EP2006 | CIN/FN Episodes: Cycle Level | CIN grade 4 (n=7541) | 294 cycles |
| EP2006 | CIN/FN Episodes: Cycle Level | FN (n=7532) | 105 cycles |
| EP2006 | CIN/FN Episodes: Cycle Level | CIN/FN-RH (n=7531) | 111 cycles |
| EP2006 | CIN/FN Episodes: Cycle Level | CIN/FN-RCD (n=6213) | 174 cycles |
| EP2006 | CIN/FN Episodes: Cycle Level | Composite (n=7570) | 507 cycles |
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)
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Clinical Events Ever During Study (Frequency Threshold: 5%) | Bone pain | 357 participants |
| EP2006 | Clinical Events Ever During Study (Frequency Threshold: 5%) | Thrombocytopenia | 230 participants |
| EP2006 | Clinical Events Ever During Study (Frequency Threshold: 5%) | Serum LDH increase | 222 participants |
| EP2006 | Clinical Events Ever During Study (Frequency Threshold: 5%) | Muscle pain | 210 participants |
| EP2006 | Clinical Events Ever During Study (Frequency Threshold: 5%) | Joint pain | 200 participants |
| EP2006 | Clinical Events Ever During Study (Frequency Threshold: 5%) | Serum GGT increase | 178 participants |
| EP2006 | Clinical Events Ever During Study (Frequency Threshold: 5%) | Serum ALP increase | 168 participants |
| EP2006 | Clinical Events Ever During Study (Frequency Threshold: 5%) | Other neurological symptoms | 102 participants |
| EP2006 | Clinical Events Ever During Study (Frequency Threshold: 5%) | Headache | 100 participants |
| EP2006 | Clinical Events Ever During Study (Frequency Threshold: 5%) | Blood uric acid increase | 88 participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Concomitant Antibiotic Prophylaxis | Missing | 11 participants |
| EP2006 | Concomitant Antibiotic Prophylaxis | No Concomitant antibiotic prophylaxis | 1261 participants |
| EP2006 | Concomitant Antibiotic Prophylaxis | Concomitant antibiotic prophylaxis | 175 participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | EP2006 Cycles by Treatment Duration | 2 days | 339 cycles |
| EP2006 | EP2006 Cycles by Treatment Duration | 3 days | 729 cycles |
| EP2006 | EP2006 Cycles by Treatment Duration | 12 days | 20 cycles |
| EP2006 | EP2006 Cycles by Treatment Duration | 13 days | 8 cycles |
| EP2006 | EP2006 Cycles by Treatment Duration | 1 day | 211 cycles |
| EP2006 | EP2006 Cycles by Treatment Duration | 4 days | 422 cycles |
| EP2006 | EP2006 Cycles by Treatment Duration | 5 days | 2718 cycles |
| EP2006 | EP2006 Cycles by Treatment Duration | 6 days | 385 cycles |
| EP2006 | EP2006 Cycles by Treatment Duration | 7 days | 682 cycles |
| EP2006 | EP2006 Cycles by Treatment Duration | 8 days | 115 cycles |
| EP2006 | EP2006 Cycles by Treatment Duration | 9 days | 53 cycles |
| EP2006 | EP2006 Cycles by Treatment Duration | 10 days | 120 cycles |
| EP2006 | EP2006 Cycles by Treatment Duration | 11 days | 13 cycles |
| EP2006 | EP2006 Cycles by Treatment Duration | 14 days | 105 cycles |
| EP2006 | EP2006 Cycles by Treatment Duration | >=15 days | 22 cycles |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | EP2006 Day of Initiation: All Cycles | 3.1 days | Standard Deviation 3 |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | EP2006 Day of Initiation by Chemotherapy Toxicity: Cycle Level | 2.3 days | Standard Deviation 2.9 |
| EP2006: Female | EP2006 Day of Initiation by Chemotherapy Toxicity: Cycle Level | 3.0 days | Standard Deviation 3 |
| EP2006: Risk >20% | EP2006 Day of Initiation by Chemotherapy Toxicity: Cycle Level | 3.3 days | Standard Deviation 3 |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | EP2006 Day of Initiation by Prophylaxis Type: Cycle Level | 3.2 days | Standard Deviation 3 |
| EP2006: Female | EP2006 Day of Initiation by Prophylaxis Type: Cycle Level | 2.6 days | Standard Deviation 2.9 |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | EP2006 Day of Initiation by Tumor Type (Solid Tumor vs. Hematological Tumor): Cycle Level | 2.6 days | Standard Deviation 2.7 |
| EP2006: Female | EP2006 Day of Initiation by Tumor Type (Solid Tumor vs. Hematological Tumor): Cycle Level | 4.8 days | Standard Deviation 3.3 |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | EP2006 Day of Initiation: Cycle 1 | 3.4 days | Standard Deviation 3.2 |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | EP2006 Day of Initiation: Cycle 2 | 3.1 days | Standard Deviation 3 |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | EP2006 Day of Initiation: Cycle 3 | 3.0 days | Standard Deviation 2.9 |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | EP2006 Day of Initiation: Cycle 4 | 3.0 days | Standard Deviation 2.9 |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | EP2006 Day of Initiation: Cycle 5 | 2.9 days | Standard Deviation 2.9 |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | EP2006 Day of Initiation: Cycle 6 | 3.0 days | Standard Deviation 2.9 |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | EP2006 Day of Initiation: Cycle Distribution | day 5 | 404 cycles |
| EP2006 | EP2006 Day of Initiation: Cycle Distribution | day 0 | 795 cycles |
| EP2006 | EP2006 Day of Initiation: Cycle Distribution | day1 | 1818 cycles |
| EP2006 | EP2006 Day of Initiation: Cycle Distribution | day 2 | 793 cycles |
| EP2006 | EP2006 Day of Initiation: Cycle Distribution | day 3 | 541 cycles |
| EP2006 | EP2006 Day of Initiation: Cycle Distribution | day 4 | 270 cycles |
| EP2006 | EP2006 Day of Initiation: Cycle Distribution | day 6 | 400 cycles |
| EP2006 | EP2006 Day of Initiation: Cycle Distribution | day 7 | 429 cycles |
| EP2006 | EP2006 Day of Initiation: Cycle Distribution | day 8 | 231 cycles |
| EP2006 | EP2006 Day of Initiation: Cycle Distribution | day 9 | 59 cycles |
| EP2006 | EP2006 Day of Initiation: Cycle Distribution | day10 | 49 cycles |
| EP2006 | EP2006 Day of Initiation: Cycle Distribution | day11 | 36 cycles |
| EP2006 | EP2006 Day of Initiation: Cycle Distribution | ≥day12 | 105 cycles |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | EP2006 Day of Initiation Relative to Guidelines by Cancer Type | Lung | 305 cycles |
| EP2006 | EP2006 Day of Initiation Relative to Guidelines by Cancer Type | Breast | 178 cycles |
| EP2006 | EP2006 Day of Initiation Relative to Guidelines by Cancer Type | Prostate | 26 cycles |
| EP2006 | EP2006 Day of Initiation Relative to Guidelines by Cancer Type | Bladder | 122 cycles |
| EP2006 | EP2006 Day of Initiation Relative to Guidelines by Cancer Type | Lymphoma (DLBCL) | 23 cycles |
| EP2006 | EP2006 Day of Initiation Relative to Guidelines by Cancer Type | Multiple myeloma | 32 cycles |
| EP2006 | EP2006 Day of Initiation Relative to Guidelines by Cancer Type | Ovarian | 109 cycles |
| EP2006: Female | EP2006 Day of Initiation Relative to Guidelines by Cancer Type | Prostate | 278 cycles |
| EP2006: Female | EP2006 Day of Initiation Relative to Guidelines by Cancer Type | Lung | 691 cycles |
| EP2006: Female | EP2006 Day of Initiation Relative to Guidelines by Cancer Type | Ovarian | 332 cycles |
| EP2006: Female | EP2006 Day of Initiation Relative to Guidelines by Cancer Type | Multiple myeloma | 167 cycles |
| EP2006: Female | EP2006 Day of Initiation Relative to Guidelines by Cancer Type | Bladder | 56 cycles |
| EP2006: Female | EP2006 Day of Initiation Relative to Guidelines by Cancer Type | Breast | 1410 cycles |
| EP2006: Female | EP2006 Day of Initiation Relative to Guidelines by Cancer Type | Lymphoma (DLBCL) | 386 cycles |
| EP2006: Risk >20% | EP2006 Day of Initiation Relative to Guidelines by Cancer Type | Lung | 225 cycles |
| EP2006: Risk >20% | EP2006 Day of Initiation Relative to Guidelines by Cancer Type | Breast | 624 cycles |
| EP2006: Risk >20% | EP2006 Day of Initiation Relative to Guidelines by Cancer Type | Bladder | 44 cycles |
| EP2006: Risk >20% | EP2006 Day of Initiation Relative to Guidelines by Cancer Type | Ovarian | 119 cycles |
| EP2006: Risk >20% | EP2006 Day of Initiation Relative to Guidelines by Cancer Type | Lymphoma (DLBCL) | 671 cycles |
| EP2006: Risk >20% | EP2006 Day of Initiation Relative to Guidelines by Cancer Type | Prostate | 95 cycles |
| EP2006: Risk >20% | EP2006 Day of Initiation Relative to Guidelines by Cancer Type | Multiple myeloma | 37 cycles |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | EP2006 Dose (All Cycles) | 30 MIU/day | 3182 cycles |
| EP2006 | EP2006 Dose (All Cycles) | 48 MIU/day | 2756 cycles |
| EP2006 | EP2006 Dose (All Cycles) | Other | 48 cycles |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | EP2006 Dose by Chemotherapy Toxicity: Cycle Level | 30 MIU/day | 357 cycles |
| EP2006 | EP2006 Dose by Chemotherapy Toxicity: Cycle Level | 48 MIU/day | 189 cycles |
| EP2006: Female | EP2006 Dose by Chemotherapy Toxicity: Cycle Level | 30 MIU/day | 1375 cycles |
| EP2006: Female | EP2006 Dose by Chemotherapy Toxicity: Cycle Level | 48 MIU/day | 1159 cycles |
| EP2006: Risk >20% | EP2006 Dose by Chemotherapy Toxicity: Cycle Level | 30 MIU/day | 1441 cycles |
| EP2006: Risk >20% | EP2006 Dose by Chemotherapy Toxicity: Cycle Level | 48 MIU/day | 1402 cycles |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | EP2006 Dose by Patient Weight: Cycle Level | 30 MIU/day | 1501 cycles |
| EP2006 | EP2006 Dose by Patient Weight: Cycle Level | 48 MIU/day | 771 cycles |
| EP2006: Female | EP2006 Dose by Patient Weight: Cycle Level | 30 MIU/day | 1681 cycles |
| EP2006: Female | EP2006 Dose by Patient Weight: Cycle Level | 48 MIU/day | 1985 cycles |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | EP2006 Dose by Tumor Type: Cycle Level | 30 MIU/day | 2296 cycles |
| EP2006 | EP2006 Dose by Tumor Type: Cycle Level | 48 MIU/day | 2313 cycles |
| EP2006: Female | EP2006 Dose by Tumor Type: Cycle Level | 30 MIU/day | 886 cycles |
| EP2006: Female | EP2006 Dose by Tumor Type: Cycle Level | 48 MIU/day | 443 cycles |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | EP2006 Dose (Cycle 1) | 30 MIU/day | 593 participants |
| EP2006 | EP2006 Dose (Cycle 1) | 48 MIU/day | 434 participants |
| EP2006 | EP2006 Dose (Cycle 1) | Other | 9 participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | EP2006 Dose (Cycle 2) | 30 MIU/day | 627 participants |
| EP2006 | EP2006 Dose (Cycle 2) | 48 MIU/day | 507 participants |
| EP2006 | EP2006 Dose (Cycle 2) | Other | 9 participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | EP2006 Dose (Cycle 3) | 30 MIU/day | 597 participants |
| EP2006 | EP2006 Dose (Cycle 3) | 48 MIU/day | 519 participants |
| EP2006 | EP2006 Dose (Cycle 3) | Other | 9 participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | EP2006 Dose (Cycle 4) | 30 MIU/day | 548 participants |
| EP2006 | EP2006 Dose (Cycle 4) | 48 MIU/day | 490 participants |
| EP2006 | EP2006 Dose (Cycle 4) | Other | 7 participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | EP2006 Dose (Cycle 5) | 30 MIU/day | 431 participants |
| EP2006 | EP2006 Dose (Cycle 5) | 48 MIU/day | 424 participants |
| EP2006 | EP2006 Dose (Cycle 5) | Other | 7 participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | EP2006 Dose (Cycle 6) | 30 MIU/day | 386 participants |
| EP2006 | EP2006 Dose (Cycle 6) | 48 MIU/day | 382 participants |
| EP2006 | EP2006 Dose (Cycle 6) | Other | 7 participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | EP2006 Dose (Enrollment Cycle) | 30 MIU/day | 815 participants |
| EP2006 | EP2006 Dose (Enrollment Cycle) | 48 MIU/day | 610 participants |
| EP2006 | EP2006 Dose (Enrollment Cycle) | Other | 9 participants |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | EP2006 Duration by Chemotherapy Toxicity: Cycle Level | 4.6 days | Standard Deviation 2.4 |
| EP2006: Female | EP2006 Duration by Chemotherapy Toxicity: Cycle Level | 5.0 days | Standard Deviation 2.2 |
| EP2006: Risk >20% | EP2006 Duration by Chemotherapy Toxicity: Cycle Level | 5.3 days | Standard Deviation 2.4 |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | EP2006 Duration by Prophylaxis Type: Cycle Level | 5.1 days | Standard Deviation 2.2 |
| EP2006: Female | EP2006 Duration by Prophylaxis Type: Cycle Level | 5.2 days | Standard Deviation 2.7 |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | EP2006 Duration by Tumor Type: Cycle Level | 5.14 days | Standard Deviation 2.24 |
| EP2006: Female | EP2006 Duration by Tumor Type: Cycle Level | 5.03 days | Standard Deviation 2.56 |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | EP2006 Treatment Duration in Any Cycle | 5.1 days | Standard Deviation 2.3 |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | EP2006 Treatment Duration in Cycle 1 | 5.2 days | Standard Deviation 2.2 |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | EP2006 Treatment Duration in Cycle 2 | 5.1 days | Standard Deviation 2.3 |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | EP2006 Treatment Duration in Cycle 3 | 5.2 days | Standard Deviation 2.3 |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | EP2006 Treatment Duration in Cycle 4 | 5.1 days | Standard Deviation 2.3 |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | EP2006 Treatment Duration in Cycle 5 | 5.1 days | Standard Deviation 2.4 |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | EP2006 Treatment Duration in Cycle 6 | 5.0 days | Standard Deviation 2.4 |
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).
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Fever and Infections Ever During the Study | Fever ever during study | 76 participants |
| EP2006 | Fever and Infections Ever During the Study | Infections ever during study | 231 participants |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | GCSF Congruence Score (GCS) | 2.5 scores on a scale | Standard Deviation 0.6 |
| EP2006: Female | GCSF Congruence Score (GCS) | 2.5 scores on a scale | Standard Deviation 0.6 |
| EP2006: Risk >20% | GCSF Congruence Score (GCS) | 2.5 scores on a scale | Standard Deviation 0.5 |
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)
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | GCSF Initiation Score (GIS) | GIS score 0 (%) | 15.9 Percent of participants |
| EP2006 | GCSF Initiation Score (GIS) | GIS score 0.50 (%) | 11.5 Percent of participants |
| EP2006 | GCSF Initiation Score (GIS) | GIS score 0.75 (%) | 16.6 Percent of participants |
| EP2006 | GCSF Initiation Score (GIS) | GIS score 1.0 (%) | 56.0 Percent of participants |
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).
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | GCSF Persistence Score (GPS) | GPS score 0 | 123 participants |
| EP2006 | GCSF Persistence Score (GPS) | GPS score 0.33 | 2 participants |
| EP2006 | GCSF Persistence Score (GPS) | GPS score 0.60 | 2 participants |
| EP2006 | GCSF Persistence Score (GPS) | GPS score 0.67 | 4 participants |
| EP2006 | GCSF Persistence Score (GPS) | GPS score 0.75 | 1 participants |
| EP2006 | GCSF Persistence Score (GPS) | GPS score 0.80 | 3 participants |
| EP2006 | GCSF Persistence Score (GPS) | GPS score 1 | 1157 participants |
| EP2006 | GCSF Persistence Score (GPS) | GPS score 0.50 | 3 participants |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| EP2006 | Incidence of CIN/FN-related Chemotherapy Disturbance by EP2006 Prophylaxis Type: Patient Level | 7.5 Percentage of participants |
| EP2006: Female | Incidence of CIN/FN-related Chemotherapy Disturbance by EP2006 Prophylaxis Type: Patient Level | 15.0 Percentage of participants |
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)
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient Level | FN | 5.2 percentage of participants |
| EP2006 | Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient Level | Composite^ | 24.7 percentage of participants |
| EP2006 | Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient Level | CIN/FN-related chemotherapy disturbance | 14.7 percentage of participants |
| EP2006 | Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient Level | CIN grade 4 | 12.0 percentage of participants |
| EP2006 | Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient Level | CIN/FN-related hospitalization | 8.0 percentage of participants |
| EP2006: Female | Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient Level | CIN grade 4 | 16.8 percentage of participants |
| EP2006: Female | Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient Level | FN | 8.0 percentage of participants |
| EP2006: Female | Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient Level | CIN/FN-related hospitalization | 7.1 percentage of participants |
| EP2006: Female | Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient Level | CIN/FN-related chemotherapy disturbance | 8.8 percentage of participants |
| EP2006: Female | Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient Level | Composite^ | 26.0 percentage of participants |
| EP2006: Risk >20% | Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient Level | CIN/FN-related hospitalization | 2.7 percentage of participants |
| EP2006: Risk >20% | Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient Level | CIN grade 4 | 6.4 percentage of participants |
| EP2006: Risk >20% | Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient Level | Composite^ | 13.0 percentage of participants |
| EP2006: Risk >20% | Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient Level | FN | 2.1 percentage of participants |
| EP2006: Risk >20% | Incidence of CIN/FN-related Hospitalization Outcomes by EP2006 Practice Patterns (Relative to Guidelines): Patient Level | CIN/FN-related chemotherapy disturbance | 7.7 percentage of participants |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| EP2006 | Incidence of CIN Grade 4 Episodes by EP2006 Dose: Patient Level | 11.3 percentage of participants |
| EP2006: Female | Incidence of CIN Grade 4 Episodes by EP2006 Dose: Patient Level | 15.9 percentage of participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Incidence of Outcomes | CIN grade 4 | 13.2 percentage of participants |
| EP2006 | Incidence of Outcomes | FN | 5.9 percentage of participants |
| EP2006 | Incidence of Outcomes | CIN/FN related Hospitalization | 6.1 percentage of participants |
| EP2006 | Incidence of Outcomes | CIN/FN-related chemotherapy disturbance | 9.5 percentage of participants |
| EP2006 | Incidence of Outcomes | Composite^ | 22.3 percentage of participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Incidence of Outcomes by Chemotherapy Risk: Patient Level | FN | 3.9 percentage of participants |
| EP2006 | Incidence of Outcomes by Chemotherapy Risk: Patient Level | CIN grade 4 | 7.8 percentage of participants |
| EP2006 | Incidence of Outcomes by Chemotherapy Risk: Patient Level | Composite^ | 16.9 percentage of participants |
| EP2006: Female | Incidence of Outcomes by Chemotherapy Risk: Patient Level | Composite^ | 20.9 percentage of participants |
| EP2006: Female | Incidence of Outcomes by Chemotherapy Risk: Patient Level | CIN grade 4 | 11.8 percentage of participants |
| EP2006: Female | Incidence of Outcomes by Chemotherapy Risk: Patient Level | FN | 3.5 percentage of participants |
| EP2006: Risk >20% | Incidence of Outcomes by Chemotherapy Risk: Patient Level | FN | 8.9 percentage of participants |
| EP2006: Risk >20% | Incidence of Outcomes by Chemotherapy Risk: Patient Level | Composite^ | 25.2 percentage of participants |
| EP2006: Risk >20% | Incidence of Outcomes by Chemotherapy Risk: Patient Level | CIN grade 4 | 15.9 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Incidence of Outcomes by Day of Study Drug Initiation: Cycle Level | CIN grade 4 | 3.1 percentage of participants |
| EP2006 | Incidence of Outcomes by Day of Study Drug Initiation: Cycle Level | FN | 1.0 percentage of participants |
| EP2006 | Incidence of Outcomes by Day of Study Drug Initiation: Cycle Level | Composite^ | 5.8 percentage of participants |
| EP2006: Female | Incidence of Outcomes by Day of Study Drug Initiation: Cycle Level | Composite^ | 5.4 percentage of participants |
| EP2006: Female | Incidence of Outcomes by Day of Study Drug Initiation: Cycle Level | FN | 1.2 percentage of participants |
| EP2006: Female | Incidence of Outcomes by Day of Study Drug Initiation: Cycle Level | CIN grade 4 | 2.8 percentage of participants |
| EP2006: Risk >20% | Incidence of Outcomes by Day of Study Drug Initiation: Cycle Level | CIN grade 4 | 7.3 percentage of participants |
| EP2006: Risk >20% | Incidence of Outcomes by Day of Study Drug Initiation: Cycle Level | FN | 2.1 percentage of participants |
| EP2006: Risk >20% | Incidence of Outcomes by Day of Study Drug Initiation: Cycle Level | Composite^ | 9.1 percentage of participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Incidence of Outcomes by Mean GIS: Patient Level | CIN grade 4 | 17.7 percentage of participants |
| EP2006 | Incidence of Outcomes by Mean GIS: Patient Level | Composite^ | 26.9 percentage of participants |
| EP2006: Female | Incidence of Outcomes by Mean GIS: Patient Level | CIN grade 4 | 17.5 percentage of participants |
| EP2006: Female | Incidence of Outcomes by Mean GIS: Patient Level | Composite^ | 24.7 percentage of participants |
| EP2006: Risk >20% | Incidence of Outcomes by Mean GIS: Patient Level | CIN grade 4 | 9.2 percentage of participants |
| EP2006: Risk >20% | Incidence of Outcomes by Mean GIS: Patient Level | Composite^ | 18.9 percentage of participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Incidence of Outcomes by Study Drug Duration: Cycle Level | CIN/FN-related chemotherapy disturbance | 2.0 percentage of participants |
| EP2006 | Incidence of Outcomes by Study Drug Duration: Cycle Level | FN | 1.2 percentage of participants |
| EP2006 | Incidence of Outcomes by Study Drug Duration: Cycle Level | Composite^ | 6.0 percentage of participants |
| EP2006 | Incidence of Outcomes by Study Drug Duration: Cycle Level | CIN grade 4 | 3.6 percentage of participants |
| EP2006: Female | Incidence of Outcomes by Study Drug Duration: Cycle Level | Composite^ | 5.8 percentage of participants |
| EP2006: Female | Incidence of Outcomes by Study Drug Duration: Cycle Level | CIN grade 4 | 3.9 percentage of participants |
| EP2006: Female | Incidence of Outcomes by Study Drug Duration: Cycle Level | FN | 1.2 percentage of participants |
| EP2006: Female | Incidence of Outcomes by Study Drug Duration: Cycle Level | CIN/FN-related chemotherapy disturbance | 2.1 percentage of participants |
| EP2006: Risk >20% | Incidence of Outcomes by Study Drug Duration: Cycle Level | CIN grade 4 | 5.5 percentage of participants |
| EP2006: Risk >20% | Incidence of Outcomes by Study Drug Duration: Cycle Level | Composite^ | 9.3 percentage of participants |
| EP2006: Risk >20% | Incidence of Outcomes by Study Drug Duration: Cycle Level | CIN/FN-related chemotherapy disturbance | 4.7 percentage of participants |
| EP2006: Risk >20% | Incidence of Outcomes by Study Drug Duration: Cycle Level | FN | 2.2 percentage of participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Incidence of Outcomes: Cycles Level | CIN/FN-related chemotherapy disturbance | 2.8 Percentage of participants |
| EP2006 | Incidence of Outcomes: Cycles Level | CIN grade 4 | 3.9 Percentage of participants |
| EP2006 | Incidence of Outcomes: Cycles Level | FN | 1.4 Percentage of participants |
| EP2006 | Incidence of Outcomes: Cycles Level | CIN/FN-related hospitalization | 1.5 Percentage of participants |
| EP2006 | Incidence of Outcomes: Cycles Level | Composite^ | 6.7 Percentage of participants |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| EP2006 | Number of Participants With All-cause Mortality by Any/no Grade 4 CIN and/or FN | 10 participants |
| EP2006: Female | Number of Participants With All-cause Mortality by Any/no Grade 4 CIN and/or FN | 46 participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| EP2006 | Number of Participants With All-cause Mortality by CIN/FN-related Chemotherapy Disturbance | 3 participants |
| EP2006: Female | Number of Participants With All-cause Mortality by CIN/FN-related Chemotherapy Disturbance | 53 participants |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| EP2006 | Number of Participants With Any CIN/FN-related Chemotherapy Disturbance by Prophylaxis Type | 78 participants |
| EP2006: Female | Number of Participants With Any CIN/FN-related Chemotherapy Disturbance by Prophylaxis Type | 60 participants |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| EP2006 | Number of Participants With Any CIN/FN-related Chemotherapy Disturbance by Treatment Decision | 37 participants |
| EP2006: Female | Number of Participants With Any CIN/FN-related Chemotherapy Disturbance by Treatment Decision | 72 participants |
| EP2006: Risk >20% | Number of Participants With Any CIN/FN-related Chemotherapy Disturbance by Treatment Decision | 29 participants |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| EP2006 | Number of Participants With Cancer-related Mortality by Any CIN/FN-related Chemotherapy Disturbance | 2 participants |
| EP2006: Female | Number of Participants With Cancer-related Mortality by Any CIN/FN-related Chemotherapy Disturbance | 33 participants |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| EP2006 | Number of Participants With Cancer-related Mortality by Any/no Grade 4 CIN or FN | 6 participants |
| EP2006: Female | Number of Participants With Cancer-related Mortality by Any/no Grade 4 CIN or FN | 29 participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Number of Patients by Cause of Death | Cause of death specified as unknown | 4 participants |
| EP2006 | Number of Patients by Cause of Death | Cause of death not documented | 2 participants |
| EP2006 | Number of Patients by Cause of Death | All cause | 61 participants |
| EP2006 | Number of Patients by Cause of Death | Cancer-related | 41 participants |
| EP2006 | Number of Patients by Cause of Death | Non-cancer related | 14 participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Number of Patients With CIN/FN Episodes: Patient Level | CIN any grade | 504 participants |
| EP2006 | Number of Patients With CIN/FN Episodes: Patient Level | CIN grade 3/4 | 332 participants |
| EP2006 | Number of Patients With CIN/FN Episodes: Patient Level | CIN grade 4 | 191 participants |
| EP2006 | Number of Patients With CIN/FN Episodes: Patient Level | FN | 86 participants |
| EP2006 | Number of Patients With CIN/FN Episodes: Patient Level | CIN/FN-related hospitalization | 88 participants |
| EP2006 | Number of Patients With CIN/FN Episodes: Patient Level | CIN/FN-related chemotherapy disturbance | 138 participants |
| EP2006 | Number of Patients With CIN/FN Episodes: Patient Level | Composite | 323 participants |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| EP2006 | Patient/Center-level Covariance Parameter Estimates of Absolute Neutrophil Count | 1185 participants |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | Patient Risk Score (PRS) for All Patients | 2.9 Scores on a scale | Standard Deviation 2 |
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
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | Patient Risk Score (PRS) for Patients Receiving Chemotherapy With 10-20% FN Risk by Tumor Type | 3.3 Scores on a scale | Standard Deviation 2 |
| EP2006: Female | Patient Risk Score (PRS) for Patients Receiving Chemotherapy With 10-20% FN Risk by Tumor Type | 3.2 Scores on a scale | Standard Deviation 1.9 |
| EP2006: Risk >20% | Patient Risk Score (PRS) for Patients Receiving Chemotherapy With 10-20% FN Risk by Tumor Type | 3.4 Scores on a scale | Standard Deviation 2.4 |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Patient Weight by Tumor Type (Solid Tumor vs. Hematological Tumor) | ≤65 kg | 441 participants |
| EP2006 | Patient Weight by Tumor Type (Solid Tumor vs. Hematological Tumor) | >65 kg | 676 participants |
| EP2006: Female | Patient Weight by Tumor Type (Solid Tumor vs. Hematological Tumor) | ≤65 kg | 135 participants |
| EP2006: Female | Patient Weight by Tumor Type (Solid Tumor vs. Hematological Tumor) | >65 kg | 195 participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Percentage of Patients With Each Chemotherapy Risk Score (CRS) Result by Tumor Type | Correctly or Over-treated (%) | 82.5 percentage of patients |
| EP2006 | Percentage of Patients With Each Chemotherapy Risk Score (CRS) Result by Tumor Type | Under-treated (%) | 17.3 percentage of patients |
| EP2006: Female | Percentage of Patients With Each Chemotherapy Risk Score (CRS) Result by Tumor Type | Correctly or Over-treated (%) | 83.7 percentage of patients |
| EP2006: Female | Percentage of Patients With Each Chemotherapy Risk Score (CRS) Result by Tumor Type | Under-treated (%) | 16.3 percentage of patients |
| EP2006: Risk >20% | Percentage of Patients With Each Chemotherapy Risk Score (CRS) Result by Tumor Type | Under-treated (%) | 21.0 percentage of patients |
| EP2006: Risk >20% | Percentage of Patients With Each Chemotherapy Risk Score (CRS) Result by Tumor Type | Correctly or Over-treated (%) | 79.0 percentage of patients |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Percentage of Patients With Each EORTC-identified Risk Factors for FN at Baseline | Advanced disease* | 13.7 percentage of participants |
| EP2006 | Percentage of Patients With Each EORTC-identified Risk Factors for FN at Baseline | History of FN | 1.9 percentage of participants |
| EP2006 | Percentage of Patients With Each EORTC-identified Risk Factors for FN at Baseline | No antibiotic prophylaxis | 87.8 percentage of participants |
| EP2006 | Percentage of Patients With Each EORTC-identified Risk Factors for FN at Baseline | Poor performance and/or nutritional status | 13.1 percentage of participants |
| EP2006 | Percentage of Patients With Each EORTC-identified Risk Factors for FN at Baseline | Female gender | 61.2 percentage of participants |
| EP2006 | Percentage of Patients With Each EORTC-identified Risk Factors for FN at Baseline | Age >=65 years | 41.3 percentage of participants |
| EP2006 | Percentage of Patients With Each EORTC-identified Risk Factors for FN at Baseline | Hb < 12 g/dL | 39.6 percentage of participants |
| EP2006 | Percentage of Patients With Each EORTC-identified Risk Factors for FN at Baseline | Renal, CV, or liver disease | 23.1 percentage of participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Percentage of Patients With Each EORTC-identified Risk Factors for FN in Patients With Chemotherapy Risk 10-20% at Baseline | No antibiotic prophylaxis | 91.3 percentage of patients |
| EP2006 | Percentage of Patients With Each EORTC-identified Risk Factors for FN in Patients With Chemotherapy Risk 10-20% at Baseline | Age >=65 years | 44.6 percentage of patients |
| EP2006 | Percentage of Patients With Each EORTC-identified Risk Factors for FN in Patients With Chemotherapy Risk 10-20% at Baseline | Advanced disease* | 20.8 percentage of patients |
| EP2006 | Percentage of Patients With Each EORTC-identified Risk Factors for FN in Patients With Chemotherapy Risk 10-20% at Baseline | History of FN | 2.0 percentage of patients |
| EP2006 | Percentage of Patients With Each EORTC-identified Risk Factors for FN in Patients With Chemotherapy Risk 10-20% at Baseline | Poor performance and/or nutritional status | 13.3 percentage of patients |
| EP2006 | Percentage of Patients With Each EORTC-identified Risk Factors for FN in Patients With Chemotherapy Risk 10-20% at Baseline | Female gender | 57.8 percentage of patients |
| EP2006 | Percentage of Patients With Each EORTC-identified Risk Factors for FN in Patients With Chemotherapy Risk 10-20% at Baseline | Hb < 12 g/dL | 45.9 percentage of patients |
| EP2006 | Percentage of Patients With Each EORTC-identified Risk Factors for FN in Patients With Chemotherapy Risk 10-20% at Baseline | Renal, CV, or liver disease | 26.9 percentage of patients |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN Risk | Primary prophylaxis: Correctly treated (%) | 35.0 percentage of participants |
| EP2006 | Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN Risk | Secondary prophylaxis: Correctly treated (%) | 0 percentage of participants |
| EP2006 | Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN Risk | Secondary prophylaxis: Over-treated (%) | 0 percentage of participants |
| EP2006 | Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN Risk | Secondary prophylaxis: Under-treated (%) | 9.3 percentage of participants |
| EP2006 | Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN Risk | Primary prophylaxis:Over-treated (%) | 0 percentage of participants |
| EP2006 | Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN Risk | Primary prophylaxis: Under-treated (%) | 0 percentage of participants |
| EP2006: Female | Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN Risk | Primary prophylaxis: Correctly treated (%) | 17.3 percentage of participants |
| EP2006: Female | Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN Risk | Secondary prophylaxis: Over-treated (%) | 3.5 percentage of participants |
| EP2006: Female | Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN Risk | Primary prophylaxis:Over-treated (%) | 13.0 percentage of participants |
| EP2006: Female | Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN Risk | Secondary prophylaxis: Correctly treated (%) | 3.1 percentage of participants |
| EP2006: Female | Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN Risk | Secondary prophylaxis: Under-treated (%) | 8.1 percentage of participants |
| EP2006: Female | Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN Risk | Primary prophylaxis: Under-treated (%) | 0 percentage of participants |
| EP2006: Risk >20% | Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN Risk | Secondary prophylaxis: Under-treated (%) | 0 percentage of participants |
| EP2006: Risk >20% | Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN Risk | Secondary prophylaxis: Over-treated (%) | 2.6 percentage of participants |
| EP2006: Risk >20% | Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN Risk | Primary prophylaxis: Correctly treated (%) | 0 percentage of participants |
| EP2006: Risk >20% | Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN Risk | Primary prophylaxis: Under-treated (%) | 0 percentage of participants |
| EP2006: Risk >20% | Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN Risk | Secondary prophylaxis: Correctly treated (%) | 1.2 percentage of participants |
| EP2006: Risk >20% | Percentage of Patients With Each Prophylaxis Decision by Chemotherapy-associated FN Risk | Primary prophylaxis:Over-treated (%) | 6.9 percentage of participants |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| EP2006 | Predictors of Absolute Neutrophil Count | 1185 participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Type of EP2006 Prophylaxis | Primary (initiated in cycle1) | 1046 participants |
| EP2006 | Type of EP2006 Prophylaxis | Secondary (initiated in cycle2 or later) | 401 participants |
| EP2006 | Type of EP2006 Prophylaxis | Delayed primary | 245 participants |
| EP2006 | Type of EP2006 Prophylaxis | True secondary | 156 participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Type of EP 2006 Prophylaxis by Age Group | Primary (initiated in cycle1) | 626 participants |
| EP2006 | Type of EP 2006 Prophylaxis by Age Group | Secondary, initiated in cycle2 or later | 223 participants |
| EP2006: Female | Type of EP 2006 Prophylaxis by Age Group | Primary (initiated in cycle1) | 420 participants |
| EP2006: Female | Type of EP 2006 Prophylaxis by Age Group | Secondary, initiated in cycle2 or later | 178 participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Type of EP2006 Prophylaxis by Gender | Primary (initiated in cycle1) | 397 participants |
| EP2006 | Type of EP2006 Prophylaxis by Gender | Secondary (initiated in cycle2 or later) | 164 participants |
| EP2006: Female | Type of EP2006 Prophylaxis by Gender | Primary (initiated in cycle1) | 649 participants |
| EP2006: Female | Type of EP2006 Prophylaxis by Gender | Secondary (initiated in cycle2 or later) | 237 participants |
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
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Type of EP 2006 Prophylaxis by Tumor Type | Primary (initiated in cycle1) | 801 participants |
| EP2006 | Type of EP 2006 Prophylaxis by Tumor Type | Secondary (initiated in ≥cycle2) | 316 participants |
| EP2006: Female | Type of EP 2006 Prophylaxis by Tumor Type | Primary (initiated in cycle1) | 245 participants |
| EP2006: Female | Type of EP 2006 Prophylaxis by Tumor Type | Secondary (initiated in ≥cycle2) | 85 participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Characteristics of Clusters: Cancer Stage | Cancer Stage IV | 681 participants |
| EP2006 | Characteristics of Clusters: Cancer Stage | Cancer Stage III | 511 participants |
| EP2006: Female | Characteristics of Clusters: Cancer Stage | Cancer Stage III | 12 participants |
| EP2006: Female | Characteristics of Clusters: Cancer Stage | Cancer Stage IV | 29 participants |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | Characteristics of Clusters: ECOG Performance Status | 0.75 Scores on a scale | Standard Deviation 0.72 |
| EP2006: Female | Characteristics of Clusters: ECOG Performance Status | 0.87 Scores on a scale | Standard Deviation 0.61 |
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.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| EP2006 | Characteristics of Clusters: Hemoglobin Study Start | 12.35 g/dL | Standard Deviation 1.8 |
| EP2006: Female | Characteristics of Clusters: Hemoglobin Study Start | 11.82 g/dL | Standard Deviation 1.86 |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Characteristics of Clusters: History of Antibiotic Use for CIN | No history for antibiotic use for CIN | 1190 participants |
| EP2006 | Characteristics of Clusters: History of Antibiotic Use for CIN | History for antibiotic use for CIN (Yes) | 2 participants |
| EP2006: Female | Characteristics of Clusters: History of Antibiotic Use for CIN | No history for antibiotic use for CIN | 17 participants |
| EP2006: Female | Characteristics of Clusters: History of Antibiotic Use for CIN | History for antibiotic use for CIN (Yes) | 24 participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Characteristics of Clusters: Liver, Renal and/or Cardiovascular Disease | No Liver, renal and/or cardiovascular disease | 931 participants |
| EP2006 | Characteristics of Clusters: Liver, Renal and/or Cardiovascular Disease | Liver, renal and/or cardiovascular disease (Yes) | 261 participants |
| EP2006: Female | Characteristics of Clusters: Liver, Renal and/or Cardiovascular Disease | No Liver, renal and/or cardiovascular disease | 19 participants |
| EP2006: Female | Characteristics of Clusters: Liver, Renal and/or Cardiovascular Disease | Liver, renal and/or cardiovascular disease (Yes) | 22 participants |
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).
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| EP2006 | Cohort Identification | EP2006 - Group 1 | 1192 participants |
| EP2006 | Cohort Identification | EP2006 - Group 2 | 43 participants |
| EP2006 | Cohort Identification | Missing | 212 participants |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| EP2006 | Modeling CIN/FN-related Chemotherapy Disturbance: Cycle Level | 174 cycles |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| EP2006 | Modeling CIN/FN-related Chemotherapy Disturbance: Patient Level (Patient-level Predictors) | 138 cycles |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| EP2006 | Modeling CIN/FN-related Hospitalization: Cycle Level | 111 cycles |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| EP2006 | Modeling CIN/FN-related Hospitalization: Patient Level | 88 participants |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| EP2006 | Modeling Composite Outcome (Any of CIN Grade 4, FN, CIN/FN-related Hospitalization, CIN/FN-related Chemotherapy Disturbance): Cycle Level | 507 cycles |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| EP2006 | Modeling Composite Outcome (Any of CIN Grade 4, FN, CIN/FN-related Hospitalization, CIN/FN-related Chemotherapy Disturbance): Patient Level | 323 participants |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| EP2006 | Modeling FN Episode: Cycle Level | 105 cycles |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| EP2006 | Modeling FN Episode: Patient Level | 86 participants |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| EP2006 | Modeling Grade 4 CIN Episode: Cycle Level | 294 cycles |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| EP2006 | Modeling Grade 4 CIN Episode: Patient Level | 191 participants |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| EP2006 | Patient-level Predictor for Cancer-related Mortality | 1385 participants |
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
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| EP2006 | Patient-level Predictors for All-cause Mortality | 1272 participants |