Chemotherapy Induced Neutropenia
Conditions
Keywords
PEG-G-CSF
Brief summary
This study is to determine whether once-per-cycle DA-3031(PEG-G-CSF) is not inferior to daily G-CSF in chemotherapy-induced neutropenia.
Detailed description
Eligible subjects are randomly assigned to receive once-per-cycle DA-3031(PEG-G-CSF) or daily G-CSF(up to 10 days). This study is conducted for 6 cycles of chemotherapy, that each cycle is repeated every 21 days.
Interventions
Prefilled syringe, 6mg/day, single dosing per cycle, for 6 cycle
Vial, 100ug/m2/day, multiple dosing per cycle(daily administration, up to 10 days), for 6 cycle
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age : ≥18, ≤70 2. Diagnosis of stage II, III or IV breast cancer 3. ANC≥1,500/mm3, Platelet≥100,000/mm3, ECOG : 0 or 1 4. Creatinine \< 1.5 x ULN 5. Total bilirubin/AST/ALT \< 1.5 x ULN, ALP \< 2.5 x ULN 6. Have given a written, informed consent
Exclusion criteria
1. Prior chemotherapy 2. Prior bone marrow or stem cell transplantation 3. Other malignancy history within 5 years 4. Prior exposure to pegfilgrastim or filgrastim or other colony-stimulating factors 5. Received any other investigational drugs within 30 days of informed consent date 6. Radiation therapy within 4 weeks of informed consent date 7. Infective symptom before chemotherapy into this study 8. Received systemic antibiotics within 72 hours of randomization into this study. 9. HIV positive 10. Pregnant or lactating women
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Duration of grade 4 neutropenia in cycle 1 | 21 day | Grade 4 neutropenia means the ANC count is less than 500/mm3. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ANC nadir in cycle 1 | 21 day | ANC nadir means the lowest point of ANC count. |
| Time to ANC recovery in cycle 1 | 21 day | ANC recovery means the ANC count is more than 2,000/mm3. |
| Incidence of febrile neutropenia | 126 day | Febrile neutropenia means the ANC count is less than 1,000/mm3 and body temperature is more than 38.3 degrees celsius. |
| Incidence of IV antibiotics administration | 126 day | IV antibiotics administration means that antibiotics are administered through intravenous route. |
Countries
South Korea