Non-Hodgkin's Lymphoma
Conditions
Brief summary
This study will assess the prophylactic effect of pegfilgrastim (Neulastim) on febrile and/or Grade IV neutropenia in participants receiving chemotherapy (CT) or immunochemotherapy (ICT) as first or second line treatment for NHL. Pegfilgrastim will be administered at a fixed dose of 6 milligrams (mg) subcutaneously 24 hours after the last dose of CT or ICT in each treatment cycle.
Interventions
Pegfilgrastim will be administered at a fixed dose of 6 mg subcutaneously 24 hours after the last dose of CT or ICT is received for 6 cycles.
The choice of CT will be as per standard of care and protocol does not specify any particular CT drug.
The choice of ICT will be as per standard of care and protocol does not specify any particular ICT drug.
Sponsors
Study design
Eligibility
Inclusion criteria
* NHL supported by an Immunohistochemical report * Eastern Cooperative Oncology Group (ECOG) performance status greater than or equal to (\>/=) 2 * Total serum bilirubin less than (\<) 2 times upper limit of normal (ULN) * Absolute neutrophil count (ANC) greater than (\>) 2 x10\^9 per liter (/L)
Exclusion criteria
* Bone marrow compromised \> 10 percent (%) * Any malignant myeloid condition * Active infections requiring systemic anti-infectious therapies (antibiotics, antifungal drugs, antiviral drugs) within 72 hours prior to CT or ICT initiation * Known hypersensitivity reactions to Escherichia coli derived products * Pregnant or nursing participants. Women with childbearing potential should use a safe contraceptive method
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of Participants with Febrile Neutropenia (Absolute Neutrophil Count [ANC] <0.5x10^9/L and Temperature ≥38 degrees Celsius) And/Or Grade IV Neutropenia (ANC<0.5x10^9/L) in Cycle 1 | Cycle 1 (Up to 21 days) |
Secondary
| Measure | Time frame |
|---|---|
| Percentage of Participants with Febrile Neutropenia (ANC <0.5x10^9/L and temperature ≥38 degrees Celsius) And/Or Grade IV Neutropenia (ANC<0.5x10^9/L) in Cycles 2 to 6 | Cycles 2 to 6 (Up to 105 days) |
| Percentage of Participants with Adverse Events | up to approximately 1.5 years |
Countries
Colombia, Mexico