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Home Administration of NivestimTM in the Primary Prophylaxis of Chemotherapy-Induced Febrile Neutropenia

Home Administration Of Nivestim(tm) In The Primary Prophylaxis Of Chemotherapy- Induced Febrile Neutropenia Non-interventional, Observational, Prospective Study Short Name: Home Short Name: Home

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT02956967
Enrollment
171
Registered
2016-11-07
Start date
2015-09-23
Completion date
2016-12-12
Last updated
2019-02-11

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

Conditions

Non-Interventional Study

Keywords

Non-Interventional Study

Brief summary

Non-interventional, non-comparative, national, multi-site, single-arm prospective observational study to investigate home administration of Nivestim in the primary prophylaxis of chemotherapy-Induced febrile neutropenia

Interventions

OTHEROverall satisfaction questionnaires of home use of Nivestim

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

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

Inclusion criteria

* Male and female patients ≥ 18 years * Declaration of informed consent signed by patient * Patients with a solid tumour or with a malignant haematological tumour * Patients who have been prescribed cytotoxic chemotherapy, irrespective of current cycle * GCSF-naïve patients or patients pre-treated with GCSF who received no GCSF in the last three months before enrolment * Patients starting primary prophylactic treatment using NivestimTM either to shorten the duration of a neutropenia or to prevent the occurrence of chemotherapy-induced FN

Exclusion criteria

* Patients with chronic myeloid leukaemia (CML) or with myelodysplastic syndrome (MDS) * Patients who are hypersensitive to one of the excipients of NivestimTM * Patients not undergoing chemotherapy * Patients being treated curatively or as secondary prophylaxis with G-CSF

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Response to Study TreatmentBaseline up to 6 months
Percentage of Participants With Any Significant ComorbiditiesBaseline (Day 1)Comorbidities included ongoing cardiovascular diseases, liver failure, psychological disorders, respiratory disease, viral infections and other infections (respiratory tract, systemic, uro-genital). Percentage of participants with any ongoing comorbidities were reported in this outcome measure.
Percentage of Participants With Different Types of Haematological MalignanciesBaseline (Day 1)Different types of Haematological malignancies included Hodgkin's lymphoma, leukemia (chronic lymphocytic leukemia), non-Hodgkin's lymphoma and other stem cell transformations. Percentage of participants with different type of ongoing haematological malignancies were reported in this outcome measure.
Percentage of Participants With Different Types of Solid TumourBaseline (Day 1)Different types of solid tumour included tumour of a) Digestive organs such as colon, oesophagus, pancreas, stomach tumour b) Gynaecological organs such as breast, endometrium, ovaries tumour c) Lung organs such as non-small cell lung cancer and small cell lung cancer d) Urological organs such as bladder, prostate gland, testicles tumour e) other organ tumours. Percentage of participants with different types of ongoing solid tumour were reported in this outcome measure.
Duration of Solid Tumour in Participants Prior to Enrolment in StudyBaseline (Day 1)Time from diagnosis of any previous solid tumour in participants up to the enrolment in the study was recorded at baseline and reported in this outcome measure.
Number of Participants Who Received Chemotherapy Prior to Enrolment in StudyBaseline (Day 1)
Duration of Different Types of Chemotherapies Received by Participants During StudyBaseline up to 6 months

Secondary

MeasureTime frameDescription
Change From Baseline in Absolute Neutrophil Count at Cycle 1, 2, 3, 4, 5 and 6Baseline, Cycle 1, 2, 3, 4, 5, 6
Minimum Value of Absolute Neutrophil CountCycle 1, 2, 3, 4, 5, 6
Absolute Neutrophil Count at the Last Visit During Each Treatment CycleEnd of study visit of Cycle 1, 2, 3, 4, 5, 6 (maximum up to Month 6)
Duration From Minimum Value of Absolute Neutrophil Count to the Absolute Neutrophil CountCycle 1, 2, 3, 4, 5, 6
Percentage of Participants With Febrile NeutropeniaBaseline up to 6 monthsGrade 3/4 febrile neutropenia is defined as a temperature of greater than or equal to (\>=) 38.0 degree Celsius and absolute neutrophil count of less than (\<) 1.0 × 10\^9 Neutrophils per Liter.
Difference Between Minimum Value of Absolute Neutrophil Count and Absolute Neutrophil CountCycle 1, 2, 3, 4, 5, 6
Participants' Overall Satisfaction Scores in Response to the Study TreatmentBaseline up to 6 monthsParticipants rated the overall satisfaction with Nivestim as part of a questionnaire. The participants were asked to complete the questionnaire at three time points (any 3 time points during the study duration of 6 months). The data from all the three time points was summarized and reported collectively in this outcome measure. The satisfaction was rated on a scale ranging from 1 (minimum score) to 6 (maximum score), where higher scores indicated dissatisfaction with the treatment. For this outcome measure, the within-participant average scores are summarized.
Participant's Assessment for Nivestim PackagingBaseline up to 6 monthsParticipants evaluated the packaging of Nivestim as part of a questionnaire. The packaging was rated under the 2 available categories as either easy or complicated. The participants were asked to complete the questionnaire at three time points (any 3 time points during the study duration of 6 months). The data from all the three time points was summarized and reported collectively in this outcome measure. For this outcome measure, the total number of participants in each answer category at at least one of the time points is displayed, that is participants who provided different ratings at the individual time points are included in more than one answer category in this summary.
Participant's Assessment of Injection Site Pain and TolerabilityBaseline up to 6 monthsParticipants evaluated the injection site pain and the injection site tolerability of the treatment as part of a questionnaire. The injection site pain was rated under the 5 available categories as: Did not feel anything, did not feel much, light stitch, painful and very painful. Injection site tolerability was also rated under the 5 available categories as: Very good, good, satisfactory, did not tolerate well, did not tolerate at all.The participants were asked to complete the questionnaire at three time points (any 3 time points during the study duration of 6 months). The data from all the three time points was summarized and reported collectively in this outcome measure. For both the injection site pain and tolerability, the total number of participants in each answer category at at least one of the time points is displayed, that is participants who provided different ratings at the individual time points are included in more than one answer category for each of them.
Participant's Assessment of Overall Tolerability of Subcutaneous InjectionBaseline up to 6 monthsParticipants evaluated the overall tolerability of subcutaneous injection of treatment as part of a questionnaire. The tolerability was rated under the 5 categories as: Very good, good, satisfactory, did not tolerate well, did not tolerate at all. The participants were asked to complete the questionnaire at three time points (any 3 time points during the study duration of 6 months). The data from all the three time points was summarized and reported collectively in this outcome measure. For this outcome measure, the total number of participants in each answer category at at least one of the time points is displayed, that is participants who provided different ratings at the individual time points are included in more than one answer category in this summary.
Percentage of Participants With NeutropeniaBaseline up to 6 monthsPercentage of participants with absolute neutrophil count (greater than)\>0.5\*10\^9 Neutrophils per Liter were reported in this outcome measure.
Percentage of Participants With at Least One Infection and Serious InfectionBaseline up to 6 monthsInfections included bronchitis, upper respiratory tract infection, cystitis, herpes virus infection, influenza, lung infection, oral candidiasis, skin infection and vulvovaginal mycotic infection. Serious Infections included serious adverse events resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.

Other

MeasureTime frameDescription
Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)Baseline up to 6 monthsAn AE was any untoward medical occurrence in a participant who received study treatment without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability or incapacity; cancer; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 6 months that were absent before treatment or that worsened relative to pretreatment state. AEs included both serious and non-serious.

Countries

Germany

Participant flow

Participants by arm

ArmCount
Nivestim
Participants with an ongoing malignant solid or haematological tumour undergoing cytotoxic chemotherapy and treated prophylactically with subcutaneous Nivestim up to a maximum dose of 48 mcg/day as per the physician's decision were observed for up to a maximum duration of 6 months in this study. The median duration of treatment cycles was 21 days.
171
Total171

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event3
Overall StudyLost to Follow-up5
Overall StudyMissing1
Overall StudyReason non-related to neutropenia10
Overall StudyTermination of Nivestim administration29

Baseline characteristics

CharacteristicNivestim
Age, Continuous59.3 years
STANDARD_DEVIATION 11.36
Sex: Female, Male
Female
143 Participants
Sex: Female, Male
Male
28 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 171
other
Total, other adverse events
74 / 171
serious
Total, serious adverse events
16 / 171

Outcome results

Primary

Duration of Different Types of Chemotherapies Received by Participants During Study

Time frame: Baseline up to 6 months

Population: The data for this outcome measure was not collected as it was not planned to be analyzed as prespecified in protocol.

Primary

Duration of Solid Tumour in Participants Prior to Enrolment in Study

Time from diagnosis of any previous solid tumour in participants up to the enrolment in the study was recorded at baseline and reported in this outcome measure.

Time frame: Baseline (Day 1)

Population: Full analysis set included all participants with at least one dose of Nivestim documented in eCRF. Here, N (Number of participants analyzed) signifies those participants who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
NivestimDuration of Solid Tumour in Participants Prior to Enrolment in Study1.0 yearsStandard Deviation 2.86
Primary

Number of Participants Who Received Chemotherapy Prior to Enrolment in Study

Time frame: Baseline (Day 1)

Population: Full analysis set included all participants with at least one dose of Nivestim documented in eCRF.

ArmMeasureValue (NUMBER)
NivestimNumber of Participants Who Received Chemotherapy Prior to Enrolment in Study51 participants
Primary

Percentage of Participants With Any Significant Comorbidities

Comorbidities included ongoing cardiovascular diseases, liver failure, psychological disorders, respiratory disease, viral infections and other infections (respiratory tract, systemic, uro-genital). Percentage of participants with any ongoing comorbidities were reported in this outcome measure.

Time frame: Baseline (Day 1)

Population: Full analysis set included all participants with at least one dose of Nivestim documented in eCRF.

ArmMeasureValue (NUMBER)
NivestimPercentage of Participants With Any Significant Comorbidities42.7 percentage of participants
Primary

Percentage of Participants With Different Types of Haematological Malignancies

Different types of Haematological malignancies included Hodgkin's lymphoma, leukemia (chronic lymphocytic leukemia), non-Hodgkin's lymphoma and other stem cell transformations. Percentage of participants with different type of ongoing haematological malignancies were reported in this outcome measure.

Time frame: Baseline (Day 1)

Population: Full analysis set included all participants with at least one dose of Nivestim documented in eCRF.

ArmMeasureGroupValue (NUMBER)
NivestimPercentage of Participants With Different Types of Haematological MalignanciesNon-Hodgkin's lymphoma1.8 percentage of participants
NivestimPercentage of Participants With Different Types of Haematological MalignanciesHodgkin's lymphoma0.6 percentage of participants
NivestimPercentage of Participants With Different Types of Haematological MalignanciesLeukemia1.2 percentage of participants
NivestimPercentage of Participants With Different Types of Haematological MalignanciesOther stem cell transformations1.2 percentage of participants
Primary

Percentage of Participants With Different Types of Solid Tumour

Different types of solid tumour included tumour of a) Digestive organs such as colon, oesophagus, pancreas, stomach tumour b) Gynaecological organs such as breast, endometrium, ovaries tumour c) Lung organs such as non-small cell lung cancer and small cell lung cancer d) Urological organs such as bladder, prostate gland, testicles tumour e) other organ tumours. Percentage of participants with different types of ongoing solid tumour were reported in this outcome measure.

Time frame: Baseline (Day 1)

Population: Full analysis set included all participants with at least one dose of Nivestim documented in eCRF.

ArmMeasureGroupValue (NUMBER)
NivestimPercentage of Participants With Different Types of Solid TumourDigestive organ: Stomach Tumour1.2 percentage of participants
NivestimPercentage of Participants With Different Types of Solid TumourDigestive organ: Colon/Rectum Tumour3.5 percentage of participants
NivestimPercentage of Participants With Different Types of Solid TumourDigestive organ: Oesophageal Tumour1.2 percentage of participants
NivestimPercentage of Participants With Different Types of Solid TumourDigestive organ: Pancreatic Tumour3.5 percentage of participants
NivestimPercentage of Participants With Different Types of Solid TumourGynaecological: Breast Tumour66.7 percentage of participants
NivestimPercentage of Participants With Different Types of Solid TumourGynaecological: Endometrial Tumour1.2 percentage of participants
NivestimPercentage of Participants With Different Types of Solid TumourGynaecological: Ovarian Tumour4.1 percentage of participants
NivestimPercentage of Participants With Different Types of Solid TumourLungs: Non-small cell lung cancer3.5 percentage of participants
NivestimPercentage of Participants With Different Types of Solid TumourLungs: Small cell lung cancer1.8 percentage of participants
NivestimPercentage of Participants With Different Types of Solid TumourUrological: Bladder Tumour0.6 percentage of participants
NivestimPercentage of Participants With Different Types of Solid TumourUrological: Prostate Gland Tumour2.9 percentage of participants
NivestimPercentage of Participants With Different Types of Solid TumourUrological: Testicles Tumour0.6 percentage of participants
NivestimPercentage of Participants With Different Types of Solid TumourOther organ Tumour4.1 percentage of participants
Primary

Percentage of Participants With Response to Study Treatment

Time frame: Baseline up to 6 months

Population: The data for this outcome measure was not collected as it was not planned to be analyzed as prespecified in protocol.

Secondary

Absolute Neutrophil Count at the Last Visit During Each Treatment Cycle

Time frame: End of study visit of Cycle 1, 2, 3, 4, 5, 6 (maximum up to Month 6)

Population: Full analysis set included all participants with at least one dose of Nivestim documented in eCRF. Here, n signifies those participants who were evaluable at specified time points only.

ArmMeasureGroupValue (MEAN)Dispersion
NivestimAbsolute Neutrophil Count at the Last Visit During Each Treatment CycleCycle 18.22 10^9 Neutrophils per LiterStandard Deviation 9.874
NivestimAbsolute Neutrophil Count at the Last Visit During Each Treatment CycleCycle 26.50 10^9 Neutrophils per LiterStandard Deviation 6.297
NivestimAbsolute Neutrophil Count at the Last Visit During Each Treatment CycleCycle 36.52 10^9 Neutrophils per LiterStandard Deviation 7.57
NivestimAbsolute Neutrophil Count at the Last Visit During Each Treatment CycleCycle 41.78 10^9 Neutrophils per LiterStandard Deviation 0.873
NivestimAbsolute Neutrophil Count at the Last Visit During Each Treatment CycleCycle 50.70 10^9 Neutrophils per Liter
NivestimAbsolute Neutrophil Count at the Last Visit During Each Treatment CycleCycle 646.15 10^9 Neutrophils per LiterStandard Deviation 51.831
Secondary

Change From Baseline in Absolute Neutrophil Count at Cycle 1, 2, 3, 4, 5 and 6

Time frame: Baseline, Cycle 1, 2, 3, 4, 5, 6

Population: Full analysis set included all participants with at least one dose of Nivestim documented in eCRF. Here, number analyzed (n) signifies those participants who were evaluable at specified time points only.

ArmMeasureGroupValue (MEAN)Dispersion
NivestimChange From Baseline in Absolute Neutrophil Count at Cycle 1, 2, 3, 4, 5 and 6Baseline3.36 10^9 Neutrophils per LiterStandard Deviation 3.005
NivestimChange From Baseline in Absolute Neutrophil Count at Cycle 1, 2, 3, 4, 5 and 6Change at Cycle 1-0.03 10^9 Neutrophils per LiterStandard Deviation 0.528
NivestimChange From Baseline in Absolute Neutrophil Count at Cycle 1, 2, 3, 4, 5 and 6Change at Cycle 21.76 10^9 Neutrophils per LiterStandard Deviation 5.304
NivestimChange From Baseline in Absolute Neutrophil Count at Cycle 1, 2, 3, 4, 5 and 6Change at Cycle 31.35 10^9 Neutrophils per LiterStandard Deviation 4.787
NivestimChange From Baseline in Absolute Neutrophil Count at Cycle 1, 2, 3, 4, 5 and 6Change at Cycle 43.49 10^9 Neutrophils per LiterStandard Deviation 1.924
NivestimChange From Baseline in Absolute Neutrophil Count at Cycle 1, 2, 3, 4, 5 and 6Change at Cycle 54.50 10^9 Neutrophils per LiterStandard Deviation 4.107
NivestimChange From Baseline in Absolute Neutrophil Count at Cycle 1, 2, 3, 4, 5 and 6Change at Cycle 61.00 10^9 Neutrophils per LiterStandard Deviation 1.556
Secondary

Difference Between Minimum Value of Absolute Neutrophil Count and Absolute Neutrophil Count

Time frame: Cycle 1, 2, 3, 4, 5, 6

Population: Full analysis set included all participants with at least one dose of Nivestim documented in eCRF. Here, n signifies those participants who were evaluable at specified time points only.

ArmMeasureGroupValue (MEAN)Dispersion
NivestimDifference Between Minimum Value of Absolute Neutrophil Count and Absolute Neutrophil CountCycle 16.18 10^9 Neutrophils per LiterStandard Deviation 9.548
NivestimDifference Between Minimum Value of Absolute Neutrophil Count and Absolute Neutrophil CountCycle 23.26 10^9 Neutrophils per LiterStandard Deviation 5.872
NivestimDifference Between Minimum Value of Absolute Neutrophil Count and Absolute Neutrophil CountCycle 33.70 10^9 Neutrophils per LiterStandard Deviation 7.45
NivestimDifference Between Minimum Value of Absolute Neutrophil Count and Absolute Neutrophil CountCycle 4-3.13 10^9 Neutrophils per LiterStandard Deviation 2.653
NivestimDifference Between Minimum Value of Absolute Neutrophil Count and Absolute Neutrophil CountCycle 5-8.50 10^9 Neutrophils per Liter
NivestimDifference Between Minimum Value of Absolute Neutrophil Count and Absolute Neutrophil CountCycle 642.00 10^9 Neutrophils per LiterStandard Deviation 52.184
Secondary

Duration From Minimum Value of Absolute Neutrophil Count to the Absolute Neutrophil Count

Time frame: Cycle 1, 2, 3, 4, 5, 6

Population: Full analysis set included all participants with at least one dose of Nivestim documented in eCRF. Here, n signifies those participants who were evaluable at specified time points only.

ArmMeasureGroupValue (MEDIAN)
NivestimDuration From Minimum Value of Absolute Neutrophil Count to the Absolute Neutrophil CountCycle 15.0 days
NivestimDuration From Minimum Value of Absolute Neutrophil Count to the Absolute Neutrophil CountCycle 24.0 days
NivestimDuration From Minimum Value of Absolute Neutrophil Count to the Absolute Neutrophil CountCycle 34.0 days
NivestimDuration From Minimum Value of Absolute Neutrophil Count to the Absolute Neutrophil CountCycle 46.0 days
NivestimDuration From Minimum Value of Absolute Neutrophil Count to the Absolute Neutrophil CountCycle 59.0 days
NivestimDuration From Minimum Value of Absolute Neutrophil Count to the Absolute Neutrophil CountCycle 65.5 days
Secondary

Minimum Value of Absolute Neutrophil Count

Time frame: Cycle 1, 2, 3, 4, 5, 6

Population: Full analysis set included all participants with at least one dose of Nivestim documented in eCRF. Here, n signifies those participants who were evaluable at specified time points only.

ArmMeasureGroupValue (MEAN)Dispersion
NivestimMinimum Value of Absolute Neutrophil CountCycle 12.49 10^9 Neutrophils per LiterStandard Deviation 3.271
NivestimMinimum Value of Absolute Neutrophil CountCycle 23.12 10^9 Neutrophils per LiterStandard Deviation 3.485
NivestimMinimum Value of Absolute Neutrophil CountCycle 32.95 10^9 Neutrophils per LiterStandard Deviation 3.015
NivestimMinimum Value of Absolute Neutrophil CountCycle 44.90 10^9 Neutrophils per LiterStandard Deviation 1.941
NivestimMinimum Value of Absolute Neutrophil CountCycle 59.20 10^9 Neutrophils per Liter
NivestimMinimum Value of Absolute Neutrophil CountCycle 64.15 10^9 Neutrophils per LiterStandard Deviation 0.354
Secondary

Participant's Assessment for Nivestim Packaging

Participants evaluated the packaging of Nivestim as part of a questionnaire. The packaging was rated under the 2 available categories as either easy or complicated. The participants were asked to complete the questionnaire at three time points (any 3 time points during the study duration of 6 months). The data from all the three time points was summarized and reported collectively in this outcome measure. For this outcome measure, the total number of participants in each answer category at at least one of the time points is displayed, that is participants who provided different ratings at the individual time points are included in more than one answer category in this summary.

Time frame: Baseline up to 6 months

Population: Full analysis set included all participants with at least one dose of Nivestim documented in eCRF. Here, N signifies those participants who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
NivestimParticipant's Assessment for Nivestim PackagingEasy144 participants
NivestimParticipant's Assessment for Nivestim PackagingComplicated4 participants
NivestimParticipant's Assessment for Nivestim PackagingMissing21 participants
Secondary

Participant's Assessment of Injection Site Pain and Tolerability

Participants evaluated the injection site pain and the injection site tolerability of the treatment as part of a questionnaire. The injection site pain was rated under the 5 available categories as: Did not feel anything, did not feel much, light stitch, painful and very painful. Injection site tolerability was also rated under the 5 available categories as: Very good, good, satisfactory, did not tolerate well, did not tolerate at all.The participants were asked to complete the questionnaire at three time points (any 3 time points during the study duration of 6 months). The data from all the three time points was summarized and reported collectively in this outcome measure. For both the injection site pain and tolerability, the total number of participants in each answer category at at least one of the time points is displayed, that is participants who provided different ratings at the individual time points are included in more than one answer category for each of them.

Time frame: Baseline up to 6 months

Population: Full analysis set included all participants with at least one dose of Nivestim documented in eCRF. Here, N signifies those participants who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
NivestimParticipant's Assessment of Injection Site Pain and TolerabilityInjection Site Pain: Did not feel anything53 participants
NivestimParticipant's Assessment of Injection Site Pain and TolerabilityInjection Site Pain: Did not feel much128 participants
NivestimParticipant's Assessment of Injection Site Pain and TolerabilityInjection Site Pain: Light stitch42 participants
NivestimParticipant's Assessment of Injection Site Pain and TolerabilityInjection Site Pain: Painful4 participants
NivestimParticipant's Assessment of Injection Site Pain and TolerabilityInjection Site Pain: Very painful0 participants
NivestimParticipant's Assessment of Injection Site Pain and TolerabilityTolerability: Very good107 participants
NivestimParticipant's Assessment of Injection Site Pain and TolerabilityTolerability: Good106 participants
NivestimParticipant's Assessment of Injection Site Pain and TolerabilityTolerability: Satisfactory12 participants
NivestimParticipant's Assessment of Injection Site Pain and TolerabilityTolerability: Did not tolerate well4 participants
NivestimParticipant's Assessment of Injection Site Pain and TolerabilityTolerability: Did not tolerate at all0 participants
Secondary

Participant's Assessment of Overall Tolerability of Subcutaneous Injection

Participants evaluated the overall tolerability of subcutaneous injection of treatment as part of a questionnaire. The tolerability was rated under the 5 categories as: Very good, good, satisfactory, did not tolerate well, did not tolerate at all. The participants were asked to complete the questionnaire at three time points (any 3 time points during the study duration of 6 months). The data from all the three time points was summarized and reported collectively in this outcome measure. For this outcome measure, the total number of participants in each answer category at at least one of the time points is displayed, that is participants who provided different ratings at the individual time points are included in more than one answer category in this summary.

Time frame: Baseline up to 6 months

Population: Full analysis set included all participants with at least one dose of Nivestim documented in eCRF. Here, N signifies those participants who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
NivestimParticipant's Assessment of Overall Tolerability of Subcutaneous InjectionDid not tolerate well14 participants
NivestimParticipant's Assessment of Overall Tolerability of Subcutaneous InjectionGood117 participants
NivestimParticipant's Assessment of Overall Tolerability of Subcutaneous InjectionVery good75 participants
NivestimParticipant's Assessment of Overall Tolerability of Subcutaneous InjectionSatisfactory20 participants
NivestimParticipant's Assessment of Overall Tolerability of Subcutaneous InjectionDid not tolerate at all3 participants
Secondary

Participants' Overall Satisfaction Scores in Response to the Study Treatment

Participants rated the overall satisfaction with Nivestim as part of a questionnaire. The participants were asked to complete the questionnaire at three time points (any 3 time points during the study duration of 6 months). The data from all the three time points was summarized and reported collectively in this outcome measure. The satisfaction was rated on a scale ranging from 1 (minimum score) to 6 (maximum score), where higher scores indicated dissatisfaction with the treatment. For this outcome measure, the within-participant average scores are summarized.

Time frame: Baseline up to 6 months

Population: Full analysis set included all participants with at least one dose of Nivestim documented in eCRF. Here, N signifies those participants who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
NivestimParticipants' Overall Satisfaction Scores in Response to the Study Treatment1.9 units on a scaleStandard Deviation 0.85
Secondary

Percentage of Participants With at Least One Infection and Serious Infection

Infections included bronchitis, upper respiratory tract infection, cystitis, herpes virus infection, influenza, lung infection, oral candidiasis, skin infection and vulvovaginal mycotic infection. Serious Infections included serious adverse events resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.

Time frame: Baseline up to 6 months

Population: Full analysis set included all participants with at least one dose of Nivestim documented in eCRF.

ArmMeasureGroupValue (NUMBER)
NivestimPercentage of Participants With at Least One Infection and Serious InfectionInfection8.2 percentage of participants
NivestimPercentage of Participants With at Least One Infection and Serious InfectionSerious Infection1.8 percentage of participants
Secondary

Percentage of Participants With Febrile Neutropenia

Grade 3/4 febrile neutropenia is defined as a temperature of greater than or equal to (\>=) 38.0 degree Celsius and absolute neutrophil count of less than (\<) 1.0 × 10\^9 Neutrophils per Liter.

Time frame: Baseline up to 6 months

Population: Full analysis set included all participants with at least one dose of Nivestim documented in eCRF.

ArmMeasureValue (NUMBER)
NivestimPercentage of Participants With Febrile Neutropenia0.6 percentage of participants
Secondary

Percentage of Participants With Neutropenia

Percentage of participants with absolute neutrophil count (greater than)\>0.5\*10\^9 Neutrophils per Liter were reported in this outcome measure.

Time frame: Baseline up to 6 months

Population: Full analysis set included all participants with at least one dose of Nivestim documented in eCRF.

ArmMeasureValue (NUMBER)
NivestimPercentage of Participants With Neutropenia0.0 percentage of participants
Other Pre-specified

Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

An AE was any untoward medical occurrence in a participant who received study treatment without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability or incapacity; cancer; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 6 months that were absent before treatment or that worsened relative to pretreatment state. AEs included both serious and non-serious.

Time frame: Baseline up to 6 months

Population: Full analysis set included all participants with at least one dose of Nivestim documented in eCRF.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
NivestimNumber of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)AEs81 Participants
NivestimNumber of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)SAEs16 Participants

Source: ClinicalTrials.gov · Data processed: Feb 23, 2026