Breast Cancer, Neutropenia
Conditions
Brief summary
This is a prospective, single-center, single-arm clinical study, to evaluate the clinical efficacy, safety and tolerance of patients with early breast cancer receiving ddEC adjuvant chemotherapy, accepting PEG-rhG-CSF as primary prevention of neutropenia.
Interventions
4.5mg per cycle, 24 hours after chemotherapy
Sponsors
Study design
Eligibility
Inclusion criteria
* Breast cancer patients in need for adjuvant chemotherapy confirmed by histopathology, whom should accept ddEC regimen. * ECOG\<=1 * Expected survival is greater than 6 months * Qualified for chemotherapy,WBC\>=3\*109/L, ANC\>=1.5\*109/L, Hb\>=80g/L, PLT\>=80\*109/L. With no bleeding tendency or systemic hematology disorder symptoms. * No obvious EKG abnormality, no obvious cardiac dysfunction, and normal left ventricular ejection fraction. * Liver function, ALT and AST should less than 2.5 times of the upper limit. * Renal function, Cr and BUN should less than 1.5 times of the upper limit. * Subjects voluntarily participate in this study and sign informed consent.
Exclusion criteria
* Total amount of doxorubicin used in previous chemotherapy\>240mg/m2, or epirubicin\>360mg/m2 * Has received hematopoietic stem cell transplantation or bone marrow transplantation * Other drugs are currently in clinical trials * There are currently hard-to-control infections, body temperature is higher than 38 degrees. * Received PEG-rhG-CSF treatment before enrollment * Received chemotherapy in 4 weeks before enrollment * Patients with any visceral metastasis * Patients with severe heart, kidney, liver or any other important organs chronic diseases * Patients with severe uncontrolled diabetes * Patients with allergic diseases, or allergies to this product or other biological products derived from genetically engineered e. coli * Suspected or real drug users, substance abusers, alcoholics * Pregnant or lactating women * Severe mental or neurological disorders that affect informed consent and adverse reactions described or observed
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| RDI for each EC chemotherapy | 60 days after the first chemotherapy | Ratio of actual dose intensity to standard dose intensity |
| Chemotherapeutic dose adjustment due to neutropenia | 60 days after the first chemotherapy | percentage of dose decreasing due to neutropenia |
| overall completion rate of chemotherapy | 60 days after the first chemotherapy | calculate the overall chemo-completion rate among all patients |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of febrile neutropenia | 60 days after the first chemotherapy | — |
| Incidence of Grade 3/4 ACN reduction | 60 days after the first chemotherapy | evaluate the incidence of Grade 3/4 absolute neutrophil count |
| Duration of Grade 3/4 ACN reduction | 60 days after the first chemotherapy | observe the duration of Grade 3/4 absolute neutrophil count |
Countries
China