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Study to Compare the Efficacy and Safety of F-627 and GRAN®

A Phase III, Multi-Center, Randomized, Open-Label, Active-Controlled Study to Compare the Efficacy and Safety of F-627 and GRAN® in the Prophylactic Treatment for Chemotherapy-Induced Neutropenia

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04174599
Enrollment
242
Registered
2019-11-22
Start date
2018-04-12
Completion date
2019-06-19
Last updated
2025-04-20

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

Conditions

Breast Cancer, Neutropenia

Brief summary

A Phase III, Multi-Center, Randomized, Open-Label, Active-Controlled Trial to Compare the Efficacy and Safety of Recombinant Human Granulocyte Colony Stimulating Factor-Fc Fusion Protein (F-627) and Recombinant Human Granulocyte Colony Stimulating Factor (GRAN®) in the Prophylactic Treatment for Chemotherapy-Induced Neutropenia

Detailed description

Study Stage: Phase III Study Population: Female patients with breast cancer will be enrolled to receive at least 4 cycles of Epirubicin + Cyclophosphamide (EC) chemotherapy, that is: epirubicin 100 mg/m\^2 and cyclophosphamide 600 mg/m\^2. Study Design: A multi-center, randomized, open-label, active-controlled phase III clinical trial

Interventions

DRUGF-627

Day 3 of each cycle, i.e., 48 ± 4 h after starting chemotherapy

DRUGGRAN®

Since day 3 of each cycle, i.e., 48 ± 4 h after starting chemotherapy, continuous treatment for ≤ 2 weeks or until ANC recovers to 5.0 × 10\^9/L from nadir (investigators may refer to ANC test results from the Department of Laboratory Medicine of each study sites to decide when to discontinue GRAN®)

Sponsors

EVIVE Biotechnology
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

1. Willing to sign the informed consent form and able to comply with protocol requirements; 2. 18-75 years old; 3. Female postoperative patients with breast cancer who require adjuvant chemotherapy, and are planned to receive at least 4 cycles of EC chemotherapy, namely epirubicin 100 mg/m\^2 + cyclophosphamide 600 mg/m\^2; 4. Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2; 5. Absolute neutrophil count (ANC) ≥ 2.0 × 10\^9/L, hemoglobin (Hb) ≥ 11.0 g/dL, and platelet (PLT) ≥ 100 × 10\^9/L prior to enrollment; 6. Hepatic and renal functions: Total bilirubin ≤ 1.5 × upper limit of normal (ULN), alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 2.5 × ULN, serum creatinine ≤ 1.5 × ULN; 7. Left ventricular ejection fraction \> 50%; 8. Women without child-bearing potential, i.e., women who have had menopause for at least 1 year or who have undergone sterilization (bilateral tubal ligation, double oophorectomy or hysterectomy); patients with child-bearing potential should agree to take appropriate contraceptive measures, including condoms, spermicidal condoms, foams, gels, contraceptive barrier, intrauterine devices (IUD), and contraceptives (oral or injection), starting from 1 month before the start of the study until 30 days after the end of the study.

Exclusion criteria

1. Radiation therapy within 4 weeks prior to enrollment; 2. Patients with breast cancer who have received neoadjuvant chemotherapy before surgery; 3. Prior bone marrow or stem cell transplant; 4. With other malignant tumors other than breast cancer; 5. Patients who have received a treatment with recombinant human granulocyte colony stimulating factor within 6 weeks prior to randomization; 6. Diagnosed with acute congestive heart failure, cardiomyopathy, or myocardial infarction by clinical diagnosis, ECG or other approaches; 7. With any disease that may cause splenomegaly; 8. With acute infection, chronic active Hepatitis B within 1 year (unless patients tested negative for HBsAg prior to enrollment), or Hepatitis C; 9. Women in pregnancy or breastfeeding; 10. Known HIV positive or AIDS; 11. With active tuberculosis (TB); history of TB exposure, unless negative for tuberculin test; TB patients undergoing treatment; or suspected TB evaluated by chest x-ray; 12. With sickle cell anemia; 13. With alcohol or drug abuse that may affect the compliance with the study; 14. With known hypersensitivity to granulocyte colony stimulating factor or excipients; 15. Have received any other investigational drug within 1 month or 5 half-lives of the investigational drugs prior to enrollment (whichever is longer); 16. Patients with diseases or symptoms unsuitable for participating in the trial. For example, the study drugs may compromise the health of the patient or the assessment of adverse events may be affected.

Design outcomes

Primary

MeasureTime frameDescription
Duration of Grade 3 or 4 Neutropenia (ANC <1.0×10^9/L) in Cycle 1Cycle 1, the first of 4, 21-day chemotherapy cycles (average 3 weeks)Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L. According to the study protocol, the outcome measure Duration of Grade 3 or 4 Neutropenia (days) applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).

Secondary

MeasureTime frameDescription
Number of Participants With Grade 3 or 4 Neutropenia in Cycle 2Cycle 2, the second of 4, 21-day chemotherapy cycles (average 3 weeks)Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L
Number of Participants With Grade 3 or 4 Neutropenia in Cycle 3Cycle 3, the third of 4, 21-day chemotherapy cycles (average 3 weeks)Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L
Number of Participants With Grade 3 or 4 Neutropenia in Cycle 4Cycle 4, the last of 4, 21-day chemotherapy cycles (average 3 weeks)Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L
Duration of Grade 3 or 4 Neutropenia in Cycle 2Cycle 2, the second of 4, 21-day chemotherapy cycles (average 3 weeks)Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L. According to the study protocol, the outcome measure Duration of Grade 3 or 4 Neutropenia (days) applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
Duration of Grade 3 or 4 Neutropenia in Cycle 3Cycle 3, the third of 4, 21-day chemotherapy cycles (average 3 weeks)Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L. According to the study protocol, the outcome measure Duration of Grade 3 or 4 Neutropenia (days) applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
Duration of Grade 3 or 4 Neutropenia in Cycle 4Cycle 4, the last of 4, 21-day chemotherapy cycles (average 3 weeks)Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L. According to the study protocol, the outcome measure Duration of Grade 3 or 4 Neutropenia (days) applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
Number of Participants With Grade 4 Neutropenia in Cycle 1Cycle 1, the first of 4, 21-day chemotherapy cycles (average 3 weeks)Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L.
Number of Participants With Grade 4 Neutropenia in Cycle 2Cycle 2, the second of 4, 21-day chemotherapy cycles (average 3 weeks)Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L.
Number of Participants With Grade 4 Neutropenia in Cycle 3Cycle 3, the third of 4, 21-day chemotherapy cycles (average 3 weeks)Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L.
Number of Participants With Grade 4 Neutropenia in Cycle 4Cycle 4, the last of 4, 21-day chemotherapy cycles (average 3 weeks)Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L.
Duration of Grade 4 Neutropenia in Cycle 1Cycle 1, the first of 4, 21-day chemotherapy cycles (average 3 weeks)Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L. According to the study protocol, the outcome measure Duration of Grade 3 or 4 Neutropenia (days) applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
Duration of Grade 4 Neutropenia in Cycle 2Cycle 2, the second of 4, 21-day chemotherapy cycles (average 3 weeks)Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L. According to the study protocol, the outcome measure Duration of Grade 3 or 4 Neutropenia (days) applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
Duration of Grade 4 Neutropenia in Cycle 3Cycle 3, the third of 4, 21-day chemotherapy cycles (average 3 weeks)Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L. According to the study protocol, the outcome measure Duration of Grade 3 or 4 Neutropenia (days) applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
Duration of Grade 4 Neutropenia in Cycle 4Cycle 4, the last of 4, 21-day chemotherapy cycles (average 3 weeks)Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L. According to the study protocol, the outcome measure Duration of Grade 3 or 4 Neutropenia (days) applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
Number of Participants With Grade 3 or 4 Neutropenia in Cycle 1Cycle 1, the first of 4, 21-day chemotherapy cycles (average 3 weeks)Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L
Number of Participants With Grade 2 or Greater Neutropenia in Cycle 1Cycle 1, the first of 4, 21-day chemotherapy cycles (average 3 weeks)Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L
Number of Participants With Grade 2 or Greater Neutropenia in Cycle 2Cycle 2, the second of 4, 21-day chemotherapy cycles (average 3 weeks)Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L
Number of Participants With Grade 2 or Greater Neutropenia in Cycle 3Cycle 3, the third of 4, 21-day chemotherapy cycles (average 3 weeks)Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L
Number of Participants With Grade 2 or Greater Neutropenia in Cycle 4Cycle 4, the last of 4, 21-day chemotherapy cycles (average 3 weeks)Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L
Duration (Days) of Grade 2 or Greater Neutropenia in Cycle 1Cycle 1, the first of 4, 21-day chemotherapy cycles (average 3 weeks)Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L. According to the study protocol, the outcome measure Duration of Grade 3 or 4 Neutropenia (days) applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
Duration (Days) of Grade 2 or Greater Neutropenia in Cycle 2Cycle 2, the second of 4, 21-day chemotherapy cycles (average 3 weeks)Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L. According to the study protocol, the outcome measure Duration of Grade 3 or 4 Neutropenia (days) applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
Duration (Days) of Grade 2 or Greater Neutropenia in Cycle 3Cycle 3, the third of 4, 21-day chemotherapy cycles (average 3 weeks)Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L. According to the study protocol, the outcome measure Duration of Grade 3 or 4 Neutropenia (days) applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
Duration (Days) of Grade 2 or Greater Neutropenia in Cycle 4Cycle 4, the last of 4, 21-day chemotherapy cycles (average 3 weeks)Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L. According to the study protocol, the outcome measure Duration of Grade 3 or 4 Neutropenia (days) applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
The Absolute Neutrophil Counts (ANC) Nadir From Day 3 to Day 13 of Cycle 1From day 3 to day 13 of cycle 1 (11 days)The minimum value of ANC measured from day 3 to day 13 of cycle 1
Number of Participants With Febrile Neutropenia (FN) in Cycle 1Cycle 1, the first of 4, 21-day chemotherapy cycles (average 3 weeks)FN is defined as ANC \< 1.0 × 10\^9/L with fever (a single measurement of body temperature \>38.3 °C or body temperature ≥ 38.0 °C for more than 1 hr).
Time (Days) of ANC Nadir Recovers to 2.0 × 10^9/L in Cycle 1Cycle 1, the first of 4, 21-day chemotherapy cycles (average 3 weeks)If the ANC nadir during the first 13 days of the cycle is \< 2.0 × 10\^9/L, the recovery time = ((date of ANC ≥ 2.0 ×10\^9/L) - (date of ANC reaching nadir within the cycle) + 1). If the ANC nadir in the first 13 days of the cycle is ≥2.0 × 10\^9/L, then the recovery time = 0 days.
Time (Days) of ANC Nadir Recovers to 2.0 × 10^9/L in Cycle 2Cycle 2, the second of 4, 21-day chemotherapy cycles (average 3 weeks)If the ANC nadir during the first 13 days of the cycle is \< 2.0 × 10\^9/L, the recovery time = ((date of ANC ≥ 2.0 ×10\^9/L) - (date of ANC reaching nadir within the cycle) + 1). If the ANC nadir in the first 13 days of the cycle is ≥2.0 × 10\^9/L, then the recovery time = 0 days.
Time (Days) of ANC Nadir Recovers to 2.0 × 10^9/L in Cycle 3Cycle 3, the third of 4, 21-day chemotherapy cycles (average 3 weeks)If the ANC nadir during the first 13 days of the cycle is \< 2.0 × 10\^9/L, the recovery time = ((date of ANC ≥ 2.0 ×10\^9/L) - (date of ANC reaching nadir within the cycle) + 1). If the ANC nadir in the first 13 days of the cycle is ≥2.0 × 10\^9/L, then the recovery time = 0 days.
Time (Days) of ANC Nadir Recovers to 2.0 × 10^9/L in Cycle 4Cycle 4, the last of 4, 21-day chemotherapy cycles (average 3 weeks)If the ANC nadir during the first 13 days of the cycle is \< 2.0 × 10\^9/L, the recovery time = ((date of ANC ≥ 2.0 ×10\^9/L) - (date of ANC reaching nadir within the cycle) + 1). If the ANC nadir in the first 13 days of the cycle is ≥2.0 × 10\^9/L, then the recovery time = 0 days.
Overall Duration of Grade 3 or 4 Neutropenia in 4 CyclesOverall 4, 21-day chemotherapy cycles(average 12 weeks)Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L According to the study protocol, the outcome measure Duration of Grade 3 or 4 Neutropenia (days) applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).

Countries

China

Participant flow

Participants by arm

ArmCount
F-627
F-627 (20 mg/dose, s.c.) on day 3 of each cycle, i.e., 48 ± 4 h after the start of chemotherapy
120
GRAN®
GRAN® \[5 μg/kg/day, s.c., once daily (± 4 h) up to 2 weeks or until neutrophil count returns to 5.0 × 10\^9/L\] on day 3 of each cycle, i.e., 48 ± 4 h after the start of chemotherapy
119
Total239

Baseline characteristics

CharacteristicGRAN®F-627Total
Age, Continuous48.5 years
STANDARD_DEVIATION 9.14
49.1 years
STANDARD_DEVIATION 9.32
48.8 years
STANDARD_DEVIATION 9.21
Body mass index (BMI)23.782 kg/m^2
STANDARD_DEVIATION 3.336
23.609 kg/m^2
STANDARD_DEVIATION 3.278
23.695 kg/m^2
STANDARD_DEVIATION 3.301
body surface area (BSA)1.594 m^2
STANDARD_DEVIATION 0.116
1.591 m^2
STANDARD_DEVIATION 0.123
1.593 m^2
STANDARD_DEVIATION 0.119
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
119 Participants120 Participants239 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Height157.87 m
STANDARD_DEVIATION 5.524
157.97 m
STANDARD_DEVIATION 5.061
157.92 m
STANDARD_DEVIATION 5.286
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
119 Participants120 Participants239 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
0 Participants0 Participants0 Participants
Region of Enrollment
China
119 participants120 participants239 participants
Sex: Female, Male
Female
119 Participants120 Participants239 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants
Weight59.24 kg
STANDARD_DEVIATION 8.487
58.96 kg
STANDARD_DEVIATION 8.945
59.10 kg
STANDARD_DEVIATION 8.703

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 1200 / 119
other
Total, other adverse events
119 / 120119 / 119
serious
Total, serious adverse events
6 / 1208 / 119

Outcome results

Primary

Duration of Grade 3 or 4 Neutropenia (ANC <1.0×10^9/L) in Cycle 1

Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L. According to the study protocol, the outcome measure Duration of Grade 3 or 4 Neutropenia (days) applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).

Time frame: Cycle 1, the first of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 1

ArmMeasureValue (MEAN)Dispersion
F-627Duration of Grade 3 or 4 Neutropenia (ANC <1.0×10^9/L) in Cycle 10.68 daysStandard Deviation 1.1
GRAN®Duration of Grade 3 or 4 Neutropenia (ANC <1.0×10^9/L) in Cycle 10.71 daysStandard Deviation 0.967
Secondary

Duration (Days) of Grade 2 or Greater Neutropenia in Cycle 1

Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L. According to the study protocol, the outcome measure Duration of Grade 3 or 4 Neutropenia (days) applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).

Time frame: Cycle 1, the first of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 1.

ArmMeasureValue (MEAN)Dispersion
F-627Duration (Days) of Grade 2 or Greater Neutropenia in Cycle 11.1 daysStandard Deviation 1.3
GRAN®Duration (Days) of Grade 2 or Greater Neutropenia in Cycle 11.0 daysStandard Deviation 1.1
Secondary

Duration (Days) of Grade 2 or Greater Neutropenia in Cycle 2

Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L. According to the study protocol, the outcome measure Duration of Grade 3 or 4 Neutropenia (days) applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).

Time frame: Cycle 2, the second of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 2

ArmMeasureValue (MEAN)Dispersion
F-627Duration (Days) of Grade 2 or Greater Neutropenia in Cycle 20.2 daysStandard Deviation 0.5
GRAN®Duration (Days) of Grade 2 or Greater Neutropenia in Cycle 20.2 daysStandard Deviation 0.5
Secondary

Duration (Days) of Grade 2 or Greater Neutropenia in Cycle 3

Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L. According to the study protocol, the outcome measure Duration of Grade 3 or 4 Neutropenia (days) applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).

Time frame: Cycle 3, the third of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 3.

ArmMeasureValue (MEAN)Dispersion
F-627Duration (Days) of Grade 2 or Greater Neutropenia in Cycle 30.1 daysStandard Deviation 0.42
GRAN®Duration (Days) of Grade 2 or Greater Neutropenia in Cycle 30.4 daysStandard Deviation 0.67
Secondary

Duration (Days) of Grade 2 or Greater Neutropenia in Cycle 4

Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L. According to the study protocol, the outcome measure Duration of Grade 3 or 4 Neutropenia (days) applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).

Time frame: Cycle 4, the last of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 4.

ArmMeasureValue (MEAN)Dispersion
F-627Duration (Days) of Grade 2 or Greater Neutropenia in Cycle 40.3 daysStandard Deviation 0.68
GRAN®Duration (Days) of Grade 2 or Greater Neutropenia in Cycle 40.3 daysStandard Deviation 0.63
Secondary

Duration of Grade 3 or 4 Neutropenia in Cycle 2

Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L. According to the study protocol, the outcome measure Duration of Grade 3 or 4 Neutropenia (days) applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).

Time frame: Cycle 2, the second of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 2

ArmMeasureValue (MEAN)Dispersion
F-627Duration of Grade 3 or 4 Neutropenia in Cycle 20.1 daysStandard Deviation 0.35
GRAN®Duration of Grade 3 or 4 Neutropenia in Cycle 20.1 daysStandard Deviation 0.25
Secondary

Duration of Grade 3 or 4 Neutropenia in Cycle 3

Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L. According to the study protocol, the outcome measure Duration of Grade 3 or 4 Neutropenia (days) applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).

Time frame: Cycle 3, the third of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 3

ArmMeasureValue (MEAN)Dispersion
F-627Duration of Grade 3 or 4 Neutropenia in Cycle 30.0 daysStandard Deviation 0.18
GRAN®Duration of Grade 3 or 4 Neutropenia in Cycle 30.2 daysStandard Deviation 0.54
Secondary

Duration of Grade 3 or 4 Neutropenia in Cycle 4

Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L. According to the study protocol, the outcome measure Duration of Grade 3 or 4 Neutropenia (days) applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).

Time frame: Cycle 4, the last of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 4

ArmMeasureValue (MEAN)Dispersion
F-627Duration of Grade 3 or 4 Neutropenia in Cycle 40.1 daysStandard Deviation 0.38
GRAN®Duration of Grade 3 or 4 Neutropenia in Cycle 40.1 daysStandard Deviation 0.41
Secondary

Duration of Grade 4 Neutropenia in Cycle 1

Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L. According to the study protocol, the outcome measure Duration of Grade 3 or 4 Neutropenia (days) applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).

Time frame: Cycle 1, the first of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 1

ArmMeasureValue (MEAN)Dispersion
F-627Duration of Grade 4 Neutropenia in Cycle 10.3 daysStandard Deviation 0.69
GRAN®Duration of Grade 4 Neutropenia in Cycle 10.2 daysStandard Deviation 0.58
Secondary

Duration of Grade 4 Neutropenia in Cycle 2

Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L. According to the study protocol, the outcome measure Duration of Grade 3 or 4 Neutropenia (days) applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).

Time frame: Cycle 2, the second of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 2

ArmMeasureValue (MEAN)Dispersion
F-627Duration of Grade 4 Neutropenia in Cycle 20.0 daysStandard Deviation 0.13
GRAN®Duration of Grade 4 Neutropenia in Cycle 20.0 daysStandard Deviation 0.1
Secondary

Duration of Grade 4 Neutropenia in Cycle 3

Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L. According to the study protocol, the outcome measure Duration of Grade 3 or 4 Neutropenia (days) applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).

Time frame: Cycle 3, the third of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 3

ArmMeasureValue (MEAN)Dispersion
F-627Duration of Grade 4 Neutropenia in Cycle 30.0 daysStandard Deviation 0
GRAN®Duration of Grade 4 Neutropenia in Cycle 30.1 daysStandard Deviation 0.34
Secondary

Duration of Grade 4 Neutropenia in Cycle 4

Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L. According to the study protocol, the outcome measure Duration of Grade 3 or 4 Neutropenia (days) applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).

Time frame: Cycle 4, the last of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 4

ArmMeasureValue (MEAN)Dispersion
F-627Duration of Grade 4 Neutropenia in Cycle 40.0 daysStandard Deviation 0.13
GRAN®Duration of Grade 4 Neutropenia in Cycle 40.0 daysStandard Deviation 0.2
Secondary

Number of Participants With Febrile Neutropenia (FN) in Cycle 1

FN is defined as ANC \< 1.0 × 10\^9/L with fever (a single measurement of body temperature \>38.3 °C or body temperature ≥ 38.0 °C for more than 1 hr).

Time frame: Cycle 1, the first of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 1

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
F-627Number of Participants With Febrile Neutropenia (FN) in Cycle 11 Participants
GRAN®Number of Participants With Febrile Neutropenia (FN) in Cycle 12 Participants
Secondary

Number of Participants With Grade 2 or Greater Neutropenia in Cycle 1

Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L

Time frame: Cycle 1, the first of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 1.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
F-627Number of Participants With Grade 2 or Greater Neutropenia in Cycle 158 Participants
GRAN®Number of Participants With Grade 2 or Greater Neutropenia in Cycle 167 Participants
Secondary

Number of Participants With Grade 2 or Greater Neutropenia in Cycle 2

Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L

Time frame: Cycle 2, the second of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 2.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
F-627Number of Participants With Grade 2 or Greater Neutropenia in Cycle 216 Participants
GRAN®Number of Participants With Grade 2 or Greater Neutropenia in Cycle 214 Participants
Secondary

Number of Participants With Grade 2 or Greater Neutropenia in Cycle 3

Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L

Time frame: Cycle 3, the third of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 3.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
F-627Number of Participants With Grade 2 or Greater Neutropenia in Cycle 314 Participants
GRAN®Number of Participants With Grade 2 or Greater Neutropenia in Cycle 330 Participants
Secondary

Number of Participants With Grade 2 or Greater Neutropenia in Cycle 4

Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L

Time frame: Cycle 4, the last of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 4.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
F-627Number of Participants With Grade 2 or Greater Neutropenia in Cycle 420 Participants
GRAN®Number of Participants With Grade 2 or Greater Neutropenia in Cycle 426 Participants
Secondary

Number of Participants With Grade 3 or 4 Neutropenia in Cycle 1

Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L

Time frame: Cycle 1, the first of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 1

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
F-627Number of Participants With Grade 3 or 4 Neutropenia in Cycle 141 Participants
GRAN®Number of Participants With Grade 3 or 4 Neutropenia in Cycle 151 Participants
Secondary

Number of Participants With Grade 3 or 4 Neutropenia in Cycle 2

Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L

Time frame: Cycle 2, the second of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 2

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
F-627Number of Participants With Grade 3 or 4 Neutropenia in Cycle 27 Participants
GRAN®Number of Participants With Grade 3 or 4 Neutropenia in Cycle 27 Participants
Secondary

Number of Participants With Grade 3 or 4 Neutropenia in Cycle 3

Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L

Time frame: Cycle 3, the third of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 3

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
F-627Number of Participants With Grade 3 or 4 Neutropenia in Cycle 34 Participants
GRAN®Number of Participants With Grade 3 or 4 Neutropenia in Cycle 318 Participants
Secondary

Number of Participants With Grade 3 or 4 Neutropenia in Cycle 4

Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L

Time frame: Cycle 4, the last of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 4

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
F-627Number of Participants With Grade 3 or 4 Neutropenia in Cycle 410 Participants
GRAN®Number of Participants With Grade 3 or 4 Neutropenia in Cycle 410 Participants
Secondary

Number of Participants With Grade 4 Neutropenia in Cycle 1

Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L.

Time frame: Cycle 1, the first of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 1

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
F-627Number of Participants With Grade 4 Neutropenia in Cycle 117 Participants
GRAN®Number of Participants With Grade 4 Neutropenia in Cycle 119 Participants
Secondary

Number of Participants With Grade 4 Neutropenia in Cycle 2

Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L.

Time frame: Cycle 2, the second of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 2

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
F-627Number of Participants With Grade 4 Neutropenia in Cycle 22 Participants
GRAN®Number of Participants With Grade 4 Neutropenia in Cycle 21 Participants
Secondary

Number of Participants With Grade 4 Neutropenia in Cycle 3

Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L.

Time frame: Cycle 3, the third of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 3

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
F-627Number of Participants With Grade 4 Neutropenia in Cycle 30 Participants
GRAN®Number of Participants With Grade 4 Neutropenia in Cycle 34 Participants
Secondary

Number of Participants With Grade 4 Neutropenia in Cycle 4

Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L.

Time frame: Cycle 4, the last of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 4

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
F-627Number of Participants With Grade 4 Neutropenia in Cycle 42 Participants
GRAN®Number of Participants With Grade 4 Neutropenia in Cycle 44 Participants
Secondary

Overall Duration of Grade 3 or 4 Neutropenia in 4 Cycles

Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L According to the study protocol, the outcome measure Duration of Grade 3 or 4 Neutropenia (days) applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).

Time frame: Overall 4, 21-day chemotherapy cycles(average 12 weeks)

Population: All subjects who have completed cycle 1 at least.

ArmMeasureValue (MEAN)Dispersion
F-627Overall Duration of Grade 3 or 4 Neutropenia in 4 Cycles0.9 daysStandard Deviation 1.44
GRAN®Overall Duration of Grade 3 or 4 Neutropenia in 4 Cycles1.1 daysStandard Deviation 1.43
Secondary

The Absolute Neutrophil Counts (ANC) Nadir From Day 3 to Day 13 of Cycle 1

The minimum value of ANC measured from day 3 to day 13 of cycle 1

Time frame: From day 3 to day 13 of cycle 1 (11 days)

Population: All subjects who have completed cycle 1

ArmMeasureValue (MEAN)Dispersion
F-627The Absolute Neutrophil Counts (ANC) Nadir From Day 3 to Day 13 of Cycle 12.058 10^9 cell/LStandard Deviation 1.503
GRAN®The Absolute Neutrophil Counts (ANC) Nadir From Day 3 to Day 13 of Cycle 11.597 10^9 cell/LStandard Deviation 1.197
Secondary

Time (Days) of ANC Nadir Recovers to 2.0 × 10^9/L in Cycle 1

If the ANC nadir during the first 13 days of the cycle is \< 2.0 × 10\^9/L, the recovery time = ((date of ANC ≥ 2.0 ×10\^9/L) - (date of ANC reaching nadir within the cycle) + 1). If the ANC nadir in the first 13 days of the cycle is ≥2.0 × 10\^9/L, then the recovery time = 0 days.

Time frame: Cycle 1, the first of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 1

ArmMeasureValue (MEAN)Dispersion
F-627Time (Days) of ANC Nadir Recovers to 2.0 × 10^9/L in Cycle 10.9 daysStandard Deviation 1.01
GRAN®Time (Days) of ANC Nadir Recovers to 2.0 × 10^9/L in Cycle 11.0 daysStandard Deviation 0.84
Secondary

Time (Days) of ANC Nadir Recovers to 2.0 × 10^9/L in Cycle 2

If the ANC nadir during the first 13 days of the cycle is \< 2.0 × 10\^9/L, the recovery time = ((date of ANC ≥ 2.0 ×10\^9/L) - (date of ANC reaching nadir within the cycle) + 1). If the ANC nadir in the first 13 days of the cycle is ≥2.0 × 10\^9/L, then the recovery time = 0 days.

Time frame: Cycle 2, the second of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 2

ArmMeasureValue (MEAN)Dispersion
F-627Time (Days) of ANC Nadir Recovers to 2.0 × 10^9/L in Cycle 20.5 daysStandard Deviation 1.1
GRAN®Time (Days) of ANC Nadir Recovers to 2.0 × 10^9/L in Cycle 20.7 daysStandard Deviation 0.99
Secondary

Time (Days) of ANC Nadir Recovers to 2.0 × 10^9/L in Cycle 3

If the ANC nadir during the first 13 days of the cycle is \< 2.0 × 10\^9/L, the recovery time = ((date of ANC ≥ 2.0 ×10\^9/L) - (date of ANC reaching nadir within the cycle) + 1). If the ANC nadir in the first 13 days of the cycle is ≥2.0 × 10\^9/L, then the recovery time = 0 days.

Time frame: Cycle 3, the third of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 3

ArmMeasureValue (MEAN)Dispersion
F-627Time (Days) of ANC Nadir Recovers to 2.0 × 10^9/L in Cycle 30.4 daysStandard Deviation 0.87
GRAN®Time (Days) of ANC Nadir Recovers to 2.0 × 10^9/L in Cycle 30.9 daysStandard Deviation 1.5
Secondary

Time (Days) of ANC Nadir Recovers to 2.0 × 10^9/L in Cycle 4

If the ANC nadir during the first 13 days of the cycle is \< 2.0 × 10\^9/L, the recovery time = ((date of ANC ≥ 2.0 ×10\^9/L) - (date of ANC reaching nadir within the cycle) + 1). If the ANC nadir in the first 13 days of the cycle is ≥2.0 × 10\^9/L, then the recovery time = 0 days.

Time frame: Cycle 4, the last of 4, 21-day chemotherapy cycles (average 3 weeks)

Population: All subjects who have completed cycle 4

ArmMeasureValue (MEAN)Dispersion
F-627Time (Days) of ANC Nadir Recovers to 2.0 × 10^9/L in Cycle 40.7 daysStandard Deviation 1.14
GRAN®Time (Days) of ANC Nadir Recovers to 2.0 × 10^9/L in Cycle 41.2 daysStandard Deviation 1.73

Source: ClinicalTrials.gov · Data processed: Feb 13, 2026