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Chemotherapy-induced Febrile NeutropeniaNCT02178475

Prospective Observational Study of Febrile Neutropenia (FN) and Pegfilgrastim Primary Prophylaxis in Breast Cancer and Non-Hodgkin's Lymphoma Patients Receiving High (>20%) FN-risk Chemotherapy

An observational study of Chemotherapy-induced Febrile Neutropenia, run by Amgen at 74 sites in 9 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

To estimate the incidence of febrile neutropenia in patients with breast cancer and non-Hodgkin's lymphoma receiving high (> 20%) FN-risk chemotherapy and pegfilgrastim primary prophylaxis. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Chemotherapy-induced Febrile Neutropenia
How many people
943 participants
Where
74 sitesin 9 countries
Study dates
18 Jul 2014to 28 Oct 2016
Phase
Observational
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients with NHL or breast cancer who have initiated treatment with a permitted standard-dose chemotherapy regimen that has a high FN risk (> 20%) per published studies or international guidelines, and who started pegfilgrastim in Cycle 1

Who may be able to join

  • Age ≥ 18 years old.
  • Any stage NHL or breast cancer and received the first cycle of a new chemotherapy course.
  • Received the first cycle of a permitted standard dose chemotherapy regimens with an estimated high (> 20%) FN risk according to published data or guidelines (dose modifications +/-10% in Cycle 1 are allowable).
  • Initiated treatment in Cycle 1 with pegfilgrastim according to the pegfilgrastim summary of product characteristics. (SmPC). Enrolment must occur after the first pegfilgrastim dosing in Cycle 1 and before the second day of Cycle 2.

Who cannot join

  • Ongoing or planned concurrent participation in any clinical study involving Investigational Product that has not been approved by the national competent authorities for any indication.
  • Ongoing or planned concurrent participation in any clinical study where the administration of Colony Stimulating Factor (CSF) is determined by the protocol (clinical trials on an approved drug and observational trials are permitted as long as these do not mandate how neutropenia should be treated).

Trial locations and contacts

74 sites in 9 countries.

74 sites in 9 countries

France15 sites
  • Research Site

    Aix-en-Provence, 13100

  • Research Site

    Amiens, 80000

  • Research Site

    Beuvry, 62660

  • Research Site

    Marseille, 13009

  • Research Site

    Marseille, 13385

  • Research Site

    Meaux, 77100

  • Research Site

    Nancy, 54100

  • Research Site

    Nîmes, 30029

  • Research Site

    Orléans, 45067

  • Research Site

    Périgueux, 24004

  • Research Site

    Perpignan, 66000

  • Research Site

    Pierre-Bénite, 69495

  • Research Site

    Saint-Priest-en-Jarez, 42270

  • Research Site

    Sarcelles, 95200

  • Research Site

    Strasbourg, 67000

Other trials in France

Greece13 sites
  • Research Site

    Athens, 11527

  • Research Site

    Athens, 11528

  • Research Site

    Athens, 12462

  • Research Site

    Chania, 73300

  • Research Site

    Kalamata, 24100

  • Research Site

    Larissa, 41110

  • Research Site

    Nea Kifissia, Athens, 14564

  • Research Site

    Papagou, 11526

  • Research Site

    Piraeus, 18537

  • Research Site

    Thessaloniki, 54622

  • Research Site

    Thessaloniki, 54636

  • Research Site

    Thessaloniki, 54645

  • Research Site

    Thessaloniki, 55236

Other trials in Greece

Romania12 sites
  • Research Site

    Baia Mare, 430031

  • Research Site

    Brăila, 810325

  • Research Site

    Bucharest, 010825

  • Research Site

    Bucharest, 022328

  • Research Site

    Bucharest, 022338

  • Research Site

    Bucharest, 030171

  • Research Site

    Bucharest, 031864

  • Research Site

    Câmpina, 105600

  • Research Site

    Cluj-Napoca, 400124

  • Research Site

    Iași, 700483

  • Research Site

    Oradea, 410469

  • Research Site

    Ploieşti, 100337

Other trials in Romania

Germany9 sites
  • Research Site

    Bonn, 53111

  • Research Site

    Dresden, 01307

  • Research Site

    Fulda, 36043

  • Research Site

    Hildesheim, 31134

  • Research Site

    Kassel, 34119

  • Research Site

    Stolberg, 52222

  • Research Site

    Troisdorf, 53840

  • Research Site

    Velbert, 42551

  • Research Site

    Westerstede, 26655

Other trials in Germany

Poland9 sites
  • Research Site

    Bialystok, 15-027

  • Research Site

    Gdynia, 81-519

  • Research Site

    Koszalin, 75-581

  • Research Site

    Krakow, 31-501

  • Research Site

    Krakow, 31-531

  • Research Site

    Poznan, 61-485

  • Research Site

    Wałbrzych, 58-309

  • Research Site

    Warsaw, 02-097

  • Research Site

    Warsaw, 02-781

Other trials in Poland

Austria6 sites
  • Research Site

    Eggenburg, 3730

  • Research Site

    Graz, 8036

  • Research Site

    Leoben, 8700

  • Research Site

    Schwarzach im Pongau, 5620

  • Research Site

    Vienna, 1030

  • Research Site

    Vienna, 1090

Other trials in Austria

Czechia6 sites
  • Research Site

    Chomutov, 430 12

  • Research Site

    Hořovice, 268 31

  • Research Site

    Nový Jičín, 741 01

  • Research Site

    Pilsen, 304 60

  • Research Site

    Prague, 100 34

  • Research Site

    Prague, 128 08

Other trials in Czechia

Belgium2 sites
  • Research Site

    Arlon, 6700

  • Research Site

    Liège, 4000

Other trials in Belgium

Bulgaria2 sites
  • Research Site

    Pleven, 5800

  • Research Site

    Sofia, 1756

Other trials in Bulgaria

About this study

To estimate the incidence of febrile neutropenia in patients with breast cancer and non-Hodgkin's lymphoma receiving high (> 20%) FN-risk chemotherapy and pegfilgrastim primary prophylaxis.

Keywords
NHL, Breast Cancer
Medical subject headings
Chemotherapy-Induced Febrile Neutropenia, Breast Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT02178475
Study groupRoleWhat they receive
Chemotherapy + PegfilgrastimPatients with non-Hodgkin's lymphoma or breast cancer being treated with a permitted standard-dose chemotherapy regimen with a high FN risk (> 20%) and who had pegfilgrastim prophylaxis initiated in the first cycle of chemotherapy.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With Febrile Neutropenia

    Febrile neutropenia (FN) was defined as an absolute neutrophil count (ANC) of < 0.5 x 10^9/L, or < 1.0 x 10^9/L predicted to fall below 0.5 x 10^9/L within 48 hours with fever or clinical signs of sepsis; fever and ANC were measured the same day or within ± 1 calendar day.

    Measured: Participants were followed for up to 8 cycles of chemotherapy; the average observation time was 4.1 months.

Secondary outcomes (16)
  1. Number of Participants Who Discontinued Pegfilgrastim Prophylaxis

    Participants who discontinued pegfilgrastim prophylaxis was defined as participants who received at least one cycle of chemotherapy (cycle 2 or later) in which pegfilgrastim prophylaxis was not administered, but other granulocyte colony-stimulating factor (G-CSF) prophylaxis was administered. Participants in this group received either pegfilgrastim or other G-CSF prophylaxis in all chemotherapy cycles.

    Discontinuation was categorized as either temporary (participant received pegfilgrastim prophylaxis in at least one subsequent cycle) or permanent (participant had at least one cycle of chemotherapy following the cycle in which no pegfilgrastim prophylaxis was administered, and other G-CSF prophylaxis (i.e. not pegfilgrastim) was administered in all subsequent cycles, OR participant did not receive pegfilgrastim prophylaxis in the last cycle of chemotherapy, and other G-CSF prophylaxis was administered).

    Measured: Participants were followed for up to 8 cycles of chemotherapy; the average observation time was 4.1 months.

  2. Number of Participants Who Discontinued G-CSF Prophylaxis

    Participants who discontinued G-CSF prophylaxis was defined as participants who received at least one cycle of chemotherapy (cycle 2 or later) in which no G-CSF prophylaxis was administered.

    Discontinuation was categorized as either temporary (participant received G-CSF prophylaxis in at least one subsequent cycle) or permanent (participant had at least one cycle of chemotherapy following the cycle in which no G-CSF prophylaxis was administered, and no G-CSF prophylaxis was administered in any subsequent cycle, OR participant did not receive G-CSF prophylaxis in the last cycle of chemotherapy).

    Measured: Participants were followed for up to 8 cycles of chemotherapy; the average observation time was 4.1 months.

  3. Characteristics of Participants Who Discontinued Pegfilgrastim Prophylaxis

    Participants who discontinued pegfilgrastim prophylaxis are participants who received at least one cycle of chemotherapy (cycle 2 or later) in which pegfilgrastim prophylaxis was not administered, but other G-CSF prophylaxis was administered in this cycle. Participants in this group received either pegfilgrastim or other G-CSF prophylaxis in all chemotherapy cycles.

    Data includes both temporary and permanent pegfilgrastim discontinuation.

    Measured: Participants were followed for up to 8 cycles of chemotherapy; the average observation time was 4.1 months.

  4. Characteristics of Participants Who Discontinued G-CSF Prophylaxis

    Participants who discontinued G-CSF prophylaxis are participants who received at least one cycle of chemotherapy (cycle 2 or later) in which no G-CSF prophylaxis was administered.

    Data includes both temporary and permanent discontinuation of G-CSF prophylaxis.

    Measured: Participants were followed for up to 8 cycles of chemotherapy; the average observation time was 4.1 months.

  5. Number of Cycles With No Pegfilgrastim Prophylaxis

    A cycle of chemotherapy (cycle 2 or later) in which pegfilgrastim prophylaxis was not administered, but other G-CSF prophylaxis was administered in this cycle.

    Measured: Participants were followed for up to 8 cycles of chemotherapy; the average observation time was 4.1 months.

  6. Number of Cycles With no G-CSF Prophylaxis

    A cycle of chemotherapy (cycle 2 or later) in which no G-CSF prophylaxis was administered.

    Measured: Participants were followed for up to 8 cycles of chemotherapy; the average observation time was 4.1 months.

  7. Reasons for Discontinuation of Pegfilgrastim Prophylaxis

    Participants who discontinued pegfilgrastim prophylaxis are participants who received at least one cycle of chemotherapy (cycle 2 or later) in which pegfilgrastim prophylaxis was not administered, but other G-CSF prophylaxis was administered in this cycle. Participants in this group received either pegfilgrastim or other G-CSF prophylaxis in all chemotherapy cycles.

    Data includes both temporary and permanent pegfilgrastim discontinuation.

    Measured: Participants were followed for up to 8 cycles of chemotherapy; the average observation time was 4.1 months.

  8. Reasons for Discontinuation of G-CSF Prophylaxis

    Participants who discontinued G-CSF prophylaxis are participants who received at least one cycle of chemotherapy (cycle 2 or later) in which no G-CSF prophylaxis was administered.

    Data includes both temporary and permanent discontinuation of G-CSF prophylaxis. Participants may have more than 1 discontinuation reason.

    Measured: Participants were followed for up to 8 cycles of chemotherapy; the average observation time was 4.1 months.

  9. Percentage of Participants Who Experienced Complications of Febrile Neutropenia

    Complications of febrile neutropenia were defined as FN-related hospitalizations and death, and neutropenia-related chemotherapy dose delays and dose reductions.

    Measured: Participants were followed for up to 8 cycles of chemotherapy; the average observation time was 4.1 months.

  10. Number of Febrile Neutropenia Events That Occurred During Cycles With No G-CSF Prophylaxis

    The number of febrile neutropenia events that occurred during a cycle of chemotherapy (cycle 2 or later) in which no G-CSF prophylaxis was administered. Febrile neutropenia was defined as an ANC of < 0.5 x 10^9/L, or < 1.0 x 10^9/L predicted to fall below 0.5 x 10^9/L within 48 hours with fever or clinical signs of sepsis; fever and ANC were measured the same day or within ± 1 calendar day.

    Measured: Participants were followed for up to 8 cycles of chemotherapy; the average observation time was 4.1 months.

  11. Number of Participants Who Experienced Febrile Neutropenia During Cycles With No G-CSF Prophylaxis

    The number of participants who received at least one cycle of chemotherapy in which no G-CSF prophylaxis was administered who experienced febrile neutropenia during a cycle of chemotherapy in which no G-CSF prophylaxis was administered. Febrile neutropenia was defined as an ANC of < 0.5 x 10^9/L, or < 1.0 x 10^9/L predicted to fall below 0.5 x 10^9/L within 48 hours with fever or clinical signs of sepsis; fever and ANC were measured the same day or within ± 1 calendar day.

    Measured: Participants were followed for up to 8 cycles of chemotherapy; the average observation time was 4.1 months.

  12. Number of Participants Who Experienced Complications of Febrile Neutropenia During Cycles With No G-CSF Prophylaxis

    The number of participants who received at least one cycle of chemotherapy in which no G-CSF prophylaxis was administered who experienced complications of febrile neutropenia during a cycle of chemotherapy in which no G-CSF prophylaxis was administered. Complications of febrile neutropenia were defined as FN-related hospitalizations and death, and neutropenia-related chemotherapy dose delays and dose reductions.

    Measured: Participants were followed for up to 8 cycles of chemotherapy; the average observation time was 4.1 months.

  13. Number of Cycles With No G-CSF Prophylaxis in Which Febrile Neutropenia Events Occurred

    The number of chemotherapy cycles during which an event of febrile neutropenia occurred in which no G-CSF prophylaxis was administered. Febrile neutropenia was defined as an ANC of < 0.5 x 10^9/L, or < 1.0 x 10^9/L predicted to fall below 0.5 x 10^9/L within 48 hours with fever or clinical signs of sepsis; fever and ANC were measured the same day or within ± 1 calendar day.

    Measured: Participants were followed for up to 8 cycles of chemotherapy; the average observation time was 4.1 months.

  14. Number of Cycles With No G-CSF Prophylaxis in Which Complications of Febrile Neutropenia Occurred

    The number of chemotherapy cycles during which complications of febrile neutropenia occurred in which no G-CSF prophylaxis was administered. Complications of febrile neutropenia were defined as FN-related hospitalizations and death, and neutropenia-related chemotherapy dose delays and dose reductions.

    Measured: Participants were followed for up to 8 cycles of chemotherapy; the average observation time was 4.1 months.

  15. Number of Participants Who Permanently Switched From Pegfilgrastim Prophylaxis to Other G-CSF Prophylaxis

    The number of participants who received pegfilgrastim prophylaxis from cycle 1 until a cycle when other G-CSF prophylaxis was administered, and this G-CSF or a different G-CSF agent (not pegfilgrastim) was received as prophylaxis at each remaining cycle of the chemotherapy course.

    Measured: Participants were followed for up to 8 cycles of chemotherapy; the average observation time was 4.1 months.

  16. Characteristics of Participants Who Received On-schedule Pegfilgrastim Primary Prophylaxis

    On-schedule pegfilgrastim primary prophylaxis was defined as participants who received pegfilgrastim in cycle 1 and continued to receive pegfilgrastim across all cycles, administered 1-3 days after the end of cytotoxic chemotherapy in each cycle.

    Measured: Participants were followed for up to 8 cycles of chemotherapy; the average observation time was 4.1 months.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Jun 2014 (estimated)
  2. Study start18 Jul 2014
  3. Primary completion28 Oct 2016
  4. Study completion28 Oct 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Prospective
Enrolment
943 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02178475
Sponsor's protocol ID
20120214
Status last verified
Oct 2017
First submitted
10 Jun 2014
Last updated
23 Jul 2018
Data monitoring committee
No

Publications

  • Mahtani RL, Belani R, Crawford J, Dale D, DeCosta L, Gawade PL, Huynh C, Lawrence T, Lewis S, MacLaughlin WW, Narang M, Rifkin R. A prospective cohort study to evaluate the incidence of febrile neutropenia in patients receiving pegfilgrastim on-body injector versus other options for prophylaxis of febrile neutropenia: breast cancer subgroup analysis. Support Care Cancer. 2022 Jul;30(7):6135-6144. doi: 10.1007/s00520-022-07025-2. Epub 2022 Apr 14.

    PubMed 35426046

Questions about this trial

What is this clinical trial studying?

An observational study of Chemotherapy-induced Febrile Neutropenia, run by Amgen at 74 sites in 9 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 23 Jul 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 74 sites in France, Greece, Romania, Germany, Poland and 4 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 23 Jul 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants With Febrile Neutropenia (time frame: Participants were followed for up to 8 cycles of chemotherapy; the average observation time was 4.1 months.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02178475, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Jul 2018; AzTrials last refreshed its copy on 8 Nov 2026.

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