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Chemotherapy-induced NeutropeniaPhase 2NCT03559387

Randomized Phase 2, Dose-finding Efficacy, Safety Study of ANF-RHO™ Versus Neulasta® in Chemotherapy-Induced Neutropenia

A Phase 2 study testing ANF-RHO™ and Neulasta® in people with Chemotherapy-induced Neutropenia, run by Prolong Pharmaceuticals at 8 sites in 2 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Randomized, Open-Label study to determine the dose, efficacy, safety and pharmacokinetic profile of ANF-RHO™ with once-per-cycle injection in comparison with Neulasta in Breast Cancer patients at high risk of developing Chemotherapy-Induced Neutropenia Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Chemotherapy-induced Neutropenia
What is being tested?
ANF-RHO™ and Neulasta®
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
9 participants
Where
8 sitesin 2 countries
Study dates
3 Aug 2017to 22 May 2018
Phase
Phase 2
Are there results?
None posted in the registry

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
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adult female patients, 18 years of age or older
  • Signed and dated written consent/assent by the patient or legally authorized representative
  • Histologically confirmed non-metastatic breast cancer
  • ECOG performance status ≤ 2
  • Myelosuppressive chemotherapy naive
  • Scheduled to receive and anticipated to complete the following chemotherapy regimen
Show all 25Show fewer
  • FEC (fluorouracil/epirubicin (100) / cyclophosphamide) (3 cycles);
  • Docetaxel (3 cycles) chemotherapy
  • White blood cells (WBC) ≥ 3 × 10^9/L; Absolute neutrophil count (ANC) ≥ 2.0 × 10^9/L; platelet count ≥ 100 × 10^9/L; and hemoglobin ≥ 10 g/dL (6.2 mmol/L)
  • Adequate cardiac function (e.g. LVEF > 50% as determined by standard care) and adequate hepatic function (e.g. liver transaminases < 2.5 x ULN)
  • Women of childbearing potential with a negative serum pregnancy test and using a highly effective method of birth control (i.e. one that results in a less than 1% per year failure rate when used consistently and correctly, such as implants, injectables, combined oral contraceptives and intrauterine devices (IUDs)). Periodic abstinence is not an acceptable contraceptive method during the study period.
  • Exclusion Criteria: A subject will not be enrolled if any they meet any of the following criteria:
  • Known hypersensitivity to E.coli derived products or polyethylene glycol
  • No other malignancy except carcinoma in situ and basal-cell and squamous cell carcinoma of the skin, unless the other malignancy was treated ≥ 5 years ago with curative intent
  • Evidence of myelodysplasia, aplastic anemia, myelofibrosis, rheumatoid arthritis, systemic lupus erythematosus, or sickle cell disease
  • Clinical diagnosis or history of chronic infection such as hepatitis B virus (HBV), hepatitis C virus (HCV) or Human immunodeficiency virus (HIV) or history of tuberculosis
  • Previous exposure to filgrastim, perfilgrastim or lipegfilgrastim within 30 days before randomization
  • Treatment with systemically active antibiotics within 72 hours before chemotherapy
  • Chronic use of oral corticosteroids
  • Participation in a pharmacological clinical trial within 30 days before randomization
  • Clinical diagnosis of drug abuse or substance abuse within 30 days prior to screening
  • Documented alcohol abuse within 30 days prior to screening
  • Unwilling and/or not capable of ensuring compliance with the provisions of the study protocol
  • Pregnant or breastfeeding women where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive serum HCG laboratory test
  • Other serious medical condition that would prevent individual from receiving protocol treatment

Who cannot join

None listed.

Trial locations and contacts

8 sites in 2 countries.

8 sites in 2 countries

France4 sites
  • Hôpital Saint Louis - Center des Maladies du Sein

    Paris, 75475

  • Institut de cancérologie Jean Godinot

    Reims, 51100

  • Strasbourg Oncologie Libérale

    Strasbourg, 67000

  • CHU de Tours

    Tours, 37044

Other trials in France

Netherlands4 sites
  • Erasmus Medical Center

    Rotterdam, 3008

  • Ikazia Ziekenhuis

    Rotterdam, 3038

  • Maasstad Ziekenhuis

    Rotterdam, 3079

  • Franciscus Gasthuis & Vlietland

    Schiedam, 3118

Other trials in Netherlands

About this study

Official title: A Randomized and Open-label Dose-finding, Ph. 2, Efficacy, Safety, and Pharmacokinetic Study of Once-per-cycle Prophylactic Injections of ANF-RHO™ Versus Pegfilgrastim (Neulasta®) in Non-metastatic Breast Cancer Patients at High-risk of Chemotherapy-induced Neutropenia

Randomized, Open-Label study to determine the dose, efficacy, safety and pharmacokinetic profile of ANF-RHO™ with once-per-cycle injection in comparison with Neulasta in Breast Cancer patients at high risk of developing Chemotherapy-Induced Neutropenia

Read the detailed description

Forty Eight (48) adult female, chemotherapy treatment-naïve, stage I to III, breast cancer patients scheduled to receive FEC100 (3 cycles)/docetaxel (3 cycles) myelosuppressive chemotherapy will be enrolled into the study after they meet all the inclusion/exclusion criteria. Four (4) Cohorts of 12 patients each will be studied; they will be randomized either in the ANF-RHO™ treatment arm at different doses (10 μg/kg, 20 μg/kg, or 30 μg/kg, for the cohorts 1-3, respectively) or Neulasta® (6 mg / 0.6 ml SC injection, for cohort 4). For the cohorts 1-3, 12 patients from each of the respective ANF-RHO™ cohorts will be randomized with four patients from cohort 4 (Neulasta®). Patients in the ANF-RHO™ cohorts will receive study drug on Day 1 of each Chemotherapy cycle. Patients in the Neulasta® cohort will receive study drug on Day 2 of each Chemotherapy cycle. Doses of ANF-RHO™/Neulasta® will be provided for a total of 6 cycles (21 days each). The total duration of the study 129 ± 2 days (126 Days of treatment period followed by end of study visit)

Being tested
ANF-RHO™, Neulasta®

What participants receive

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

  • ANF-RHO™Drug

    Also called Pegylated Granulocyte Colony-Stimulating Factor (PEG-GCSF)

    Subjects randomized to the ANF-RHO™ treatment arm will receive the investigational product on Day 1(day of chemotherapy treatment) of each Chemotherapy cycle. ANF-RHO™ will be administered to the subjects as a subcutaneous injection. Subjects will receive the ANF-RHO™ dose with a volume equivalent to 10 µg/kg, 20 µg/kg and 30 µg/kg.

    ANF-RHO™ is provided as a single-use glass vial containing 1.0 ml of solution at a concentration of 5 mg/ml

  • Neulasta®Drug

    Also called Pegylated Granulocyte Colony-Stimulating Factor (PEG-GCSF)

    Subjects randomized to the Neulasta® treatment arm will receive the comparator drug on Day 2(day after chemotherapy treatment) of each Chemotherapy cycle. Neulasta® will be administered to the subjects at a standard dose of 6.0 mg in 0.6 ml as a subcutaneous injection.

    Neulasta® is also provided as a single-use pre-filled syringe.

Study groups in NCT03559387
Study groupRoleWhat they receive
ANF-RHO™ExperimentalSubjects will receive the ANF-RHO™ dose with a volume equivalent to 10 µg/kg, 20 µg/kg and 30 µg/kg as a subcutaneous injection.
Receives: Drug: ANF-RHO™
Neulasta®Active comparatorNeulasta® will be administered to the subjects at a dose of 6.0 mg in 0.6 ml as a subcutaneous injection.
Receives: Drug: Neulasta®

What is being measured

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

  1. Duration of neutropenia grade 1 or worse (absolute neutrophil count [ANC] ≤ 2.0 x 10^9/L) in the first cycle of chemotherapy (FE100C).

    Measured: 21 days

Secondary outcomes (25)
  1. Duration of neutropenia grade 1 or worse (absolute neutrophil count [ANC] ≤ 2.0 x 10^9/L) in the fourth cycle of chemotherapy (docetaxel).

    Measured: 21 days

  2. Duration of severe neutropenia (ANC < 0.5 x 10^9/L) during the first chemotherapy cycle (21-day cycle FE100C)

    Measured: 21 days

  3. Duration of severe neutropenia (ANC < 0.5 x 10^9/L) during the fourth chemotherapy cycle (21-day cycle docetaxel)

    Measured: 21 days

  4. Incidence of severe neutropenia (ANC < 0.5 x 10^9/L) during all chemotherapy cycles

    Measured: ~ 128 ± 2 days

  5. Incidence and duration of febrile neutropenia defined as peak temperature ≥38.5°C and ANC < 0.5 x 10^9/L, during all chemotherapy cycles

    Measured: ~ 128 ± 2 days

  6. Incidence and duration of febrile neutropenia defined as peak temperature ≥38.0°C for two readings over two hours and ANC < 0.5 x 10^9/L, during all chemotherapy cycles

    Measured: ~ 128 ± 2 days

  7. Incidence and duration of infection and infection-related events based on use of antibiotics during all chemotherapy cycles

    Measured: ~ 128 ± 2 days

  8. Incidence and duration of infection and infection-related events based on the need for hospitalization during all chemotherapy cycles

    Measured: ~ 128 ± 2 days

  9. Incidence and duration of moderate (ANC ≥ 50 x 10^9/L) leukocytosis during all chemotherapy cycles

    Measured: ~ 128 ± 2 days

  10. Incidence and duration of severe (ANC ≥ 100 x 10^9/L) leukocytosis during all chemotherapy cycles

    Measured: ~ 128 ± 2 days

  11. Clinically meaningful changes in vital signs during all chemotherapy cycles - Assessment of Blood pressure

    Assessment of Blood pressure (systolic and diastolic) helps determine the safety of the medications under study - ANF-RHO and Neulasta

    Measured: ~ 128 ± 2 days

  12. Clinically meaningful changes in vital signs during all chemotherapy cycles - Assessment of Heart rate

    Assessment of Heart rate helps determine the safety of the medications under study - ANF-RHO and Neulasta

    Measured: ~ 128 ± 2 days

  13. Clinically meaningful changes in vital signs during all chemotherapy cycles - Assessment of Respiratory rate

    Assessment of Respiratory rate helps determine the safety of the medications under study - ANF-RHO and Neulasta

    Measured: ~ 128 ± 2 days

  14. Clinically meaningful changes in vital signs during all chemotherapy cycles - Assessment of Body Temperature

    Assessment of Respiratory rate helps determine the safety of the medications under study - ANF-RHO and Neulasta

    Measured: ~ 128 ± 2 days

  15. Incidence of bone pain, determined by a numerical rating scale, as well as other reported adverse events

    Measured: ~ 128 ± 2 days

  16. Duration of bone pain, determined by a numerical rating scale, as well as other reported adverse events

    Measured: ~ 128 ± 2 days

  17. Severity of bone pain, determined by a numerical rating scale, as well as other reported adverse events

    Measured: ~ 128 ± 2 days

  18. Site of bone pain, determined by a numerical rating scale, as well as other reported adverse events

    Measured: ~ 128 ± 2 days

  19. Pharmacokinetic profile of ANF-RHO and Neulasta - Measurement of Maximum Plasma Concentration (Cmax)

    Cmax is the maximum concentration of the drug (either ANF-RHO or Neulasta) that is achieved after administration of a dose

    Measured: ~ 128 ± 2 days

  20. Pharmacokinetic profile of ANF-RHO and Neulasta - Measurement of Time taken to reach the maximum concentration (Tmax)

    Tmax is the time taken to reach the maximum concentration (Cmax) after administration of a dose.

    Measured: ~ 128 ± 2 days

  21. Pharmacokinetic profile of ANF-RHO and Neulasta - Measurement of half-life (T1/2)

    T1/2 is the time taken for ANF-RHO and Neulasta to reach half the value of their initial concentrations. T1/2 determination helps in understanding the duration for which ANF-RHO or Neulasta would be active upon administration.

    Measured: ~ 128 ± 2 days

  22. Pharmacokinetic profile of ANF-RHO and Neulasta - Area Under the Curve (AUC[0-t])

    AUC[0-t] is an important parameter for determining as to how much of the drug is available in the body after administration of a drug formulation, in this case ANF-RHO vs Neulasta. Understanding the AUC for both these drug formulations will help us to determine the efficacy and safety profiles of these medicines.

    Measured: ~ 128 ± 2 days

  23. Pharmacokinetic profile of ANF-RHO and Neulasta - Area Under the Curve (AUC[0-∞])

    Similar to AUC[0-t] which is estimated till time 't', in AUC[0-∞], the estimation is done on the concentration of the drug to an infinite time. Calculation of the AUC[0-∞], helps understand how much of the drug is available in the body at extremely low concentrations, beyond the limits of measurable concentrations.

    Measured: ~ 128 ± 2 days

  24. Pharmacokinetic profile of ANF-RHO and Neulasta - Area Under the Curve (AUC[0-t]/AUC[0-∞])

    The parameter AUC[0-t]/AUC[0-∞] is useful to calculate the fraction of the Total AUC that was added due to the extrapolated AUC (AUC[0-∞]). It helps understand if the methods employed for determining the total AUC and drug's availability in the body are correct.

    Measured: ~ 128 ± 2 days

  25. Incidence of anti-drug antibodies to ANF-RHO and Neulasta

    Measured: ~ 128 ± 2 days

Timeline

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

  1. First posted18 Jun 2018
  2. Study start3 Aug 2017
  3. Primary completion18 Apr 2018
  4. Study completion22 May 2018

Why it stopped: Study redesign

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
9 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03559387
Sponsor's protocol ID
PGFN-001
Status last verified
Jun 2018
First submitted
10 May 2018
Last updated
12 Feb 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ANF-RHO™ and Neulasta® in people with Chemotherapy-induced Neutropenia, run by Prolong Pharmaceuticals at 8 sites in 2 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 25 inclusion and 0 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: stopped early, as of the sponsor's last update on 12 Feb 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in France, Netherlands. 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.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was stopped early (reason given: Study redesign). Results are not available in the source record.

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?

Duration of neutropenia grade 1 or worse (absolute neutrophil count [ANC] ≤ 2.0 x 10^9/L) in the first cycle of chemotherapy (FE100C). (time frame: 21 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 12 Feb 2019.

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