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NeutropeniaPhase 1NCT04187898

Open-Label, Phase 1 Study to Evaluate Duration of Severe Neutropenia After Same-Day Dosing of Eflapegrastim in Patients With Breast-Cancer

A Phase 1 study testing Eflapegrastim, Docetaxel and Cyclophosphamide in people with Neutropenia and Breast Cancer, run by Spectrum Pharmaceuticals, Inc at 8 sites in United States.

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

The purpose of this study is to compare the effect of Eflapegrastim on duration of neutropenia in patients with early-stage breast cancer when administered at varying intervals following Docetaxel and Cyclophosphamide administration. Read more about this study

Who is it for?
Ages 18 to 55 years
Conditions the study is for
Neutropenia, Breast Cancer
What is being tested?
Eflapegrastim, Docetaxel and Cyclophosphamide
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
59 participants
Where
8 sitesUnited States
Study dates
11 Mar 2020to 16 Aug 2024
Phase
Phase 1
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 to 55 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Willing and capable of giving written Informed Consent and able to adhere to study drug dosing time and blood draw schedules
  • New diagnosis of histologically confirmed early-stage breast cancer (ESBC), defined as operable Stage I to Stage IIIA breast cancer
  • Candidate to receive adjuvant or neoadjuvant TC chemotherapy
  • Age must be at least 18 years for the Early Phase, and between 18 to ≤55 years for the Expansion Phase
  • ANC ≥1.5×10^9/liter (L).
  • Platelet count ≥100×10^9/liter (L).
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  • Hemoglobin >10 grams per deciliter (g/dL).
  • Calculated creatinine clearance >50 milliliter per minute (mL/min).
  • Total bilirubin ≤1.5 milligrams per deciliter (mg/dL).
  • Aspartate aminotransferase (AST)/serum glutamic oxaloacetic transaminase (SGOT) and alanine aminotransferase (ALT)/serum glutamic pyruvic transaminase (SGPT) ≤2.5×upper limit of normal (ULN).
  • Alkaline phosphatase ≤2.0×ULN.
  • Eastern Cooperative Oncology Group (ECOG) ≤2
  • Willing to practice 2 forms of contraceptives (1 must be a barrier method), from study entry through 30 days after last dose of study drug/ early discontinuation
  • Negative urine pregnancy test within 30 days before randomization

Who cannot join

  • Active concurrent malignancy (except non melanoma skin cancer or carcinoma in situ of the cervix) or life-threatening disease
  • Known sensitivity to Escherichia coli (E. coli) derived products
  • Concurrent adjuvant cancer therapy other than the trial-specified therapies
  • Locally recurrent/metastatic breast cancer
  • Previous exposure to filgrastim, pegfilgrastim, or other G-CSF products in clinical development within 3 months prior to the administration of study drug
  • Receiving anti-infectives, has an underlying medical condition or other serious illness that would impair the ability to receive protocol-specified treatment
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  • Used any investigational drugs, biologics, or devices within 30 days prior to study treatment or plans to use any of these during the course of the study
  • Prior bone marrow or stem cell transplant
  • Prior radiation therapy within 30 days prior to enrollment
  • Major surgery within 30 days prior to enrollment
  • Pregnant or breastfeeding

Trial locations and contacts

8 sites in 1 country.

8 sites in 1 country

United States8 sites
  • Pacific Cancer Medical Center

    Anaheim, California, 92801

  • SCL Health Research Institute, Inc.

    Billings, Montana, 59102

  • City of Hope

    Long Beach, California, 90813

  • BRCR Medical Center, Inc.

    Plantation, Florida, 33322

  • ACRC/ Arizona Clinical Research Center

    Tucson, Arizona, 85715

  • Bond & Steele Clinic, P.A.

    Winter Haven, Florida, 33881

  • Mercy Health Youngstown

    Youngstown, Ohio, 44501

  • Yuma Regional Medical Center Cancer Center

    Yuma, Arizona, 85364

Other trials in United States

About this study

Official title: Open-Label, Phase 1 Study to Evaluate Duration of Severe Neutropenia After the Same-Day, Varying Dosing Time Schedules of Eflapegrastim Administration in Patients With Breast-Cancer Receiving Docetaxel and Cyclophosphamide

The purpose of this study is to compare the effect of Eflapegrastim on duration of neutropenia in patients with early-stage breast cancer when administered at varying intervals following Docetaxel and Cyclophosphamide administration.

Read the detailed description

This is a Phase 1, randomized, open label, actively-controlled study to evaluate the same day dosing of Eflapegrastim on duration of neutropenia when administered at varying intervals following Docetaxel and Cyclophosphamide (TC) chemotherapy in patients with early-stage breast cancer.

The study will be conducted in two phases: Early Phase and Expansion Phase.

  1. In the Early Phase, approximately 45 patients were enrolled and randomized in a 1:1:1 ratio to 3 dosing time schedule arms. Each cycle was of 21 days. Total 4 cycles were evaluated for this phase. On Day 1 of Cycle 1, patients received Docetaxel and Cyclophosphamide (TC) chemotherapy followed by administration of Eflapegrastim at 1 of 3-time schedules post-TC (30 minutes [mins], 3 hours or 5 hours). During Cycles 2-4, patients received Eflapegrastim 24 hours after TC administration (on Day 2).
  2. In the Expansion Phase, additional 45 patients will be enrolled in Cycles 1-4, who will receive fixed dose of Eflapegrastim 30 mins after TC administration (on Day 1).

Safety evaluations will be conducted once the first 3 patients (for Early Phase) and the first 6 patients (for Expansion Phase) have completed Cycle 1 to determine if it is safe for patients to continue in that particular treatment arm.

Being tested
Eflapegrastim, Docetaxel, Cyclophosphamide
Keywords
Neutropenia, Early Stage Breast Cancer, Long-acting Myeloid Growth Factor, Docetaxel + Cyclophosphamide (TC) Chemotherapy
Medical subject headings
Neutropenia, Breast Neoplasms

What participants receive

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

  • EflapegrastimBiological

    Administered in Cycle 1, 30 minutes after TC chemotherapy.

    Administered in Cycles 2-4, on day 2 of each cycle.

  • EflapegrastimBiological

    Administered in Cycle 1, 3 hours after TC chemotherapy.

    Administered in Cycles 2-4, on day 2 of each cycle.

  • EflapegrastimBiological

    Administered in Cycle 1, 5 hours after TC chemotherapy.

    Administered in Cycles 2-4, on day 2 of each cycle.

  • EflapegrastimBiological

    Administered in Cycles 1-4, 30 mins after TC chemotherapy.

  • DocetaxelDrug

    Also called Taxotere

    75 mg/m^2 IV infusion.

    Administered on Day 1 of each cycle.

  • CyclophosphamideDrug

    Also called Cytoxan

    600 mg/m^2 IV infusion.

    Administered on Day 1 of each cycle.

Study groups in NCT04187898
Study groupRoleWhat they receive
Early Phase: Eflapegrastim @ 30mins post TCExperimentalEflapegrastim (13.2 mg/0.6 mL fixed dose, equivalent to 3.6 mg granulocyte colony-stimulating factor [G-CSF]). Supplied in prefilled single-use syringes for subcutaneous injection. Cycle 1: Administered on the same day as TC chemotherapy, 30 minutes from the end of TC administration. Cycles 2-4: Administered 24 hours after TC chemotherapy administration. Each cycle is 21 days.
Receives: Biological: Eflapegrastim; Drug: Docetaxel; Drug: Cyclophosphamide
Early Phase: Eflapegrastim @ 3 hours post TCExperimentalEflapegrastim (13.2 mg/0.6 mL fixed dose, equivalent to 3.6 mg G-CSF). Supplied in prefilled single-use syringes for subcutaneous injection. Cycle 1: Administered on the same day as TC chemotherapy, 3 hours from the end of TC administration. Cycles 2-4: Administered 24 hours after TC chemotherapy administration. Each cycle is 21 days.
Receives: Biological: Eflapegrastim; Drug: Docetaxel; Drug: Cyclophosphamide
Early Phase: Eflapegrastim @ 5 hours post TCExperimentalEflapegrastim (13.2 mg/0.6 mL fixed dose, equivalent to 3.6 mg G-CSF). Supplied in prefilled single-use syringes for subcutaneous injection. Cycle 1: Administered on the same day as TC chemotherapy, 5 hours from the end of TC administration. Cycles 2-4: Administered 24 hours after TC chemotherapy administration. Each cycle is 21 days.
Receives: Biological: Eflapegrastim; Drug: Docetaxel; Drug: Cyclophosphamide
Expansion Phase: Eflapegrastim @ 30 mins post TCExperimentalEflapegrastim (13.2 mg/0.6 mL fixed dose, equivalent to 3.6 mg G-CSF). Supplied in prefilled single-use syringes for subcutaneous injection. Cycles 1-4: Administered on the same day as TC chemotherapy, 30 minutes following the end of TC administration. Each cycle is 21 days.
Receives: Biological: Eflapegrastim; Drug: Docetaxel; Drug: Cyclophosphamide

What is being measured

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

  1. Time to Recovery of Absolute Neutrophil Count (ANC) From Nadir to ≥1.5×10^9/L in Cycle 1

    Time to ANC Recovery is defined as the time from chemotherapy administration until the patient's ANC increases to ≥1.5×10^9/liter (L) after the expected nadir.

    Measured: Cycle 1 is 21 days

Secondary outcomes (11)
  1. Duration of Grade 4 Neutropenia (DSN) in Cycle 1

    DSN is defined as the number of days of severe neutropenia where the ANC<0.5x10^9/L from the first occurrence of an ANC below the threshold.

    Measured: Cycle 1 is 21 days

  2. Proportion of Patients With Grade 4 Neutropenia in Cycle 1

    Measured: Cycle 1 is 21 days

  3. Incidence of Grade 3 Febrile Neutropenia (FN) in Cycle 1

    FN is defined as having an ANC<1.0x10^9/L and either a single temperature of >38.3 degrees Celsius (101.0 Fahrenheit [F]) or a sustained temperature of >38.0 degrees Celsius (100.4 F).

    Measured: Cycle 1 is 21 days

  4. Incidence of Neutropenic Complications, Including Hospitalization due to Neutropenia, FN, and use of Anti-infectives During Cycle 1

    Measured: Cycle 1 is 21 days

  5. Expansion Phase: Time to Recovery of ANC From Nadir to ≥1.5×10^9/L in Cycles 2-4

    Time to ANC Recovery is defined as the time from chemotherapy administration until the patient's ANC increases to ≥1.5×10^9/L after the expected nadir.

    Measured: Cycles 2-4 (cycle length=21 days) (up to approximately 63 days)

  6. Expansion Phase: DSN in Cycles 2-4

    DSN is defined as the number of days of severe neutropenia where the ANC <0.5x10^9/L from the first occurrence of an ANC below the threshold.

    Measured: Cycles 2-4 (cycle length=21 days) (up to approximately 63 days)

  7. Expansion Phase: Proportion of Patients With Grade 4 Neutropenia in Cycles 2-4

    Measured: Cycles 2-4 (cycle length=21 days) (up to approximately 63 days)

  8. Expansion Phase: Incidence of FN in Cycles 2-4

    FN is defined as having an ANC<1.0x10^9/L and either a single temperature of >38.3 degrees Celsius (101.0 F) or a sustained temperature of >38.0 degrees Celsius (100.4 F).

    Measured: Cycles 2-4 (cycle length=21 days) (up to approximately 63 days)

  9. Expansion Phase: Incidence of Neutropenic Complications, Including Hospitalization due to Neutropenia, FN, and use of Anti-infectives During Cycles 2-4

    Measured: Cycles 2-4 (cycle length=21 days) (up to approximately 63 days)

  10. Number of Patients With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) as a Measure of Safety

    Measured: Up to approximately 40 days after the last dose of study treatment or early study discontinuation (up to approximately 4 months)

  11. Proportion of Patients Discontinuing Because of a TEAE

    Measured: Up to approximately 40 days after the last dose of study treatment or early study discontinuation (up to approximately 4 months)

Timeline

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

  1. First posted5 Dec 2019
  2. Study start11 Mar 2020
  3. Primary completion16 Jul 2024
  4. Study completion16 Aug 2024

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Model description
Considering two-phase study, where Expansion Phase followed Early Phase. The dosing within the Early Phase was in parallel assignment wherein participants were assigned to three arms in a 1:1:1 ratio. Patients completing Early Phase will enter the Expansion Phase to receive dosing in a single arm.
Masking
None (open label)
Enrolment
59 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04187898
Sponsor's protocol ID
SPI-GCF-104
Status last verified
Sep 2024
First submitted
30 Oct 2019
Last updated
19 Sep 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Eflapegrastim, Docetaxel and Cyclophosphamide in people with Neutropenia and Breast Cancer, run by Spectrum Pharmaceuticals, Inc at 8 sites in United States.

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 14 inclusion and 11 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 19 Sep 2024. 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 United States. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Time to Recovery of Absolute Neutrophil Count (ANC) From Nadir to ≥1.5×10^9/L in Cycle 1 (time frame: Cycle 1 is 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 19 Sep 2024.

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