- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01763398
Analysis of the Risk Factors for the Neutropenic Fever in the High Risk NHL Patients for Developing Febrile Neutropenia Who Received 3-weekly CHOP-like Chemotherapy With Primary G-CSF Prophylaxis; Prospective Multicenter Observation Study
October 30, 2016 updated by: Yonsei University
The domestic standards of G-CSF permit the use of the G-CSF only when the ANC(absolute neutrophil count) drops to 1,000/uL or below.
Therefore it is impossible to inject the G-CSF in order to prevent neutropenia.
However, 'the 2006 Update of Recommendations for the Use of White Blood Cell Growth Factors: An Evidence-Based Clinical Practice Guideline(J ClinOncol 2006; 24:3187-3205)' and the 'NCCN Guideline' have revealed that as a precaution, it is appropriate to inject the G-CSF to the non-Hodgkin's lymphoma patients with high-risk factors under the anticancer treatment of CHOP-21 Rituximab before the number of neutrophils decreases.
Thus, it is intended to analyze the risk factors of febrile neutropenia in a high-risk group of non-Hodgkin's lymphoma patients with a neutropenic fever who receive the CHOP-like regimen and primary G-CSF prophylactic therapy every three weeks.
(The definition of neutropenic fever is a fever over 38.3 degrees C or continuous fever lasting longer than 1 hour over 38 degrees C with the number of neutrophil ≤ 500/uL or neutrophil ≤ 1,000/uL in case of expected decline to ≤ 500/uL within 48 hours.)
Study Overview
Status
Completed
Conditions
Study Type
Observational
Enrollment (Actual)
500
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Seoul, Korea, Republic of, 120-752
- Severance Hospital
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
20 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
Patients with non-Hodgkin's lymphoma, high risk group for neutropenic fever, treated by CHOP-like regimen and primary G-CSF prophylactic therapy
Description
Inclusion Criteria:
- Histologically diagnosed non-Hodgkin's lymphoma patients treated by CHOP-regimen or R (Rituximab)-CHOP regimen at 21±5 days interval
- Age >= 20 years old
The patients with at least one of the following risk factor of neutropenic fever at initiation of anti-cancer treatment
- Age >= 65 years old
- Progressed stage of disease (Ann Arbor stage III)
- History of previous anti-cancer treatment
- History of previous radiotherapy (Including bone region includes bone marrow)
- Bone marrow involvement
- Comorbid neutropenia (neutrophils < 1,500/uL ) before the initiation of anti-cancer treatment
- Comorbid anemia (hemoglobin < 12.0 g/dL ) before the initiation of anti-cancer treatment
- Evidence of activated inflammation
- Existence of open wound
- Poor health state (ECOG 2)
- Poor nutritional state (Serum albumin < 3.5 g/dL)
- Kidney disease or renal insufficiency
- Liver disease (chronic hepatitis or cirrhosis) or hepatic insufficiency
- Chronic Obstructive Pulmonary Disease (COPD)
- Cardiovascular disease
- Diabetes mellitus
- Increased cardiac output by 50% above the baseline without clinically significant abnormal findings on MUGA or echocardiography
- life expectancy >=6 months
- Amenorrhea less than 1 year (less than 1 year after menopause) or premenopausal female with negative response to serum or urine pregnancy test before initiation of the treatment
- Voluntary participants with written consent agreement for this study
Exclusion Criteria:
- The patients treated by other anti-cancer treatment except CHOP regimen or R (Rituximab)-CHOP regimen at 21 days interval
- Pregnant or breast feeding woman, fertile woman without appropriate contraception
- Patients with hypersensitivity against study drugs
- Patients treated by other study medication or co-treatment with anticancer chemotherapy, hormone therapy, and immunotherapy
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
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non-Hodgkin's lymphoma
Patients with non-Hodgkin's lymphoma, high risk group for neutropenic fever, treated by CHOP-like regimen and primary G-CSF prophylactic therapy
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Hospitalization period
Time Frame: 24months
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Hospitalization relevant to this during the occurrence of febrile neutropenia under anticancer treatments
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24months
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
September 1, 2011
Primary Completion (ACTUAL)
August 1, 2015
Study Completion (ACTUAL)
August 1, 2015
Study Registration Dates
First Submitted
January 4, 2013
First Submitted That Met QC Criteria
January 4, 2013
First Posted (ESTIMATE)
January 8, 2013
Study Record Updates
Last Update Posted (ESTIMATE)
November 1, 2016
Last Update Submitted That Met QC Criteria
October 30, 2016
Last Verified
October 1, 2016
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 4-2011-0432
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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