Real World Study of PEG-rhG-CSF in Prevention of Chemotherapy-induced Neutropenia

February 18, 2019 updated by: CSPC Baike (Shandong) Biopharmaceutical Co., Ltd.

Real World Study of PEGylated Recombinant Human Granulocyte Stimulating Factor(PEG-rhG-CSF) in Prevention of Chemotherapy-induced Neutropenia

The aim of this study is to observe and evaluate the cost-effectiveness,efficacy and safety of PEG-rhG-CSF in preventing chemotherapy-induced neutropenia(CIN) of cancer patients in the real world.1000 patients with non-myeloid malignancy who is planned to receive PEG-rhG-CSF for CIN prevention and 500 patients with non-myeloid malignancy who is planned to receive rhG-CSF for CIN prevention or treatment were prospectively recruited.The primary outcome was cost-effectiveness and second outcome was febrile neutropenia,the incidence and duration of grade IV neutropenia,chemotherapy delay,incidence of reduced dose of chemotherapy and relative dose intensity of chemotherapy.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Study Type

Observational

Enrollment (Anticipated)

1500

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

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

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

1000 patients with non-myeloid malignancy who is planned to receive PEG-rhG-CSF for CIN prevention and 500 patients with non-myeloid malignancy who is planned to receive rhG-CSF for CIN prevention or treatment were prospectively recruited.

Description

Inclusion Criteria:

  1. Patients' age≥18 years old, male or female
  2. Diagnosis of non-myeloid malignant solid tumors
  3. Patients are planned to perform chemotherapy and preventive use the PEG-rhG-CSF or preventive or therapeutic use of rhG-CSF after chemotherapy
  4. Patients' mental status are well, could understand the study and willing to participate the study, sign the informed consent form
  5. The investigator believes that patients can benefit from this study

Exclusion Criteria:

  1. Patients who have been confirmed to be allergic to Jinyouli® or rhG-CSF or its excipients
  2. Pregnant or lactating women and women who plan to be pregnant during clinical observation
  3. Other patients that the doctor believe not suitable for inclusion

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
Intervention / Treatment
PEG-rhG-CSF group
This group comprised 1000 patients who received a single subcutaneous injection of PEG-rhG-CSF 24 hours after the end of chemotherapy for each chemotherapy cycle. The dose of PEG-rhG-CSF is determined by the patients' body weight, patients with body weight ≥45 kg is given to PEG-rhG-CSF 6 mg each time, patients<45 kg is given to PEG-rhG-CSF 3 mg each time.
Drug: PEG-rhG-CSF
PEG-rhG-CSF was administered 24 hours after the end of chemotherapy for each chemotherapy cycle.
Other Names:
  • Jinyouli
rhG-CSF group
This group comprised 500 patients who received rhG-CSF 5 μg/kg/day by subcutaneous injection 24 hours after the end of chemotherapy or the appearance of CIN until the ANC was ≥2.0x109/L for each chemotherapy cycle.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Cost-Effectiveness
Time Frame: through the chemotherapy cycles of PEG-rhG-CSF or rhG-CSF treatment,an average of 3 month
Based on the results of the incidence of febrile neutropenia(FN) and the cost perFN in each group, the incremental cost-effectiveness ratio were estimated using the following formula: (CostA-CostB)/(OutcomeA-OutcomeB)
through the chemotherapy cycles of PEG-rhG-CSF or rhG-CSF treatment,an average of 3 month

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
The incidence of febrile neutropenia
Time Frame: From date of randomization until the date of the study completion,an average of 3 month
Febrile neutropenia (FN) is defined as oral temperature >38.3 ℃(under arm temperature >38.1 ℃) or continuous measurement of oral temperature >38℃(under arm temperature >37.8℃) in 2h, and absolute neutrophil count(ANC) <0.5×10^9/L, or expected to be <0.5×10^9/L
From date of randomization until the date of the study completion,an average of 3 month
The incidence of grade IV neutropenia
Time Frame: From date of randomization until the date of the study completion,an average of 3 month
Grade IV neutropenia is defined as the absolute neutrophil count(ANC)<0.5×10^9/L
From date of randomization until the date of the study completion,an average of 3 month
The duration of grade IV neutropenia in every chemotherapy cycle
Time Frame: From date of randomization until the date of the study completion,an average of 3 month
Defined as days when the ANC<2.0×10^9/L occurs to the time when the ANC≥2.0×10^9/L, take the median
From date of randomization until the date of the study completion,an average of 3 month
The incidence of the chemotherapy delay
Time Frame: From date of randomization until the date of the study completion,an average of 3 month
Chemotherapy delay is defined as the delay in starting the next planned chemotherapy for more than 3 days.
From date of randomization until the date of the study completion,an average of 3 month
The duration of the chemotherapy delay in every chemotherapy cycle
Time Frame: From date of randomization until the date of the study completion,an average of 3 month
The duration of the chemotherapy delay in every chemotherapy cycle
From date of randomization until the date of the study completion,an average of 3 month
The incidence of the dose reduction
Time Frame: From date of randomization until the date of the study completion,an average of 3 month
The incidence of the reduction of planned dose of chemotherapy
From date of randomization until the date of the study completion,an average of 3 month
Relative chemotherapy dose intensity in every chemotherapy cycle
Time Frame: From date of randomization until the date of the study completion,an average of 3 month
Relative chemotherapy dose intensity is defined as the actual chemotherapy dose the patient used divided by the planned chemotherapy dose,or the actual chemotherapy time divided by the planned chemotherapy time
From date of randomization until the date of the study completion,an average of 3 month

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Incidence of adverse events
Time Frame: From date of randomization until the date of the study completion,an average of 3 month
All adverse events will be recorded from the time of patients signing the informed consent form up to 30 days after the last Intervention drug is applied. the adverse event that associated with the study drug will be specially recorded.
From date of randomization until the date of the study completion,an average of 3 month

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

CSPC Baike (Shandong) Biopharmaceutical Co., Ltd.

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 (Anticipated)

February 13, 2019

Primary Completion (Anticipated)

April 1, 2020

Study Completion (Anticipated)

October 1, 2020

Study Registration Dates

First Submitted

February 14, 2019

First Submitted That Met QC Criteria

February 18, 2019

First Posted (Actual)

February 19, 2019

Study Record Updates

Last Update Posted (Actual)

February 19, 2019

Last Update Submitted That Met QC Criteria

February 18, 2019

Last Verified

February 1, 2019

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • CSPC-JYL-RWS-07

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

IPD will only be shared by the investigators in this study

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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