- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04174742
Self Reported Pain in Women While Undergoing Treatment for Non-metastatic Breast Cancer
January 11, 2024 updated by: Wake Forest University Health Sciences
Self-Reported Pain and Nadir White Blood Cell/Absolute Neutrophil Count in Women 45 and Under Compared to Older Women Receiving Pegfilgrastim (or Biosimilar Substitution) While Undergoing Chemotherapy for Non-Metastatic Breast Cancer
The overall purpose of this study is to investigate whether younger subjects report pain with pegfilgrastim (or biosimilar substitution) more often and/or at higher levels (greater intensity) than older subjects.This study will be carried out throughout the course of your chemotherapy treatment, which will be prescribed by your study doctor.
Participation in this study will not affect your cancer treatment.
Study Overview
Detailed Description
This study will measure pain using ESAS self-reported pain scores over the course of one week following each dose of pegfilgrastim (or biosimilar substitution).
At the end of that week, blood will be drawn from each subject to directly measure the WBC/ANC, which can then be compared to self-reported pain and evaluated for any correlation.
Finally, subjects will be divided into two groups by age: 45 years or younger, and over 45 to look for any differences in pain or WBC/ANC measurements based on age.
Study Type
Observational
Enrollment (Estimated)
102
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
- Name: Laura Moore, RN
- Phone Number: 980-442-2340
- Email: laura.moore1@atriumhealth.org
Study Locations
-
-
North Carolina
-
Charlotte, North Carolina, United States, 28204
- Recruiting
- Levine Cancer Institute
-
-
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
Sampling Method
Probability Sample
Study Population
Female patients undergoing neoadjuvant or adjuvant chemotherapy for breast cancer who will receive pegfilgrastim (or biosimilar substitution) during their treatment.
Description
Inclusion Criteria
Subject must meet all the following applicable inclusion criteria to participate in this study:
- Written informed consent and HIPAA authorization for release of personal health information. NOTE: HIPAA authorization may be included in the informed consent or obtained separately.
- Age ≥ 18 years at the time of consent
- Female
- Histological or cytological confirmation of invasive breast cancer.
- Planned to undergo adjuvant or neoadjuvant chemotherapy treatment for invasive breast cancer AND pegfilgrastim (or biosimilar substitution) treatment for neutropenic prophylaxis.
- Ability to read and understand the English and/or Spanish language
- As determined by the enrolling physician, ability of the subject to understand and comply with study procedures for the entire length of the study
Exclusion Criteria
Subjects meeting any of the criteria below may not participate in the study:
- Uncontrolled intercurrent illness/medical condition or psychiatric illness/social situations that would limit compliance with study requirements as determined by the investigator
- Have previously received chemotherapy or radiation other than the first cycle of the planned adjuvant or neoadjuvant chemotherapy as indicated in Inclusion #5
- Taking chronic narcotics, as determined by treating physician
- Diagnosis of distant metastatic breast cancer
- Diagnosis of a chronic pain syndrome (e.g. fibromyalgia, severe osteoarthritis, etc.)
- A baseline ESAS pain score of greater than 8.
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
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
A
Subjects 45 years of age or younger
|
It works by increasing neutrophil migration to counteract cytotoxicity.
It is commonly administered to patients receiving chemotherapy for breast cancer treatment.
It has been shown to significantly reduce the incidence of neutropenic fever, although without statistically significant impact on overall survival.
|
B
Subjects over 45 years of age
|
It works by increasing neutrophil migration to counteract cytotoxicity.
It is commonly administered to patients receiving chemotherapy for breast cancer treatment.
It has been shown to significantly reduce the incidence of neutropenic fever, although without statistically significant impact on overall survival.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Frequency of pain
Time Frame: approx 7 months
|
investigate whether younger patients report pegfilgrastim (or biosimilar substitution)-induced pain with greater frequency than older patients.
|
approx 7 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Intensity of pain
Time Frame: approx 7 months
|
investigate whether younger patients report pegfilgrastim (or biosimilar substitution)-induced pain at a higher intensity than older patients.
|
approx 7 months
|
White Blood Cell/Absolute Neutrophil Count (WBC/ANC)
Time Frame: On day 7 of each pegfilgrastim or biosimilar substitution cycle (28 day cycle, approx 4-6 cycles) through study completion (one week after last administration of pegfilgrastim or biosimilar substitution)
|
compare WBC/ANC count nadir between younger and older patients receiving pegfilgrastim (or biosimilar substitution).
|
On day 7 of each pegfilgrastim or biosimilar substitution cycle (28 day cycle, approx 4-6 cycles) through study completion (one week after last administration of pegfilgrastim or biosimilar substitution)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Julie Fisher, MD, Wake Forest University Health Sciences
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 (Actual)
December 17, 2019
Primary Completion (Estimated)
January 1, 2041
Study Completion (Estimated)
January 1, 2041
Study Registration Dates
First Submitted
October 31, 2019
First Submitted That Met QC Criteria
November 21, 2019
First Posted (Actual)
November 22, 2019
Study Record Updates
Last Update Posted (Actual)
January 12, 2024
Last Update Submitted That Met QC Criteria
January 11, 2024
Last Verified
January 1, 2024
More Information
Terms related to this study
Other Study ID Numbers
- IRB00081356
- Pro00037721 (Other Identifier: Advarra IRB)
- LCI-BRE-GCSF-001 (Other Identifier: Atrium Health)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
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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