Efficacy and Safety of PEG-rhG-CSF in the Prevention of Neutropenia After Chemo in Pts With Gynecological Malignancies
A Multicenter, Randomized Controlled, Open Clinical Study of the Efficacy and Safety of PEG-rhG-CSF in the Prevention of Neutropenia After Chemotherapy in Patients With Gynecological Malignancies
This study is a multi-center, forward-looking, open, randomized, controlled clinical trial. This study aims to analyze the effects of Mecapegfilgrastim Injection prevention versus non-prevention for neutropenia in ovarian cancer, cervical cancer, endometrial cancer patients after chemical therapy.
Patients are randomized into study group and control group. All patients receive PTX+platinum chemotherapy of 3 weeks. In study group, patients accept PEG-rhG-CSF 24-48 hours from the chemotherapy. While the control group patients are only observed closely. Patient receive three courses of treatment.
The primary end is the incidence of 3/4 level neutropenia in three courses of chemotherapy.
The secondary ends include: the incidences and duration of neutropenia in every course of chemotherapy, the incidences of FN in three courses and every course of chemotherapy, the incidences of infection in three courses and every course of chemotherapy, the delay time of the next cycle of chemotherapy due to FN or infection, the RDI of the second and third cycles of chemotherapy, adverse events related to G-CSF, quality of life, cost of medicine and admitting.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Forventet)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Lingfang Xia, M.D.
- Telefonnummer: 13774211977
- E-mail: nightxlf@163.com
Undersøgelse Kontakt Backup
- Navn: Xiaohua Wu, MD&PHD
- Telefonnummer: +862164175590
- E-mail: alizheng@126.com
Studiesteder
-
-
Shanghai
-
Shanghai, Shanghai, Kina
- No. 270, Dongan Road, Xuhui District, Shanghai, China
-
Kontakt:
- Xiaohua Wu
- Telefonnummer: +862164175590
- E-mail: alizheng@126.com
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Ages 18-70
- Weight ≥45 kg
- ≤2 lines chemotherapy or postoperative adjuvant chemotherapy patients with cervical cancer, ovarian cancer and endometrial cancer
- Receive paclitaxel combined with platinum three weeks per cycle of chemotherapy
- With an Eastern Cooperative Oncology Group (ECOG) performance status score of 0-1
- Expected survival time of > 3 months
Main organ functions meet the following criteria:
- Hb≥75g/L; WBC≥3.0×109/L; ANC≥1.5×109/L; PLT≥80×109/L;
- APTT-ULN≤10s; PT-ULN≤3s; TT-ULN≤3s;
- ALT≤2.5×ULN; AST≤2.5×ULN; TBIL≤2.5×ULN;
- BUN≤1.5×ULN; Cr≤1.5×ULN; UA≤1.5×ULN;Creatinine clearance≥40mL/min;
- without obvious cardiac dysfunction
- Provided consent for participation
Exclusion Criteria:
- With uncontrollable infections or receive systemic antibiotics within 72 hours prior to chemotherapy
- Pregnant or lactating women
- Received bone marrow or hematopoietic stem cell transplantation within the past 3 months
- Concurrent chemoradiotherapy
- Presence of hematological disorders: systemic lupus erythematosus, sjogren's syndrome, rheumatic autoimmune disease, mixed and hoof tissue disease, autoimmune hemolytic anemia, leukopenia , chronic granulocyte leukemia, bone marrow dysplasia syndrome, aplastic anemia, congenital and idiopathic neutropenia, myelodysplastic syndrome, cyclic neutropenia, primary and secondary thrombocytopenic purpura, etc
- Presence of risk of thrombus or high risk of clotting
- Presence of psychosis, neurological disease or brain metastases from tumors
- Presence of uncontrollable complicated disease including symptomatic congestive heart failure, uncontrollable hypertension, unstable angina pectoris, active peptic ulcer, or hemorrhagic disease
- Presence of uncontrollable infectious diseases, active viral hepatitis, tuberculosis, HIV
- Allergic to recombinant human granulocyte stimulating factor or other biological products of E. coli origin
- Received clinical trials within 1 month prior to enrollment
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Sekventiel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: PEG-rhG-CSF prevention
Mecapegfilgrastim subcutaneous injection, 6mg, 24-48h after the end of antitumor drug administration in each chemotherapy cycle,
|
24-48h after the end of antitumor drug administration in each chemotherapy cycle, Mecapegfilgrastim was injected subcutaneously, 6mg/ time, once/cycle
Andre navne:
|
|
Ingen indgriben: non-prevention
Only close monitoring after chemotherapy
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Incidence of third/fourth level neutropenia
Tidsramme: three months
|
Incidence of third/fourth level neutropenia during three cycles chemotherapy
|
three months
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Incidence of febrile neutropenia
Tidsramme: three months
|
Incidence of febrile neutropenia during every cycle chemotherapy
|
three months
|
|
The duration time of third/fourth level neutropenia
Tidsramme: three months
|
The duration time of third/fourth level neutropenia during three cycles chemotherapy
|
three months
|
|
Incidence of infection
Tidsramme: three months
|
Incidence of third/fourth level neutropenia during three cycles chemotherapy
|
three months
|
|
delay time of chemotherapy
Tidsramme: three months
|
The delay time of the next cycle of chemotherapy due to FN or infection
|
three months
|
|
RDI of chemotherapy
Tidsramme: three months
|
Relative dose intensity of the second and third chemotherapy
|
three months
|
|
Adverse events
Tidsramme: three months
|
Incidence of adverse events related to granulocyte colony stimulating factor according to common Terminology Criteria for Adverse Events (CTCAE) v5.0
|
three months
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Xiaohua Wu, MD&PHD, director of gynecologic oncology
Datoer for undersøgelser
Studer store datoer
Studiestart (Forventet)
Studiestart
Primær færdiggørelse (Forventet)
Primær færdiggørelse
Studieafslutning (Forventet)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- MA-GynC-II-001
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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