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

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.

Studieoversigt

Status

Ukendt

Intervention / Behandling

Undersøgelsestype

Observationel

Tilmelding (Forventet)

1500

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

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.

Beskrivelse

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

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Intervention / Behandling
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.
PEG-rhG-CSF was administered 24 hours after the end of chemotherapy for each chemotherapy cycle.
Andre navne:
  • 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.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Cost-Effectiveness
Tidsramme: 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

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
The incidence of febrile neutropenia
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Incidence of adverse events
Tidsramme: 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

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Forventet)

13. februar 2019

Primær færdiggørelse (Forventet)

1. april 2020

Studieafslutning (Forventet)

1. oktober 2020

Datoer for studieregistrering

Først indsendt

14. februar 2019

Først indsendt, der opfyldte QC-kriterier

18. februar 2019

Først opslået (Faktiske)

19. februar 2019

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

19. februar 2019

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

18. februar 2019

Sidst verificeret

1. februar 2019

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • CSPC-JYL-RWS-07

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

IPD-planbeskrivelse

IPD will only be shared by the investigators in this study

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

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