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PEG-rhG-CSF in Elderly Patients With Small Cell Lung Cancer Receiving Chemotherapy

Multi-center, Open, One-arm Clinical Study Evaluating the Efficacy and Safety of Jinyouli (PEGylated Recombinant Human Granulocyte Stimulating Factor, PEG-rhG-CSF) in Preventing Neutropenia After Chemotherapy in Elderly Patients With Small Cell Lung Cancer

Evaluation of the efficacy and safety of Jinyouli in preventing neutropenia in multiple chemotherapy cycles in elderly patients with small cell lung cancer through a multicenter, open, one-arm study Subjects with newly diagnosed small cell lung cancer who met the inclusion/exclusion criteria, chemotherapy regimen: etoposide: 100 mg/m2, d1-3, carboplatin: AUC=5, d1, q21d, prophylactic use test 48 h after chemotherapy Drug PEG-rhG-CSF.

Studieoversikt

Status

Ukjent

Intervensjon / Behandling

Studietype

Intervensjonell

Registrering (Forventet)

61

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

    • Beijing
      • Beijing, Beijing, Kina, 100142
        • Rekruttering
        • Bejing Cancer Hospital
        • Ta kontakt med:

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

70 år og eldre (Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  • Age ≥ 70 years old, gender is not limited;
  • Small cell lung cancer patients diagnosed by histopathology or cytology;
  • ECOG = 0-1;
  • The estimated survival period is more than 3 months;
  • No obvious signs of hematological disease, defined as Hb≥90g/dL, WBC≥4.0×10^9/L, ANC≥2×10^9/L, PLT≥100×10^9/L before enrollment. And no bleeding tendency;
  • No obvious abnormalities were observed in the electrocardiogram examination;
  • Liver function tests ALT, AST, TBIL indicators are within 2.5 times the upper limit of normal values. If due to liver metastasis, the above indicators should be within 5 times of the upper limit of normal. If LDH is elevated due to non-tumor causes, LDH should be ≤ 2.5 times the upper limit of normal; if LDH is elevated due to tumor, it can be enrolled;
  • Renal function test BUN, UA within 1.5 times the upper limit of normal value, creatinine clearance rate> 60ml / min;
  • Subjects (or their legal representatives/guardians) must sign an informed consent form indicating that they understand the purpose of the study, understand the necessary procedures for the study, and are willing to participate in the study.

Exclusion Criteria:

  • There are currently uncontrollable infections, body temperature ≥ 38.0 ° C;
  • Patients with previous malignant tumors that have not been cured or have bone marrow metastasis;
  • Patients with prophylactic antibiotics;
  • Accepting other test drugs at the same time or participating in other clinical trials;
  • Those who are allergic to this product or other genetically engineered E. coli-derived biological products;
  • The patient has any myelodysplastic and other blood system diseases;
  • Patients who have received hematopoietic stem cell transplantation or organ transplantation;
  • The patient has a severe mental or neurological condition that affects informed consent and/or adverse reaction presentation or observation.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Forebygging
  • Tildeling: N/A
  • Intervensjonsmodell: Enkeltgruppeoppdrag
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: PEG-rhG-CSF

Jin Youli(PEG-rhG-CSF): The dose is determined according to the patient's weight. Those who weighed more than ≥45kg were given 6mg/time, and those who were <45kg or less were given 3mg/time. Administration method: Subcutaneous injection, the lower edge of the deltoid muscle of both arms is preferentially selected, and each injection is injected once every chemotherapy cycle.

Dosing time: 48 h after chemotherapy.

Subjects with newly diagnosed small cell lung cancer who met the inclusion/exclusion criteria were prophylactically administered the test drug PEG-rhG-CSF 48 h after chemotherapy.

Jin Youli(PEG-rhG-CSF): The dose is determined according to the patient's weight. Those who weighed more than ≥45kg were given 6mg/time, and those who were <45kg or less were given 3mg/time. Administration method: Subcutaneous injection, the lower edge of the deltoid muscle of both arms is preferentially selected, and each injection is injected once every chemotherapy cycle.

Dosing time: 48 h after chemotherapy.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
The incidence of grade III/IV neutropenia in the first cycle of PEG-rhG-CSF.
Tidsramme: through first cycle of PEG-rhG-CSF,an average of 1 month
The incidence of grade III/IV neutropenia in the first cycle of PEG-rhG-CSF.
through first cycle of PEG-rhG-CSF,an average of 1 month
The incidence of grade III/IV neutropenia in the second cycle of PEG-rhG-CSF.
Tidsramme: through second cycle of PEG-rhG-CSF,an average of 1 month
The incidence of grade III/IV neutropenia in the second cycle of PEG-rhG-CSF.
through second cycle of PEG-rhG-CSF,an average of 1 month

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
The incidence of febrile neutropenia in cycles 1 and 2
Tidsramme: through 1-2 cycles of PEG-rhG-CSF,an average of 2 month
Febrile neutropenia (FN) is defined as oral temperature >38.3 ° C (underarm temperature >38.1 ° C) or continuous measurement of oral temperature >38 ° C (underarm temperature >37.8 ° C) in 2 h, and ANC <0.5×10^9/L, or expected to be <0.5×10^9/L
through 1-2 cycles of PEG-rhG-CSF,an average of 2 month
The ANC recovery time in cycles 1 and 2
Tidsramme: through 1-2 cycles of PEG-rhG-CSF,an average of 2 month
Defined as the patients who appear ANC<2.0×10^9/L,from the first day of chemotherapy, to the time of ANC≥ 2.0×10^9/L, take the median.
through 1-2 cycles of PEG-rhG-CSF,an average of 2 month
The incidence of infection
Tidsramme: up to 30 days after the patient study completion
up to 30 days after the patient study completion
The incidence of antibiotic use
Tidsramme: up to 30 days after the patient study completion
up to 30 days after the patient study completion
Incidence of chemotherapy dose adjustment due to neutropenia
Tidsramme: through the study completion,an average of 3 months
through the study completion,an average of 3 months
Chemotherapy delay time
Tidsramme: through the study completion,an average of 3 months
through the study completion,an average of 3 months
Incidence of chemotherapy delay caused by neutropenia
Tidsramme: through the study completion,an average of 3 months
through the study completion,an average of 3 months
The duration of febrile neutropenia in cycles 1 and 2
Tidsramme: through 1-2 cycles of PEG-rhG-CSF,an average of 2 month
through 1-2 cycles of PEG-rhG-CSF,an average of 2 month

Andre resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Incidence and severity of adverse events
Tidsramme: through the study completion,an average of 3 months
All adverse events will be recorded from the time of signing the informed consent form to 30 days after the last dose. Adverse events 30 days after the last dose, only those adverse events associated with the study drug were recorded.
through the study completion,an average of 3 months

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

5. desember 2018

Primær fullføring (Forventet)

1. desember 2019

Studiet fullført (Forventet)

1. februar 2020

Datoer for studieregistrering

Først innsendt

10. desember 2018

Først innsendt som oppfylte QC-kriteriene

12. desember 2018

Først lagt ut (Faktiske)

17. desember 2018

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

19. desember 2018

Siste oppdatering sendt inn som oppfylte QC-kriteriene

16. desember 2018

Sist bekreftet

1. desember 2018

Mer informasjon

Begreper knyttet til denne studien

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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