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

16 december 2018 uppdaterad av: CSPC Baike (Shandong) Biopharmaceutical Co., Ltd.

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.

Studieöversikt

Status

Okänd

Betingelser

Intervention / Behandling

Studietyp

Interventionell

Inskrivning (Förväntat)

61

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

  • Kina
    • Beijing
      • Beijing, Beijing, Kina, 100142
        • Rekrytering
        • Bejing Cancer Hospital
        • Kontakt:

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

70 år och äldre (Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

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

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Förebyggande
  • Tilldelning: N/A
  • Interventionsmodell: Enskild gruppuppgift
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: 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.
Läkemedel: PEG-rhG-CSF

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.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
The incidence of grade III/IV neutropenia in the first cycle of PEG-rhG-CSF.
Tidsram: 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.
Tidsram: 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

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
The incidence of febrile neutropenia in cycles 1 and 2
Tidsram: 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
Tidsram: 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
Tidsram: up to 30 days after the patient study completion
up to 30 days after the patient study completion
The incidence of antibiotic use
Tidsram: 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
Tidsram: through the study completion,an average of 3 months
through the study completion,an average of 3 months
Chemotherapy delay time
Tidsram: 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
Tidsram: 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
Tidsram: 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

Andra resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Incidence and severity of adverse events
Tidsram: 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

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

CSPC Baike (Shandong) Biopharmaceutical Co., Ltd.

Samarbetspartners

Peking University Cancer Hospital & Institute

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

5 december 2018

Primärt slutförande (Förväntat)

1 december 2019

Avslutad studie (Förväntat)

1 februari 2020

Studieregistreringsdatum

Först inskickad

10 december 2018

Först inskickad som uppfyllde QC-kriterierna

12 december 2018

Första postat (Faktisk)

17 december 2018

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

19 december 2018

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

16 december 2018

Senast verifierad

1 december 2018

Mer information

Termer relaterade till denna studie

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • CSPC-JYL-SCLC-01

Läkemedels- och apparatinformation, studiedokument

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Nej

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

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