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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.

研究概览

地位

未知

研究类型

介入性

注册 (预期的)

61

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

    • Beijing
      • Beijing、Beijing、中国、100142
        • 招聘中
        • Bejing Cancer Hospital
        • 接触:

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

70年 及以上 (年长者)

接受健康志愿者

不

有资格学习的性别

全部

描述

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.

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:预防
  • 分配:不适用
  • 介入模型:单组作业
  • 屏蔽:无(打开标签)

武器和干预

参与者组/臂
干预/治疗
实验性的: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.

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
The incidence of grade III/IV neutropenia in the first cycle of PEG-rhG-CSF.
大体时间: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.
大体时间: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

次要结果测量

结果测量
措施说明
大体时间
The incidence of febrile neutropenia in cycles 1 and 2
大体时间: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
大体时间: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
大体时间:up to 30 days after the patient study completion
up to 30 days after the patient study completion
The incidence of antibiotic use
大体时间: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
大体时间:through the study completion,an average of 3 months
through the study completion,an average of 3 months
Chemotherapy delay time
大体时间: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
大体时间: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
大体时间: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

其他结果措施

结果测量
措施说明
大体时间
Incidence and severity of adverse events
大体时间: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

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2018年12月5日

初级完成 (预期的)

2019年12月1日

研究完成 (预期的)

2020年2月1日

研究注册日期

首次提交

2018年12月10日

首先提交符合 QC 标准的

2018年12月12日

首次发布 (实际的)

2018年12月17日

研究记录更新

最后更新发布 (实际的)

2018年12月19日

上次提交的符合 QC 标准的更新

2018年12月16日

最后验证

2018年12月1日

更多信息

与本研究相关的术语

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

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