This is a randomized open label dose finding study to evaluate the efficacy and safety of F-627 on women with Stage I-IV breast cancer receiving chemotherapy treatment.
This is a randomized, multi-center, dose finding, open label, positive controlled Phase II study of the efficacy and safety of once-per-cycle of F-627 compared with Neulasta® (pegfilgrastim) in women with breast cancer who are receiving myelotoxic chemotherapy (TC: docetaxel + cyclophosphamide or TAC: docetaxel + doxorubicin + cyclophosphamide). The primary objective of this study is to evaluate the efficacy and safety of various single cycle doses of F-627 as compared with the standard dosing of Neulasta® (pegfilgrastim) in breast cancer patients experiencing myelotoxic chemotherapy. Myelotoxicity in this study will be defined by the duration of moderate neutropenia; the number of days in which the patient has had an absolute neutrophil count (ANC) \< 1.0 × 10\^9/L during the first cycle of their chemotherapy treatment (each chemotherapy cycle is expected to last 21 days). This, by definition, includes grade 3 (moderate) and grade 4 (severe) neutropenia. Doses of F-627 to be tested for subjects receiving TC chemotherapy are 80 µg/kg/dose, 240 µg/kg/dose, and 320 µg/kg/dose. For subjects receiving TAC chemotherapy, only 240 µg/kg/dose and 320 µg/kg/dose are to be tested.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
232
subcutaneous injection given 1 per chemotherapy.
Single dose injection given once per chemotherapy cycle.
Community Hospital of Anderson
Anderson, Indiana, United States
Duration of Moderate Neurtopenia Post First Chemotherapy Administration
Number of days In which the patient has had an absolute neutrophil count (ANC) Level \< 2.0 x 10\^9/L after first cycle of chemotherapy
Time frame: The first of 4, 21 Day Chemotherapy Cycles
Duration in Days of Grade 3 and Grade 4 Neutropenia for All 4 Chemotherapy Cycles.
Number of days In which the patient has had an ANC \< 1.0 × 10\^9/L (Grade 3) or ANC \< .5 × 10\^9/L (Grade 4) post each chemotherapy
Time frame: Measured for each of the 4, 21 day chemotherapy cycles.
The Incidence Rate of Febrile Neutropenia
The incidence rate of febrile neutropenia for each arm of the study will be recorded for 4 chemotherapy cycles. Each cycle is expected to last 21 Days.
Time frame: Measured for each of the 4, 21 day chemotherapy cycles.
The Duration in Days of Total Grade 2-4 Neutropenia
Number of says in which the patient has had an ANC Level ANC \< 1.5 × 109/L) post each chemotherapy
Time frame: Measured for each of the 4, 21 day chemotherapy cycles.
The Time to ANC Recovery Post Nadir
The time to ANC recovery post nadir for each patient, for each of their chemotherapy cycles will be recorded; recovery for this protocol is defined as achieving an ANC ≥ 2.0 × 10\^9/L after the expected ANC nadir (expected nadir is typically 4-6 days post chemotherapy administration). Each chemotherapy cycle is expected to last 21 days.
Time frame: Measured for each of the 4, 21 day chemotherapy cycles.
The Incidence Rates of Grade 2, Grade 3, and Grade 4 Neutropenia for All Chemotherapy Cycles
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The incidence rate of mild, moderate and sever neutropenia for each arm of the study will be recorded for 4 chemotherapy cycles. Each cycle is expected to last 21 Days.
Time frame: Measured for each of the 4, 21 day chemotherapy cycles.
The Depth of the ANC Nadir for All Chemotherapy Cycles
The depth of ANC nadir for each cycle is defined as the minimal ANC value for a subject in each chemotherapy cycle. The depth of the ANC nadir for each arm of the study will be recorded for 4 chemotherapy cycles.
Time frame: Measured for each of the 4, 21 day chemotherapy cycles