Cohorts of Japanese participants will be enrolled and treated prior to cohorts of Caucasian participants for the sake of matching. Every effort will be made to match Caucasian and Japanese participants on a cohort basis at enrollment. Reasonable effort will be made to maintain balance between male and female participants within the cohorts. There will be no replacement of participants following randomization.
Eligible participants will be admitted to the investigational center and after confirming their eligibility will be randomized to receive a single dose of 30, 60, or 100 μg/kg lipegfilgrastim. There will be 11 visits to the investigational center during the study, including a screening visit, 1 inpatient period (through Day 4 post-dose) and 9 ambulatory visits. Blood samples for PK, PD and immunogenicity analysis will be collected pre-dose and at specified time points post-dose. A mandatory blood sample for pharmacogenetics (PGx) will be collected from all participants. During the study the following safety assessments will be performed: vital signs measurements,physical examinations, record of adverse events, clinical laboratory tests, urinalysis, safety ECG recordings, local tolerability (injection site reactions), overall tolerability, pregnancy testing, spleen sonography, and concomitant medications
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
TRIPLE
Enrollment
48
lipegfilgrastim 30 μg/kg, 60 μg/kg, 100 μg/kg
Teva Investigational Site 34193
London, United Kingdom
PK: Area under the serum concentration-time curve (AUC), from time 0 to the last measurable concentration (AUC0-t)
2 hours for visits 3, 9; 1 day for visit 10
Time frame: Days 1-8, 10, 14, 17, 21
AUC from time 0 extrapolated to infinity (AUC0-∞)
Time frame: Days 1-8, 10, 14, 17, 21
Maximum observed serum drug concentration (Cmax)
Time frame: Days 1-8, 10, 14, 17, 21
Time to maximum observed serum drug concentration (tmax)
Time frame: Days 1-8, 10, 14, 17, 21
The percentage of the extrapolated area to infinity in relation to the total area under the curve (%AUCext)
Time frame: Visits 3, 9, 10
Apparent serum terminal elimination rate constant (λz)
2 hours for visits 3, 9; 1 day for visit 10
Time frame: Days 1-8, 10, 14, 17, 21
Associated elimination half-life (t½)
Time frame: Days 1-8, 10, 14, 17, 21
Mean residence time (MRT)
Time frame: Days 1-8, 10, 14, 17, 21
Apparent total body clearance (CL/F)
Time frame: Days 1-8, 10, 14, 17, 21
Apparent volume of distribution during the terminal phase (Vz/F)
Time frame: Days 1-8, 10, 14, 17, 21
PD: ANC area over baseline effect curve (ANC AOBEC)
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Time frame: Days 1-8, 10, 14, 17, 21
Maximum measured ANC value after dosing (ANC Cmax)
Time frame: Days 1-8, 10, 14, 17, 21
Time point at which ANC Cmax is observed (ANC tmax)
Time frame: Days 1-8, 10, 14, 17, 21
Time (days) until ANC returns to baseline value
Time frame: Days 1-8, 10, 14, 17, 21
CD34+ area over the baseline effect curve (CD34+ AOBEC)
Time frame: Days 1-8, 10, 14, 17, 21
Maximum measured CD34+ value after dosing (CD34+ Cmax)
Time frame: Days 1-8, 10, 14, 17, 21
Time point at which CD34+ Cmax is observed (CD34+ tmax)
Time frame: Days 1-8, 10, 14, 17, 21
Percentage of Participants with Adverse Events
Time frame: 28 Days