Filgrastim or Pegfilgrastim in Preventing Neutropenia in Women Receiving Chemotherapy Following Surgery for Breast Cancer

NCT ID: NCT00030758

Last Updated: 2013-08-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

816 participants

Study Classification

INTERVENTIONAL

Study Start Date

2001-10-31

Brief Summary

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RATIONALE: Colony-stimulating factors, such as filgrastim or pegfilgrastim, may increase the number of immune cells found in bone marrow or peripheral blood and may help a person's immune system recover from the side effects of chemotherapy. It is not yet known whether filgrastim or pegfilgrastim is more effective than standard treatment in preventing neutropenia in women who are receiving adjuvant chemotherapy for breast cancer.

PURPOSE: Randomized phase IV trial to compare the effectiveness of filgrastim or pegfilgrastim with that of standard treatment in preventing neutropenia in women who are receiving chemotherapy after undergoing surgery for breast cancer.

Detailed Description

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OBJECTIVES:

* Determine the efficacy of filgrastim (G-CSF) or pegfilgrastim as secondary prophylaxis versus standard management after the first neutropenic event in maintaining dose-intensity of adjuvant chemotherapy in patients with early breast cancer.
* Determine the proportion of patients who experience at least one neutropenic event.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to age (60 and under vs over 60) and participating center.

Patients receive chemotherapy as per local practice. After the first neutropenic event, patients are randomized to 1 of 2 treatment arms.

* Arm I: Patients receive filgrastim (G-CSF) subcutaneously (SC) for 7 days beginning 2 days after the final dose in a course of adjuvant chemotherapy (e.g., beginning on day 3 for a course of chemotherapy administered on day 1 only OR beginning on day 10 for a course of chemotherapy administered on days 1 and 8) OR a single dose of pegfilgrastim SC administered approximately 24 hours after chemotherapy that is administered on day 1 only.
* Arm II: Patients receive standard conservative management. Patients are followed for up to 10 years.

PROJECTED ACCRUAL: A total of 400 patients will be accrued for this study within 7 years.

Conditions

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Breast Cancer Neutropenia

Keywords

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neutropenia stage I breast cancer stage II breast cancer

Study Design

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Allocation Method

RANDOMIZED

Primary Study Purpose

SUPPORTIVE_CARE

Interventions

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filgrastim

Intervention Type BIOLOGICAL

pegfilgrastim

Intervention Type BIOLOGICAL

Eligibility Criteria

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Exclusion Criteria

* Concurrent enrollment in the sequential arm of the SECRAB trial allowed (synchronous arm ineligible)
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Scottish Cancer Therapy Network

OTHER

Sponsor Role collaborator

Anglo Celtic Cooperative Oncology Group

OTHER

Sponsor Role lead

Principal Investigators

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Robert C.F. Leonard, MD, BS, MB

Role: STUDY_CHAIR

Charing Cross Hospital

Kirsten Murray

Role: STUDY_CHAIR

Scottish Cancer Therapy Network

Locations

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City Hospital - Birmingham

Birmingham, England, United Kingdom

Site Status

Sussex Cancer Centre at Royal Sussex County Hospital

Brighton, England, United Kingdom

Site Status

Cheltenham General Hospital

Cheltenham, England, United Kingdom

Site Status

Princess Alexandra Hospital

Essex, England, United Kingdom

Site Status

St. Luke's Cancer Centre at Royal Surrey County Hospital

Guildford, England, United Kingdom

Site Status

King George Hospital

Ilford, Essex, England, United Kingdom

Site Status

Leeds Cancer Centre at St. James's University Hospital

Leeds, England, United Kingdom

Site Status

Queen Elizabeth Hospital NHS Trust

London, England, United Kingdom

Site Status

King's College Hospital

London, England, United Kingdom

Site Status

St. George's Hospital

London, England, United Kingdom

Site Status

Christie Hospital NHS Trust

Manchester, England, United Kingdom

Site Status

Clatterbridge Centre for Oncology NHS Trust

Merseyside, England, United Kingdom

Site Status

Northampton General Hospital NHS Trust

Northampton, England, United Kingdom

Site Status

Norfolk and Norwich University Hospital

Norwich, England, United Kingdom

Site Status

Nottingham City Hospital NHS Trust

Nottingham, England, United Kingdom

Site Status

Royal Oldham Hospital

Oldham, England, United Kingdom

Site Status

Peterborough Hospitals Trust

Peterborough, England, United Kingdom

Site Status

Berkshire Cancer Centre at Royal Berkshire Hospital

Reading, England, United Kingdom

Site Status

Oldchurch Hospital

Romford, England, United Kingdom

Site Status

Salisbury District Hospital

Salisbury, England, United Kingdom

Site Status

Cancer Research Centre at Weston Park Hospital

Sheffield, England, United Kingdom

Site Status

South Tyneside District Hospital

South Shields, England, United Kingdom

Site Status

Southampton University Hospital NHS Trust

Southampton, England, United Kingdom

Site Status

Sunderland Royal Hospital

Sunderland, England, United Kingdom

Site Status

Southend University Hospital NHS Foundation Trust

Westcliff-on-Sea, England, United Kingdom

Site Status

Yeovil District Hospital

Yeovil - Somerset, England, United Kingdom

Site Status

Ninewells Hospital and Medical School

Dundee, Scotland, United Kingdom

Site Status

Scottish Cancer Therapy Network

Edinburgh, Scotland, United Kingdom

Site Status

West of Scotland Cancer Centre

Glasgow, Scotland, United Kingdom

Site Status

Royal Infirmary - Castle

Glasgow, Scotland, United Kingdom

Site Status

Raigmore Hospital

Inverness, Scotland, United Kingdom

Site Status

Singleton Hospital of the Swansea NHS Trust

Swansea, Wales, United Kingdom

Site Status

Countries

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United Kingdom

Other Identifiers

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CDR0000069195

Identifier Type: REGISTRY

Identifier Source: secondary_id

SCTN-BR0101

Identifier Type: -

Identifier Source: secondary_id

EU-20143

Identifier Type: -

Identifier Source: secondary_id

ACCOG-SCTN-BR0101

Identifier Type: -

Identifier Source: org_study_id