A Study of Primary Prophylaxis With Neulasta (Pegfilgrastim) Versus Secondary Prophylaxis After Chemotherapy in Elderly Subjects (>/= 65 Years Old) With Cancer

NCT ID: NCT00277160

Last Updated: 2010-10-08

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

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

852 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-06-30

Study Completion Date

2005-01-31

Brief Summary

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The purpose of this study is to assess pegfilgrastim starting with the first cycle versus secondary prophylaxis on neutropenic events (including neutropenia +/- fever, dose delays, dose reductions, and hospitalizations) in older patients receiving chemotherapy.

Detailed Description

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Conditions

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Neutropenia Breast Cancer Lung Cancer Non-Hodgkin's Lymphoma Ovarian Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Treatment Group 1 (Primary Prophylaxis)

Neulasta 6mg single administration per cycle of chemotherapy starting with cycle 1

Group Type EXPERIMENTAL

Neulasta (pegfilgrastim)

Intervention Type DRUG

Commercial pegfilgrastim 6mg single subcutaneous fixed-dose

Treatment Group 2 (Secondary Prophylaxis)

Per Investigator's discretion

Group Type ACTIVE_COMPARATOR

Neulasta (pegfilgrastim)

Intervention Type DRUG

Commercial pegfilgrastim 6mg single subcutaneous fixed-dose

Interventions

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Neulasta (pegfilgrastim)

Commercial pegfilgrastim 6mg single subcutaneous fixed-dose

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* \>/= 65 years old
* documented diagnosis of lung, breast, or ovarian cancer, or NHL
* scheduled to receive one of 15 standard chemotherapy regimens
* chemotherapy naive OR have received adjuvant therapy AND/OR have no more than one regimen of chemotherapy for metastatic disease
* life expectancy of at least 3 months
* ECOG performance status \</=2
* adequate renal and hematologic function
* informed consent for participation in the study prior to any study specific procedures

* unstable/uncontrolled cardiac conditions or hypertension
* active infection
* subject is currently enrolled or has not yet completed at least 30 days since ending other investigational device or drug trial or is receiving other investigational agents

Exclusion Criteria

* known hypersensitivity to any of the products to be administered during dosing
* primary prophylactic antibiotics in all cycles
* prior radiation therapy within 2 weeks of randomization into this study or plan for radiation therapy during study participation, except for spot radiation for bony metastases
* prior bone marrow or stem cell transplant or plan to receive any transplant therapy during study participation
* clinically symptomatic brain metastases
* Folstein mini-mental state exam score \<18
* Any premalignant myeloid condition or any malignancy with myeloid characteristics
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Amgen

INDUSTRY

Sponsor Role lead

Responsible Party

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Amgen Inc.

Principal Investigators

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MD

Role: STUDY_DIRECTOR

Amgen

References

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Balducci L, Al-Halawani H, Charu V, Tam J, Shahin S, Dreiling L, Ershler WB. Elderly cancer patients receiving chemotherapy benefit from first-cycle pegfilgrastim. Oncologist. 2007 Dec;12(12):1416-24. doi: 10.1634/theoncologist.12-12-1416.

Reference Type RESULT
PMID: 18165618 (View on PubMed)

Flores IQ, Ershler W. Managing neutropenia in older patients with cancer receiving chemotherapy in a community setting. Clin J Oncol Nurs. 2010 Feb;14(1):81-6. doi: 10.1188/10.CJON.81-86.

Reference Type RESULT
PMID: 20118030 (View on PubMed)

Related Links

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http://www.amgentrials.com

AmgenTrials clinical trials website

Other Identifiers

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20020122

Identifier Type: -

Identifier Source: org_study_id