Safety and Efficacy Study of GCSF Therapy to Treat Patients at High Risk for Chemotherapy Induced Severe Neutropenia

NCT ID: NCT00497809

Last Updated: 2011-05-03

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

PHASE2

Total Enrollment

189 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-08-31

Study Completion Date

2009-07-31

Brief Summary

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The overall purpose of this study is to assess the dose response, efficacy, and safety of three different dose levels of AVI 014 (granulocyte colony-stimulating factor \[G-CSF\]) in breast cancer patients at high (\>20%) risk for chemotherapy-induced severe neutropenia.

Detailed Description

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Filgrastim is a recombinant human G-CSF (rhG-CSF) developed in the mid 1980s, and was approved by the United States (US) Food and Drug Administration (FDA) for use in chemotherapy induced neutropenia in 1991 under the trade name Neupogen®. Filgrastim was first approved in the EU in Germany in 2001 under the same trade name. Filgrastim is a non glycosylated protein, produced in E. coli bacteria transfected with rhG-CSF copy deoxyribonucleic acid (cDNA). Filgrastim differs from native human G CSF only in the addition of an N terminal methionine required for expression in a bacterial host. In 2002, a pegylated filgrastim with extended duration of action relative to the naked filgrastim was approved by the FDA and the EU Commission under the trade name Neulasta.

AviGenics has generated transgenic hens carrying rhG CSF cDNA, which express a glycosylated form of rhG-CSF protein in their egg white. The purified rhG-CSF is biologically active, as assessed by its in vitro binding and cell proliferation activities, and has been fully characterized by AviGenics. AviGenics intends to develop this product to treat chemotherapy-induced neutropenia.

The overall goal of this study is to assess dose response, efficacy, and safety of three different dose levels of AVI-014 (G-CSF) in breast cancer patients at high (\>20%) risk for chemotherapy induced severe neutropenia.

Conditions

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Breast Cancer Neutropenia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

AVI-014 2.5mcg/kg

Group Type EXPERIMENTAL

AVI-014 versus Filgrastim

Intervention Type DRUG

3 different dose arms of AVI-014 versus Filgrastim for up to 14 days daily

2

AVI-014 5.0 mcg/kg

Group Type EXPERIMENTAL

AVI-014 versus Filgrastim

Intervention Type DRUG

3 different dose arms of AVI-014 versus Filgrastim for up to 14 days daily

3

AVI014 10.0 mcg/kg

Group Type EXPERIMENTAL

AVI-014 versus Filgrastim

Intervention Type DRUG

3 different dose arms of AVI-014 versus Filgrastim for up to 14 days daily

4

Filgrastim 5.0 mcg/kg

Group Type ACTIVE_COMPARATOR

AVI-014 versus Filgrastim

Intervention Type DRUG

3 different dose arms of AVI-014 versus Filgrastim for up to 14 days daily

Interventions

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AVI-014 versus Filgrastim

3 different dose arms of AVI-014 versus Filgrastim for up to 14 days daily

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Able to understand and voluntarily provide written informed consent before screening, following an explanation of the nature and purpose of this study.
* Women, aged 18 years and older
* Histologically confirmed breast cancer, undergoing one of a variety of chemotherapy regimens, or with other risk factors that could lead to a \>20% risk of developing severe neutropenia. Patients receiving chemotherapy regimens with high-risk for severe neutropenia are eligible; eligibility of patients receiving intermediate-risk chemotherapy regimens must be discussed with the Medical Monitor for the presence of additional patient-specific risk factors.
* Must be receiving first-line adjuvant or neoadjuvant therapy for localized breast cancer or first-line chemotherapy for metastatic breast cancer. It is recommended that patients with human epidermal growth factor receptor 2 (HER2/neu)-positive breast cancer should be receiving Herceptin® (trastuzumab), if approved and available for this indication.
* Eastern Cooperative Oncology Group (ECOG) Performance Status of grade 0 to 2
* Adequate renal (serum creatinine and blood urea nitrogen \[BUN\] \<3 times the upper limit of normal \[ULN\]) and hepatic (serum bilirubin, aspartate aminotransferase \[AST\], and alanine aminotransferase \[ALT\] \<3 times ULN) function.
* Able to adhere to the study visit schedule and other protocol requirements.
* Women who are not pregnant and do not plan to become pregnant during the study. Women of childbearing potential must have a negative serum pregnancy test result within seven days before the first dose of study drug and must be using adequate non hormonal barrier contraception before entering the study and throughout the study. Non childbearing potential is defined as post-menopausal for at least one year, surgically sterile, or having had a hysterectomy before study start.

Exclusion Criteria

* Pregnant or lactating women.
* History or clinical evidence of a serious medical illness, including renal, hepatic, respiratory, cardiovascular, endocrine, neurologic, psychiatric, or hematologic disease, which in the opinion of the investigator will interfere with study participation.
* Metastatic brain or meningeal tumors.
* Ascites or pleural effusions.
* Any active infection requiring systemic antimicrobial therapy.
* Known to be positive for human immunodeficiency virus (HIV, anti-HIV+), hepatitis B antigen (HBAg\[+\]), or hepatitis C antibody (HCVAb\[+\]).
* Known or suspected hypersensitivity to the study drug or its components, such as avian products, including influenza vaccine, or to E. coli-derived proteins.
* Currently receiving radiation therapy for treatment of a malignant condition, or have completed radiation therapy within 14 days before study entry. Radiation therapy for oncologic emergency is allowed.
* Participated in another therapeutic clinical study (i.e., not an epidemiological study or genomic screening study) during the past 30 days, or are likely to simultaneously participate in another therapeutic clinical study.
* History of, or known current problems with, substance abuse, or any medical, psychological, and/or social condition that may interfere with the patient's participation in the study, or with evaluation of the study results.
* Any condition that could jeopardize the patient's safety and compliance, as judged by the investigator.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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AviGenics

INDUSTRY

Sponsor Role lead

Responsible Party

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AviGenics

Principal Investigators

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Howard Ozer, MD

Role: PRINCIPAL_INVESTIGATOR

University of Oklahoma

Robert J. Grieve, M.B,Ch.B., FRCR

Role: PRINCIPAL_INVESTIGATOR

University Hospitals of Coventry and Warwickshire

Walter Kraft, MD, MS, FACP

Role: STUDY_CHAIR

AviGenics

Locations

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Pacific Cancer Medical Center

Anaheim, California, United States

Site Status

California Cancer Center

Greenbrae, California, United States

Site Status

Ghassan Al-Jazayrly, MD, Inc.

Los Angeles, California, United States

Site Status

Desert Hematology Oncology Medical Group

Rancho Mirage, California, United States

Site Status

Brian LeBerthon, MD, A Medical Corporation

West Covina, California, United States

Site Status

Infosphere Clinical Research

West Hills, California, United States

Site Status

Physicians Research Alliance LLC.

DeBary, Florida, United States

Site Status

Southern Illinois Hematology/Oncology

Centralia, Illinois, United States

Site Status

Gabrail Cancer Center

Canton, Ohio, United States

Site Status

Signal Point Clinical Research Center, LLC

Middletown, Ohio, United States

Site Status

University of Oklahoma Health Sciences Ctr

Oklaoma City, Oklahoma, United States

Site Status

Cancer Care Institute of Carolina

Aiken, South Carolina, United States

Site Status

Cancer Specialists of South Texas

Corpus Christi, Texas, United States

Site Status

Cancer Outreach Associates PC

Abingdon, Virginia, United States

Site Status

Jawaharlal Nehru Cancer Hospital and Research Centre

Idgah Hills, Bhopal, India

Site Status

Apollo Specialty Hospital, Padma Complex

320 Mount Road, Chennai, India

Site Status

Amrita Institute of Medical Sciences

Amrita Lane Elamakkara, Cochin, India

Site Status

Apollo Hospitals Educational and Research Foundation

Jubilee Hills, Hyderabad, India

Site Status

Kidwai Memorial Institute of Oncology, Dr. M.H. Marigowda Road

Bangalore, Karnataka, India

Site Status

Mohan Dai Oswal Cancer Treatment & Research Foundation

G.T. Road, Sherpur Bye Pass, Ludhiana, India

Site Status

Dayanand Medical College and Hospital

Tagore Nagar, Civil Lines, Ludhiana, India

Site Status

Meenakshi Mission Hospital and Research Centre

Lake Area, Melur Road, Madurai,, India

Site Status

Kasturba Medical College Hospital

Attavar, Mangalore, India

Site Status

Tata Memorial Hospital,

Dr. E Borges Road, Parel, Mumbai, India

Site Status

Dharamshila Hospital and research Centre

Vasundhara Enclave, National Capital Territory of Delhi, India

Site Status

Indraprastha Apollo Hospital

Delhi Mathura Road, Sarita Vihar, New Delhi, India

Site Status

IRCH, AIIMS, Ansari Nagar,

New Delhi, New Delhi, India

Site Status

Dharamshila Cancer Center, Dharamshila Marg

Vasundhara Enclave, New Delhi, India

Site Status

Regional Cancer Centre, IGIMS

Sheikhpura, Patna, India

Site Status

Ruby Hall Clinic

40 Sasoon Road, Pune, India

Site Status

King George Hospital

Vizag, Vishakhapattanam, India

Site Status

Countries

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United States India

Other Identifiers

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AVI-014-P02

Identifier Type: -

Identifier Source: org_study_id

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