Trial Outcomes & Findings for Study of the Efficacy and Safety of Empegfilgrastim for Neutropenia Prophylaxis in Breast Cancer Patients (NCT NCT02104830)

NCT ID: NCT02104830

Last Updated: 2016-10-24

Results Overview

The primary endpoint, which will allow to compare the efficacy of the single dose of Extimia® versus nonpegylated daily filgrastim is the number of breast cancer patients developing CTCAE grade 3/4 neutropenia after the first AT chemotherapy cycle (doxorubicin+docetaxel).

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

135 participants

Primary outcome timeframe

3 weeks

Results posted on

2016-10-24

Participant Flow

7 patients were withdrawn for various reasons without receiving any dose of any of the studied products.

Participant milestones

Participant milestones
Measure
Empegfilgrastim 6 mg
Patients will receive a single administration of empegfilgrastim at a dose of 6 mg subcutaneously , 24 h after the chemotherapy Placebo №2: Placebo №2 should be administered no earlier than 24 hours after the administration of cytotoxic chemotherapy. Placebo №2 is supplied as solution for injection 0.0083 ml/kg.
Empegfilgrastim 7.5 mg
Patients will receive a single administration of empegfilgrastim at a dose of 7.5 mg subcutaneously, 24 h after the chemotherapy Placebo №2: Placebo №2 should be administered no earlier than 24 hours after the administration of cytotoxic chemotherapy. Placebo №2 is supplied as solution for injection 0.0083 ml/kg.
Filgrastim
Patients will receive filgrastim at a dose of 5 μg/kg subcutaneously daily (until ANC 10 000/μL or for 14 days, whichever occurred first), starting 24 h after the chemotherapy Placebo №1: Placebo №1 is supplied as solution for injection 1.0 ml. Placebo №1 is to be administered 24 h after the chemotherapy at dose of 1.0.
Overall Study
STARTED
42
43
43
Overall Study
COMPLETED
38
36
36
Overall Study
NOT COMPLETED
4
7
7

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study of the Efficacy and Safety of Empegfilgrastim for Neutropenia Prophylaxis in Breast Cancer Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Empegfilgrastim 6 mg
n=42 Participants
Patients will receive a single administration of empegfilgrastim at a dose of 6 mg subcutaneously, 24 h after the chemotherapy and placebo #2 in a dose of 0.0083 ml/kg in 24-27 hour after chemotherapy, then patient received placebo #2 in dose 0.0083 ml/kg until ANC ≥ 10x109/L or during 14 days empegfilrastim 6 mg: Empegfilgrastim is supplied as solution for injection 3 mg/ml. Empegfilgrastim is to be administered 24 h after the chemotherapy at dose of 6 mg. Placebo №2: Placebo №2 should be administered no earlier than 24 hours after the administration of cytotoxic chemotherapy. Placebo №2 is supplied as solution for injection 0.0083 ml/kg.
Empegfilgrastim 7.5 mg
n=43 Participants
Patients will receive a single administration of empegfilgrastim at a dose of 7.5 mg subcutaneously, 24 h after the chemotherapy and placebo #2 in a dose of 0.0083 ml/kg in 24-27 hour after chemotherapy, then patient received placebo #2 in dose 0.0083 ml/kg until ANC ≥ 10x109/L or during 14 days Placebo №2: Placebo №2 should be administered no earlier than 24 hours after the administration of cytotoxic chemotherapy. Placebo №2 is supplied as solution for injection 0.0083 ml/kg. empegfilrastim 7.5 mg: Empegfilgrastim is supplied as solution for injection 3 mg/ml. Empegfilgrastim is to be administered 24 h after the chemotherapy at dose of 6 mg.
Filgrastim
n=43 Participants
Patients will receive filgrastim at a dose of 5 μg/kg subcutaneously daily (until ANC 10 000/μL or for 14 days, whichever occurred first), starting 24 h after the chemotherapy and placebo #1 in dose 1.0 ml ubcutaneously, 24 h after the chemotherapy. filgrastim: Filgrastim should be administered no earlier than 24 hours after the administration of cytotoxic chemotherapy. Filgrastim should be administered daily for up to 2 weeks until the ANC has reached 10 000/mm3 following the expected chemotherapy-induced neutrophil nadir. Placebo №1: Placebo №1 is supplied as solution for injection 1.0 ml. Placebo №1 is to be administered 24 h after the chemotherapy at dose of 1.0.
Total
n=128 Participants
Total of all reporting groups
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
42 Participants
n=5 Participants
43 Participants
n=7 Participants
43 Participants
n=5 Participants
128 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Continuous
48.38 years
STANDARD_DEVIATION 11.07 • n=5 Participants
50.42 years
STANDARD_DEVIATION 9.19 • n=7 Participants
51.86 years
STANDARD_DEVIATION 9.68 • n=5 Participants
50.23 years
STANDARD_DEVIATION 10.03 • n=4 Participants
Sex: Female, Male
Female
42 Participants
n=5 Participants
43 Participants
n=7 Participants
43 Participants
n=5 Participants
128 Participants
n=4 Participants
Region of Enrollment
Russian Federation
42 participants
n=5 Participants
43 participants
n=7 Participants
43 participants
n=5 Participants
128 participants
n=4 Participants
Histologic type
Infiltrative ductal
27 participants
n=5 Participants
28 participants
n=7 Participants
33 participants
n=5 Participants
88 participants
n=4 Participants
Histologic type
Infiltrative lobular
6 participants
n=5 Participants
3 participants
n=7 Participants
2 participants
n=5 Participants
11 participants
n=4 Participants
Histologic type
Medullar
0 participants
n=5 Participants
1 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
Histologic type
Squamous cell cancer
0 participants
n=5 Participants
1 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
Histologic type
Infiltrative not specified
4 participants
n=5 Participants
5 participants
n=7 Participants
4 participants
n=5 Participants
13 participants
n=4 Participants
Histologic type
Low-grade differentiated carcinoma
2 participants
n=5 Participants
3 participants
n=7 Participants
1 participants
n=5 Participants
6 participants
n=4 Participants
Histologic type
Undifferentiated cancer
3 participants
n=5 Participants
2 participants
n=7 Participants
3 participants
n=5 Participants
8 participants
n=4 Participants
Disease stage
IIA
13 participants
n=5 Participants
12 participants
n=7 Participants
10 participants
n=5 Participants
35 participants
n=4 Participants
Disease stage
IIB
5 participants
n=5 Participants
7 participants
n=7 Participants
9 participants
n=5 Participants
21 participants
n=4 Participants
Disease stage
IIIA
5 participants
n=5 Participants
7 participants
n=7 Participants
10 participants
n=5 Participants
22 participants
n=4 Participants
Disease stage
IIIB
12 participants
n=5 Participants
10 participants
n=7 Participants
8 participants
n=5 Participants
30 participants
n=4 Participants
Disease stage
IIIС
2 participants
n=5 Participants
1 participants
n=7 Participants
0 participants
n=5 Participants
3 participants
n=4 Participants
Disease stage
IV
5 participants
n=5 Participants
6 participants
n=7 Participants
6 participants
n=5 Participants
17 participants
n=4 Participants
History previous therapy of breast cancer
Adjuvant chemotherapy
7 participants
n=5 Participants
8 participants
n=7 Participants
10 participants
n=5 Participants
25 participants
n=4 Participants
History previous therapy of breast cancer
Neoadjuvant chemotherapy
1 participants
n=5 Participants
1 participants
n=7 Participants
0 participants
n=5 Participants
2 participants
n=4 Participants
History previous therapy of breast cancer
Radiotherapy
8 participants
n=5 Participants
4 participants
n=7 Participants
3 participants
n=5 Participants
15 participants
n=4 Participants
History previous therapy of breast cancer
Hormone therapy
6 participants
n=5 Participants
7 participants
n=7 Participants
4 participants
n=5 Participants
17 participants
n=4 Participants
History previous therapy of breast cancer
Surgery treatment
28 participants
n=5 Participants
27 participants
n=7 Participants
22 participants
n=5 Participants
77 participants
n=4 Participants
History previous therapy of breast cancer
Any treatment
28 participants
n=5 Participants
29 participants
n=7 Participants
26 participants
n=5 Participants
83 participants
n=4 Participants
Duration of a disease
16.14 months
n=5 Participants
11.62 months
n=7 Participants
5.37 months
n=5 Participants
11.0 months
n=4 Participants

PRIMARY outcome

Timeframe: 3 weeks

Population: The efficacy analysis included only those patients who received at least one dose of study drug, and who were participated in the study for 2 weeks or more.

The primary endpoint, which will allow to compare the efficacy of the single dose of Extimia® versus nonpegylated daily filgrastim is the number of breast cancer patients developing CTCAE grade 3/4 neutropenia after the first AT chemotherapy cycle (doxorubicin+docetaxel).

Outcome measures

Outcome measures
Measure
Empegfilgrastim 6 mg
n=42 Participants
Patients will receive a single administration of empegfilgrastim at a dose of 6 mg subcutaneously , 24 h after the chemotherapy Placebo №2: Placebo №2 should be administered no earlier than 24 hours after the administration of cytotoxic chemotherapy. Placebo №2 is supplied as solution for injection 0.0083 ml/kg.
Empegfilgrastim 7.5 mg
n=43 Participants
Patients will receive a single administration of empegfilgrastim at a dose of 7.5 mg subcutaneously, 24 h after the chemotherapy Placebo №2: Placebo №2 should be administered no earlier than 24 hours after the administration of cytotoxic chemotherapy. Placebo №2 is supplied as solution for injection 0.0083 ml/kg.
Filgrastim
n=40 Participants
Patients will receive filgrastim at a dose of 5 μg/kg subcutaneously daily (until ANC 10 000/μL or for 14 days, whichever occurred first), starting 24 h after the chemotherapy Placebo №1: Placebo №1 is supplied as solution for injection 1.0 ml. Placebo №1 is to be administered 24 h after the chemotherapy at dose of 1.0.
Duration of Neutropenia CTCAE Grade 4
0.905 days
Standard Deviation 1.206
0.791 days
Standard Deviation 1.013
1.725 days
Standard Deviation 1.519

SECONDARY outcome

Timeframe: 2nd cycle (week 6), 3rd cycle (week 9), 4th cycle (week 12)

Population: The efficacy analysis included only those patients who received at least one dose of study drug, and who were participated in the study for 2 weeks or more.

Outcome measures

Outcome measures
Measure
Empegfilgrastim 6 mg
n=42 Participants
Patients will receive a single administration of empegfilgrastim at a dose of 6 mg subcutaneously , 24 h after the chemotherapy Placebo №2: Placebo №2 should be administered no earlier than 24 hours after the administration of cytotoxic chemotherapy. Placebo №2 is supplied as solution for injection 0.0083 ml/kg.
Empegfilgrastim 7.5 mg
n=43 Participants
Patients will receive a single administration of empegfilgrastim at a dose of 7.5 mg subcutaneously, 24 h after the chemotherapy Placebo №2: Placebo №2 should be administered no earlier than 24 hours after the administration of cytotoxic chemotherapy. Placebo №2 is supplied as solution for injection 0.0083 ml/kg.
Filgrastim
n=40 Participants
Patients will receive filgrastim at a dose of 5 μg/kg subcutaneously daily (until ANC 10 000/μL or for 14 days, whichever occurred first), starting 24 h after the chemotherapy Placebo №1: Placebo №1 is supplied as solution for injection 1.0 ml. Placebo №1 is to be administered 24 h after the chemotherapy at dose of 1.0.
The Duration of Grade 4 Neutropenia From the 2nd (Week 6) to 4th Cycle (Week 12);
2nd cycle (week 6)
0.452 days
Standard Deviation 1.194
0.326 days
Standard Deviation 0.919
0.925 days
Standard Deviation 1.385
The Duration of Grade 4 Neutropenia From the 2nd (Week 6) to 4th Cycle (Week 12);
3rd cycle (week 9)
0.244 days
Standard Deviation 0.734
0.310 days
Standard Deviation 0.680
0.641 days
Standard Deviation 0.932
The Duration of Grade 4 Neutropenia From the 2nd (Week 6) to 4th Cycle (Week 12);
4th cycle (week 12)
0.195 days
Standard Deviation 0.601
0.475 days
Standard Deviation 1.320
0.892 days
Standard Deviation 1.197

SECONDARY outcome

Timeframe: 16 weeks

Population: The efficacy analysis included only those patients who received at least one dose of study drug, and who were participated in the study for 2 weeks or more.

Outcome measures

Outcome measures
Measure
Empegfilgrastim 6 mg
n=42 Participants
Patients will receive a single administration of empegfilgrastim at a dose of 6 mg subcutaneously , 24 h after the chemotherapy Placebo №2: Placebo №2 should be administered no earlier than 24 hours after the administration of cytotoxic chemotherapy. Placebo №2 is supplied as solution for injection 0.0083 ml/kg.
Empegfilgrastim 7.5 mg
n=43 Participants
Patients will receive a single administration of empegfilgrastim at a dose of 7.5 mg subcutaneously, 24 h after the chemotherapy Placebo №2: Placebo №2 should be administered no earlier than 24 hours after the administration of cytotoxic chemotherapy. Placebo №2 is supplied as solution for injection 0.0083 ml/kg.
Filgrastim
n=40 Participants
Patients will receive filgrastim at a dose of 5 μg/kg subcutaneously daily (until ANC 10 000/μL or for 14 days, whichever occurred first), starting 24 h after the chemotherapy Placebo №1: Placebo №1 is supplied as solution for injection 1.0 ml. Placebo №1 is to be administered 24 h after the chemotherapy at dose of 1.0.
The Incidence of Severe Neutropenia (Grade 3-4)
40 participants
34 participants
40 participants

SECONDARY outcome

Timeframe: 1st cycle (week 3), 2nd cycle (week 6), 3rd cycle (week 9), 4th cycle (week 12)

Population: The efficacy analysis included only those patients who received at least one dose of study drug, and who were participated in the study for 2 weeks or more.

Outcome measures

Outcome measures
Measure
Empegfilgrastim 6 mg
n=42 Participants
Patients will receive a single administration of empegfilgrastim at a dose of 6 mg subcutaneously , 24 h after the chemotherapy Placebo №2: Placebo №2 should be administered no earlier than 24 hours after the administration of cytotoxic chemotherapy. Placebo №2 is supplied as solution for injection 0.0083 ml/kg.
Empegfilgrastim 7.5 mg
n=43 Participants
Patients will receive a single administration of empegfilgrastim at a dose of 7.5 mg subcutaneously, 24 h after the chemotherapy Placebo №2: Placebo №2 should be administered no earlier than 24 hours after the administration of cytotoxic chemotherapy. Placebo №2 is supplied as solution for injection 0.0083 ml/kg.
Filgrastim
n=40 Participants
Patients will receive filgrastim at a dose of 5 μg/kg subcutaneously daily (until ANC 10 000/μL or for 14 days, whichever occurred first), starting 24 h after the chemotherapy Placebo №1: Placebo №1 is supplied as solution for injection 1.0 ml. Placebo №1 is to be administered 24 h after the chemotherapy at dose of 1.0.
Low Level (Nadir) ANC x 10^9/L
1st cycle (week 3)
0.68 cells x 10^9/L
Standard Deviation 0.68
0.91 cells x 10^9/L
Standard Deviation 1.11
0.47 cells x 10^9/L
Standard Deviation 0.74
Low Level (Nadir) ANC x 10^9/L
2nd cycle (week 6)
1.44 cells x 10^9/L
Standard Deviation 1.30
2.10 cells x 10^9/L
Standard Deviation 1.78
0.87 cells x 10^9/L
Standard Deviation 1.12
Low Level (Nadir) ANC x 10^9/L
3rd cycle (week 9)
1.77 cells x 10^9/L
Standard Deviation 1.39
1.88 cells x 10^9/L
Standard Deviation 1.71
0.94 cells x 10^9/L
Standard Deviation 1.04
Low Level (Nadir) ANC x 10^9/L
4th cycle (week 12)
1.67 cells x 10^9/L
Standard Deviation 1.12
2.07 cells x 10^9/L
Standard Deviation 1.75
0.75 cells x 10^9/L
Standard Deviation 0.87

SECONDARY outcome

Timeframe: 1st cycle (week 3), 2nd cycle (week 6), 3rd cycle (week 9), 4th cycle (week 12)

Population: The efficacy analysis included only those patients who received at least one dose of study drug, and who were participated in the study for 2 weeks or more.

Outcome measures

Outcome measures
Measure
Empegfilgrastim 6 mg
n=42 Participants
Patients will receive a single administration of empegfilgrastim at a dose of 6 mg subcutaneously , 24 h after the chemotherapy Placebo №2: Placebo №2 should be administered no earlier than 24 hours after the administration of cytotoxic chemotherapy. Placebo №2 is supplied as solution for injection 0.0083 ml/kg.
Empegfilgrastim 7.5 mg
n=43 Participants
Patients will receive a single administration of empegfilgrastim at a dose of 7.5 mg subcutaneously, 24 h after the chemotherapy Placebo №2: Placebo №2 should be administered no earlier than 24 hours after the administration of cytotoxic chemotherapy. Placebo №2 is supplied as solution for injection 0.0083 ml/kg.
Filgrastim
n=40 Participants
Patients will receive filgrastim at a dose of 5 μg/kg subcutaneously daily (until ANC 10 000/μL or for 14 days, whichever occurred first), starting 24 h after the chemotherapy Placebo №1: Placebo №1 is supplied as solution for injection 1.0 ml. Placebo №1 is to be administered 24 h after the chemotherapy at dose of 1.0.
Neutropenia Duration, Any Grade
1st cycle (week 3)
2.214 days
Standard Deviation 1.152
1.953 days
Standard Deviation 1.194
4.0 days
Standard Deviation 3.121
Neutropenia Duration, Any Grade
2nd cycle (week 6)
1.881 days
Standard Deviation 2.276
1.233 days
Standard Deviation 1.702
2.775 days
Standard Deviation 2.434
Neutropenia Duration, Any Grade
3rd cycle (week 9)
1.585 days
Standard Deviation 1.897
1.024 days
Standard Deviation 1.199
2.487 days
Standard Deviation 2.480
Neutropenia Duration, Any Grade
4th cycle (week 12)
1.146 days
Standard Deviation 1.195
1.525 days
Standard Deviation 2.364
2.919 days
Standard Deviation 2.488

SECONDARY outcome

Timeframe: 1st cycle (week 3), 2nd cycle (week 6), 3rd cycle (week 9), 4th cycle (week 12)

Population: The efficacy analysis included only those patients who received at least one dose of study drug, and who were participated in the study for 2 weeks or more.

Outcome measures

Outcome measures
Measure
Empegfilgrastim 6 mg
n=42 Participants
Patients will receive a single administration of empegfilgrastim at a dose of 6 mg subcutaneously , 24 h after the chemotherapy Placebo №2: Placebo №2 should be administered no earlier than 24 hours after the administration of cytotoxic chemotherapy. Placebo №2 is supplied as solution for injection 0.0083 ml/kg.
Empegfilgrastim 7.5 mg
n=43 Participants
Patients will receive a single administration of empegfilgrastim at a dose of 7.5 mg subcutaneously, 24 h after the chemotherapy Placebo №2: Placebo №2 should be administered no earlier than 24 hours after the administration of cytotoxic chemotherapy. Placebo №2 is supplied as solution for injection 0.0083 ml/kg.
Filgrastim
n=40 Participants
Patients will receive filgrastim at a dose of 5 μg/kg subcutaneously daily (until ANC 10 000/μL or for 14 days, whichever occurred first), starting 24 h after the chemotherapy Placebo №1: Placebo №1 is supplied as solution for injection 1.0 ml. Placebo №1 is to be administered 24 h after the chemotherapy at dose of 1.0.
Duration From ANC Nadir to ANC < 2.0 x 10^9/L
1st cycle (week 3)
1.74 days
Standard Deviation 0.98
1.51 days
Standard Deviation 0.86
2.98 days
Standard Deviation 2.40
Duration From ANC Nadir to ANC < 2.0 x 10^9/L
2nd cycle (week 6)
1.43 days
Standard Deviation 1.29
1.05 days
Standard Deviation 1.31
2.05 days
Standard Deviation 1.08
Duration From ANC Nadir to ANC < 2.0 x 10^9/L
3rd cycle (week 9)
1.20 days
Standard Deviation 1.21
0.98 days
Standard Deviation 0.90
1.90 days
Standard Deviation 1.87
Duration From ANC Nadir to ANC < 2.0 x 10^9/L
4th cycle (week 12)
1.12 days
Standard Deviation 1.05
1.03 days
Standard Deviation 1.20
2.14 days
Standard Deviation 1.70

Adverse Events

Empegfilgrastim 6 mg

Serious events: 1 serious events
Other events: 42 other events
Deaths: 0 deaths

Empegfilgrastim 7.5 mg

Serious events: 1 serious events
Other events: 43 other events
Deaths: 0 deaths

Filgrastim

Serious events: 5 serious events
Other events: 43 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Empegfilgrastim 6 mg
n=42 participants at risk
Patients will receive a single administration of empegfilgrastim at a dose of 6 mg subcutaneously , 24 h after the chemotherapy Placebo №2: Placebo №2 should be administered no earlier than 24 hours after the administration of cytotoxic chemotherapy. Placebo №2 is supplied as solution for injection 0.0083 ml/kg.
Empegfilgrastim 7.5 mg
n=43 participants at risk
Patients will receive a single administration of empegfilgrastim at a dose of 7.5 mg subcutaneously, 24 h after the chemotherapy Placebo №2: Placebo №2 should be administered no earlier than 24 hours after the administration of cytotoxic chemotherapy. Placebo №2 is supplied as solution for injection 0.0083 ml/kg.
Filgrastim
n=43 participants at risk
Patients will receive filgrastim at a dose of 5 μg/kg subcutaneously daily (until ANC 10 000/μL or for 14 days, whichever occurred first), starting 24 h after the chemotherapy Placebo №1: Placebo №1 is supplied as solution for injection 1.0 ml. Placebo №1 is to be administered 24 h after the chemotherapy at dose of 1.0.
Reproductive system and breast disorders
Uterine bleeding
2.4%
1/42 • Number of events 1 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
0.00%
0/43 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
0.00%
0/43 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
Blood and lymphatic system disorders
Febrile neutropenia
0.00%
0/42 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
2.3%
1/43 • Number of events 1 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
2.3%
1/43 • Number of events 1 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
Musculoskeletal and connective tissue disorders
Left hand fracture
0.00%
0/42 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
0.00%
0/43 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
2.3%
1/43 • Number of events 1 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
Infections and infestations
nose furunculus 3 grade
0.00%
0/42 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
0.00%
0/43 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
2.3%
1/43 • Number of events 1 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
Respiratory, thoracic and mediastinal disorders
Pneumonia
0.00%
0/42 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
0.00%
0/43 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
2.3%
1/43 • Number of events 1 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
Blood and lymphatic system disorders
Agranulocytosis
0.00%
0/42 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
0.00%
0/43 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
2.3%
1/43 • Number of events 1 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.

Other adverse events

Other adverse events
Measure
Empegfilgrastim 6 mg
n=42 participants at risk
Patients will receive a single administration of empegfilgrastim at a dose of 6 mg subcutaneously , 24 h after the chemotherapy Placebo №2: Placebo №2 should be administered no earlier than 24 hours after the administration of cytotoxic chemotherapy. Placebo №2 is supplied as solution for injection 0.0083 ml/kg.
Empegfilgrastim 7.5 mg
n=43 participants at risk
Patients will receive a single administration of empegfilgrastim at a dose of 7.5 mg subcutaneously, 24 h after the chemotherapy Placebo №2: Placebo №2 should be administered no earlier than 24 hours after the administration of cytotoxic chemotherapy. Placebo №2 is supplied as solution for injection 0.0083 ml/kg.
Filgrastim
n=43 participants at risk
Patients will receive filgrastim at a dose of 5 μg/kg subcutaneously daily (until ANC 10 000/μL or for 14 days, whichever occurred first), starting 24 h after the chemotherapy Placebo №1: Placebo №1 is supplied as solution for injection 1.0 ml. Placebo №1 is to be administered 24 h after the chemotherapy at dose of 1.0.
Blood and lymphatic system disorders
neutropenia any grade
97.6%
41/42 • Number of events 41 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
86.0%
37/43 • Number of events 37 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
95.3%
41/43 • Number of events 41 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
Blood and lymphatic system disorders
Anemia
40.5%
17/42 • Number of events 17 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
30.2%
13/43 • Number of events 13 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
44.2%
19/43 • Number of events 19 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
Blood and lymphatic system disorders
Leucopenia
97.6%
41/42 • Number of events 41 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
88.4%
38/43 • Number of events 38 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
95.3%
41/43 • Number of events 41 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
Blood and lymphatic system disorders
Febrile neutropenia
2.4%
1/42 • Number of events 1 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
7.0%
3/43 • Number of events 3 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
4.7%
2/43 • Number of events 2 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
Endocrine disorders
Hyperglycemia
14.3%
6/42 • Number of events 6 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
18.6%
8/43 • Number of events 8 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
20.9%
9/43 • Number of events 9 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
Hepatobiliary disorders
Hyperbilirubinemia
16.7%
7/42 • Number of events 7 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
16.3%
7/43 • Number of events 7 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
4.7%
2/43 • Number of events 2 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
Hepatobiliary disorders
Liver enzymes (ALT) elevation
9.5%
4/42 • Number of events 4 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
4.7%
2/43 • Number of events 2 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
4.7%
2/43 • Number of events 2 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
Injury, poisoning and procedural complications
Hyperemia after injection
7.1%
3/42 • Number of events 3 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
0.00%
0/43 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
0.00%
0/43 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
General disorders
Weakness / asthenia
61.9%
26/42 • Number of events 26 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
55.8%
24/43 • Number of events 24 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
55.8%
24/43 • Number of events 24 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
General disorders
Fever
4.8%
2/42 • Number of events 2 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
7.0%
3/43 • Number of events 3 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
4.7%
2/43 • Number of events 2 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
Musculoskeletal and connective tissue disorders
Bone pain
9.5%
4/42 • Number of events 4 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
9.3%
4/43 • Number of events 4 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
4.7%
2/43 • Number of events 2 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
Gastrointestinal disorders
Abdominal pain
4.8%
2/42 • Number of events 2 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
4.7%
2/43 • Number of events 2 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
2.3%
1/43 • Number of events 1 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
Musculoskeletal and connective tissue disorders
Myalgia
7.1%
3/42 • Number of events 3 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
4.7%
2/43 • Number of events 2 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
4.7%
2/43 • Number of events 2 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
Musculoskeletal and connective tissue disorders
Arthralgia
14.3%
6/42 • Number of events 6 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
7.0%
3/43 • Number of events 3 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
7.0%
3/43 • Number of events 3 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
General disorders
Headache
2.4%
1/42 • Number of events 1 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
2.3%
1/43 • Number of events 1 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.
4.7%
2/43 • Number of events 2 • 3 month
In general, any AEs were reported in all patients in both groups over a period of study. The vast majority of AEs were due to myelosuppressive chemotherapy. When comparing the frequency of registration of individual AEs there was no significant difference. AEs specific for all G-CSF drugs were observed rarely.

Additional Information

Roman Ivanov, Director of Clinical Trials

Biocad

Phone: +7 (812) 380 49 33

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place