G-CSF Alone or Combination With GM-CSF on Prevention and Treatment of Infection in Children With Malignant Tumor

NCT ID: NCT02933333

Last Updated: 2018-10-17

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

405 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-09-27

Study Completion Date

2020-12-31

Brief Summary

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The purpose of this study is to explore the effect of G-CSF combination with GM-CSF on prevention and treatment of infection in children with malignant tumor.

Detailed Description

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G-CSF Alone or Combination With GM-CSF on Prevention and Treatment of Infection in Children With Malignant Tumor.

Conditions

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Acute Myeloid Leukemia Acute Lymphoid Leukemia Lymphoma Neuroblastoma Hepatoblastoma Retinoblastoma

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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GM-CSF

Eligible patients received subcutaneous GM-CSF 5 μg/kg per day when the first time of absolute neutrophil count \[ANC\] \<1.5\*10\^9/L after chemotherapy. GM-CSF is given daily for at least 5 days and continued until the ANC reached 1.5\*10\^9/L for two consecutive days.

Group Type EXPERIMENTAL

GM-CSF

Intervention Type BIOLOGICAL

Granulocyte-macrophage colony-stimulating factor (GM-CSF) is a hematopoietic CSFs that decrease the duration and severity of neutropenia for patients receiving chemotherapy. GM-CSF is a stimulator of the growth and differentiation of hematopoietic progenitor cells committed to neutrophils, monocytes or eosinophils.

G-CSF

Eligible patients received subcutaneous G-CSF 5 μg/kg per day when the first time of absolute neutrophil count \[ANC\] \<1.5\*10\^9/L after chemotherapy. G-CSF is given daily for at least 5 days and continued until the ANC reached 1.5\*10\^9/L for two consecutive days.

Group Type EXPERIMENTAL

G-CSF

Intervention Type BIOLOGICAL

Granulocyte colony-stimulating factor (G-CSF) is a hematopoietic CSFs that decrease the duration and severity of neutropenia for patients receiving chemotherapy. G-CSF is a relatively specific stimulator of the growth and differentiation of hematopoietic progenitor cells committed to the neutrophil lineage.

G-CSF + GM-CSF

Eligible patients received subcutaneous a combination of GM-CSF 5 μg/kg per day and G-CSF 5 μg/kg per day when the first time of absolute neutrophil count \[ANC\] \<1.5\*10\^9/L after chemotherapy. GM-CSF and G-CSF are given daily for at least 5 days and continued until the ANC reached 1.5\*10\^9/L for two consecutive days.

Group Type EXPERIMENTAL

GM-CSF and G-CSF

Intervention Type BIOLOGICAL

Granulocyte-macrophage colony-stimulating factor (GM-CSF) and granulocyte colony-stimulating factor (G-CSF) are hematopoietic CSFs that decrease the duration and severity of neutropenia for patients receiving chemotherapy. GM-CSF and G-CSF share a number of biologic activities, GM-CSF seems to be more potent against fungi.

Interventions

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GM-CSF

Granulocyte-macrophage colony-stimulating factor (GM-CSF) is a hematopoietic CSFs that decrease the duration and severity of neutropenia for patients receiving chemotherapy. GM-CSF is a stimulator of the growth and differentiation of hematopoietic progenitor cells committed to neutrophils, monocytes or eosinophils.

Intervention Type BIOLOGICAL

G-CSF

Granulocyte colony-stimulating factor (G-CSF) is a hematopoietic CSFs that decrease the duration and severity of neutropenia for patients receiving chemotherapy. G-CSF is a relatively specific stimulator of the growth and differentiation of hematopoietic progenitor cells committed to the neutrophil lineage.

Intervention Type BIOLOGICAL

GM-CSF and G-CSF

Granulocyte-macrophage colony-stimulating factor (GM-CSF) and granulocyte colony-stimulating factor (G-CSF) are hematopoietic CSFs that decrease the duration and severity of neutropenia for patients receiving chemotherapy. GM-CSF and G-CSF share a number of biologic activities, GM-CSF seems to be more potent against fungi.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Patients with malignant tumor including acute myeloid leukemia (AML) after complete remission, acute lymphocytic leukemia (ALL) after complete remission, stage III or IV lymphoma after partial remission or complete remission, stage III or IV neuroblastoma (NB) or retinoblastoma (RB).
* Eastern Cooperative Oncology Group performance status ≤ 2.
* Did not receive treatment of CSFs in two weeks.
* Without symptomatic infection and with normal values of C-reactive protein or procalcitonin.
* The first time of ANC \< 1.5\*10\^9/L after chemotherapy.
* More than 24 h after the last chemotherapy.
* The function of liver was normal.

Exclusion Criteria

* Allergic to GM-CSF or drugs which expressed in Escherichia coli.
* Patients with infection, diabetes or primary immunodeficiency.
* Patients infected with hepatitis B, hepatitis C or HIV.
* Patients confirmed autoimmune thrombocytopenic purpura.
Minimum Eligible Age

1 Year

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Xinhua Hospital, Shanghai Jiao Tong University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Xiaojun Yuan

chief physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yuan Xiaojun, Ph.D

Role: STUDY_CHAIR

Xinhua Hospital, Shanghai Jiao Tong University School of Medicine

Zhai Xiaowen, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Children's Hospital of Fudan University

Hu Shaoyan, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Children's Hospital of Soochow University

Fang Yongjun, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Nanjing Children's Hospital

Wen Hong, Ph.D

Role: PRINCIPAL_INVESTIGATOR

The First Affiliated of Xiamen University

Wang Hongmei, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Qianfoshan Hospital

Sun Lirong, Ph.D

Role: PRINCIPAL_INVESTIGATOR

The Affiliated Hospital of Qingdao University

Li Aimin, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Yantai Yuhuangding Hospital

Gao Fei, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Shandong Proincial Hospital

Liu Wei, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Zhengzhou Children's Hospital

Liang Changda, Master

Role: PRINCIPAL_INVESTIGATOR

Jiangxi Proincial Children's Hospital

Pan Kaili, Master

Role: PRINCIPAL_INVESTIGATOR

Northwest Women's Hospital

Locations

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The First Affiliated of Xiamen University

Xiamen, Fujian, China

Site Status RECRUITING

Children's Hospital of Soochow University

Suzhou, Jiangsu, China

Site Status RECRUITING

Shandong Province Qianfoshan Hospital

Jinan, Shandong, China

Site Status RECRUITING

The Affiliated Hospital of Qingdao University

Qingdao, Shandong, China

Site Status RECRUITING

Children's Hospital of Fudan University

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Xinhua Hospital affiliated to Shanghai Jiaotong University school of medicine

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Northwest Women's Hospital

Xi'an, Shangxi, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Yuan NO Xiaojun, Ph.D

Role: CONTACT

+86 13817266192

Zou NO fenfang, scholar

Role: CONTACT

+86 18959232025

Facility Contacts

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Wen Hong, Ph.D

Role: primary

Hu Shaoyan, Ph.D

Role: primary

Wang Hongming, Ph.D

Role: primary

Sun Lirong, Ph.D

Role: primary

Zhai Xiaowen, Ph.D

Role: primary

Yuan Xiaojun, Ph.D

Role: primary

+86 13817266192

Zou Fenfang, scholar

Role: backup

+86 18959232025

Pan Kaili, Master

Role: primary

Other Identifiers

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XH-16-021

Identifier Type: -

Identifier Source: org_study_id

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