Efficacy and Safety of PEG-rhG-CSF in the Prevention of Neutropenia After Chemo in Pts With Gynecological Malignancies

NCT ID: NCT04773327

Last Updated: 2021-02-26

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

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-31

Study Completion Date

2022-08-31

Brief Summary

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This study is a multi-center, forward-looking, open, randomized, controlled clinical trial. This study aims to analyze the effects of Mecapegfilgrastim Injection prevention versus non-prevention for neutropenia in ovarian cancer, cervical cancer, endometrial cancer patients after chemical therapy.

Patients are randomized into study group and control group. All patients receive PTX+platinum chemotherapy of 3 weeks. In study group, patients accept PEG-rhG-CSF 24-48 hours from the chemotherapy. While the control group patients are only observed closely. Patient receive three courses of treatment.

The primary end is the incidence of 3/4 level neutropenia in three courses of chemotherapy.

The secondary ends include: the incidences and duration of neutropenia in every course of chemotherapy, the incidences of FN in three courses and every course of chemotherapy, the incidences of infection in three courses and every course of chemotherapy, the delay time of the next cycle of chemotherapy due to FN or infection, the RDI of the second and third cycles of chemotherapy, adverse events related to G-CSF, quality of life, cost of medicine and admitting.

Detailed Description

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Conditions

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Gynecologic Malignant Tumor

Keywords

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neutropenia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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PEG-rhG-CSF prevention

Mecapegfilgrastim subcutaneous injection, 6mg, 24-48h after the end of antitumor drug administration in each chemotherapy cycle,

Group Type EXPERIMENTAL

Mecapegfilgrastim Injection

Intervention Type OTHER

24-48h after the end of antitumor drug administration in each chemotherapy cycle, Mecapegfilgrastim was injected subcutaneously, 6mg/ time, once/cycle

non-prevention

Only close monitoring after chemotherapy

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Mecapegfilgrastim Injection

24-48h after the end of antitumor drug administration in each chemotherapy cycle, Mecapegfilgrastim was injected subcutaneously, 6mg/ time, once/cycle

Intervention Type OTHER

Other Intervention Names

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PEG- rhg - csf

Eligibility Criteria

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Inclusion Criteria

* Ages 18-70
* Weight ≥45 kg
* ≤2 lines chemotherapy or postoperative adjuvant chemotherapy patients with cervical cancer, ovarian cancer and endometrial cancer
* Receive paclitaxel combined with platinum three weeks per cycle of chemotherapy
* With an Eastern Cooperative Oncology Group (ECOG) performance status score of 0-1
* Expected survival time of \> 3 months
* Main organ functions meet the following criteria:

1. Hb≥75g/L; WBC≥3.0×109/L; ANC≥1.5×109/L; PLT≥80×109/L;
2. APTT-ULN≤10s; PT-ULN≤3s; TT-ULN≤3s;
3. ALT≤2.5×ULN; AST≤2.5×ULN; TBIL≤2.5×ULN;
4. BUN≤1.5×ULN; Cr≤1.5×ULN; UA≤1.5×ULN;Creatinine clearance≥40mL/min;
5. without obvious cardiac dysfunction
* Provided consent for participation

Exclusion Criteria

* With uncontrollable infections or receive systemic antibiotics within 72 hours prior to chemotherapy
* Pregnant or lactating women
* Received bone marrow or hematopoietic stem cell transplantation within the past 3 months
* Concurrent chemoradiotherapy
* Presence of hematological disorders: systemic lupus erythematosus, sjogren's syndrome, rheumatic autoimmune disease, mixed and hoof tissue disease, autoimmune hemolytic anemia, leukopenia , chronic granulocyte leukemia, bone marrow dysplasia syndrome, aplastic anemia, congenital and idiopathic neutropenia, myelodysplastic syndrome, cyclic neutropenia, primary and secondary thrombocytopenic purpura, etc
* Presence of risk of thrombus or high risk of clotting
* Presence of psychosis, neurological disease or brain metastases from tumors
* Presence of uncontrollable complicated disease including symptomatic congestive heart failure, uncontrollable hypertension, unstable angina pectoris, active peptic ulcer, or hemorrhagic disease
* Presence of uncontrollable infectious diseases, active viral hepatitis, tuberculosis, HIV
* Allergic to recombinant human granulocyte stimulating factor or other biological products of E. coli origin
* Received clinical trials within 1 month prior to enrollment
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Xiaohua Wu MD

OTHER

Sponsor Role lead

Responsible Party

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Xiaohua Wu MD

director of gynecologic oncology

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Xiaohua Wu, MD&PHD

Role: PRINCIPAL_INVESTIGATOR

director of gynecologic oncology

Locations

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No. 270, Dongan Road, Xuhui District, Shanghai, China

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

Central Contacts

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Lingfang Xia, M.D.

Role: CONTACT

Phone: 13774211977

Email: [email protected]

Xiaohua Wu, MD&PHD

Role: CONTACT

Phone: +862164175590

Email: [email protected]

Facility Contacts

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Xiaohua Wu

Role: primary

Other Identifiers

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MA-GynC-II-001

Identifier Type: -

Identifier Source: org_study_id