Patient Preference Between a Prefilled Syringe or a Prefilled Pen Device for Administration of Pegfilgrastim

NCT ID: NCT05910164

Last Updated: 2024-12-19

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

Total Enrollment

150 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-06-09

Study Completion Date

2024-10-09

Brief Summary

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Febrile neutropenia (NF) is a common serious complication of cancer chemotherapy. Outpatient management of chemotherapy treatments is made essential by the volume of patients treated, respect for their quality of life and the lack of hospitalization resources.

The prevention of NF is well documented and its success depends on the risks of developing NF related to the type of chemotherapy protocol used and the profile of the patient and his disease.

Pegfilgrastim (G-CSF, biosimilar medicine) injection has been shown to prevent (febrile) neutropenia. It is routinely prescribed on an outpatient basis for patients treated with chemotherapy (CT), several thousand times a year in our geographical area.

In order to take into account patient preferences and help clinical decision-making, this study will be conducted on the basis of self-administered questionnaires. The aim of the research is to assess patient preference for receiving administration of PELGRAZ (Accord Healthcare) using a prefilled syringe or a prefilled pen device. In a second step, this study will evaluate the learning of the patient and his autonomy during a pen self-injection guided by a nurse.

Detailed Description

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Febrile neutropenia (NF) is a common serious complication of cancer chemotherapy. Outpatient management of chemotherapy treatments is made essential by the volume of patients treated, respect for their quality of life and the lack of hospitalization resources.

The prevention of NF is well documented and its success depends on the risks of developing NF related to the type of chemotherapy protocol used and the profile of the patient and his disease.

Pegfilgrastim (G-CSF, biosimilar medicine) injection has been shown to prevent (febrile) neutropenia. It is routinely prescribed on an outpatient basis for patients treated with chemotherapy (CT), several thousand times a year in our geographical area.

In order to take into account patient preferences and help clinical decision-making, this study will be conducted on the basis of self-administered questionnaires.

This research involves the administration/use of a product (PELGRAZ, Accord Healthcare) within its intended purpose. PELGRAZ prefilled syringe or prefilled pen are available on the European Union market.

The study will be carried out using a crossover design. Two modes of administration (syringe and pen) will be compared. Each subject will receive either the sequence syringe then pen, or pen then syringe.

The trial will be conducted among 150 cancer patients for whom a chemotherapy followed by the administration of pegfilgrastim is indicated.

The primary endpoint is a composite endpoint consisting of several parameters related to patient preference.

Conditions

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Patient Preference Febrile Neutropenia, Drug-Induced Patient Satisfaction

Keywords

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patient preference pegfilgrastim chemotherapy prophylaxis febrile neutropenia survey questionnaires

Study Design

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Observational Model Type

CASE_CROSSOVER

Study Time Perspective

PROSPECTIVE

Study Groups

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A) administration starting with prefilled syringe

\- Group A = Phase 1 then phases 2, 3, 4

The study protocol consists of 4 different stages

* Phase 1: injection by pre-filled syringe by a state-certified nurse (IDE)
* Phase 2: pen injection guided (thanks to the detailed information) by the IDE
* Phase 3: injection by pen in autonomy supervised by the IDE (can only interfere in case of non-compliance with the injection protocol) = Learning phase
* Phase 4: injection by pen in complete autonomy, patient alone

PELGRAZ prefilled syringe or PELGRAZ prefilled pen

Intervention Type DEVICE

PELGRAZ prefilled syringe or PELGRAZ prefilled pen https://www.ema.europa.eu/en/medicines/human/EPAR/pelgraz

B) administration starting with prefilled pen

\- Group B = Phase 2, 3, 4 then phase 1

The study protocol consists of 4 different stages

* Phase 1: injection by pre-filled syringe by a state-certified nurse (IDE)
* Phase 2: pen injection guided (thanks to the detailed information) by the IDE
* Phase 3: injection by pen in autonomy supervised by the IDE (can only interfere in case of non-compliance with the injection protocol) = Learning phase
* Phase 4: injection by pen in complete autonomy, patient alone

PELGRAZ prefilled syringe or PELGRAZ prefilled pen

Intervention Type DEVICE

PELGRAZ prefilled syringe or PELGRAZ prefilled pen https://www.ema.europa.eu/en/medicines/human/EPAR/pelgraz

Interventions

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PELGRAZ prefilled syringe or PELGRAZ prefilled pen

PELGRAZ prefilled syringe or PELGRAZ prefilled pen https://www.ema.europa.eu/en/medicines/human/EPAR/pelgraz

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* 18 years old and older
* Patients with solid tumors, Hodgkin's lymphoma, non-Hodgkin's lymphoma and receiving myelosuppressive chemotherapy with a risk of NF of 10-20% (individual risk factors), or ≥ 20% (primary prevention of neutropenia) and receiving PELGRAZ ® in accordance with CPR
* Prediction of the risk of NF without filgrastim or pegfilgrastim determined according to the recommendations of the EORTC
* ECOG ≤ 2
* Free and informed consent obtained
* Patient affiliated to a social security system or beneficiary of such a scheme

Exclusion Criteria

* Pregnancy
* Breastfeeding
* Patients receiving concurrent radiotherapy
* Second cancer treated with chemotherapy
* Participation in any other clinical trial within 30 days prior to recruitment
* Concomitant myelosuppressive therapy, e.g. ex. immunosuppressive therapy
* History of severe hypersensitivity reaction to drugs intended for use and/or drugs derived from E. coli
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Institut Rafael

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Alain TOLEDANO, MD

Role: PRINCIPAL_INVESTIGATOR

Institut Rafael

Locations

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Institut Rafael

Levallois-Perret, Île-de-France Region, France

Site Status

Countries

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France

References

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Scher N, Boudabous H, Partouche J, Rezaee-Vessal S, Ihout P, Rizzo C, Lamallem H, Bauduceau O, Darmon I, Bollet M, Draghi C, Toledano A. Enhancing patient-centered care: a randomized study on G-CSF administration preferences in chemotherapy-induced neutropenia. Support Care Cancer. 2024 Oct 22;32(11):743. doi: 10.1007/s00520-024-08929-x.

Reference Type DERIVED
PMID: 39436413 (View on PubMed)

Other Identifiers

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ID RCB: 2022-A01465-38

Identifier Type: OTHER

Identifier Source: secondary_id

IR-2022/0011

Identifier Type: -

Identifier Source: org_study_id