SPI-2012 vs Pegfilgrastim in the Management of Neutropenia in Participants With Breast Cancer With Docetaxel and Cyclophosphamide (ADVANCE) (ADVANCE)
Neutropenia, Breast Cancer
About this trial
This is an interventional treatment trial for Neutropenia focused on measuring Neutropenia, Breast Cancer, Long-acting Myeloid Growth Factor, Early Stage Breast Cancer, Docetaxel + Cyclophosphamide (TC) chemotherapy
Eligibility Criteria
Key Inclusion Criteria:
- New diagnosis of histologically confirmed early-stage breast cancer (ESBC), defined as operable Stage I to Stage IIIA breast cancer
- Candidate for adjuvant or neoadjuvant TC chemotherapy
- Eastern Cooperative Oncology Group (ECOG) performance score ≤ 2
- Absolute neutrophil count (ANC) ≥ 1.5×10^9/L
- Platelet count ≥ 100×10^9/L
- Hemoglobin > 9 g/dL
- Creatinine clearance > 50 mL/min
- Total bilirubin ≤ 1.5 mg/dL
- Aspartate Aminotransferase per Serum Glutamic-Oxaloacetic Transaminase (AST/SGOT) and Alanine Aminotransferase per Serum Glutamic-Pyruvic Transaminase (ALT/SGPT) ≤ 2.5× Upper Limit of Normal (ULN).
- Alkaline phosphatase ≤ 2.0×ULN
Key Exclusion Criteria:
- Active concurrent malignancy (except non-melanoma skin cancer or carcinoma in situ of the cervix) or life-threatening disease
- Locally recurrent or metastatic breast cancer
- Known sensitivity to E. coli -derived products or to any products to be administered during dosing
- Concurrent adjuvant cancer therapy
- Previous exposure to filgrastim, pegfilgrastim, or other G-CSF products in clinical development within 12 months prior to the administration of study drug
- Active infection, receiving anti-infectives, or any serious underlying medical condition that would impair ability to receive protocol treatment
- Prior bone marrow or stem cell transplant
- Use of any investigational drugs, biologics, or devices within 30 days prior to study treatment or plans to use any of these during the course of the study
- Radiation therapy within 30 days prior to enrollment
- Major surgery within 30 days prior to enrollment
Sites / Locations
- Arizona Center for Cancer Care
- Arizona Clinical Research Center/ ACRC
- Yuma Regional Medical Center
- Genesis Cancer Center
- NEA Baptist Clinic | Fowler Family Center for Cancer Care
- Pacific Cancer Medical Center, Inc.
- CBCC Global Research, Inc. at Comprehensive Blood and Cancer Center
- Alta Bates Summit Medical Center
- Precision Research Institute, LLC
- Compassionate Cancer Care Medical Group, Inc.
- Compassionate Care Research Group, Inc.
- Long Beach Memorial Medical Center
- Pacific Shores Medical Group
- Ventura County Hematology-Oncology Specialists
- Valley Medical Oncology Consultants
- Emad Ibrahim, MD, Inc.
- Compassionate Cancer Care Medical Group, Inc
- St Joseph Heritage Healthcare Institution
- Wellness Oncology Hematology
- Oncology Institute of Hope and Innovation
- Omega Research Consultants LLC
- Pasco Pinellas Cancer Center
- Lakes Research, LLC
- AMPM Research Clinic
- Mid Florida Hematology and Oncology Centers
- Florida Cancer Research Institute
- Bond Clinic, P.A.
- John B Amos Cancer Center
- Dwight D. Eisenhower Army Medical Center
- Memorial Health University Medical Center
- Saint Alphonsus Regional Medical Center
- Clintell, Inc/Swedish Covenant Hospital
- Joliet Oncology Hematology Associates
- Oncology Specialists, SC
- Swedish American Cancer Center
- Carle Cancer Center
- Franciscan St. Francis Health
- Floyd Memorial Cancer Center of Indiana
- Northern Indiana Cancer Research Consortium
- Ashland-Bellefonte Cancer Center
- West Ky Hematology & Oncology Group, PSC
- Pontchartrain Cancer Center
- Highland Clinic
- Penobscot Bay Medical Center
- RCCA MD LLC/The Center for Cancer and Blood Disorders
- Reliant Medical Group
- Quest Research Institute
- Forrest General Hospital
- Freeman Health Systems
- St. Vincent Frontier Cancer Center
- Saint Francis Cancer Treatment Center
- Southeast Nebraska Hematology & Oncology Consultants, PC
- New Jersey Hematology Oncology Associates
- North Shore Hematology Oncology Associates
- Waverly Hematology Oncology
- Aultman Hospital
- Gabrail Cancer Center Research
- The Lindner Research Center at the Christ Hospital
- Mercy Health Youngstown LLC DBA
- Good Samaritan Hospital Corvallis
- University of Pittsburgh Medical Center (UPMC)
- Associates in Hematology and Oncology, PC
- AnMed Health Cancer Center
- Bon Secours Saint Francis Cancer
- Carolina Blood and Cancer Care
- Cookeville Regional Medical Center
- The West Clinic, PC, d/b/a West Cancer Center
- CHI St. Joseph Health Cancer Center
- Texas Oncology -Methodist Dallas Cancer Center
- Oncology Consultants
- Texas Oncology, PA
- Methodist Richardson Medical Center- Cancer Center
- Northern Utah Associates
- Delta Oncology Associates
- Northwest Medical Specialties, PLLC
- West Virginia University
- CISSS de la Montérégie-Centre
- Jewish General Hospital
- CHU de Quebec - Universite Laval
- Cha Bundang Medical Center
- Severance Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Arm 1: SPI-2012 and Docetaxel + Cyclophosphamide (TC)
Arm 2: Pegfilgrastim and Docetaxel + Cyclophosphamide (TC)
Participants received SPI-2012 13.2 milligram (mg)/0.6 milliliter (mL) (3.6 mg Granulocyte Colony-Stimulating Factor [G-CSF]) fixed-dose subcutaneous (SC) injection once per cycle on Day 2 of each cycle up to Cycle 4 (each cycle was 21 days), approximately 24-26 hours after TC chemotherapy administration. TC chemotherapy was administered on Day 1 of each cycle and included Docetaxel 75 mg/m^2 intravenous (IV) infusion and Cyclophosphamide 600 mg/m^2 IV infusion per institute's standard of care.
Participants received pegfilgrastim 6 mg SC injection once per cycle on Day 2 of each cycle up to Cycle 4 (each cycle was 21 days), approximately 24-26 hours after TC chemotherapy administration. TC chemotherapy on Day 1 of each cycle included Docetaxel 75 mg/m^2 IV infusion and Cyclophosphamide 600 mg/m^2 IV infusion per institute's standard of care.