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PEG-rhG-CSF Compared With rhG-CSF in Lymphoma Patients After Autologous Hematopoietic Stem Cell Transplantation

Primary Purpose

Lymphoma

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
PEG-rhG-CSF
rhG-CSF
Sponsored by
Sun Yat-sen University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Lymphoma

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patients with age between 18 and 65 years;
  2. hematopoietic stem cell transplantation for the first time;
  3. Lymphoma patients with the requirement for autologous;
  4. ECOG score ≤2;
  5. Estimated survival time > 3 months;
  6. All acute toxicity caused by previous chemotherapy or treatment has been restored; 7.1) The absolute value of neutrophils (>1.5×10^9/L); Hemoglobin (> 90 g/L); 2)Upper Limit Normal (ULN) or creatinine clearance rate (>40 mL/min) of serum creatinine (<1.5 times normal value upper limit) (estimated by Cockcroft-Gault formula); Serum total bilirubin < 1.5 times ULN; Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT) = 2.5 times ULN; 7) Coagulation function: International Normalized Ratio (INR) = 1.5 times ULN; Prothrombin Time (PT), Activated Partial Thromboplastin Time (APTT) = 1.5 times ULN (unless the subject is receiving anticoagulant therapy and PT and APTT are using anticoagulant therapy at screening time). Within the expected range; Thyrotropin (TSH) or free thyroxine (FT4) or free triiodothyronine (FT3) were all within the normal range (+10%);

8.Not in pregnancy; 9.Written informed consent are acquired.

Exclusion Criteria:

  1. Had received autologous hematopoietic stem cell transplantation or allogeneic transplantation;
  2. bone marrow involvement;
  3. Patients with active autoimmune diseases requiring systematic treatment were excluded according to the clinical judgment of the investigators;
  4. Patients with active infections requiring systematic treatment were excluded according to the clinical judgment of the investigators;
  5. Serious complications, such as severe infection, heart, lung, liver and kidney dysfunction;
  6. patients in fever of unknown origin before medication(>38℃);
  7. central nervous system involvement;
  8. Patients that received pelvic radiotherapy;
  9. patients will received Chemotherapy or radiotherapy under the diaphragm after transplantation ;
  10. Participation or consideration of participation in another biomedical study during the follow-up period of the present trial;
  11. Pregnant or lactating women;
  12. Serious heart, lung, hemorrhagic disease;
  13. Past psychiatric history; incapacitated or restricted;
  14. patient's condition increase the risk of receiving the drug treatment or confusion about the toxic reaction;
  15. Severe intolerance to the growth factor under study, or hypersensitivity to one of their components;
  16. the patients did not comply with the study;
  17. Other situation that investigators consider as contra-indication for this study.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    PEG-rhG-CSF

    rhG-CSF

    Arm Description

    Patients in PEG-rhG-CSF group received PEG-rhG-CSF day+1 after transplantation.

    Patients in rhG-CSF group received rhG-CSF day+1 after transplantation.

    Outcomes

    Primary Outcome Measures

    Time to neutrophil engraftment

    Secondary Outcome Measures

    The duration of neutrophilic granulocytopenia
    Incidence of febrile neutrophilic granulocytopenia
    Time to platelet engraftment and number of platelet transfused to the patient
    Adverse Event
    Safety

    Full Information

    First Posted
    December 12, 2021
    Last Updated
    December 13, 2021
    Sponsor
    Sun Yat-sen University
    Collaborators
    Jiangsu HengRui Medicine Co., Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05156554
    Brief Title
    PEG-rhG-CSF Compared With rhG-CSF in Lymphoma Patients After Autologous Hematopoietic Stem Cell Transplantation
    Official Title
    A Multicenter Randomized Controlled Trial of the Efficacy and Safety of PEG-rhG-CSF Compared With rhG-CSF After Autologous Hematopoietic Stem Cell Transplantation for Lymphoma Patients
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    December 2021
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    December 2021 (Anticipated)
    Primary Completion Date
    December 2022 (Anticipated)
    Study Completion Date
    January 2023 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Sun Yat-sen University
    Collaborators
    Jiangsu HengRui Medicine Co., Ltd.

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose of the study is to evaluate the efficacy and safety of PEG-rhG-CSF compared with rhG-CSF on the recovery of hematopoietic function after autologous stem cell transplantation in patients with lymphoma.
    Detailed Description
    The purpose of the study is to evaluate the efficacy and safety of PEG-rhG-CSF compared with rhG-CSF in lymphoma patients after autologous hematopoietic stem cell transplantation. Eligible patients were randomly assigned to PEG-rhG-CSF group or rhG-CSF group. Patients in PEG-rhG-CSF group received PEG-rhG-CSF day +1 after transplantation with a dose of 6 mg. Patients in rhG-CSF group received rhG-CSF day +1 after transplantation with a dose of 5μg/kg once per day until the count of neutrophil>0.5×10^9 /L.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Lymphoma

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    80 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    PEG-rhG-CSF
    Arm Type
    Experimental
    Arm Description
    Patients in PEG-rhG-CSF group received PEG-rhG-CSF day+1 after transplantation.
    Arm Title
    rhG-CSF
    Arm Type
    Active Comparator
    Arm Description
    Patients in rhG-CSF group received rhG-CSF day+1 after transplantation.
    Intervention Type
    Drug
    Intervention Name(s)
    PEG-rhG-CSF
    Intervention Description
    PEG-rhG-CSF was given day +1 after autologous stem cell transplantation with a dose of 6mg.
    Intervention Type
    Drug
    Intervention Name(s)
    rhG-CSF
    Intervention Description
    rhG-CSF was given day +1 after autologous stem cell transplantation with a dose of 5μg/kg once per day until the count of neutrophil>0.5×10^9 /L.
    Primary Outcome Measure Information:
    Title
    Time to neutrophil engraftment
    Time Frame
    30 days
    Secondary Outcome Measure Information:
    Title
    The duration of neutrophilic granulocytopenia
    Time Frame
    30 days
    Title
    Incidence of febrile neutrophilic granulocytopenia
    Time Frame
    30 days
    Title
    Time to platelet engraftment and number of platelet transfused to the patient
    Time Frame
    30 days
    Title
    Adverse Event
    Description
    Safety
    Time Frame
    30 days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    65 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Patients with age between 18 and 65 years; hematopoietic stem cell transplantation for the first time; Lymphoma patients with the requirement for autologous; ECOG score ≤2; Estimated survival time > 3 months; All acute toxicity caused by previous chemotherapy or treatment has been restored; 7.1) The absolute value of neutrophils (>1.5×10^9/L); Hemoglobin (> 90 g/L); 2)Upper Limit Normal (ULN) or creatinine clearance rate (>40 mL/min) of serum creatinine (<1.5 times normal value upper limit) (estimated by Cockcroft-Gault formula); Serum total bilirubin < 1.5 times ULN; Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT) = 2.5 times ULN; 7) Coagulation function: International Normalized Ratio (INR) = 1.5 times ULN; Prothrombin Time (PT), Activated Partial Thromboplastin Time (APTT) = 1.5 times ULN (unless the subject is receiving anticoagulant therapy and PT and APTT are using anticoagulant therapy at screening time). Within the expected range; Thyrotropin (TSH) or free thyroxine (FT4) or free triiodothyronine (FT3) were all within the normal range (+10%); 8.Not in pregnancy; 9.Written informed consent are acquired. Exclusion Criteria: Had received autologous hematopoietic stem cell transplantation or allogeneic transplantation; bone marrow involvement; Patients with active autoimmune diseases requiring systematic treatment were excluded according to the clinical judgment of the investigators; Patients with active infections requiring systematic treatment were excluded according to the clinical judgment of the investigators; Serious complications, such as severe infection, heart, lung, liver and kidney dysfunction; patients in fever of unknown origin before medication(>38℃); central nervous system involvement; Patients that received pelvic radiotherapy; patients will received Chemotherapy or radiotherapy under the diaphragm after transplantation ; Participation or consideration of participation in another biomedical study during the follow-up period of the present trial; Pregnant or lactating women; Serious heart, lung, hemorrhagic disease; Past psychiatric history; incapacitated or restricted; patient's condition increase the risk of receiving the drug treatment or confusion about the toxic reaction; Severe intolerance to the growth factor under study, or hypersensitivity to one of their components; the patients did not comply with the study; Other situation that investigators consider as contra-indication for this study.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Huiqiang Huang, professor
    Phone
    0086-13808885154
    Email
    huang_sysu@163.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Huiqiang Huang, professor
    Organizational Affiliation
    Sun Yat-sen University
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

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    PEG-rhG-CSF Compared With rhG-CSF in Lymphoma Patients After Autologous Hematopoietic Stem Cell Transplantation

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