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Dose-Finding Trial of F-627 in Women With Breast Cancer Receiving Myelotoxic Chemotherapy

Primary Purpose

Breast Cancer, Neutropenia

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
F-627
Neulasta® (pegfilgrastim)
Sponsored by
EVIVE Biotechnology
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer focused on measuring Breast Cancer, Taxotere Chemotherapy, Neulasta, efficacy and safety, single cycle doses of F-627, pegfilgrastim

Eligibility Criteria

18 Years - 74 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Show evidence of a signed (personally or by a legally acceptable representative) and dated informed consent document indicating that the patient has been informed of all pertinent aspects of the trial.
  • Females ≥ 18 years of age.
  • Diagnosed with Stage I-IV breast cancer.
  • Subject is scheduled to undergo 4 cycles of TC or TAC chemotherapy (Taxotere®, doxorubicin and cyclophosphamide, 75, 50 and 600 mg/m2, respectively).
  • ECOG Performance status of ≤ 2.
  • White Blood Cell count (WBC) ≥ 4.0 × 109/L, hemoglobin ≥ 11.5 g/dL and a platelet count ≥ 150 × 109/L.
  • Demonstrate adequate renal, hepatic function (Liver function tests (ALT, AST, alkaline phosphatase and total bilirubin)) should be less than 2.5x upper limits of normal (ULN). Serum creatinine should be less than 1.7x ULN.
  • All subjects must agree to use at least one of the following types of contraception: intrauterine device, implantable progesterone device, progesterone intramuscular injection, or oral contraceptive, which has been started at least one month prior to visit one and will continue for the duration of the trial. The contraceptive patch or condom use with spermicide are also acceptable forms of contraception as long as they will be used continually throughout the duration of the trial.

Exclusion Criteria:

  • Subject is <18 or ≥ 75 years of age.
  • Disease progression has occurred while receiving a taxane regimen.
  • Subject has undergone radiation therapy within 4 weeks of enrollment.
  • Subject has undergone bone marrow or stem-cell transplantation.
  • Subject has a history of prior malignancy other than breast cancer.
  • Subjects that have used G-CSF within 6 weeks of the screening period are also excluded
  • Subject has had chemotherapy within 365 days of screening
  • Subject has documented congestive heart failure, cardiomyopathy or myocardial infarction by clinical diagnosis, ECG test, or any other relevant test.
  • History of alcohol or drug abuse that would interfere with the ability to be compliant with the study procedure.
  • Unwillingness to participate in the study.
  • Any underlying medical condition that, in the Investigator's opinion, would make the administration of study drug hazardous to the patient or that would obscure the interpretation of adverse events.
  • Receiving other investigational drugs or biologics within 1 month or five half lives of enrollment.
  • Any condition, which can cause splenomegaly.
  • Chronic constipation or diarrhea, irritable bowel syndrome, inflammatory bowel disease.
  • ALT, AST, alkaline phosphatase > 2.5 upper limit of normal.
  • Patients with active infection, or known to be infected with chronic active Hepatitis B within the last 1 year (unless shown at the time of study entry to be Hepatitis B antigen negative), or having any history of Hepatitis C.
  • Women who are pregnant or breast-feeding.
  • Patients known to be seropositive for HIV, or who have had an AIDS defining illness or a known immunodeficiency disorder.
  • Patients with a history of tuberculosis or exposure to tuberculosis. Patients that have received a prior chest X-ray for suspicion of tuberculosis are also excluded unless they have been confirmed to be PPD negative or they had latent tuberculosis that has been previously treated.
  • Subjects with Sickle Cell disease
  • Subjects with known hypersensitivity to E.coli derived proteins' pegfilgrastim' filgrastim, or any other component of the study drug.

Sites / Locations

  • Community Hospital of Anderson

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Active Comparator

Arm Label

80 µg/kg/dose of F-627

240 µg/kg/dose of F-627

320 µg/kg/dose of F-627

Neulasta® (pegfilgrastim)

Arm Description

This dose of F-627 given only to subjects that are to have TC chemotherapy.

This dose of F-627 given to subjects receiving TC or TAC chemotherapy.

This dose of F-627 given to subjects receiving TC or TAC chemotherapy.

Given to subjects receiving TC or TAC chemotherapy.

Outcomes

Primary Outcome Measures

Duration of Moderate Neurtopenia Post First Chemotherapy Administration
Number of days In which the patient has had an absolute neutrophil count (ANC) Level < 2.0 x 10^9/L after first cycle of chemotherapy

Secondary Outcome Measures

Duration in Days of Grade 3 and Grade 4 Neutropenia for All 4 Chemotherapy Cycles.
Number of days In which the patient has had an ANC < 1.0 × 10^9/L (Grade 3) or ANC < .5 × 10^9/L (Grade 4) post each chemotherapy
The Incidence Rate of Febrile Neutropenia
The incidence rate of febrile neutropenia for each arm of the study will be recorded for 4 chemotherapy cycles. Each cycle is expected to last 21 Days.
The Duration in Days of Total Grade 2-4 Neutropenia
Number of says in which the patient has had an ANC Level ANC < 1.5 × 109/L) post each chemotherapy
The Time to ANC Recovery Post Nadir
The time to ANC recovery post nadir for each patient, for each of their chemotherapy cycles will be recorded; recovery for this protocol is defined as achieving an ANC ≥ 2.0 × 10^9/L after the expected ANC nadir (expected nadir is typically 4-6 days post chemotherapy administration). Each chemotherapy cycle is expected to last 21 days.
The Incidence Rates of Grade 2, Grade 3, and Grade 4 Neutropenia for All Chemotherapy Cycles
The incidence rate of mild, moderate and sever neutropenia for each arm of the study will be recorded for 4 chemotherapy cycles. Each cycle is expected to last 21 Days.
The Depth of the ANC Nadir for All Chemotherapy Cycles
The depth of ANC nadir for each cycle is defined as the minimal ANC value for a subject in each chemotherapy cycle. The depth of the ANC nadir for each arm of the study will be recorded for 4 chemotherapy cycles.

Full Information

First Posted
April 27, 2012
Last Updated
October 2, 2018
Sponsor
EVIVE Biotechnology
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1. Study Identification

Unique Protocol Identification Number
NCT01648322
Brief Title
Dose-Finding Trial of F-627 in Women With Breast Cancer Receiving Myelotoxic Chemotherapy
Official Title
A Phase II, Randomized, Multi-Centre, Open-Label, Active-Controlled, Dose-Finding Trial of F-627 in Women With Breast Cancer Receiving Myelotoxic Chemotherapy
Study Type
Interventional

2. Study Status

Record Verification Date
October 2018
Overall Recruitment Status
Completed
Study Start Date
June 2012 (undefined)
Primary Completion Date
December 2014 (Actual)
Study Completion Date
December 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
EVIVE Biotechnology

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a randomized open label dose finding study to evaluate the efficacy and safety of F-627 on women with Stage I-IV breast cancer receiving chemotherapy treatment.
Detailed Description
This is a randomized, multi-center, dose finding, open label, positive controlled Phase II study of the efficacy and safety of once-per-cycle of F-627 compared with Neulasta® (pegfilgrastim) in women with breast cancer who are receiving myelotoxic chemotherapy (TC: docetaxel + cyclophosphamide or TAC: docetaxel + doxorubicin + cyclophosphamide). The primary objective of this study is to evaluate the efficacy and safety of various single cycle doses of F-627 as compared with the standard dosing of Neulasta® (pegfilgrastim) in breast cancer patients experiencing myelotoxic chemotherapy. Myelotoxicity in this study will be defined by the duration of moderate neutropenia; the number of days in which the patient has had an absolute neutrophil count (ANC) < 1.0 × 10^9/L during the first cycle of their chemotherapy treatment (each chemotherapy cycle is expected to last 21 days). This, by definition, includes grade 3 (moderate) and grade 4 (severe) neutropenia. Doses of F-627 to be tested for subjects receiving TC chemotherapy are 80 µg/kg/dose, 240 µg/kg/dose, and 320 µg/kg/dose. For subjects receiving TAC chemotherapy, only 240 µg/kg/dose and 320 µg/kg/dose are to be tested.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer, Neutropenia
Keywords
Breast Cancer, Taxotere Chemotherapy, Neulasta, efficacy and safety, single cycle doses of F-627, pegfilgrastim

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
232 (Actual)

8. Arms, Groups, and Interventions

Arm Title
80 µg/kg/dose of F-627
Arm Type
Experimental
Arm Description
This dose of F-627 given only to subjects that are to have TC chemotherapy.
Arm Title
240 µg/kg/dose of F-627
Arm Type
Experimental
Arm Description
This dose of F-627 given to subjects receiving TC or TAC chemotherapy.
Arm Title
320 µg/kg/dose of F-627
Arm Type
Experimental
Arm Description
This dose of F-627 given to subjects receiving TC or TAC chemotherapy.
Arm Title
Neulasta® (pegfilgrastim)
Arm Type
Active Comparator
Arm Description
Given to subjects receiving TC or TAC chemotherapy.
Intervention Type
Drug
Intervention Name(s)
F-627
Intervention Description
subcutaneous injection given 1 per chemotherapy.
Intervention Type
Drug
Intervention Name(s)
Neulasta® (pegfilgrastim)
Intervention Description
Single dose injection given once per chemotherapy cycle.
Primary Outcome Measure Information:
Title
Duration of Moderate Neurtopenia Post First Chemotherapy Administration
Description
Number of days In which the patient has had an absolute neutrophil count (ANC) Level < 2.0 x 10^9/L after first cycle of chemotherapy
Time Frame
The first of 4, 21 Day Chemotherapy Cycles
Secondary Outcome Measure Information:
Title
Duration in Days of Grade 3 and Grade 4 Neutropenia for All 4 Chemotherapy Cycles.
Description
Number of days In which the patient has had an ANC < 1.0 × 10^9/L (Grade 3) or ANC < .5 × 10^9/L (Grade 4) post each chemotherapy
Time Frame
Measured for each of the 4, 21 day chemotherapy cycles.
Title
The Incidence Rate of Febrile Neutropenia
Description
The incidence rate of febrile neutropenia for each arm of the study will be recorded for 4 chemotherapy cycles. Each cycle is expected to last 21 Days.
Time Frame
Measured for each of the 4, 21 day chemotherapy cycles.
Title
The Duration in Days of Total Grade 2-4 Neutropenia
Description
Number of says in which the patient has had an ANC Level ANC < 1.5 × 109/L) post each chemotherapy
Time Frame
Measured for each of the 4, 21 day chemotherapy cycles.
Title
The Time to ANC Recovery Post Nadir
Description
The time to ANC recovery post nadir for each patient, for each of their chemotherapy cycles will be recorded; recovery for this protocol is defined as achieving an ANC ≥ 2.0 × 10^9/L after the expected ANC nadir (expected nadir is typically 4-6 days post chemotherapy administration). Each chemotherapy cycle is expected to last 21 days.
Time Frame
Measured for each of the 4, 21 day chemotherapy cycles.
Title
The Incidence Rates of Grade 2, Grade 3, and Grade 4 Neutropenia for All Chemotherapy Cycles
Description
The incidence rate of mild, moderate and sever neutropenia for each arm of the study will be recorded for 4 chemotherapy cycles. Each cycle is expected to last 21 Days.
Time Frame
Measured for each of the 4, 21 day chemotherapy cycles.
Title
The Depth of the ANC Nadir for All Chemotherapy Cycles
Description
The depth of ANC nadir for each cycle is defined as the minimal ANC value for a subject in each chemotherapy cycle. The depth of the ANC nadir for each arm of the study will be recorded for 4 chemotherapy cycles.
Time Frame
Measured for each of the 4, 21 day chemotherapy cycles

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
74 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Show evidence of a signed (personally or by a legally acceptable representative) and dated informed consent document indicating that the patient has been informed of all pertinent aspects of the trial. Females ≥ 18 years of age. Diagnosed with Stage I-IV breast cancer. Subject is scheduled to undergo 4 cycles of TC or TAC chemotherapy (Taxotere®, doxorubicin and cyclophosphamide, 75, 50 and 600 mg/m2, respectively). ECOG Performance status of ≤ 2. White Blood Cell count (WBC) ≥ 4.0 × 109/L, hemoglobin ≥ 11.5 g/dL and a platelet count ≥ 150 × 109/L. Demonstrate adequate renal, hepatic function (Liver function tests (ALT, AST, alkaline phosphatase and total bilirubin)) should be less than 2.5x upper limits of normal (ULN). Serum creatinine should be less than 1.7x ULN. All subjects must agree to use at least one of the following types of contraception: intrauterine device, implantable progesterone device, progesterone intramuscular injection, or oral contraceptive, which has been started at least one month prior to visit one and will continue for the duration of the trial. The contraceptive patch or condom use with spermicide are also acceptable forms of contraception as long as they will be used continually throughout the duration of the trial. Exclusion Criteria: Subject is <18 or ≥ 75 years of age. Disease progression has occurred while receiving a taxane regimen. Subject has undergone radiation therapy within 4 weeks of enrollment. Subject has undergone bone marrow or stem-cell transplantation. Subject has a history of prior malignancy other than breast cancer. Subjects that have used G-CSF within 6 weeks of the screening period are also excluded Subject has had chemotherapy within 365 days of screening Subject has documented congestive heart failure, cardiomyopathy or myocardial infarction by clinical diagnosis, ECG test, or any other relevant test. History of alcohol or drug abuse that would interfere with the ability to be compliant with the study procedure. Unwillingness to participate in the study. Any underlying medical condition that, in the Investigator's opinion, would make the administration of study drug hazardous to the patient or that would obscure the interpretation of adverse events. Receiving other investigational drugs or biologics within 1 month or five half lives of enrollment. Any condition, which can cause splenomegaly. Chronic constipation or diarrhea, irritable bowel syndrome, inflammatory bowel disease. ALT, AST, alkaline phosphatase > 2.5 upper limit of normal. Patients with active infection, or known to be infected with chronic active Hepatitis B within the last 1 year (unless shown at the time of study entry to be Hepatitis B antigen negative), or having any history of Hepatitis C. Women who are pregnant or breast-feeding. Patients known to be seropositive for HIV, or who have had an AIDS defining illness or a known immunodeficiency disorder. Patients with a history of tuberculosis or exposure to tuberculosis. Patients that have received a prior chest X-ray for suspicion of tuberculosis are also excluded unless they have been confirmed to be PPD negative or they had latent tuberculosis that has been previously treated. Subjects with Sickle Cell disease Subjects with known hypersensitivity to E.coli derived proteins' pegfilgrastim' filgrastim, or any other component of the study drug.
Facility Information:
Facility Name
Community Hospital of Anderson
City
Anderson
State/Province
Indiana
ZIP/Postal Code
46011
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Dose-Finding Trial of F-627 in Women With Breast Cancer Receiving Myelotoxic Chemotherapy

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