SPI-2012 vs Pegfilgrastim in Management of Neutropenia in Breast Cancer Participants With Docetaxel and Cyclophosphamide
Neutropenia, Breast Cancer
About this trial
This is an interventional treatment trial for Neutropenia focused on measuring Neutropenia, Breast Cancer, Long-acting Granulocyte Colony Stimulating 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 neo-adjuvant TC chemotherapy
- Eastern Cooperative Oncology Group (ECOG) performance status <= 2
- Absolute neutrophil count (ANC) >=1.5×10^9/L
- Platelet count >=100×10^9/L
- Hemoglobin >9 g/dL
- Calculated creatinine clearance > 50 mL/min
- Total bilirubin <=1.5 mg/dL
- Aspartate aminotransferase (AST) / Serum glutamic oxaloacetic transaminase (SGOT) and Alanine aminotransferase (ALT)/Serum glutamic pyruvic transaminase (SGPT) <=2.5×ULN (upper limit of normal)
- 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/metastatic breast cancer
- Known sensitivity to E. coli-derived products
- 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 underlying medical condition that would impair ability to receive protocol treatment
- Prior bone marrow or stem cell transplant
- Used 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
- ACRC/ Arizona Clinical Research Center Inc.
- Yuma Regional Cancer Center
- Genesis Cancer Center
- NEA Baptist Clinic | Fowler Family Center for Cancer Care
- Pacific Cancer Medical Center, Inc.
- Compassionate Care Research Group, Inc.
- California Cancer Associates for Research and Excellence Inc.
- Pacific Shores Medical Group
- Los Angeles Hematology Oncology Medical Group
- Desert Regional Medical Center
- Emad Ibrahim, MD, INC.
- Innovative Clinical Research Institute/ The Oncology Institute of Hope and Innovation
- Denver Health & Hospital Authority
- Pasco Pinellas Cancer Center
- Lakes Research, LLC
- Mid-Florida Hematology and Oncology Centers
- Millennium Oncology
- BRCR Medical Center Inc
- Pinellas Hematology and Oncology
- Bond & Steele Clinic, PA.
- John B. Amos Cancer Center
- Cancer Center of Middle Georgia
- Dwight D. Eisenhower Army Medical Center
- Saint Alphonsus Regional Medical Center
- Oncology Specialists, SC
- FPN Oncology and Hematology Specialists
- Commonwealth Hematology-Oncology, PSC
- Pontchartrain Cancer Center
- Quest Research Institute
- Coborn Cancer Center
- Hattiesburg Clinic Hematology/Oncology
- Freeman Health Systems
- St. Vincent Frontier Cancer Center
- CHI Health St Francis, St Francis Cancer Treatment Center
- Waverly Hematology Oncology
- Gaston Hematology & Oncology Associates, PC
- Aultman Hospital
- The Christ Hospital Cancer Center
- St. Elizabeth Youngstown Hospital JACBCC/Oncology/ Mercy Health Youngstown LLC
- Carolina Blood and Cancer Care Associates
- The West Clinic, PC, d/b/a West Cancer Center
- CHI St Joseph Health Cancer Center
- Envision Cancer Center, LLC
- Texas Oncology, PA- McAllen South 2nd Street
- HOPE Cancer Center of East Texas
- Delta Hematology/Oncology Associates
- Providence Regional Center Partnership
- Northwest Medical Specialties, PLLC
- West Virginia University
- CISSS de la Montérégie-Centre
- Jewish General Hospital
- Magyar Honvedseg Egeszsegugyi Kozpont, Onkologiai Osztaly
- Szent Imre Egyetemi Oktatokorhaz, Klinikai Onkologiai Osztaly
- Orszagos Onkologiai Intezet, ""B"" Belgyogyaszati Onkologiai Osztaly
- Borsod-Abauj-Zemplen Megyei Korhaz es Egyetemi Okato Korhaz, Klinikai Onkologiai es Sugarterapias Centrum
- Szabolcs-Szatmar-Bereg Megyei Korhazak, Egyetemi Oktato Korhaz, Onkoradiologiai Osztaly
- Tolna Megyei Balassa Janos Korhaz, Klinikai Onkologiai Osztaly
- KEM Hospital Research Centre
- Christian Medical College
- Samsung Medical Center
- Wonju Severance Christian Hospital
- National Cancer Center
- Cha Bundang Medical Center
- Seoul National University Hospital
- Inha University Hospital
- Korea University Anam Hospital
- Severance Hospital
- BIALOSTOCKIE CENTRUM ONKOLOGII im. Marii Sklodowskiej-Curie Oddzial Onkologii Klinicznej im. Ewy Pileckiej z Pododdzialem Chemioterapii dziennej
- Regionalny Szpital Specjalistyczny im. dr Wladyslawa Bieganskiego Oddział Onkologii Klinicznej
- Instytut Centrum Zdrowia Matki Polki Klinika Chirurgii Onkologicznej i Chorob Piersi z Pododdzialem Onkologii Klinicznej
- Pracownia Leku Cytotoksycznego Szpitala Klinicznego Przemienienia Panskiego UM im. Karola Marcinkowskiego w Poznaniu
- Szpital Rejonowy im. Dr. Jozefa Rostka w Raciborzu Dzienny Oddzial Chemioterapii
- MrukMed. Lekarz Beata Madej Mruk i Partner. Spolka Partnerska Oddzial nr 1 w Rzeszowie
- Zachodniopomorskie Centrum Onkologii Osrodek Innowacyjnosci, Rozwoju i Badan Klinicznych
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
(Arm 1): SPI-2012 and TC
(Arm 2): Pegfilgrastim and TC
At each cycle for 4 cycles, participants received SPI-2012 at a fixed dose of 13.2 milligrams (mg)/0.6 milliliter (mL), [3.6 mg granulocyte colony-stimulating factor {G-CSF}] subcutaneously (SC) approximately 24-26 hours after receiving intravenous (IV) infusion of docetaxel 75 mg/m^2 and cyclophosphamide 600 mg/m^2 IV infusion per institute's standard of care. All participants were followed for 35 (±5) days after last study treatment or patient discontinuation and long-term safety follow-up continued for 12 months after last dose of study treatment.
At each cycle for 4 cycles, participants received pegfilgrastim 6 mg (6 mg/0.6 mL GCSF) SC approximately 24-26 hours after receiving IV infusion of docetaxel 75 mg/m^2 and cyclophosphamide 600 mg/m^2 IV infusion per institute's standard of care. All participants were followed for 35 (±5) days after last study treatment or patient discontinuation and long-term safety follow-up continued for 12 months after last dose of study treatment.