ClinicalTrials.gg
TerminatedNCT03559387Updated Feb 12, 2019

Randomized Phase 2, Dose-finding Efficacy, Safety Study of ANF-RHO™ Versus Neulasta® in Chemotherapy-Induced Neutropenia

A Phase 2 interventional study of ANF-RHO™ and Neulasta® in Chemotherapy-induced Neutropenia, sponsored by Prolong Pharmaceuticals. Terminated at 8 sites in 2 countries. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-02-12.

Sponsored by Prolong Pharmaceuticals · Phase 2, Interventional, and Treatment

Why this study was terminated
Study redesign

From the registry’s dates

  • Registered 9 months after the study started (first participant enrolled Aug 2017, registered May 2018).
Phase
Phase 2
Study type
Interventional
Enrollment
9
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 21 studies in Neutropenia with a site in France — 3 open to participants now, 4 under way, 1 of them phase 3. Neutropenia · France.

Enrollment
16th of 16
9 · median 145
Started
2017
with 1 other
Phase 2
5 of 21
1 open now
Registered
15th of 21
by date

Among the 21 studies in Neutropenia with a site in France, this one is the 16th largest by enrollment of the 16 interventional ones that give a count, is one of 2 that started in 2017, is one of 5 in phase 2, and was the 15th registered.

Neutropenia

316 studies on the registry are indexed under Neutropenia; 42 are open to participants now.

Browse Neutropenia studies →

Open to participants now

3 of the 21 studies in Neutropenia with a site in France are open now. Recruiting first, the newest first:

All 3 open studies →

A study can be open while its sites in France have not opened yet or have stopped. Only those recruiting at a site in France →

Who these studies take

Of the 24 Neutropenia studies recruiting now, 12 (50%) set no upper age limit and 12 (50%) stop at 75 or younger; 11 take children under 18; 1 takes healthy volunteers.

This study: 18 Years and older · female · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 21 studies in Neutropenia with a site in France, or all of them as a file.
02

Study summary

Randomized, Open-Label study to determine the dose, efficacy, safety and pharmacokinetic profile of ANF-RHO™ with once-per-cycle injection in comparison with Neulasta in Breast Cancer patients at high risk of developing Chemotherapy-Induced Neutropenia

Read the detailed description

Forty Eight (48) adult female, chemotherapy treatment-naïve, stage I to III, breast cancer patients scheduled to receive FEC100 (3 cycles)/docetaxel (3 cycles) myelosuppressive chemotherapy will be enrolled into the study after they meet all the inclusion/exclusion criteria. Four (4) Cohorts of 12 patients each will be studied; they will be randomized either in the ANF-RHO™ treatment arm at different doses (10 μg/kg, 20 μg/kg, or 30 μg/kg, for the cohorts 1-3, respectively) or Neulasta® (6 mg / 0.6 ml SC injection, for cohort 4). For the cohorts 1-3, 12 patients from each of the respective ANF-RHO™ cohorts will be randomized with four patients from cohort 4 (Neulasta®). Patients in the ANF-RHO™ cohorts will receive study drug on Day 1 of each Chemotherapy cycle. Patients in the Neulasta® cohort will receive study drug on Day 2 of each Chemotherapy cycle. Doses of ANF-RHO™/Neulasta® will be provided for a total of 6 cycles (21 days each). The total duration of the study 129 ± 2 days (126 Days of treatment period followed by end of study visit)

03

Conditions studied

  • Chemotherapy-induced Neutropenia

Browse trials for

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  1. Adult female patients, 18 years of age or older
  2. Signed and dated written consent/assent by the patient or legally authorized representative
  3. confirmed non- breast cancer
  4. performance status ≤ 2
  5. Myelosuppressive chemotherapy naive
  6. Scheduled to receive and anticipated to complete the following chemotherapy regimen

    1. FEC (fluorouracil/epirubicin (100) / cyclophosphamide) (3 cycles);
    2. Docetaxel (3 cycles) chemotherapy
  7. White blood cells (WBC) ≥ 3 × 10\^9/L; (ANC) ≥ 2.0 × 10\^9/L; count ≥ 100 × 10\^9/L; and ≥ 10 g/dL (6.2 mmol/L)
  8. Adequate cardiac function (e.g. > 50% as determined by standard care) and adequate hepatic function (e.g. liver transaminases \< 2.5 x )
  9. Women of with a negative serum pregnancy test and using a highly effective method of (i.e. one that results in a less than 1% per year failure rate when used consistently and correctly, such as implants, injectables, combined oral contraceptives and intrauterine devices (IUDs)). Periodic abstinence is not an acceptable contraceptive method during the study period.

Exclusion Criteria: A subject will not be enrolled if any they meet any of the following criteria:

  1. Known to E.coli derived products or polyethylene glycol
  2. No other except carcinoma in situ and basal-cell and squamous cell carcinoma of the skin, unless the other malignancy was treated ≥ 5 years ago with curative intent
  3. Evidence of myelodysplasia, aplastic anemia, myelofibrosis, rheumatoid arthritis, systemic lupus erythematosus, or sickle cell disease
  4. Clinical diagnosis or history of chronic infection such as virus (HBV), virus (HCV) or (HIV) or history of tuberculosis
  5. Previous exposure to filgrastim, perfilgrastim or lipegfilgrastim within 30 days before randomization
  6. Treatment with systemically active antibiotics within 72 hours before chemotherapy
  7. Chronic use of oral
  8. Participation in a pharmacological clinical trial within 30 days before randomization
  9. Clinical diagnosis of drug abuse or substance abuse within 30 days prior to screening
  10. Documented alcohol abuse within 30 days prior to screening
  11. Unwilling and/or not capable of ensuring compliance with the provisions of the study protocol
  12. Pregnant or breastfeeding women where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive serum HCG laboratory test
  13. Other serious medical condition that would prevent individual from receiving protocol treatment
Terms in these criteria, in plain language(16)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
9 participants (actual)

Study arms

  • Experimental
    ANF-RHO™

    Subjects will receive the ANF-RHO™ dose with a volume equivalent to 10 µg/kg, 20 µg/kg and 30 µg/kg as a subcutaneous injection.

    Drug: ANF-RHO™

  • Active comparator
    Neulasta®

    Neulasta® will be administered to the subjects at a dose of 6.0 mg in 0.6 ml as a subcutaneous injection.

    Drug: Neulasta®

Interventions

  • DrugANF-RHO™

    Subjects randomized to the ANF-RHO™ treatment arm will receive the investigational product on Day 1(day of chemotherapy treatment) of each Chemotherapy cycle. ANF-RHO™ will be administered to the subjects as a subcutaneous injection. Subjects will receive the ANF-RHO™ dose with a volume equivalent to 10 µg/kg, 20 µg/kg and 30 µg/kg. ANF-RHO™ is provided as a single-use glass vial containing 1.0 ml of solution at a concentration of 5 mg/ml

    Also known as: Pegylated Granulocyte Colony-Stimulating Factor (PEG-GCSF)

  • Subjects randomized to the Neulasta® treatment arm will receive the comparator drug on Day 2(day after chemotherapy treatment) of each Chemotherapy cycle. Neulasta® will be administered to the subjects at a standard dose of 6.0 mg in 0.6 ml as a subcutaneous injection. Neulasta® is also provided as a single-use pre-filled syringe.

    Also known as: Pegylated Granulocyte Colony-Stimulating Factor (PEG-GCSF)

06

What researchers measure

Primary outcomes

  1. Duration of neutropenia grade 1 or worse (absolute neutrophil count [ANC] ≤ 2.0 x 10^9/L) in the first cycle of chemotherapy (FE100C).

    Time frame: 21 days

Secondary outcomes

  1. Duration of neutropenia grade 1 or worse (absolute neutrophil count [ANC] ≤ 2.0 x 10^9/L) in the fourth cycle of chemotherapy (docetaxel).

    Time frame: 21 days

  2. Duration of severe neutropenia (ANC < 0.5 x 10^9/L) during the first chemotherapy cycle (21-day cycle FE100C)

    Time frame: 21 days

  3. Duration of severe neutropenia (ANC < 0.5 x 10^9/L) during the fourth chemotherapy cycle (21-day cycle docetaxel)

    Time frame: 21 days

  4. Incidence of severe neutropenia (ANC < 0.5 x 10^9/L) during all chemotherapy cycles

    Time frame: ~ 128 ± 2 days

  5. Incidence and duration of febrile neutropenia defined as peak temperature ≥38.5°C and ANC < 0.5 x 10^9/L, during all chemotherapy cycles

    Time frame: ~ 128 ± 2 days

  6. Incidence and duration of febrile neutropenia defined as peak temperature ≥38.0°C for two readings over two hours and ANC < 0.5 x 10^9/L, during all chemotherapy cycles

    Time frame: ~ 128 ± 2 days

  7. Incidence and duration of infection and infection-related events based on use of antibiotics during all chemotherapy cycles

    Time frame: ~ 128 ± 2 days

  8. Incidence and duration of infection and infection-related events based on the need for hospitalization during all chemotherapy cycles

    Time frame: ~ 128 ± 2 days

  9. Incidence and duration of moderate (ANC ≥ 50 x 10^9/L) leukocytosis during all chemotherapy cycles

    Time frame: ~ 128 ± 2 days

  10. Incidence and duration of severe (ANC ≥ 100 x 10^9/L) leukocytosis during all chemotherapy cycles

    Time frame: ~ 128 ± 2 days

  11. Clinically meaningful changes in vital signs during all chemotherapy cycles - Assessment of Blood pressure

    Assessment of Blood pressure (systolic and diastolic) helps determine the safety of the medications under study - ANF-RHO and Neulasta

    Time frame: ~ 128 ± 2 days

  12. Clinically meaningful changes in vital signs during all chemotherapy cycles - Assessment of Heart rate

    Assessment of Heart rate helps determine the safety of the medications under study - ANF-RHO and Neulasta

    Time frame: ~ 128 ± 2 days

  13. Clinically meaningful changes in vital signs during all chemotherapy cycles - Assessment of Respiratory rate

    Assessment of Respiratory rate helps determine the safety of the medications under study - ANF-RHO and Neulasta

    Time frame: ~ 128 ± 2 days

  14. Clinically meaningful changes in vital signs during all chemotherapy cycles - Assessment of Body Temperature

    Assessment of Respiratory rate helps determine the safety of the medications under study - ANF-RHO and Neulasta

    Time frame: ~ 128 ± 2 days

  15. Incidence of bone pain, determined by a numerical rating scale, as well as other reported adverse events

    Time frame: ~ 128 ± 2 days

  16. Duration of bone pain, determined by a numerical rating scale, as well as other reported adverse events

    Time frame: ~ 128 ± 2 days

  17. Severity of bone pain, determined by a numerical rating scale, as well as other reported adverse events

    Time frame: ~ 128 ± 2 days

  18. Site of bone pain, determined by a numerical rating scale, as well as other reported adverse events

    Time frame: ~ 128 ± 2 days

  19. Pharmacokinetic profile of ANF-RHO and Neulasta - Measurement of Maximum Plasma Concentration (Cmax)

    Cmax is the maximum concentration of the drug (either ANF-RHO or Neulasta) that is achieved after administration of a dose

    Time frame: ~ 128 ± 2 days

  20. Pharmacokinetic profile of ANF-RHO and Neulasta - Measurement of Time taken to reach the maximum concentration (Tmax)

    Tmax is the time taken to reach the maximum concentration (Cmax) after administration of a dose.

    Time frame: ~ 128 ± 2 days

  21. Pharmacokinetic profile of ANF-RHO and Neulasta - Measurement of half-life (T1/2)

    T1/2 is the time taken for ANF-RHO and Neulasta to reach half the value of their initial concentrations. T1/2 determination helps in understanding the duration for which ANF-RHO or Neulasta would be active upon administration.

    Time frame: ~ 128 ± 2 days

  22. Pharmacokinetic profile of ANF-RHO and Neulasta - Area Under the Curve (AUC[0-t])

    AUC\[0-t\] is an important parameter for determining as to how much of the drug is available in the body after administration of a drug formulation, in this case ANF-RHO vs Neulasta. Understanding the AUC for both these drug formulations will help us to determine the efficacy and safety profiles of these medicines.

    Time frame: ~ 128 ± 2 days

  23. Pharmacokinetic profile of ANF-RHO and Neulasta - Area Under the Curve (AUC[0-∞])

    Similar to AUC\[0-t\] which is estimated till time 't', in AUC\[0-∞\], the estimation is done on the concentration of the drug to an infinite time. Calculation of the AUC\[0-∞\], helps understand how much of the drug is available in the body at extremely low concentrations, beyond the limits of measurable concentrations.

    Time frame: ~ 128 ± 2 days

  24. Pharmacokinetic profile of ANF-RHO and Neulasta - Area Under the Curve (AUC[0-t]/AUC[0-∞])

    The parameter AUC\[0-t\]/AUC\[0-∞\] is useful to calculate the fraction of the Total AUC that was added due to the extrapolated AUC (AUC\[0-∞\]). It helps understand if the methods employed for determining the total AUC and drug's availability in the body are correct.

    Time frame: ~ 128 ± 2 days

  25. Incidence of anti-drug antibodies to ANF-RHO and Neulasta

    Time frame: ~ 128 ± 2 days

07

Study locations

8 sites
  • Hôpital Saint Louis - Center des Maladies du Sein
    Paris, 75475, France
  • Institut de cancérologie Jean Godinot
    Reims, 51100, France
  • Strasbourg Oncologie Libérale
    Strasbourg, 67000, France
  • CHU de Tours
    Tours, 37044, France
  • Erasmus Medical Center
    Rotterdam, 3008, Netherlands
  • Ikazia Ziekenhuis
    Rotterdam, 3038, Netherlands
  • Maasstad Ziekenhuis
    Rotterdam, 3079, Netherlands
  • Franciscus Gasthuis & Vlietland
    Schiedam, 3118, Netherlands
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Aug 2017 to primary completion in Apr 2018, 8 months.

How these figures are worked out, and which studies are left out of them.

Registered
May 10, 2018
First posted
Jun 18, 2018
StartActual
Aug 3, 2017
Primary completionActual
Apr 18, 2018
CompletionActual
May 22, 2018
Last update
Feb 12, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 12, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03559387
Lead sponsor
Prolong Pharmaceuticals
Responsible party
Sponsor
First posted
Jun 18, 2018
Start date
Aug 3, 2017
Primary completion
Apr 18, 2018
Completion
May 22, 2018
Last update
Feb 12, 2019

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Jun 2018. You cannot join it, but the record below documents what was studied.

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