A Phase 3 interventional study of F-627 and GRAN® in Breast Cancer and Neutropenia, sponsored by EVIVE Biotechnology. Completed at 1 site in China. Open to female participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-04-20.
Sponsored by EVIVE Biotechnology · Phase 3, Interventional, and Treatment
A Phase III, Multi-Center, Randomized, Open-Label, Active-Controlled Trial to Compare the Efficacy and Safety of Recombinant Human Granulocyte Colony Stimulating Factor-Fc Fusion Protein (F-627) and Recombinant Human Granulocyte Colony Stimulating Factor (GRAN®) in the Prophylactic Treatment for Chemotherapy-Induced Neutropenia
Study Stage: Phase III
Study Population: Female patients with breast cancer will be enrolled to receive at least 4 cycles of Epirubicin + Cyclophosphamide (EC) chemotherapy, that is: epirubicin 100 mg/m\^2 and cyclophosphamide 600 mg/m\^2.
Study Design: A multi-center, randomized, open-label, active-controlled phase III clinical trial
396 studies on the registry are indexed under Neutropenia; 57 are open to participants now.
This study's enrollment of 242 is above the median of 93 across 276 interventional studies indexed under Neutropenia.
Browse Neutropenia studies →EVIVE Biotechnology is the lead sponsor of 11 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
F-627 (20 mg/dose, s.c.) on day 3 of each cycle, i.e., 48 ± 4 h after the start of chemotherapy
Drug: F-627
GRAN® \[5 μg/kg/day, s.c., once daily (± 4 h) up to 2 weeks or until neutrophil count returns to 5.0 × 10\^9/L\] on day 3 of each cycle, i.e., 48 ± 4 h after the start of chemotherapy
Drug: GRAN®
Day 3 of each cycle, i.e., 48 ± 4 h after starting chemotherapy
Also known as: Recombinant Human Granulocyte Colony Stimulating Factor-Fc Fusion Protein
Since day 3 of each cycle, i.e., 48 ± 4 h after starting chemotherapy, continuous treatment for ≤ 2 weeks or until ANC recovers to 5.0 × 10\^9/L from nadir (investigators may refer to ANC test results from the Department of Laboratory Medicine of each study sites to decide when to discontinue GRAN®)
Also known as: Filgrastim
Duration of Grade 3 or 4 Neutropenia (ANC <1.0×10^9/L) in Cycle 1
Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L. According to the study protocol, the outcome measure "Duration of Grade 3 or 4 Neutropenia (days)" applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
Time frame: Cycle 1, the first of 4, 21-day chemotherapy cycles (average 3 weeks)
Number of Participants With Grade 3 or 4 Neutropenia in Cycle 1
Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L
Time frame: Cycle 1, the first of 4, 21-day chemotherapy cycles (average 3 weeks)
Number of Participants With Grade 3 or 4 Neutropenia in Cycle 2
Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L
Time frame: Cycle 2, the second of 4, 21-day chemotherapy cycles (average 3 weeks)
Number of Participants With Grade 3 or 4 Neutropenia in Cycle 3
Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L
Time frame: Cycle 3, the third of 4, 21-day chemotherapy cycles (average 3 weeks)
Number of Participants With Grade 3 or 4 Neutropenia in Cycle 4
Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L
Time frame: Cycle 4, the last of 4, 21-day chemotherapy cycles (average 3 weeks)
Duration of Grade 3 or 4 Neutropenia in Cycle 2
Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L. According to the study protocol, the outcome measure "Duration of Grade 3 or 4 Neutropenia (days)" applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
Time frame: Cycle 2, the second of 4, 21-day chemotherapy cycles (average 3 weeks)
Duration of Grade 3 or 4 Neutropenia in Cycle 3
Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L. According to the study protocol, the outcome measure "Duration of Grade 3 or 4 Neutropenia (days)" applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
Time frame: Cycle 3, the third of 4, 21-day chemotherapy cycles (average 3 weeks)
Duration of Grade 3 or 4 Neutropenia in Cycle 4
Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L. According to the study protocol, the outcome measure "Duration of Grade 3 or 4 Neutropenia (days)" applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
Time frame: Cycle 4, the last of 4, 21-day chemotherapy cycles (average 3 weeks)
Number of Participants With Grade 4 Neutropenia in Cycle 1
Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L.
Time frame: Cycle 1, the first of 4, 21-day chemotherapy cycles (average 3 weeks)
Number of Participants With Grade 4 Neutropenia in Cycle 2
Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L.
Time frame: Cycle 2, the second of 4, 21-day chemotherapy cycles (average 3 weeks)
Number of Participants With Grade 4 Neutropenia in Cycle 3
Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L.
Time frame: Cycle 3, the third of 4, 21-day chemotherapy cycles (average 3 weeks)
Number of Participants With Grade 4 Neutropenia in Cycle 4
Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L.
Time frame: Cycle 4, the last of 4, 21-day chemotherapy cycles (average 3 weeks)
Duration of Grade 4 Neutropenia in Cycle 1
Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L. According to the study protocol, the outcome measure "Duration of Grade 3 or 4 Neutropenia (days)" applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
Time frame: Cycle 1, the first of 4, 21-day chemotherapy cycles (average 3 weeks)
Duration of Grade 4 Neutropenia in Cycle 2
Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L. According to the study protocol, the outcome measure "Duration of Grade 3 or 4 Neutropenia (days)" applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
Time frame: Cycle 2, the second of 4, 21-day chemotherapy cycles (average 3 weeks)
Duration of Grade 4 Neutropenia in Cycle 3
Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L. According to the study protocol, the outcome measure "Duration of Grade 3 or 4 Neutropenia (days)" applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
Time frame: Cycle 3, the third of 4, 21-day chemotherapy cycles (average 3 weeks)
Duration of Grade 4 Neutropenia in Cycle 4
Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L. According to the study protocol, the outcome measure "Duration of Grade 3 or 4 Neutropenia (days)" applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
Time frame: Cycle 4, the last of 4, 21-day chemotherapy cycles (average 3 weeks)
Overall Duration of Grade 3 or 4 Neutropenia in 4 Cycles
Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L According to the study protocol, the outcome measure "Duration of Grade 3 or 4 Neutropenia (days)" applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
Time frame: Overall 4, 21-day chemotherapy cycles(average 12 weeks)
Number of Participants With Grade 2 or Greater Neutropenia in Cycle 1
Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L
Time frame: Cycle 1, the first of 4, 21-day chemotherapy cycles (average 3 weeks)
Number of Participants With Grade 2 or Greater Neutropenia in Cycle 2
Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L
Time frame: Cycle 2, the second of 4, 21-day chemotherapy cycles (average 3 weeks)
Number of Participants With Grade 2 or Greater Neutropenia in Cycle 3
Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L
Time frame: Cycle 3, the third of 4, 21-day chemotherapy cycles (average 3 weeks)
Number of Participants With Grade 2 or Greater Neutropenia in Cycle 4
Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L
Time frame: Cycle 4, the last of 4, 21-day chemotherapy cycles (average 3 weeks)
Duration (Days) of Grade 2 or Greater Neutropenia in Cycle 1
Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L. According to the study protocol, the outcome measure "Duration of Grade 3 or 4 Neutropenia (days)" applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
Time frame: Cycle 1, the first of 4, 21-day chemotherapy cycles (average 3 weeks)
Duration (Days) of Grade 2 or Greater Neutropenia in Cycle 2
Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L. According to the study protocol, the outcome measure "Duration of Grade 3 or 4 Neutropenia (days)" applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
Time frame: Cycle 2, the second of 4, 21-day chemotherapy cycles (average 3 weeks)
Duration (Days) of Grade 2 or Greater Neutropenia in Cycle 3
Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L. According to the study protocol, the outcome measure "Duration of Grade 3 or 4 Neutropenia (days)" applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
Time frame: Cycle 3, the third of 4, 21-day chemotherapy cycles (average 3 weeks)
Duration (Days) of Grade 2 or Greater Neutropenia in Cycle 4
Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L. According to the study protocol, the outcome measure "Duration of Grade 3 or 4 Neutropenia (days)" applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
Time frame: Cycle 4, the last of 4, 21-day chemotherapy cycles (average 3 weeks)
The Absolute Neutrophil Counts (ANC) Nadir From Day 3 to Day 13 of Cycle 1
The minimum value of ANC measured from day 3 to day 13 of cycle 1
Time frame: From day 3 to day 13 of cycle 1 (11 days)
Number of Participants With Febrile Neutropenia (FN) in Cycle 1
FN is defined as ANC \< 1.0 × 10\^9/L with fever (a single measurement of body temperature \>38.3 °C or body temperature ≥ 38.0 °C for more than 1 hr).
Time frame: Cycle 1, the first of 4, 21-day chemotherapy cycles (average 3 weeks)
Time (Days) of ANC Nadir Recovers to 2.0 × 10^9/L in Cycle 1
If the ANC nadir during the first 13 days of the cycle is \< 2.0 × 10\^9/L, the recovery time = ((date of ANC ≥ 2.0 ×10\^9/L) - (date of ANC reaching nadir within the cycle) + 1). If the ANC nadir in the first 13 days of the cycle is ≥2.0 × 10\^9/L, then the recovery time = 0 days.
Time frame: Cycle 1, the first of 4, 21-day chemotherapy cycles (average 3 weeks)
Time (Days) of ANC Nadir Recovers to 2.0 × 10^9/L in Cycle 2
If the ANC nadir during the first 13 days of the cycle is \< 2.0 × 10\^9/L, the recovery time = ((date of ANC ≥ 2.0 ×10\^9/L) - (date of ANC reaching nadir within the cycle) + 1). If the ANC nadir in the first 13 days of the cycle is ≥2.0 × 10\^9/L, then the recovery time = 0 days.
Time frame: Cycle 2, the second of 4, 21-day chemotherapy cycles (average 3 weeks)
Time (Days) of ANC Nadir Recovers to 2.0 × 10^9/L in Cycle 3
If the ANC nadir during the first 13 days of the cycle is \< 2.0 × 10\^9/L, the recovery time = ((date of ANC ≥ 2.0 ×10\^9/L) - (date of ANC reaching nadir within the cycle) + 1). If the ANC nadir in the first 13 days of the cycle is ≥2.0 × 10\^9/L, then the recovery time = 0 days.
Time frame: Cycle 3, the third of 4, 21-day chemotherapy cycles (average 3 weeks)
Time (Days) of ANC Nadir Recovers to 2.0 × 10^9/L in Cycle 4
If the ANC nadir during the first 13 days of the cycle is \< 2.0 × 10\^9/L, the recovery time = ((date of ANC ≥ 2.0 ×10\^9/L) - (date of ANC reaching nadir within the cycle) + 1). If the ANC nadir in the first 13 days of the cycle is ≥2.0 × 10\^9/L, then the recovery time = 0 days.
Time frame: Cycle 4, the last of 4, 21-day chemotherapy cycles (average 3 weeks)
| Milestone | F-627 | GRAN® |
|---|---|---|
| Started | 122 | 120 |
| Completed | 113 | 101 |
| Not completed | 9 | 19 |
Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L. According to the study protocol, the outcome measure "Duration of Grade 3 or 4 Neutropenia (days)" applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
| days | F-627 | GRAN® |
|---|---|---|
| Duration of Grade 3 or 4 Neutropenia (ANC <1.0×10^9/L) in Cycle 1 | 0.68 ± 1.100 | 0.71 ± 0.967 |
Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L
| Participants | F-627 | GRAN® |
|---|---|---|
| Number of Participants With Grade 3 or 4 Neutropenia in Cycle 1 | 41 | 51 |
Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L
| Participants | F-627 | GRAN® |
|---|---|---|
| Number of Participants With Grade 3 or 4 Neutropenia in Cycle 2 | 7 | 7 |
Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L
| Participants | F-627 | GRAN® |
|---|---|---|
| Number of Participants With Grade 3 or 4 Neutropenia in Cycle 3 | 4 | 18 |
Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L
| Participants | F-627 | GRAN® |
|---|---|---|
| Number of Participants With Grade 3 or 4 Neutropenia in Cycle 4 | 10 | 10 |
Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L. According to the study protocol, the outcome measure "Duration of Grade 3 or 4 Neutropenia (days)" applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
| days | F-627 | GRAN® |
|---|---|---|
| Duration of Grade 3 or 4 Neutropenia in Cycle 2 | 0.1 ± 0.35 | 0.1 ± 0.25 |
Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L. According to the study protocol, the outcome measure "Duration of Grade 3 or 4 Neutropenia (days)" applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
| days | F-627 | GRAN® |
|---|---|---|
| Duration of Grade 3 or 4 Neutropenia in Cycle 3 | 0.0 ± 0.18 | 0.2 ± 0.54 |
Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L. According to the study protocol, the outcome measure "Duration of Grade 3 or 4 Neutropenia (days)" applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
| days | F-627 | GRAN® |
|---|---|---|
| Duration of Grade 3 or 4 Neutropenia in Cycle 4 | 0.1 ± 0.38 | 0.1 ± 0.41 |
Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L.
| Participants | F-627 | GRAN® |
|---|---|---|
| Number of Participants With Grade 4 Neutropenia in Cycle 1 | 17 | 19 |
Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L.
| Participants | F-627 | GRAN® |
|---|---|---|
| Number of Participants With Grade 4 Neutropenia in Cycle 2 | 2 | 1 |
Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L.
| Participants | F-627 | GRAN® |
|---|---|---|
| Number of Participants With Grade 4 Neutropenia in Cycle 3 | 0 | 4 |
Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L.
| Participants | F-627 | GRAN® |
|---|---|---|
| Number of Participants With Grade 4 Neutropenia in Cycle 4 | 2 | 4 |
Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L. According to the study protocol, the outcome measure "Duration of Grade 3 or 4 Neutropenia (days)" applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
| days | F-627 | GRAN® |
|---|---|---|
| Duration of Grade 4 Neutropenia in Cycle 1 | 0.3 ± 0.69 | 0.2 ± 0.58 |
Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L. According to the study protocol, the outcome measure "Duration of Grade 3 or 4 Neutropenia (days)" applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
| days | F-627 | GRAN® |
|---|---|---|
| Duration of Grade 4 Neutropenia in Cycle 2 | 0.0 ± 0.13 | 0.0 ± 0.10 |
Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L. According to the study protocol, the outcome measure "Duration of Grade 3 or 4 Neutropenia (days)" applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
| days | F-627 | GRAN® |
|---|---|---|
| Duration of Grade 4 Neutropenia in Cycle 3 | 0.0 ± 0.00 | 0.1 ± 0.34 |
Grade 4 neutropenia is defined as ANC \< 0.5 × 10\^9/L. According to the study protocol, the outcome measure "Duration of Grade 3 or 4 Neutropenia (days)" applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
| days | F-627 | GRAN® |
|---|---|---|
| Duration of Grade 4 Neutropenia in Cycle 4 | 0.0 ± 0.13 | 0.0 ± 0.20 |
Grade 3 defined as ANC \<1.0×10\^9/L and Grade 4 defined as ANC\<0.5×10\^9/L According to the study protocol, the outcome measure "Duration of Grade 3 or 4 Neutropenia (days)" applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
| days | F-627 | GRAN® |
|---|---|---|
| Overall Duration of Grade 3 or 4 Neutropenia in 4 Cycles | 0.9 ± 1.44 | 1.1 ± 1.43 |
Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L
| Participants | F-627 | GRAN® |
|---|---|---|
| Number of Participants With Grade 2 or Greater Neutropenia in Cycle 1 | 58 | 67 |
Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L
| Participants | F-627 | GRAN® |
|---|---|---|
| Number of Participants With Grade 2 or Greater Neutropenia in Cycle 2 | 16 | 14 |
Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L
| Participants | F-627 | GRAN® |
|---|---|---|
| Number of Participants With Grade 2 or Greater Neutropenia in Cycle 3 | 14 | 30 |
Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L
| Participants | F-627 | GRAN® |
|---|---|---|
| Number of Participants With Grade 2 or Greater Neutropenia in Cycle 4 | 20 | 26 |
Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L. According to the study protocol, the outcome measure "Duration of Grade 3 or 4 Neutropenia (days)" applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
| days | F-627 | GRAN® |
|---|---|---|
| Duration (Days) of Grade 2 or Greater Neutropenia in Cycle 1 | 1.1 ± 1.30 | 1.0 ± 1.10 |
Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L. According to the study protocol, the outcome measure "Duration of Grade 3 or 4 Neutropenia (days)" applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
| days | F-627 | GRAN® |
|---|---|---|
| Duration (Days) of Grade 2 or Greater Neutropenia in Cycle 2 | 0.2 ± 0.50 | 0.2 ± 0.50 |
Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L. According to the study protocol, the outcome measure "Duration of Grade 3 or 4 Neutropenia (days)" applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
| days | F-627 | GRAN® |
|---|---|---|
| Duration (Days) of Grade 2 or Greater Neutropenia in Cycle 3 | 0.1 ± 0.42 | 0.4 ± 0.67 |
Grade 2 or greater neutropenia is defined as ANC \< 1.5 × 10\^9/L. According to the study protocol, the outcome measure "Duration of Grade 3 or 4 Neutropenia (days)" applied to all participants with a valid ANC level, rather than those with an ANC level of \< 1.0 × 109/L. The value of 0 represents the participant experienced 0 days with Grade 3 or 4 Neutropenia (days). Whereas exclusion of a participant from the analysis indicates a lack of ANC data of the participant. The mean value was calculated as the sum of the durations (days) of ANC \< 1.0 × 109/L for all participants with valid ANC level (the numerator) divided by the number of participants (the denominator).
| days | F-627 | GRAN® |
|---|---|---|
| Duration (Days) of Grade 2 or Greater Neutropenia in Cycle 4 | 0.3 ± 0.68 | 0.3 ± 0.63 |
The minimum value of ANC measured from day 3 to day 13 of cycle 1
| 10^9 cell/L | F-627 | GRAN® |
|---|---|---|
| The Absolute Neutrophil Counts (ANC) Nadir From Day 3 to Day 13 of Cycle 1 | 2.058 ± 1.503 | 1.597 ± 1.197 |
FN is defined as ANC \< 1.0 × 10\^9/L with fever (a single measurement of body temperature \>38.3 °C or body temperature ≥ 38.0 °C for more than 1 hr).
| Participants | F-627 | GRAN® |
|---|---|---|
| Number of Participants With Febrile Neutropenia (FN) in Cycle 1 | 1 | 2 |
If the ANC nadir during the first 13 days of the cycle is \< 2.0 × 10\^9/L, the recovery time = ((date of ANC ≥ 2.0 ×10\^9/L) - (date of ANC reaching nadir within the cycle) + 1). If the ANC nadir in the first 13 days of the cycle is ≥2.0 × 10\^9/L, then the recovery time = 0 days.
| days | F-627 | GRAN® |
|---|---|---|
| Time (Days) of ANC Nadir Recovers to 2.0 × 10^9/L in Cycle 1 | 0.9 ± 1.01 | 1.0 ± 0.84 |
If the ANC nadir during the first 13 days of the cycle is \< 2.0 × 10\^9/L, the recovery time = ((date of ANC ≥ 2.0 ×10\^9/L) - (date of ANC reaching nadir within the cycle) + 1). If the ANC nadir in the first 13 days of the cycle is ≥2.0 × 10\^9/L, then the recovery time = 0 days.
| days | F-627 | GRAN® |
|---|---|---|
| Time (Days) of ANC Nadir Recovers to 2.0 × 10^9/L in Cycle 2 | 0.5 ± 1.10 | 0.7 ± 0.99 |
If the ANC nadir during the first 13 days of the cycle is \< 2.0 × 10\^9/L, the recovery time = ((date of ANC ≥ 2.0 ×10\^9/L) - (date of ANC reaching nadir within the cycle) + 1). If the ANC nadir in the first 13 days of the cycle is ≥2.0 × 10\^9/L, then the recovery time = 0 days.
| days | F-627 | GRAN® |
|---|---|---|
| Time (Days) of ANC Nadir Recovers to 2.0 × 10^9/L in Cycle 3 | 0.4 ± 0.87 | 0.9 ± 1.50 |
If the ANC nadir during the first 13 days of the cycle is \< 2.0 × 10\^9/L, the recovery time = ((date of ANC ≥ 2.0 ×10\^9/L) - (date of ANC reaching nadir within the cycle) + 1). If the ANC nadir in the first 13 days of the cycle is ≥2.0 × 10\^9/L, then the recovery time = 0 days.
| days | F-627 | GRAN® |
|---|---|---|
| Time (Days) of ANC Nadir Recovers to 2.0 × 10^9/L in Cycle 4 | 0.7 ± 1.14 | 1.2 ± 1.73 |
Collected over Adverse events (AEs) are recorded from randomization until 30 days after the last dose of the study drug, including AEs that occurred prior to the randomization and worsened during the treatment period, e.g.average 95 days.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| F-627 | 0/120 (0%) | 6/120 (5%) | 119/120 (99.2%) |
| GRAN® | 0/119 (0%) | 8/119 (6.7%) | 119/119 (100%) |
| Event | F-627 | GRAN® |
|---|---|---|
| Neutrophil count decreasedInvestigations | 3/120 | 3/119 |
| Platelet count decreasedInvestigations | 3/120 | 2/119 |
| Febrile neutropeniaBlood and lymphatic system disorders | 1/120 | 2/119 |
| Drug-induced liver injuryHepatobiliary disorders | 0/120 | 1/119 |
| Lung adenocarcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/120 | 1/119 |
| White blood cell count decreasedInvestigations | 1/120 | 0/119 |
| Jugular vein thrombosisVascular disorders | 1/120 | 0/119 |
| Event | F-627 | GRAN® |
|---|---|---|
| NauseaGastrointestinal disorders | 104/120 | 102/119 |
| White blood cell count decreasedInvestigations | 79/120 | 99/119 |
| Neutrophil count decreasedInvestigations | 71/120 | 99/119 |
| AlopeciaSkin and subcutaneous tissue disorders | 93/120 | 83/119 |
| VomitingGastrointestinal disorders | 76/120 | 89/119 |
| AnaemiaBlood and lymphatic system disorders | 81/120 | 79/119 |
| Platelet count decreasedInvestigations | 56/120 | 40/119 |
| AstheniaGeneral disorders | 42/120 | 35/119 |
| Bone painMusculoskeletal and connective tissue disorders | 30/120 | 40/119 |
| Alanine aminotransferase increasedInvestigations | 36/120 | 19/119 |
The started participants were all the subjects randomized, but the baseline participants were those randomized subjects received one study drugs at least. A total of 242 subjects were enrolled and randomized. Only 239 randomized patients received one study drugs at least, and included in the full analysis set (FAS), which were consisted of the baseline population.
| Age, Continuous(years) | F-627 | GRAN® | Total |
|---|---|---|---|
| Mean | 49.1 ± 9.32 | 48.5 ± 9.14 | 48.8 ± 9.21 |
| Sex: Female, Male(Participants) | F-627 | GRAN® | Total |
|---|---|---|---|
| Female | 120 | 119 | 239 |
| Male | 0 | 0 | 0 |
| Ethnicity (NIH/OMB)(Participants) | F-627 | GRAN® | Total |
|---|---|---|---|
| Hispanic or Latino | 0 | 0 | 0 |
| Not Hispanic or Latino | 120 | 119 | 239 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | F-627 | GRAN® | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 120 | 119 | 239 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 |
| White | 0 | 0 | 0 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Region of Enrollment(participants) | F-627 | GRAN® | Total |
|---|---|---|---|
| China | 120 | 119 | 239 |
| Height(m) | F-627 | GRAN® | Total |
|---|---|---|---|
| Mean | 157.97 ± 5.061 | 157.87 ± 5.524 | 157.92 ± 5.286 |
| Weight(kg) | F-627 | GRAN® | Total |
|---|---|---|---|
| Mean | 58.96 ± 8.945 | 59.24 ± 8.487 | 59.10 ± 8.703 |
| Body mass index (BMI)(kg/m^2) | F-627 | GRAN® | Total |
|---|---|---|---|
| Mean | 23.609 ± 3.278 | 23.782 ± 3.336 | 23.695 ± 3.301 |
1 further baseline measures are reported on the registry.
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