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CompletedNCT04187898Updated Sep 19, 2024

Open-Label, Phase 1 Study to Evaluate Duration of Severe Neutropenia After Same-Day Dosing of Eflapegrastim in Patients With Breast-Cancer

A Phase 1 interventional study of Eflapegrastim and Eflapegrastim in Neutropenia and Breast Cancer, sponsored by Spectrum Pharmaceuticals, Inc. Completed at 8 sites in United States. Open to participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2024-09-19.

Sponsored by Spectrum Pharmaceuticals, Inc (part of Zydus Lifesciences Limited) · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Jul 2024, 2 years 3 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
59
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

The purpose of this study is to compare the effect of Eflapegrastim on duration of neutropenia in patients with early-stage breast cancer when administered at varying intervals following Docetaxel and Cyclophosphamide administration.

Read the detailed description

This is a Phase 1, randomized, open label, actively-controlled study to evaluate the same day dosing of Eflapegrastim on duration of neutropenia when administered at varying intervals following Docetaxel and Cyclophosphamide (TC) chemotherapy in patients with early-stage breast cancer.

The study will be conducted in two phases: Early Phase and Expansion Phase.

  1. In the Early Phase, approximately 45 patients were enrolled and randomized in a 1:1:1 ratio to 3 dosing time schedule arms. Each cycle was of 21 days. Total 4 cycles were evaluated for this phase. On Day 1 of Cycle 1, patients received Docetaxel and Cyclophosphamide (TC) chemotherapy followed by administration of Eflapegrastim at 1 of 3-time schedules post-TC (30 minutes [mins], 3 hours or 5 hours). During Cycles 2-4, patients received Eflapegrastim 24 hours after TC administration (on Day 2).
  2. In the Expansion Phase, additional 45 patients will be enrolled in Cycles 1-4, who will receive fixed dose of Eflapegrastim 30 mins after TC administration (on Day 1).

Safety evaluations will be conducted once the first 3 patients (for Early Phase) and the first 6 patients (for Expansion Phase) have completed Cycle 1 to determine if it is safe for patients to continue in that particular treatment arm.

02

Conditions studied

  • Neutropenia
  • Breast Cancer

Keywords

  • Neutropenia
  • Early Stage Breast Cancer
  • Long-acting Myeloid Growth Factor
  • Docetaxel + Cyclophosphamide (TC) Chemotherapy
03

In context

Neutropenia

405 studies on the registry are indexed under Neutropenia; 60 are open to participants now.

This study's enrollment of 59 is below the median of 93 across 285 interventional studies indexed under Neutropenia.

Browse Neutropenia studies →

Lead sponsor

Spectrum Pharmaceuticals, Inc is the lead sponsor of 60 studies on the registry; 1 is open to participants now.

Of its 18 completed or terminated interventional studies of FDA-regulated products, 12 (67%) have results posted.

First submitted before Spectrum Pharmaceuticals, Inc became part of Zydus Lifesciences Limited.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Willing and capable of giving written Informed Consent and able to adhere to study drug dosing time and blood draw schedules
  • New diagnosis of histologically confirmed early-stage breast cancer (ESBC), defined as operable Stage I to Stage IIIA breast cancer
  • Candidate to receive adjuvant or neoadjuvant TC chemotherapy
  • Age must be at least 18 years for the Early Phase, and between 18 to ≤55 years for the Expansion Phase
  • ANC ≥1.5×10\^9/liter (L).
  • Platelet count ≥100×10\^9/liter (L).
  • Hemoglobin >10 grams per deciliter (g/dL).
  • Calculated creatinine clearance >50 milliliter per minute (mL/min).
  • Total bilirubin ≤1.5 milligrams per deciliter (mg/dL).
  • Aspartate aminotransferase (AST)/serum glutamic oxaloacetic transaminase (SGOT) and alanine aminotransferase (ALT)/serum glutamic pyruvic transaminase (SGPT) ≤2.5×upper limit of normal (ULN).
  • Alkaline phosphatase ≤2.0×ULN.
  • Eastern Cooperative Oncology Group (ECOG) ≤2
  • Willing to practice 2 forms of contraceptives (1 must be a barrier method), from study entry through 30 days after last dose of study drug/ early discontinuation
  • Negative urine pregnancy test within 30 days before randomization

Exclusion criteria

Exclusion Criteria:

  • Active concurrent malignancy (except non melanoma skin cancer or carcinoma in situ of the cervix) or life-threatening disease
  • Known sensitivity to Escherichia coli (E. coli) derived products
  • Concurrent adjuvant cancer therapy other than the trial-specified therapies
  • Locally recurrent/metastatic breast cancer
  • Previous exposure to filgrastim, pegfilgrastim, or other G-CSF products in clinical development within 3 months prior to the administration of study drug
  • Receiving anti-infectives, has an underlying medical condition or other serious illness that would impair the ability to receive protocol-specified treatment
  • 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
  • Prior bone marrow or stem cell transplant
  • Prior radiation therapy within 30 days prior to enrollment
  • Major surgery within 30 days prior to enrollment
  • Pregnant or breastfeeding
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
59 participants (actual)

Study arms

  • Experimental
    Early Phase: Eflapegrastim @ 30mins post TC

    Eflapegrastim (13.2 mg/0.6 mL fixed dose, equivalent to 3.6 mg granulocyte colony-stimulating factor \[G-CSF\]). Supplied in prefilled single-use syringes for subcutaneous injection. Cycle 1: Administered on the same day as TC chemotherapy, 30 minutes from the end of TC administration. Cycles 2-4: Administered 24 hours after TC chemotherapy administration. Each cycle is 21 days.

    Biological: Eflapegrastim · Drug: Docetaxel · Drug: Cyclophosphamide

  • Experimental
    Early Phase: Eflapegrastim @ 3 hours post TC

    Eflapegrastim (13.2 mg/0.6 mL fixed dose, equivalent to 3.6 mg G-CSF). Supplied in prefilled single-use syringes for subcutaneous injection. Cycle 1: Administered on the same day as TC chemotherapy, 3 hours from the end of TC administration. Cycles 2-4: Administered 24 hours after TC chemotherapy administration. Each cycle is 21 days.

    Biological: Eflapegrastim · Drug: Docetaxel · Drug: Cyclophosphamide

  • Experimental
    Early Phase: Eflapegrastim @ 5 hours post TC

    Eflapegrastim (13.2 mg/0.6 mL fixed dose, equivalent to 3.6 mg G-CSF). Supplied in prefilled single-use syringes for subcutaneous injection. Cycle 1: Administered on the same day as TC chemotherapy, 5 hours from the end of TC administration. Cycles 2-4: Administered 24 hours after TC chemotherapy administration. Each cycle is 21 days.

    Biological: Eflapegrastim · Drug: Docetaxel · Drug: Cyclophosphamide

  • Experimental
    Expansion Phase: Eflapegrastim @ 30 mins post TC

    Eflapegrastim (13.2 mg/0.6 mL fixed dose, equivalent to 3.6 mg G-CSF). Supplied in prefilled single-use syringes for subcutaneous injection. Cycles 1-4: Administered on the same day as TC chemotherapy, 30 minutes following the end of TC administration. Each cycle is 21 days.

    Biological: Eflapegrastim · Drug: Docetaxel · Drug: Cyclophosphamide

Interventions

  • BiologicalEflapegrastim

    Administered in Cycle 1, 30 minutes after TC chemotherapy. Administered in Cycles 2-4, on day 2 of each cycle.

  • BiologicalEflapegrastim

    Administered in Cycle 1, 3 hours after TC chemotherapy. Administered in Cycles 2-4, on day 2 of each cycle.

  • BiologicalEflapegrastim

    Administered in Cycle 1, 5 hours after TC chemotherapy. Administered in Cycles 2-4, on day 2 of each cycle.

  • BiologicalEflapegrastim

    Administered in Cycles 1-4, 30 mins after TC chemotherapy.

  • 75 mg/m\^2 IV infusion. Administered on Day 1 of each cycle.

    Also known as: Taxotere

  • 600 mg/m\^2 IV infusion. Administered on Day 1 of each cycle.

    Also known as: Cytoxan

06

What researchers measure

Primary outcomes

  1. Time to Recovery of Absolute Neutrophil Count (ANC) From Nadir to ≥1.5×10^9/L in Cycle 1

    Time to ANC Recovery is defined as the time from chemotherapy administration until the patient's ANC increases to ≥1.5×10\^9/liter (L) after the expected nadir.

    Time frame: Cycle 1 is 21 days

Secondary outcomes

  1. Duration of Grade 4 Neutropenia (DSN) in Cycle 1

    DSN is defined as the number of days of severe neutropenia where the ANC\<0.5x10\^9/L from the first occurrence of an ANC below the threshold.

    Time frame: Cycle 1 is 21 days

  2. Proportion of Patients With Grade 4 Neutropenia in Cycle 1

    Time frame: Cycle 1 is 21 days

  3. Incidence of Grade 3 Febrile Neutropenia (FN) in Cycle 1

    FN is defined as having an ANC\<1.0x10\^9/L and either a single temperature of \>38.3 degrees Celsius (101.0 Fahrenheit \[F\]) or a sustained temperature of \>38.0 degrees Celsius (100.4 F).

    Time frame: Cycle 1 is 21 days

  4. Incidence of Neutropenic Complications, Including Hospitalization due to Neutropenia, FN, and use of Anti-infectives During Cycle 1

    Time frame: Cycle 1 is 21 days

  5. Expansion Phase: Time to Recovery of ANC From Nadir to ≥1.5×10^9/L in Cycles 2-4

    Time to ANC Recovery is defined as the time from chemotherapy administration until the patient's ANC increases to ≥1.5×10\^9/L after the expected nadir.

    Time frame: Cycles 2-4 (cycle length=21 days) (up to approximately 63 days)

  6. Expansion Phase: DSN in Cycles 2-4

    DSN is defined as the number of days of severe neutropenia where the ANC \<0.5x10\^9/L from the first occurrence of an ANC below the threshold.

    Time frame: Cycles 2-4 (cycle length=21 days) (up to approximately 63 days)

  7. Expansion Phase: Proportion of Patients With Grade 4 Neutropenia in Cycles 2-4

    Time frame: Cycles 2-4 (cycle length=21 days) (up to approximately 63 days)

  8. Expansion Phase: Incidence of FN in Cycles 2-4

    FN is defined as having an ANC\<1.0x10\^9/L and either a single temperature of \>38.3 degrees Celsius (101.0 F) or a sustained temperature of \>38.0 degrees Celsius (100.4 F).

    Time frame: Cycles 2-4 (cycle length=21 days) (up to approximately 63 days)

  9. Expansion Phase: Incidence of Neutropenic Complications, Including Hospitalization due to Neutropenia, FN, and use of Anti-infectives During Cycles 2-4

    Time frame: Cycles 2-4 (cycle length=21 days) (up to approximately 63 days)

  10. Number of Patients With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) as a Measure of Safety

    Time frame: Up to approximately 40 days after the last dose of study treatment or early study discontinuation (up to approximately 4 months)

  11. Proportion of Patients Discontinuing Because of a TEAE

    Time frame: Up to approximately 40 days after the last dose of study treatment or early study discontinuation (up to approximately 4 months)

07

Study locations

8 sites
  • ACRC/ Arizona Clinical Research Center
    Tucson, Arizona 85715, United States
  • Yuma Regional Medical Center Cancer Center
    Yuma, Arizona 85364, United States
  • Pacific Cancer Medical Center
    Anaheim, California 92801, United States
  • City of Hope
    Long Beach, California 90813, United States
  • BRCR Medical Center, Inc.
    Plantation, Florida 33322, United States
  • Bond & Steele Clinic, P.A.
    Winter Haven, Florida 33881, United States
  • SCL Health Research Institute, Inc.
    Billings, Montana 59102, United States
  • Mercy Health Youngstown
    Youngstown, Ohio 44501, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04187898
Responsible party
Sponsor
First posted
Dec 5, 2019
Start date
Mar 11, 2020
Primary completion
Jul 16, 2024
Completion
Aug 16, 2024
Last update
Sep 19, 2024

Oversight

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

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Studies of the drugs tested here: Eflapegrastim · Docetaxel · Cyclophosphamide

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