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RecruitingNCT07899099Updated Oct 27, 2026

Mecapegfilgrastim for Prevention of Chemotherapy-Induced Neutropenia in Advanced Breast Cancer

An observational study in Breast Cancer and Chemotherapy-induced Neutropenia, sponsored by Zheng Yabing. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-27.

Sponsored by Zheng Yabing · Observational

From the registry’s dates

  • Started Oct 2024; still recruiting 2 years later.
Updated Oct 27, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
200
Ages
18 Years and older
Sex
All
01

Study summary

This prospective, real-world observational registry study will evaluate the effectiveness and safety of mecapegfilgrastim for the prevention of chemotherapy-induced neutropenia in patients with advanced breast cancer receiving chemotherapy. The decision to use mecapegfilgrastim will be made by the treating physician as part of routine clinical care. Participants will be followed to collect information on neutropenia, febrile neutropenia, treatment-related adverse events, and chemotherapy delivery.

02

Conditions studied

  • Breast Cancer
  • Chemotherapy-induced Neutropenia

Keywords

  • Mecapegfilgrastim
  • Advanced Breast Cancer
  • Febrile Neutropenia
  • Patient-Reported Outcomes
  • Prospective Observational Study
03

In context

Breast Neoplasms

14,825 studies on the registry are indexed under Breast Neoplasms; 3,319 are open to participants now.

This study's planned enrollment of 200 is close to the median of 184 across 3,235 observational studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Zheng Yabing is the lead sponsor of 2 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adults aged 18 years or older with histologically confirmed advanced breast cancer, defined as locally recurrent disease not suitable for curative treatment or metastatic disease, will be prospectively enrolled at Zhejiang Cancer Hospital. Eligible participants have first recurrence or metastasis, or documented progression during palliative treatment, and are planned to receive a new systemic anticancer treatment regimen. Participants will be assessed for febrile neutropenia risk according to chemotherapy regimen and individual clinical risk factors and followed during treatment.

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

  • Age 18 years or older.
  • confirmed advanced breast cancer, defined as locally recurrent disease not suitable for curative treatment or disease.
  • First recurrence or metastasis, or documented disease progression during palliative treatment, with a planned new systemic anticancer treatment regimen.
  • Estimated of at least 3 months.
  • Ability and willingness to provide written .

Exclusion criteria

Exclusion Criteria:

  • Early-stage breast cancer.
  • Ongoing systemic anticancer treatment without a need to change to a new treatment regimen.
  • Pregnant or breastfeeding women.
  • Any condition or other reason that, in the investigator's judgment, makes the participant unsuitable for enrollment.
Terms in these criteria, in plain language(4)

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.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
200 participants (estimated)
Target follow-up
12 Months
Patient registry
Yes

Groups and cohorts

  • High FN Risk - No Prophylaxis

    Participants receiving chemotherapy with a high risk of febrile neutropenia who do not receive prophylactic G-CSF.

    Other: No Prophylactic G-CSF

  • High FN Risk - Short-Acting G-CSF

    Participants receiving chemotherapy with a high risk of febrile neutropenia who receive prophylactic short-acting G-CSF.

    Drug: Short-acting G-CSF

  • High FN Risk - Long-Acting G-CSF

    Participants receiving chemotherapy with a high risk of febrile neutropenia who receive prophylactic Long-Acting G-CSF.

    Drug: Long-acting G-CSF

  • Intermediate FN Risk - No Prophylaxis

    Participants receiving chemotherapy with an intermediate risk of febrile neutropenia who do not receive prophylactic G-CSF.

    Other: No Prophylactic G-CSF

  • Intermediate FN Risk - Short-Acting G-CSF

    Participants receiving chemotherapy with an intermediate risk of febrile neutropenia who receive prophylactic short-acting G-CSF.

    Drug: Short-acting G-CSF

  • Intermediate FN Risk - Long-Acting G-CSF

    Participants receiving chemotherapy with an intermediate risk of febrile neutropenia who receive prophylactic Long-Acting G-CSF.

    Drug: Long-acting G-CSF

  • Low FN Risk - No Prophylaxis

    Participants receiving chemotherapy with a low risk of febrile neutropenia who do not receive prophylactic G-CSF.

    Other: No Prophylactic G-CSF

  • Low FN Risk - Short-Acting G-CSF

    Participants receiving chemotherapy with a low risk of febrile neutropenia who receive prophylactic short-acting G-CSF.

    Drug: Short-acting G-CSF

  • Low FN Risk - Long-Acting G-CSF

    Participants receiving chemotherapy with a low risk of febrile neutropenia who receive prophylactic Long-Acting G-CSF.

    Drug: Long-acting G-CSF

Interventions

  • OtherNo Prophylactic G-CSF

    No prophylactic granulocyte colony-stimulating factor is administered during the chemotherapy cycle.

  • DrugShort-acting G-CSF

    Short-acting granulocyte colony-stimulating factor is administered prophylactically according to routine clinical practice.

  • DrugLong-acting G-CSF

    Long-acting pegylated recombinant human granulocyte colony-stimulating factor administered prophylactically according to routine clinical practice.

06

What researchers measure

Primary outcomes

  1. Use of Mecapegfilgrastim for Primary and Secondary Prophylaxis

    Proportion of participants receiving mecapegfilgrastim as primary prophylaxis or secondary prophylaxis during palliative systemic anticancer therapy.

    Time frame: From enrollment through completion of follow-up, assessed up to 12 months.

Secondary outcomes

  1. Incidence of Febrile Neutropenia

    Proportion of participants who develop febrile neutropenia during systemic anticancer treatment.

    Time frame: From treatment initiation through 12 months.

  2. Patient-Reported Quality of Life

    Quality of life assessed using the Chinese versions of the EORTC QLQ-C30

    Time frame: At baseline and during follow-up, assessed up to 12 months.

  3. Adherence to Mecapegfilgrastim Prophylaxis

    Proportion of participants who receive prophylaxis as planned, including reasons for refusal or discontinuation.

    Time frame: From treatment initiation through 12 months.

  4. Patient-Reported Quality of Life

    Quality of life assessed using the Chinese versions of the EORTC QLQ-BR45 questionnaires.

    Time frame: At baseline and during follow-up, assessed up to 12 months.

07

Study locations

1 of 1 sites recruiting
08

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 27, 2026
Show all 1 update
  1. Oct 27, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07899099
Lead sponsor
Zheng Yabing
Responsible party
Zheng Yabing (Director, Department of Breast Medical Oncology, Zhejiang Cancer Hospital) — Sponsor-investigator
First posted
Oct 27, 2026
Start date
Oct 24, 2024
Primary completion
Dec 31, 2026 (estimated)
Completion
Mar 31, 2027 (estimated)
Last update
Oct 27, 2026

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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No contact was published for this record. The registry link below has the sponsor’s details.

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