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Neugranin in Breast Cancer Participants Receiving Doxorubicin/Docetaxel

Phase 3
Completed
Conditions
Chemotherapy-induced Neutropenia
Interventions
Biological: Pegfilgrastim
Biological: Neugranin
Drug: Chemotherapy
Registration Number
NCT01126190
Lead Sponsor
Teva Branded Pharmaceutical Products R&D, Inc.
Brief Summary

Determination of the effect of neugranin on the duration and severity of severe neutropenia in participants receiving doxorubicin in combination with docetaxel.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
381
Inclusion Criteria
  • Breast cancer participants scheduled to receive the AT regimen (doxorubicin/ docetaxel)
Exclusion Criteria
  • Participants may have received no more than 1 prior chemotherapy regimen (including adjuvant therapy if given within the last 12 months)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Double-Blind Phase: PegfilgrastimPegfilgrastimParticipants will receive pegfilgrastim 6 milligrams (mg), administered by subcutaneous (SC) injection once per chemotherapy cycle (approximately 24 hours after chemotherapy administration) for up to 4 cycles (each cycle length = 21 days). The chemotherapy regimen consists of doxorubicin 60 mg/square meter (m\^2) and docetaxel 75 mg/m\^2 administered sequentially by intravenous (IV) infusion on Day 1 of treatment for up to four 21-day cycles.
Double-Blind Phase: PegfilgrastimChemotherapyParticipants will receive pegfilgrastim 6 milligrams (mg), administered by subcutaneous (SC) injection once per chemotherapy cycle (approximately 24 hours after chemotherapy administration) for up to 4 cycles (each cycle length = 21 days). The chemotherapy regimen consists of doxorubicin 60 mg/square meter (m\^2) and docetaxel 75 mg/m\^2 administered sequentially by intravenous (IV) infusion on Day 1 of treatment for up to four 21-day cycles.
Double-Blind Phase: Neugranin 40 mgNeugraninParticipants will receive neugranin 40 mg, administered by SC injection once per chemotherapy cycle (approximately 24 hours after chemotherapy administration) for up to 4 cycles (each cycle length = 21 days). The chemotherapy regimen consists of doxorubicin 60 mg/m\^2 and docetaxel 75 mg/m\^2 administered sequentially by IV infusion on Day 1 of treatment for up to four 21-day cycles.
Double-Blind Phase: Neugranin 40 mgChemotherapyParticipants will receive neugranin 40 mg, administered by SC injection once per chemotherapy cycle (approximately 24 hours after chemotherapy administration) for up to 4 cycles (each cycle length = 21 days). The chemotherapy regimen consists of doxorubicin 60 mg/m\^2 and docetaxel 75 mg/m\^2 administered sequentially by IV infusion on Day 1 of treatment for up to four 21-day cycles.
Open-Label Phase: Neugranin 40 mgNeugraninParticipants will receive neugranin 40 mg, administered by SC injection once per chemotherapy cycle (approximately 24 hours after chemotherapy administration) for up to 4 cycles (each cycle length = 21 days). The chemotherapy regimen consists of doxorubicin 60 mg/m\^2 and docetaxel 75 mg/m\^2 administered sequentially by IV infusion on Day 1 of treatment for up to four 21-day cycles.
Open-Label Phase: Neugranin 40 mgChemotherapyParticipants will receive neugranin 40 mg, administered by SC injection once per chemotherapy cycle (approximately 24 hours after chemotherapy administration) for up to 4 cycles (each cycle length = 21 days). The chemotherapy regimen consists of doxorubicin 60 mg/m\^2 and docetaxel 75 mg/m\^2 administered sequentially by IV infusion on Day 1 of treatment for up to four 21-day cycles.
Primary Outcome Measures
NameTimeMethod
Double-Blind Phase: Duration of Severe Neutropenia in Cycle 1Cycle 1 (cycle length = 21 days)

Severe neutropenia was defined as Grade 4 neutropenia (absolute neutrophil count \[ANC\] \<0.5 x 10\^9/liter \[L\]). The duration of severe neutropenia was calculated by cycle as the number of days from the first day in which the ANC fell below 0.5 x 10\^9/L after beginning a chemotherapy cycle until the participant had an ANC ≥0.5 x 10\^9/L within the cycle.

Open-Label Phase: Duration of Severe Neutropenia in Cycle 1Cycle 1 (cycle length = 21 days)

Severe neutropenia was defined as Grade 4 neutropenia (ANC \<0.5 x 10\^9/L). The duration of severe neutropenia was calculated by cycle as the number of days from the first day in which the ANC fell below 0.5 x 10\^9/L after beginning a chemotherapy cycle until the participant had an ANC ≥0.5 x 10\^9/L within the cycle. There was no planned statistical analysis for the open-label phase arm.

Secondary Outcome Measures
NameTimeMethod
Double-Blind Phase: Number of Participants With Febrile NeutropeniaCycles 1-4 (each cycle = 21 days)

Febrile neutropenia was defined as an imputed or observed ANC \<0.5 x 10\^9/L and body temperature \>38.5 degrees celsius (°C) occurring on the same day and for more than one hour (axillary measurement). Number of participants with febrile neutropenia over all cycles (Cycles 1 to 4) has been reported.

Open-Label Phase: Number of Participants With Febrile NeutropeniaCycles 1-4 (each cycle = 21 days)

Febrile neutropenia was defined as an imputed or observed ANC \<0.5 x 10\^9/L and body temperature \>38.5 °C occurring on the same day and for more than one hour (axillary measurement). Number of participants with febrile neutropenia over all cycles (Cycles 1 to 4) has been reported.

Trial Locations

Locations (59)

Teva Investigational Site 3502

🇧🇬

Gabrovo, Bulgaria

Teva Investigational Site 3511

🇧🇬

Plovdiv, Bulgaria

Teva Investigational Site 3504

🇧🇬

Ruse, Bulgaria

Teva Investigational Site 3501

🇧🇬

Shumen, Bulgaria

Teva Investigational Site 3506

🇧🇬

Sofia District, Bulgaria

Teva Investigational Site 3503

🇧🇬

Stara Zagora, Bulgaria

Teva Investigational Site 3505

🇧🇬

Varna, Bulgaria

Teva Investigational Site 3507

🇧🇬

Veliko Tarnovo, Bulgaria

Teva Investigational Site 4001

🇷🇴

Baia Mare, Maramures County, Romania

Teva Investigational Site 4009

🇷🇴

Brasov, Romania

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Teva Investigational Site 3502
🇧🇬Gabrovo, Bulgaria

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