A Multi-center, Open-label, Single-arm Study to Evaluate the Efficacy and Safety of PEG-rhG-CSF(Jinyouli®) in Preventing Neutropenia After Chemotherapy in Patients With Non-Hodgkin's Lymphoma
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 104
- 试验地点
- 1
- 主要终点
- The incidence of grade Ⅲ/Ⅳ neutropenia
研究概览
简要总结
The main treatments for non-Hodgkin's lymphoma are surgery, radiotherapy, chemotherapy, and bone marrow transplantation. Neutropenia is the most common and serious complication of most chemotherapy. This study is a multi-center, open-label, single-arm clinical study to evaluate the efficacy and safety of jinyouli in preventing neutropenia in patients with non Hodgkin's lymphoma after chemotherapy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ≥ 18 years, gender is not limited;
- •Patients with lymphoma diagnosed by histopathology or cytology;
- •Patients requiring multi-cycle chemotherapy;
- •Planned chemotherapy regimen FN risk ≥ 20 % , or 10% <FN risk < 20% with high risk factors ; According to the judgment of the investigator, there is a risk of FN occurrence if G-CSF support is not accepted, PEG-rhG-CSF should be used prophylactically from the first cycle;
- •Physical status (KPS) score ≥ 70 points;
- •Expected Survival period of more than 3 months;
- •Normal bone marrow hematopoietic function (ANC ≥1.5×10^9/L, PLT≥80×10^9/L, Hb≥75g/L, WBC≥3.0×10^9/L);
- •Alanine aminotransferase (ALT) and aspartate aminotransferase (AST)≤2.5 times the upper limit of normal value, or≤5 times the upper limit of normal value when there is liver metastasis; total bilirubin (TBIL)≤2.5 times the upper limit of normal value; serum creatinine (Cr)≤2 times the upper limit of normal value;
- •Female patients of childbearing age must be negative in urine pregnancy test before treatment;
- •The testers (or their legal representatives/guardians) must sign an informed consent form.
排除标准
- •Lymphoma central involvement;
- •Hematopoietic stem cell transplantation or organ transplantation;
- •Local or systemic infection without adequate control;
- •Severe internal organ dysfunction and occurred in the last 6 months Myocardial infarction;
- •Those who used other test drugs of the same kind or accepted other clinical trials within 4 weeks before enrollmen;
- •Allergy to PEG-rhG-CSF, rhG-CSF and other preparations or proteins expressed by Escherichia coli;
- •Severe mental illness, affecting informed consent and/or adverse reaction expression or observation;
- •Pregnant or lactating female patients; women who refuse to accept contraceptive measures ;
- •Researchers determine unsuited to participate in this trial.
研究组 & 干预措施
PEG-rhG-CSF group
Patients received subcutaneous injection of PEG-rhG-CSF(Jinyouli®) 48 hours after the end of chemotherapy, 6mg for patients with body weight≥45kg and 3mg for patients with body weight less than 45kg, once per chemotherapy cycle
干预措施: PEG-rhG-CSF (Drug)
结局指标
主要结局
The incidence of grade Ⅲ/Ⅳ neutropenia
时间窗: From date of randomization until the date of the study completion,up to 24 weeks
Grade Ⅲ neutropenia is defined as ANC≥0.5×10\^9/L, and \<1×10\^9/L; Grade Ⅳ neutropenia is defined as ANC\<0.5×10\^9/L
次要结局
- Incidence of febrile neutropenia (FN)(From date of randomization until the date of the study completion,up to 24 weeks)
- Antibiotic use rate(From date of randomization until the date of the study completion,up to 24 weeks)
- Incidence of dose adjustment of chemotherapy or delay of chemotherapy(From date of randomization until the date of the study completion,up to 24 weeks)
