E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Prophylaxis of febrile neutropenia during chemotherapy |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 9.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10016288 |
E.1.2 | Term | Febrile neutropenia |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
1.To determine whether primary G-CSF prophylaxis throughout all chemotherapy cycles or primary G-CSF prophylaxis during the first two chemotherapy cycles only will be equivalent regarding incidence of febrile neutropenia. 2.To compare costs per treatment arm.
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E.2.2 | Secondary objectives of the trial |
-Febrile neutropenia rates per cycle number. -Other haematological and non-haematological toxicities. -Number of chemotherapy cycles delivered. -Dose and dose-intensity of chemotherapy. -Disease progression. -Number of toxic deaths per treatment arm.
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
-Breast cancer patients ≥18 years -Indication for 3-weekly chemotherapy. -Chemotherapy in adjuvant, neo-adjuvant, advanced setting with an increased risk of febrile neutropenia, i.e.: ď‚§regimes with >20% risk of febrile neutropenia: e.g. TAC (docetaxel, adriamycin, cyclophosphamide) or AT (adriamycine, docetaxel), or ď‚§regimes with 10-20% risk of febrile neutropenia (e.g. AC, doxorubicin and vinorelbine, or docetaxel monotherapy) in the presence of ≥1 patient risk factor (>65 yrs, extensive bone marrow involvement or prior extensive radiotherapy on bone tissue, prior chemotherapy, ECOG performance status of 2 or less, grade 2 or higher liver function abnormalities).
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E.4 | Principal exclusion criteria |
-Active uncontrolled infection. -Inadequate renal or hepatic function. -Any evidence or history of hypersensitivity or other contraindications to G-CSF medication. -Not recovered from acute toxicities of prior therapies. -Absolute neutrophil count (ANC) <1.5 x 109/l, not caused by bone marrow involvement.
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E.5 End points |
E.5.1 | Primary end point(s) |
% episodes of febrile neutropenia in treatment arms |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | Yes |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | Yes |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
Same product; different treatment regimen |
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E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 20 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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Last visit of last subject |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 9 |
E.8.9.1 | In the Member State concerned days | |