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G-CSF in Preventing Neutropenia in Patients With Solid Tumors Who Are Receiving Chemotherapy
This study is ongoing, but not recruiting participants.
Study NCT00770172   Information provided by National Cancer Institute (NCI)
First Received: October 8, 2008   Last Updated: May 9, 2009   History of Changes
This Tabular View shows the required WHO registration data elements as marked by

October 8, 2008
May 9, 2009
October 2007
Number of courses of G-CSF required [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00770172 on ClinicalTrials.gov Archive Site
 
 
 
G-CSF in Preventing Neutropenia in Patients With Solid Tumors Who Are Receiving Chemotherapy
Moderate Persistent Neutropenia: Comparison of Administration of G-CSF (Granulocyte Colony Stimulating Factor) 1 Day Out of 2 Versus Traditional Schedules to Maintain Dose Intensity. Phase III Multicenter Study in Patients With Solid Tumors Receiving Chemotherapy

RATIONALE: Colony-stimulating factors, such as G-CSF, may increase the number of white blood cells found in bone marrow or peripheral blood and may prevent persistent neutropenia in patients receiving chemotherapy. It is not yet known which regimen of G-CSF may be more effective in preventing neutropenia.

PURPOSE: This randomized phase III trial is comparing two different regimens of G-CSF to see how well it works in preventing persistent neutropenia in patients with solid tumors who are receiving chemotherapy.

OBJECTIVES:

Primary

  • Determine the efficacy of filgrastim (G-CSF) in preventing persistent moderate neutropenia in patients with solid tumors while maintaining chemotherapy courses.

Secondary

  • Compare the tolerability of 2 regimens of G-CSF in these patients.
  • Determine the number of courses of G-CSF needed in each regimen.
  • Evaluate the frequency of infections.
  • Determine dose intensity.

OUTLINE: This is a multicenter study. Patients are randomized to 1 of 2 treatment arms.

  • Arm I: Patients receive filgrastim (G-CSF) subcutaneously (SC) once daily for 6 days beginning 1 week after the start of chemotherapy (days 7-12). If chemotherapy begins on day 8, patients receive G-CSF SC on days 9-14.
  • Arm II: Patients receive G-CSF SC every 2 days on days 10-20 for up to 6 injections.
Phase III
Interventional
Supportive Care, Randomized, Open Label
  • Chemotherapeutic Agent Toxicity
  • Neutropenia
  • Unspecified Adult Solid Tumor, Protocol Specific
Biological: filgrastim
  • Experimental: Patients receive filgrastim (G-CSF) subcutaneously (SC) once daily for 6 days beginning 1 week after the start of chemotherapy (days 7-12). If chemotherapy begins on day 8, patients receive G-CSF SC on days 9-14.
  • Experimental: Patients receive G-CSF SC every 2 days on days 10-20 for up to 6 injections.
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Active, not recruiting
140
 
October 2008   (final data collection date for primary outcome measure)

DISEASE CHARACTERISTICS:

  • Diagnosis of solid tumor
  • Receiving chemotherapy in any line of treatment (adjuvant or metastatic)

    • Chemotherapy courses repeating every 21 days or beginning on day 8 allowed
    • Received at least 2 prior courses of chemotherapy
  • Moderate neutropenia (grade 1-3) leading to a delay of the first course by ≥ 7 days or a delay of the second course of treatment

PATIENT CHARACTERISTICS:

  • Not pregnant or nursing
  • Fertile patients must use effective contraception
  • No known hypersensitivity to filgrastim (G-CSF) or any of its components
  • No severe immunodepression
  • No malignant hematological disease
  • No history of psychiatric illness
  • No patients deprived of liberty or under guardianship
  • No psychological, familial, social, or geographical reasons preventing follow-up

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
Both
18 Years and older
No
 
France
 
 
NCT00770172
 
FRE-CFB-LENO-12, INCA-RECF0515, EUDRACT-2007-002742-38, CFB-2007-02, CHUGAI-FRE-CFB-LENO-12
Centre Regional Francois Baclesse
 
Study Chair: Florence Joly, MD, PhD Centre Regional Francois Baclesse
National Cancer Institute (NCI)
December 2008

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.