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Brief Title: Phase 2 Study of SPI-2012 or Pegfilgrastim for the Management of Neutropenia in Participants With Breast Cancer
Official Title: Phase 2, Open-Label, Dose-Ranging Study of SPI-2012 (HM10460A) or Pegfilgrastim Use for the Management of Neutropenia in Patients With Breast Cancer Who Are Candidates for Adjuvant and Neoadjuvant Chemotherapy With the Docetaxel + Cyclophosphamide (TC) Regimen
Study ID: NCT01724866
Brief Summary: The purpose of this study is to assess the effect of test doses of SPI-2012 on the duration of severe neutropenia (DSN) during Cycle 1 in participants with breast cancer who are candidates for adjuvant or neoadjuvant chemotherapy.
Detailed Description: This is an open label, multicenter, dose ranging study, sequentially enrolled by study dose, with a non-inferiority design to compare the effectiveness of SPI-2012 relative to a fixed dose of pegfilgrastim as a concurrent active control to each dose of SPI-2012 in participants with breast cancer. This study included four arms comprising three dose levels of SPI-2012 (Arm 1: 45 µg/kg, Arm 2: 135 µg/kg, Arm 3: 270 µg/kg) versus pegfilgrastim (Arm 4: 6 mg). The start of study is defined as the initiation of treatment with SPI-2012 or pegfilgrastim. The duration of treatment consists of a maximum of 4 cycles (21 days per cycle) beginning on Day 1 with chemotherapy administration and continue through Day 21, plus a 30-day follow-up period, unless any of the discontinuation criteria applies. The target population are participants with breast cancer who are candidates for neoadjuvant or adjuvant treatment with Docetaxel + Cyclophosphamide (TC) chemotherapy. All participants who receive at least 1 dose of either SPI-2012 or pegfilgrastim were followed for safety through 30 days after their last dose of study treatment or until all treatment-related adverse events (AEs) have resolved or returned to baseline/Grade 1, whichever is longer, or until it is determined that the outcome will not change with further follow-up.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Arizona Center for Cancer Care, Glendale, Arizona, United States
Desert Springs Cancer Care, Scottsdale, Arizona, United States
California Cancer Associates for Research and Excellence, Fresno, California, United States
Beaver Medical Group, Highland, California, United States
California Cancer Associates for Research and Excellence, Los Angeles, California, United States
Innovative Clinical Research Institute, Whittier, California, United States
Kentucky Cancer Clinic, Hazard, Kentucky, United States
New York Oncology Hematology, PC, Albany, New York, United States
North Shore Hematology/Oncology Associates, Setauket, New York, United States
Good Samaritan Hospital, Corvallis, Corvallis, Oregon, United States
Frankston Hospital, Frankston, Victoria, Australia
Royal Hobart, Brisbane, , Australia
Ashford Cancer Center Research, Kurralta Park, , Australia
Breast Cancer Research Center, WA, Perth, , Australia
Ballarat Oncology & Haematology, Wendouree, , Australia
LTD " Cancer Center of Adjara Autonomic Republic", Batumi, , Georgia
Ltd ' Medulla - Chemotherapy and Immunotherapy Clinic, Tbilisi, , Georgia
State Health Center, Budapest, , Hungary
National Institute of Oncology, Budapest, , Hungary
Uzsoki Hospital, Budapest, , Hungary
University Debrecen, Oncology Clinic, Debrecen, , Hungary
Szabolcs - Szatmár - Bereg megyei Kórházak és Egyetemi Oktatókórház, Nyíregyháza, , Hungary
Ziv Medical Center, Zefat, , Israel
Regionalny Szpital Specjalistyczny, Grudziądz, , Poland
Szpital Uniwersytecki w Krakowie, Kraków, , Poland
Dzienny Oddział Chemioterapii, Racibórz, , Poland
MTZ Clinical Research Sp. z o.o., Warszawa, , Poland