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The purpose of the present trial is to evaluate the safety, tolerability and pharmacokinetics(PK)/pharmacodynamics(PD) of single subcutaneous injection of GW003 in breast cancer patients. Moreover, the efficacy will be assessed preliminary.
This is an single-center, open-label, randomized, active-controlled phase I study evaluating tolerability and pharmacokinetics/pharmacodynamics of single subcutaneous injections of GW003 in the breast cancer patients.GW003 is recombinant human serum albumin/human granulocyte-colony stimulating factor(I)fusion protein .It is a long-acting G-CSF(Granulocyte-Colony Stimulating Factor). In this study, participants will be administered a single dose of GW003. Every subject will only accept one dose. In addition to tolerability and safety, pharmacokinetics/pharmacodynamics, preliminary efficacy and immunogenicity of GW003 will be evaluated as well.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pegylated Recombinant Human G-CSF | Active Comparator | 100ug/kg 6 subjects (2 subjects per GW003 cohort) |
|
| GW003 300ug/kg | Experimental | 6-8 subjects |
|
| GW003 650ug/kg | Experimental | 6-8 subjects |
|
| GW003 850ug/kg | Experimental | 6-8 subjects |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pegylated Recombinant Human G-CSF | Biological | subcutaneous |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency of adverse events (AEs) and serious adverse events (SAEs) which are related to GW003 as assessed by CTCAE v4.03 | 21days |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum observed maximum plasma concentration [Cmax] | 21days | |
| Time to reach the maximum observed plasma concentration [Tmax] | 21days | |
| Area under the plasma concentration-time curve from time zero to infinity[AUC0-inf] |
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Inclusion Criteria:
Aged 18 years to 70 years, female
Patients with histologically-confirmed breast cancer and plan to accept adjuvant chemotherapy(epirubicin plus cyclophosphamide)
Have an Eastern Cooperative Oncology Group(ECOG) performance status≤2
Have no clinically significant impairment in cardiac, liver and kidney
Adequate hematologic, hepatic and renal function which should meet the following requirements:
Expected to comply with protocol
With urine human chorionic gonadotropin (hCG) negative
Signed informed consent
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xichun Hu | Contact | xchu2009@hotmail.com | ||
| Guangfu Li | Contact | guangfuli@t-mab.com |
| Name | Affiliation | Role |
|---|---|---|
| Xichun Hu | Principal Investigator | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fudan University Shanghai Cancer Center | Recruiting | Shanghai | Shanghai Municipality | 200032 | China |
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| ID | Term |
|---|---|
| D009503 | Neutropenia |
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D000380 | Agranulocytosis |
| D007970 | Leukopenia |
| D000095542 | Cytopenia |
| D006402 | Hematologic Diseases |
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| GW003 |
| Biological |
subcutaneous |
|
| 21days |
| Area under the plasma concentration-time curve from time zero to time 't' where t is a defined time point after administration [AUC0-t] | 21days |
| Terminal elimination half-life[T1/2] | 21days |
| Absolute neutrophil count[ANC] | ANC will be detected pre-dose and 12h,24h,48h,72h,96h,120h,144h,168h,192h,216h,240h,264h,360h,408h,480h post-dose. | 21days |
| CD34+ count | CD34+ count will be detected pre-dose and 12h,24h,48h,72h,96h,120h,144h,168h,192h,216h,240h,264h,360h,408h,480h post-dose. | 21days |
| Time to absolute neutrophil count(ANC) recovery | The time of ANC of patients who experienced neutropenia after chemotherapy recover to normal levels. | 21days |
| Incidence of severe neutropenia | The proportion of patients with grade 3 and 4 neutropenia as assessed by CTCAE v4.03. | 21days |
| Duration of severe neutropenia(DSN) | Duration of grade 3 and 4 neutropenia as assessed by CTCAE v4.03. | 21days |
| ANC nadir | The minimum value of ANC throughout the study period. | 21days |
| Frequency of subjects with anti-GW003 antibody | Anti-GW003 antibody will be detected pre-dose and 21d. | 21days |
| D006425 |
| Hemic and Lymphatic Diseases |
| D007960 | Leukocyte Disorders |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |