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In the study, subjects will scheduled to undergo four 21-days cycles of chemotherapy treatment. Three group were treated with MW05 300 μg/kg or MW05 500 μg/kg or PEG-rhG-CSF 100 μg/kg on the 3th day of each cycle randomized 1:1:1 .
The dose of the experimental drug MW05 in phase III were determined by independent data monitoring committee (IDMC) according to the efficacy and safety of phase II. Subjects were randomly divided into two groups 1:1 to received either MW05 or PEG-rhG-CSF(100 μg/kg) on the 3th day of each chemotherapy cycle.
Study Stage: Phase II/III Study Population Female patients with breast cancer will be enrolled to receive at least 4 cycles of TC chemotherapy, that is: Docetaxel 75 mg/m2 and Cyclophosphamide 600 mg/m2.
Study Design: A multi-center, randomized, open-label, active-controlled phase II/III clinical trial
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MW05 300μg/kg | Experimental | Subjects will receive MW05(300 μg/kg s.c.) on day 3 of each cycle (6~10 a.m.) |
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| MW05 500μg/kg | Experimental | Subjects will receive MW05(500 μg/kg s.c.) on day 3 of each cycle (6~10 a.m.) |
|
| PEG-rhG-CSF | Active Comparator | Subjects will receive PEG-rhG-CSF(100 μg/kg s.c.) on day 3 of each cycle (6~10 a.m.) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MW05 | Drug | Recombinant (yeast secreted) human serum albumin-human granulocyte colony stimulating factor (I) fusion protein injection |
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| Measure | Description | Time Frame |
|---|---|---|
| The primary objective of this study will be to evaluate the efficacy of MW05 pre-filled syringe as compared to PEG-rhG-CSF standard dosing (6 mg) in the first chemotherapy cycle. | The primary endpoint will be the duration of grade 4 (severe) neutropenia - the number of days in which the patient has had an absolute neutrophil count (ANC <0.5 x 109/L) observed in chemotherapy cycle 1. | in cycle 1(each cycle is 21 days) |
| Measure | Description | Time Frame |
|---|---|---|
| The duration of grade 4 neutropenia in cycle 2~4 assessed by ANC(ANC < 0.5 × 109/L) | The duration of grade 4 neutropenia (ANC< 0.5 × 109/L) | in cycles 2-4, in overall 3 cycles(each cycle is 21 days) |
| The incidence of grade 4 neutropenia in cycle 1~4 assessed by ANC(ANC < 0.5 × 109/L) |
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Inclusion Criteria:
18~70 years old female(including threshold)
Diagnosed with breast cancer .
Weight≥45kg.
Patients planned to receive TC chemotherapy.
ECOG ≤ 1
Estimated survival time ≥ 3 months, and could received at least 4 cycles chemotherapy treatment.
Have suitable organs and hematopoietic function
ECG examination is normal or abnormal has no clinical significance.
B-ultrasound examination of abdomen showed no obvious abnormality of spleen.
Willing to sign the informed consent form and able to comply with protocol requirements.
Non-menopausal or non-surgically sterilized female subjects, the blood pregnancy test results must be negative at the time of screening, and within at least 3 months from the signing of the informed consent form to the end of the last administration, consent to abstinence or the use of effective contraceptive methods.
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Exclusion Criteria:
Female patients with breast cancer who require chemotherapy and are planned to receive at least 4 cycles of TC chemotherapy, namely Docetaxel 75 mg/m2 and Cyclophosphamide 600 mg/m2
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fudan University Affiliated Cancer Hospital | Shanghai | China |
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| ID | Term |
|---|---|
| C423652 | pegylated granulocyte colony-stimulating factor |
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| PEG-rhG-CSF | Drug | PEGylated Recombinant Human Granulocyte Colony-Stimulating Factor |
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The incidence rate of grade 4 neutropenia (ANC< 0.5 × 109/L) |
| through study completion, in overall 4 cycles(each cycle is 21 days) |
| The incidence of grade 3 or 4 neutropenia in cycle 1~4 assessed by ANC(ANC < 1.0 × 109/L and ANC < 0.5 × 109/L, respectively) | The incidence rate of grade 3 or 4 neutropenia (ANC < 1.0 × 109/L and ANC< 0.5 × 109/L, respectively) | through study completion, in overall 4 cycles(each cycle is 21 days) |
| The duration of grade 3 or 4 neutropenia In cycle 1~4 assessed by ANC(ANC < 1.0 × 109/L and ANC < 0.5 × 109/L, respectively) | The duration of grade 3 or 4 neutropenia (ANC < 1.0 × 109/L and ANC< 0.5 × 109/L, respectively) | through study completion, in overall 4 cycles(each cycle is 21 days) |
| Incidence of febrile neutropenia (FN) (defined as ANC < 1.0×109/L; a single measurement of body temperature > 38.3°C or a temperature ≥ 38.0 °C sustained over 1 h) | Rate of febrile neutropenia (FN) (defined as ANC < 1.0×109/L; a single measurement of body temperature > 38.3 °C or a temperature ≥ 38.0 °C sustained over 1 h) | through study completion, in overall 4 cycles(each cycle is 21 days) |
| The proportion of subjects rescued by short-acting G-CSF in cycle 1~4. | The proportion of received short-acting G-CSF. | through study completion, in overall 4 cycles(each cycle is 21 days) |