Dose-Finding Trial of F-627 in Women With Breast Cancer Receiving Myelotoxic Chemotherapy
Condition: Breast Cancer; Neutropenia
MeSH terms: Breast Neoplasms; Neutropenia
Intervention: F-627; Neulasta® (pegfilgrastim)
Intervention description: subcutaneous injection given 1 per chemotherapy.; Single dose injection given once per chemotherapy cycle.
Phase: Phase 2
Study type: Interventional
Primary purpose: Treatment
Allocation: Randomized
Intervention model: Single Group Assignment
Masking: None (Open Label)
Enrollment: 232.0
Sex: Female
Minimum age: 18 Years
Maximum age: 74 Years
Healthy volunteers: No
Keywords: Breast Cancer; Taxotere Chemotherapy; Neulasta; efficacy and safety; single cycle doses of F-627; pegfilgrastim

Summary:

      This is a randomized open label dose finding study to evaluate the efficacy and safety of
      F-627 on women with Stage I-IV breast cancer receiving chemotherapy treatment.
    

Eligibility criteria:

        Inclusion Criteria:

          -  Show evidence of a signed (personally or by a legally acceptable representative) and
             dated informed consent document indicating that the patient has been informed of all
             pertinent aspects of the trial.

          -  Females ≥ 18 years of age.

          -  Diagnosed with Stage I-IV breast cancer.

          -  Subject is scheduled to undergo 4 cycles of TC or TAC chemotherapy (Taxotere®,
             doxorubicin and cyclophosphamide, 75, 50 and 600 mg/m2, respectively).

          -  ECOG Performance status of ≤ 2.

          -  White Blood Cell count (WBC) ≥ 4.0 × 109/L, hemoglobin ≥ 11.5 g/dL and a platelet
             count ≥ 150 × 109/L.

          -  Demonstrate adequate renal, hepatic function (Liver function tests (ALT, AST, alkaline
             phosphatase and total bilirubin)) should be less than 2.5x upper limits of normal
             (ULN). Serum creatinine should be less than 1.7x ULN.

          -  All subjects must agree to use at least one of the following types of contraception:
             intrauterine device, implantable progesterone device, progesterone intramuscular
             injection, or oral contraceptive, which has been started at least one month prior to
             visit one and will continue for the duration of the trial. The contraceptive patch or
             condom use with spermicide are also acceptable forms of contraception as long as they
             will be used continually throughout the duration of the trial.

        Exclusion Criteria:

          -  Subject is <18 or ≥ 75 years of age.

          -  Disease progression has occurred while receiving a taxane regimen.

          -  Subject has undergone radiation therapy within 4 weeks of enrollment.

          -  Subject has undergone bone marrow or stem-cell transplantation.

          -  Subject has a history of prior malignancy other than breast cancer.

          -  Subjects that have used G-CSF within 6 weeks of the screening period are also excluded

          -  Subject has had chemotherapy within 365 days of screening

          -  Subject has documented congestive heart failure, cardiomyopathy or myocardial
             infarction by clinical diagnosis, ECG test, or any other relevant test.

          -  History of alcohol or drug abuse that would interfere with the ability to be compliant
             with the study procedure.

          -  Unwillingness to participate in the study.

          -  Any underlying medical condition that, in the Investigator's opinion, would make the
             administration of study drug hazardous to the patient or that would obscure the
             interpretation of adverse events.

          -  Receiving other investigational drugs or biologics within 1 month or five half lives
             of enrollment.

          -  Any condition, which can cause splenomegaly.

          -  Chronic constipation or diarrhea, irritable bowel syndrome, inflammatory bowel
             disease.

          -  ALT, AST, alkaline phosphatase > 2.5 upper limit of normal.

          -  Patients with active infection, or known to be infected with chronic active Hepatitis
             B within the last 1 year (unless shown at the time of study entry to be Hepatitis B
             antigen negative), or having any history of Hepatitis C.

          -  Women who are pregnant or breast-feeding.

          -  Patients known to be seropositive for HIV, or who have had an AIDS defining illness or
             a known immunodeficiency disorder.

          -  Patients with a history of tuberculosis or exposure to tuberculosis. Patients that
             have received a prior chest X-ray for suspicion of tuberculosis are also excluded
             unless they have been confirmed to be PPD negative or they had latent tuberculosis
             that has been previously treated.

          -  Subjects with Sickle Cell disease

          -  Subjects with known hypersensitivity to E.coli derived proteins' pegfilgrastim'
             filgrastim, or any other component of the study drug.