Immunogenicity Assessment of Peg-filgrastim vs. Neulasta® as Adjunct to Chemotherapy in Patients With Breast Cancer
Condition: Breast Cancer
MeSH terms: Breast Neoplasms
Intervention: Lupin's Pegfilgrastim; Neulasta®
Intervention description: Administration of Pegfilgrastim; Administration of Neulasta®
Phase: Phase 4
Study type: Interventional
Primary purpose: Treatment
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Enrollment: 138.0
Sex: Female
Minimum age: 18 Years
Healthy volunteers: No
Keywords: Breast Carcinoma; Breast neoplasms; Breast Tumors; Cancer of Breast; Anti-Drug Antibodies (ADA); Immunogenicity

Summary:

      The purpose of this study is to compare the immunogenicity of Peg-filgrastim versus Neulasta®
      as an adjunct to chemotherapy in patients with breast cancer
    

Eligibility criteria:

        Inclusion Criteria:

          1. Patients must be able and willing to give written informed consent prior to any study
             related procedures

          2. Ambulatory, female patients with an age ≥ 18 years

          3. Patients with histologically or cytologically proven diagnosis of breast cancer who
             are eligible for neoadjuvant or adjuvant chemotherapy.

          4. Patients who are planned and eligible to receive/ receiving myelosuppressive
             chemotherapy regimen that contains at least one chemotherapeutic agent from docetaxel/
             paclitaxel / doxorubicin/ cyclophosphamide/ epirubicin

          5. Patients who have not received any hematopoietic growth factors (e.g. G-CSF, PegGCSF,
             erythropoietin) or cytokines (e.g. interleukins, interferons) anytime in the past

          6. Patients with baseline WBC ≥ LLN/ 3.5 x 109/L, ANC of ≥ 1.5 x 109/L, platelet count ≥
             100 x 109/L and hemoglobin ≥ 8.5 g/dL

          7. Patients with ECOG Performance status of ≤ 2

          8. Patient who have estimated life expectancy of more than six months

          9. No evidences of hemorrhage

        Exclusion Criteria:

        1 Male patients

        2. Hypersensitivity to any of the study drugs or its components like E.coli proteins or
        similar product

        3. Patients weighing <45 Kg

        4. Patients with myeloid malignancies and myelodysplasia or evidence of metastatic disease
        in bone marrow or brain

        5. Patients currently receiving radiation therapy or have completed radiation therapy
        within 4 weeks before study entry or likely to receive radiotherapy during the study

        6. Patients with prior bone marrow or stem cell transplantation

        7. Patients with chronic use of oral corticosteroids (Except ≤ 20 mg/day dose of
        prednisolone/ equivalent steroids), immunotherapy, monoclonal antibody therapy and/or
        biological therapy or use of any other pegylated drug.

        8. Patients with history of systemic antibiotic use within 72 hours prior to chemotherapy

        9. Patients with any active infection which may require systemic antimicrobial therapy.
        Patients with inadequate hepatic and renal function [defined as Alkaline Phosphatase > 2.5
        X Upper limits of normal (ULN), serum SGOT > 2.5 X ULN, SGPT > 2.5 X ULN, Total bilirubin >
        1.5 X ULN and Creatinine > 1.5 X ULN of the reference range at the screening assessment]

        10. Patients with seropositivity for HIV or HBV or HCV

        11. Known cases of Sickle Cell Anemia

        12. Patients with radiographic evidence of active pulmonary infections and/or recent
        history of pneumonia within 1 month of screening

        13. Patients with clinically evident splenomegaly confirmed subsequently by ultrasonography

        14. Patients with any other clinically significant disease(s) which, in the opinion of the
        investigator, could compromise the patient's involvement in the study or overall
        interpretation of the data. [for e.g. uncontrolled hematologic, renal, hepatic, endocrine,
        neurologic, psychiatric, metabolic, pulmonary, cardiovascular disease/impaired functioning
        or history of any autoimmune disease]

        15. Patients who have participated in another therapeutic clinical study within the past 30
        days prior to screening, or are likely to simultaneously participate in another therapeutic
        clinical study

        16. Patients who are doubtful to comply with study procedures for mental, psychological or
        social reasons.

        17. Women of child-bearing potential who are not willing to follow a reliable & effective
        contraceptive measure during the course of the study & at least 3 months after the last
        dose of study drug.

        18. Pregnant and Breast feeding women.