Home Administration of NivestimTM in the Primary Prophylaxis of Chemotherapy-Induced Febrile Neutropenia

Study Overview
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Brief Summary
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Non-interventional, non-comparative, national, multi-site, single-arm prospective observational study to investigate home administration of Nivestim in the primary prophylaxis of chemotherapy-Induced febrile neutropenia

Official Title
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Home Administration Of Nivestim(tm) In The Primary Prophylaxis Of Chemotherapy- Induced Febrile Neutropenia Non-interventional, Observational, Prospective Study Short Name: Home Short Name: Home

Conditions
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Non-Interventional Study

Intervention / Treatment
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* Other: Overall satisfaction questionnaires of home use of Nivestim


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male and female patients ≥ 18 years Declaration of informed consent signed by patient Patients with a solid tumour or with a malignant haematological tumour Patients who have been prescribed cytotoxic chemotherapy, irrespective of current cycle GCSF-naïve patients or patients pre-treated with GCSF who received no GCSF in the last three months before enrolment Patients starting primary prophylactic treatment using NivestimTM either to shorten the duration of a neutropenia or to prevent the occurrence of chemotherapy-induced FN Exclusion Criteria: Patients with chronic myeloid leukaemia (CML) or with myelodysplastic syndrome (MDS) Patients who are hypersensitive to one of the excipients of NivestimTM Patients not undergoing chemotherapy Patients being treated curatively or as secondary prophylaxis with G-CSF

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Patients receiving Nivestim<br> | Other: Overall satisfaction questionnaires of home use of Nivestim<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Percentage of Participants With Any Significant Comorbidities | Comorbidities included ongoing cardiovascular diseases, liver failure, psychological disorders, respiratory disease, viral infections and other infections (respiratory tract, systemic, uro-genital). Percentage of participants with any ongoing comorbidities were reported in this outcome measure. | Baseline (Day 1) | 
| Percentage of Participants With Different Types of Haematological Malignancies | Different types of Haematological malignancies included Hodgkin's lymphoma, leukemia (chronic lymphocytic leukemia), non-Hodgkin's lymphoma and other stem cell transformations. Percentage of participants with different type of ongoing haematological malignancies were reported in this outcome measure. | Baseline (Day 1) | 
| Percentage of Participants With Different Types of Solid Tumour | Different types of solid tumour included tumour of a) Digestive organs such as colon, oesophagus, pancreas, stomach tumour b) Gynaecological organs such as breast, endometrium, ovaries tumour c) Lung organs such as non-small cell lung cancer and small cell lung cancer d) Urological organs such as bladder, prostate gland, testicles tumour e) other organ tumours. Percentage of participants with different types of ongoing solid tumour were reported in this outcome measure. | Baseline (Day 1) | 
| Duration of Solid Tumour in Participants Prior to Enrolment in Study | Time from diagnosis of any previous solid tumour in participants up to the enrolment in the study was recorded at baseline and reported in this outcome measure. | Baseline (Day 1) | 
| Number of Participants Who Received Chemotherapy Prior to Enrolment in Study |  | Baseline (Day 1) | 
| Duration of Different Types of Chemotherapies Received by Participants During Study |  | Baseline up to 6 months | 
| Percentage of Participants With Response to Study Treatment |  | Baseline up to 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Participants' Overall Satisfaction Scores in Response to the Study Treatment | Participants rated the overall satisfaction with Nivestim as part of a questionnaire. The participants were asked to complete the questionnaire at three time points (any 3 time points during the study duration of 6 months). The data from all the three time points was summarized and reported collectively in this outcome measure. The satisfaction was rated on a scale ranging from 1 (minimum score) to 6 (maximum score), where higher scores indicated dissatisfaction with the treatment. For this outcome measure, the within-participant average scores are summarized. | Baseline up to 6 months | 
| Participant's Assessment for Nivestim Packaging | Participants evaluated the packaging of Nivestim as part of a questionnaire. The packaging was rated under the 2 available categories as either easy or complicated. The participants were asked to complete the questionnaire at three time points (any 3 time points during the study duration of 6 months). The data from all the three time points was summarized and reported collectively in this outcome measure. For this outcome measure, the total number of participants in each answer category at at least one of the time points is displayed, that is participants who provided different ratings at the individual time points are included in more than one answer category in this summary. | Baseline up to 6 months | 
| Participant's Assessment of Injection Site Pain and Tolerability | Participants evaluated the injection site pain and the injection site tolerability of the treatment as part of a questionnaire. The injection site pain was rated under the 5 available categories as: Did not feel anything, did not feel much, light stitch, painful and very painful. Injection site tolerability was also rated under the 5 available categories as: Very good, good, satisfactory, did not tolerate well, did not tolerate at all.The participants were asked to complete the questionnaire at three time points (any 3 time points during the study duration of 6 months). The data from all the three time points was summarized and reported collectively in this outcome measure. For both the injection site pain and tolerability, the total number of participants in each answer category at at least one of the time points is displayed, that is participants who provided different ratings at the individual time points are included in more than one answer category for each of them. | Baseline up to 6 months | 
| Participant's Assessment of Overall Tolerability of Subcutaneous Injection | Participants evaluated the overall tolerability of subcutaneous injection of treatment as part of a questionnaire. The tolerability was rated under the 5 categories as: Very good, good, satisfactory, did not tolerate well, did not tolerate at all. The participants were asked to complete the questionnaire at three time points (any 3 time points during the study duration of 6 months). The data from all the three time points was summarized and reported collectively in this outcome measure. For this outcome measure, the total number of participants in each answer category at at least one of the time points is displayed, that is participants who provided different ratings at the individual time points are included in more than one answer category in this summary. | Baseline up to 6 months | 
| Percentage of Participants With Neutropenia | Percentage of participants with absolute neutrophil count (greater than)>0.5*10^9 Neutrophils per Liter were reported in this outcome measure. | Baseline up to 6 months | 
| Percentage of Participants With at Least One Infection and Serious Infection | Infections included bronchitis, upper respiratory tract infection, cystitis, herpes virus infection, influenza, lung infection, oral candidiasis, skin infection and vulvovaginal mycotic infection. Serious Infections included serious adverse events resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. | Baseline up to 6 months | 
| Change From Baseline in Absolute Neutrophil Count at Cycle 1, 2, 3, 4, 5 and 6 |  | Baseline, Cycle 1, 2, 3, 4, 5, 6 | 
| Minimum Value of Absolute Neutrophil Count |  | Cycle 1, 2, 3, 4, 5, 6 | 
| Absolute Neutrophil Count at the Last Visit During Each Treatment Cycle |  | End of study visit of Cycle 1, 2, 3, 4, 5, 6 (maximum up to Month 6) | 
| Difference Between Minimum Value of Absolute Neutrophil Count and Absolute Neutrophil Count |  | Cycle 1, 2, 3, 4, 5, 6 | 
| Duration From Minimum Value of Absolute Neutrophil Count to the Absolute Neutrophil Count |  | Cycle 1, 2, 3, 4, 5, 6 | 
| Percentage of Participants With Febrile Neutropenia | Grade 3/4 febrile neutropenia is defined as a temperature of greater than or equal to (>=) 38.0 degree Celsius and absolute neutrophil count of less than (<) 1.0 × 10^9 Neutrophils per Liter. | Baseline up to 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Non-Interventional Study