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NCT06143735 | NOT YET RECRUITING | Non Small Cell Lung Cancer

A Study of Efbemalenograstim Alfa Injection for Stage IIIB or IV NSCLC Recieving Moderate-risk Febrile Neutropenia (FN) Chemotherapy Regimen With Risk Factors
Sponsor:

Tianjin Medical University Cancer Institute and Hospital

Brief Summary:

The aim of this study was to observe the efficacy and safety of Efbemalenograstim Alfa in the prevention of absolute neutrophil count (ANC) reduction after chemotherapy in NSCLC patients at risk of platinum-containing chemotherapy with risk factors in febrile neutropenia (FN)

Condition or disease

Non Small Cell Lung Cancer

Intervention/treatment

Efgbemalenograstim alfa

Phase

PHASE2

Study Type : INTERVENTIONAL
Estimated Enrollment : 99 participants
Masking : NONE
Primary Purpose : TREATMENT
Official Title : A Randomized, Multicenter, Exploratory Clinical Study for The Primary And Secondary Prevention of Febrile Neutropenia (FN) With Efbemalenograstim Alfa in Patients With Non-small Cell Lung Cancer (NSCLC) at Moderate Risk Undergoing Chemotherapy Regimens With Associated Risk Factors
Actual Study Start Date : 2023-12-31
Estimated Primary Completion Date : 2024-12-31
Estimated Study Completion Date : 2026-06-30

Information not available for Arms and Intervention/treatment

Ages Eligible for Study: 18 Years to 85 Years
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers:
Criteria
Inclusion Criteria
  • 1. Participants voluntarily join this study, sign an informed consent form, exhibit good compliance, and cooperate with follow-up.
  • 2. At the time of signing the informed consent form, participants must be ≥ 18 years old, with no gender restrictions.
  • 3. Stage IIIB-IV NSCLC with negative driver mutations, who have not received chemotherapy or radiotherapy previously.
  • 4. Planned to undergo platinum-based (carboplatin/cisplatin) combined with taxane-based (paclitaxel/albumin-bound paclitaxel/liposomal paclitaxel/paclitaxel polymer micelles) chemotherapy regimen (may be combined with immunotherapy or anti-angiogenic therapy).
  • 5. Have other risk factors related to febrile neutropenia (FN), including but not limited to age ≥65 years, poor nutritional/physical condition (i.e., ECOG score ≥2), etc.
  • 6. Expected survival of at least 12 weeks.
  • 7. Normal function of major organs, meeting the following criteria
    • * Complete blood count criteria (no blood transfusion in the past 14 days, no use of G-CSF or other hematopoietic growth factors for correction):
    • * Hemoglobin (Hb) ≥ 90g/L
    • * Absolute neutrophil count (ANC) ≥ 2.0×10\^9/L
    • * Platelets (PLT) ≥ 80×10\^9/L
    • * Biochemical criteria:
    • * Total bilirubin (TBIL) ≤ 1.5 times the upper limit of normal (ULN)
    • * Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 2.5 ULN
    • * Serum creatinine (Cr) ≤ 1.5 ULN or creatinine clearance rate (CrCl) ≥ 50 ml/min
    • 8. Women of childbearing potential must have implemented reliable contraceptive measures or undergone a serum pregnancy test within 7 days before enrollment, with a negative result.
    • 9. Male and female participants of childbearing age must agree to use reliable contraceptive methods from before entering the trial, throughout the study, and for 8 weeks after discontinuation.
    Exclusion Criteria
    • 1. Previously received chemotherapy or radiotherapy, including but not limited to neoadjuvant chemoradiotherapy and/or adjuvant chemoradiotherapy.
    • 2. Underwent bone marrow transplantation or stem cell transplantation.
    • 3. Concurrently diagnosed with malignancies other than NSCLC.
    • 4. Active central nervous system metastasis and/or carcinomatous meningitis, except for asymptomatic brain metastasis subjects (i.e., no progressive central nervous system symptoms caused by brain metastases, no need for corticosteroids, and lesion size ≤1.5 cm) are allowed.
    • 5. Diagnosed with acute congestive heart failure, cardiomyopathy, or myocardial infarction by clinical, electrocardiogram, or other means.
    • 6. Has a disease that may cause splenomegaly.
    • 7. Associated with malignant hematological disorders.
    • 8. Previously experienced sustained Grade ≥3 neutropenia (ANC \<1.0×10\^9/L) or febrile neutropenia lasting 3 days or more.
    • 9. Underwent surgical procedures within the past 4 weeks and/or has an open wound.
    • 10. Tumor involvement in the bone marrow.
    • 11. Diagnosed with acute infections, chronic active hepatitis B within the past year (unless known negative for hepatitis B virus antigen before selection), or hepatitis C.
    • 12. Pregnant or lactating women.
    • 13. Known positive serum response to human immunodeficiency virus (HIV) or diagnosed with AIDS.
    • 14. Active tuberculosis or recent history of contact with a tuberculosis patient unless tuberculin test is negative; or receiving treatment for tuberculosis; or suspected cases on chest X-ray.
    • 15. Sickle cell anemia.
    • 16. Known allergy to granulocyte colony-stimulating factors or drug excipients.
    • 17. Rubber allergy.
    • 18. Use of other investigational drugs within the past month before enrollment.
    • 19. The investigator believes the participant has a disease or symptoms that make them unsuitable for participation in this study, and the investigational drug may harm the participant's health or affect the judgment of adverse events.
A Study of Efbemalenograstim Alfa Injection for Stage IIIB or IV NSCLC Recieving Moderate-risk Febrile Neutropenia (FN) Chemotherapy Regimen With Risk Factors

Location Details

NCT06143735

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How to Participate

Want to participate in this study, select a site at your convenience, send yourself email to get contact details and prescreening steps.

Locations

Not yet recruiting

China, Henan

Henan Provincial People's Hospital

Zhengzhou, Henan, China,

Not yet recruiting

China, Hubei

Hubei Cancer Hospital

Wuhan, Hubei, China,

Not yet recruiting

China, Inner Mongolia

The Affiliated Hospital of Inner Mongolia Medical University

Hohhot, Inner Mongolia, China,

Not yet recruiting

China, Liaoning

Shengjing Hospital of China Medical University

Shenyang, Liaoning, China,

Not yet recruiting

China, Shaanxi

the First Affiliated Hospital of Xi'an Jiaotong University

XI'an, Shaanxi, China,

Not yet recruiting

China, Shandong

Shandong Cancer Hospital & Institute

Women, Shandong, China,

Not yet recruiting

China, Sichuan

Sichuan Cancer Hospital

Chengdu, Sichuan, China,

Not yet recruiting

China, Sichuan

Sichuan Provincial People's Hospital

Chengdu, Sichuan, China,

Not yet recruiting

China, Zhejiang

Ningbo No.2 Hospital

Ningbo, Zhejiang, China,

Not yet recruiting

China,

Tianjin Medical University Cancer Institute and Hospital

Tianjin, China,