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CTRI Number  CTRI/2010/091/000109 [Registered on: 03/08/2010]
Last Modified On: 07/04/2011
Post Graduate Thesis   
Type of Trial   
Type of Study    
Study Design  Other 
Public Title of Study   A post marketing surveillance trial to study the safety and efficacy of two drugs, Neupeg and Neulastim in female patients with advanced breast cancer 
Scientific Title of Study   "A Prospective, Comparative, Randomized, Multicenteric, Open label Post Marketing Surveillance study to compare the Safety and efficacy of once-per-cycle Peg Filgrastim (6 mg/0.6 ml) of Intas Biopharmaceuticals Ltd. to NEULASTIM of ROCHE in support of AT chemotherapy in females patients with Advanced (Stage III and IV) breast cancer" 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
IBPL_PF_01  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Vimal Sanghavi  
Designation   
Affiliation   
Address  Oncology Services India Ltd
S G Highway
Ahmadabad
GUJARAT
380015
India 
Phone  07966074100   
Fax  07966074101   
Email  communication@os-india.com   
 
Details of Contact Person
Scientific Query
 
Name  Dr Vimal Sanghavi  
Designation   
Affiliation   
Address  Oncology Services India Ltd
S G Highway
Ahmadabad
GUJARAT
380015
India 
Phone  07966074100   
Fax  07966074101   
Email  communication@os-india.com   
 
Details of Contact Person
Public Query
 
Name  Dr Vimal Sanghavi  
Designation   
Affiliation   
Address  Oncology Services India Ltd
S G Highway
Ahmadabad
GUJARAT
380015
India 
Phone  07966074100   
Fax  07966074101   
Email  communication@os-india.com   
 
Source of Monetary or Material Support  
Intas Biopharmaceuticals Limited 
 
Primary Sponsor  
Name  Intas Biopharmaceuticals Limited  
Address   
Type of Sponsor   
 
Details of Secondary Sponsor  
Name  Address 
NIL   
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 9  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr. Tanveer M Maksud  Bharat Cancer Hospital & Research Institute  Surat-bardoli Road,Saroli-394 211
Surat
GUJARAT 
+91 261 2641000
+91 261 2641005
tanveermaksud@yahoo.com 
Dr. Smita Gupte  Cancer Clinic  208,Shreevardhan Complex,,Ramdaspeth,Wardha Road,-440012
Nagpur
MAHARASHTRA 
+91 712 2444729

smita_gupte@rediffmail.com 
Dr. Ajay Mehta  Central India Cancer Research Institute  11,Shankar Nagar,,West High Court Road,-440 010
Nagpur
MAHARASHTRA 
+91 712 2520956
+91 712 2523404
ajayonco@hotmail.com 
Dr. C. Haritha  M.S.Patel Cancer Centre  Shree Krishna Hospital,Gokalnagar-388325

 
+91 2692 222130
+91 2692 223466
chiramanah@charutarhealth.org 
Dr. Rajesh Makadia  Mangalam Hospital  Opp. Prasang Hall, ,Near KKV Hall, 150 ft ring road-360005
Rajkot
GUJARAT 
+91-9824255668

makadiamonali@yahoo.co.in 
Dr. Ashish Kaushal  Medisurge Hospital  Mithakhali Six Roads,,Ellis Bridge-380 006
Ahmadabad
GUJARAT 
91 79 4001 0101
+91 79 4001 0103
drashish4@yahoo.co.in 
Dr. Babita Hapani  Private Clinic  4th 404,405, Hem Arcade, Vivekanand chawk, , Dr. Yagnik Road, Opp. Swami Vivekanand Statue-360002

 
+91-9825074345

babitahapani@hotmail.com 
Dr.Preety Jain  Private Clinic  16/2,K.E.H. Compound,,Opp. Agrawal Dharmshala,M.Y.H.Road,-
Indore
MADHYA PRADESH 


jainpreety2005@yahoo.com 
Dr. Pradeep Shah  Shreyas Medical Clinic  2,Premal Appartment,Nr.GPO,Raopura,-390 001
Vadodara
GUJARAT 
+91 265 2425083

pradeeprshah@msn.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 9  
Name of Committee  Approval Status 
HCG Medisurge Ethics Committee  Approved 
Human Research Ethics Committee-Dr. C Haritha  Approved 
Independent Ethics Committee-ADITYA For Dr. Ajay Mehta  Approved 
Independent Ethics Committee-ADITYA For Dr. Babita Hapani  Approved 
Independent Ethics Committee-ADITYA For Dr. Pradeep Shah  Approved 
Independent Ethics Committee-ADITYA For Dr. Preety Jain  Approved 
Independent Ethics Committee-ADITYA For Dr. Rajesh Makadia  Approved 
Independent Ethics Committee-ADITYA For Dr. Smita Gupte  Approved 
Independent Ethics Committee-ADITYA for Dr. Tanveer Maksud  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Advanced(Stage III & IV) Breast Cancer,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Neulastim  6mg/0.6ml 
Intervention  Peg Filgrastim  6mg/0.6ml 
 
Inclusion Criteria  
Age From   
Age To   
Gender   
Details  1.Female Patients aged 18 years and above suffering from advanced (Stage III and IV) Breast Cancer eligible for receiving AT (Docetaxel- 75 mg/m2, Doxorubicin- 50 mg/m2) chemotherapy. 2.GCSF and Peg- GCSF naive patients 3.ANC > 1,500/uL 4.Hemoglobin > 9 g/dL 5.Platelets > 100,000/ul 6.Patients with serum creatinine &#8804; 1.5 mg/dL 7.AST/ALT < 1.5 x ULN, alkaline phosphatase &#8804; 2.5 x ULN, Bilirubin &#8804; 2 x ULN 8.Patients able to understand and voluntarily provide written informed consent before screening, following an explanation of the nature and purpose of this study 9.Patients able to adhere to the study visit schedule and other protocol requirements 10.Completion of previous chemotherapy more than 4 weeks before randomization  
 
ExclusionCriteria 
Details  1.History of prior malignancy with myeloid characteristics (e.g., myelodysplastic syndromes, acute or chronic myelogenous leukemia?s) or Any premalignant myeloid condition other than breast cancer with the exception of curatively treated basal cell or squamous cell carcinoma of the skin, in situ cervical carcinoma, or other surgically cured malignancy ? 2.Documented active infection at the time of enrolment requiring use of systemic anti- infective or use of any anti infective &#8804; 72 hours before the study drug administration. 3.Documented positive test for human immunodeficiency virus (HIV) infection ? known hypersensitivity to E coli derived products [e.g., Filgrastim pegfilgrastim HUMULIN® Insulin, L-1Asparaginase, HUMATROPE® Growth Hormone, INTRON A®] 4.Subject is currently enrolled in or 4 weeks have not passed since completing other device or drug trial(s) or is receiving other investigational agent(s) other than placebo (confirmation of prior treatment must be documented) 5.Pregnant or breast-feeding (for subjects of child bearing potential) patients or patients not using adequate contraception (for subjects of child bearing potential) 6.Previous participation in this study - Inability or unwillingness to comply with the protocol procedures 7.Had undergone prior radiation therapy within 4 weeks of randomization into this study (with the exception of spot radiation for bone metastases), 8.Prior bone marrow or stem-cell transplantation, or Prior total cumulative lifetime exposure to doxorubicin more than 240 mg/m2 or epirubicin more than 600 mg/m2. 9.Clinically symptomatic brain metastasis  
 
Method of Generating Random Sequence   Permuted block randomization, fixed 
Method of Concealment   Centralized 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
The primary efficacy endpoint will be   Duration of severe Neutropenia (defined as ANC < 0.5 × 109/L)  
 
Secondary Outcome  
Outcome  TimePoints 
Secondary efficacy endpoints   ?Depth of ANC count(nadir) in each cycles as compared to baseline ?Incidence of Febrile Neutropenia ? (Defined as a rise in axillary temperature to >38.5 °C for a duration of more than 1 hour while having an absolute neutrophil count < 0.5 × 109 /l) ?Incidence of severe Neutropenia(defined as ANC < 0.5 × 109/L) ?Time to ANC recovery ?Use of Antibiotics for the treatment of Febrile Neutropenia  
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   Date Missing 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  26/07/2010 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)   
Publication Details    
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   ?A Prospective, Comparative, Randomized, Multicenteric, Open label Post Marketing Surveillance study to compare the Safety and efficacy of once-per-cycle Peg Filgrastim (6 mg/0.6 ml) of Intas Biopharmaceuticals Ltd. to NEULASTIM of ROCHE in support of AT chemotherapy in females patients with Advanced (Stage III and IV) breast cancer?  
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