Breast Cancer Clinical Trial
Official title:
Evaluation of the Efficacy of Adding Daily G-CSF (Granulocyte Colony Stimulating Factor) for Prevention of Hematologic Toxicity Due to Neoadjuvant or Adjvuant Chemotherapy in Breast Cancer
RATIONALE: G-CSF may prevent or reduce febrile neutropenia in women receiving chemotherapy
for breast cancer. It is not yet known which G-CSF regimen is more effective in preventing
neutropenia.
PURPOSE: This phase II trial is studying how well G-CSF works in preventing neutropenia in
women receiving chemotherapy for breast cancer.
OBJECTIVES:
Primary
- Evaluate the efficacy of filgrastim (G-CSF) in preventing hematological toxicity in
women with breast cancer receiving neoadjuvant or adjuvant chemotherapy.
Secondary
- Compare actual vs theoretical dose intensity.
OUTLINE: This is a multicenter study. Patients are stratified according to age (< 65 years
vs ≥ 65 years) and prior chemotherapy (adjuvant vs neoadjuvant). Patients are assigned to 1
of 2 groups.
- Group 1: Patients receive filgrastim (G-CSF) subcutaneously (SC) once daily on days
6-11 of each course of chemotherapy as primary prophylaxis. Chemotherapy courses repeat
every three weeks for 3-6 courses.
- Group 2: Patients receive G-CSF SC once daily on days 6-11 of each course of
chemotherapy as primary prophylaxis. Chemotherapy courses repeat every three weeks for
3-6 courses. Patients may also receive secondary prophylaxis with G-CSF if they
experience an episode of neutropenia.
;
Allocation: Non-Randomized, Primary Purpose: Supportive Care
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