Literature DB >> 25966769

NADIR: A Non-Interventional Study on the Prophylaxis of Chemotherapy-Induced Neutropenia Using Lipegfilgrastim - First Interim Analysis.

Christian M Kurbacher1, Thomas Fietz, Ingo J Diel, Matthias Egert, Hans-Jürgen Hurtz, Andreas Lück, Rudolf Weide, Christoph Salat, Thomas Wolff, Matthias Zaiss, Peter Klare, Christoph Losem, Thomas Illmer, Georg Weißenborn, Claus-Christoph Steffens, Matthias Schulze, Hans Tesch, Gülten Oskay-Oezcelik, Beate Teichmann, Johanna Harde, Robert Willy Scheuerlein.   

Abstract

BACKGROUND: The non-interventional study (NIS) NADIR was designed to assess the effectiveness and safety of lipegfilgrastim, a novel glycopegylated granulocyte-colony stimulating factor, in reducing the risk of both febrile and severe neutropenia.
METHODS: Here, the interim analysis of NIS Nadir performed under real-world conditions at 80 oncology practices across Germany is reported. For a patient to be included, lipegfilgrastim at a subcutaneous single dose of 6 mg had to be administered during at least 1 cycle of the chemotherapy under consideration.
RESULTS: The interim analysis included 224 patients. Median patient age was 61.1 years (interquartile range 51.2-70.2 years). Main tumor type was breast cancer followed by lung cancer, and non-Hodgkin's lymphoma (46.0, 13.4, and 10.7%, respectively). When lipegfilgrastim was given as primary prophylaxis, no patient developed febrile neutropenia (FN). 1.3% of patients developed FN when primary prophylaxis was withheld. Only 68.6% of patients undergoing chemotherapy and at high risk (> 20%) of developing FN were treated with lipegfilgrastim during the first cycle, exposing disparity between real-world practices and current treatment guidelines. Lipegfilgrastim was well tolerated. The only grade 3/4 treatment-related adverse event was anemia in 1 patient.
CONCLUSION: Lipegfilgrastim was effective and safe when administered for the prevention of chemotherapy-induced neutropenia under real-world conditions.
© 2015 S. Karger GmbH, Freiburg.

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Year:  2015        PMID: 25966769     DOI: 10.1159/000381631

Source DB:  PubMed          Journal:  Oncol Res Treat        ISSN: 2296-5270            Impact factor:   2.825


  4 in total

1.  A comparative assessment of neutropenia events, healthcare resource use, and costs among cancer patients treated with lipegfilgrastim compared with pegfilgrastim in Germany.

Authors:  Hartmut Link; Stephen F Thompson; Marc Tian; Jennifer S Haas; Dominic Meise; Christopher Maas; Stamen Dimitrov
Journal:  Support Care Cancer       Date:  2022-09-08       Impact factor: 3.359

2.  Protroca: A Noninterventional Study on Prophylactic Lipegfilgrastim against Chemotherapy-Induced Neutropenia in Nonselected Breast Cancer Patients.

Authors:  Rachel Wuerstlein; Nadia Harbeck; Eva-Maria Grischke; Dirk Forstmeyer; Raquel von Schumann; Petra Krabisch; Kerstin Lüdtke-Heckenkamp; Andrea Stefek; Oliver Stoetzer; Andrea Grafe; Gabriele Kaltenecker; Helmut Forstbauer; Doris Augustin; Iris Schrader; Joke Tio; Ulrike Nitz; Oleg Gluz; Ronald E Kates; Monika Karla Graeser
Journal:  Breast Care (Basel)       Date:  2020-04-06       Impact factor: 2.860

Review 3.  Lipegfilgrastim in the management of chemotherapy-induced neutropenia of cancer patients.

Authors:  Roberto Guariglia; Maria Carmen Martorelli; Rosa Lerose; Donatella Telesca; Maria Rita Milella; Pellegrino Musto
Journal:  Biologics       Date:  2016-01-22

4.  Prophylaxis of neutropenia with mecapegfilgrastim in patients with non-myeloid malignancies: a real-world study.

Authors:  Jun Ma; Huiqiang Huang; Peifen Fu; Nong Xu; Chenyu Mao; Gang Cheng; Haijiao Yan; Yongqing Li; Yanxia Shi; Yongsheng Wang; Yumin Yao; Liang Chen; Yong Chen; Ningling Zhang; Guifang Zhang; Zhangxia Ren; Zengjun Li; Lihua Song; Ruihua Xu; Shukui Qin
Journal:  Ann Transl Med       Date:  2021-05
  4 in total

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