Evidence map›Paper›PMID 27020170›Full record

Trial reportFuture oncology (London, England)2016

Randomized, double-blind study comparing proposed biosimilar LA-EP2006 with reference pegfilgrastim in breast cancer.

Nadia Harbeck, Oleg Lipatov, Mona Frolova, Dmitry Udovitsa, Eldar Topuzov, Doina Elena Ganea-Motan, Roumen Nakov, Pritibha Singh, Anita Rudy, Kimberly Blackwell

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Future oncology (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01735175 (A Randomized, Double-blind, Parallel-group, Multi-center Phase 3 Comparative Study Investigating Efficacy and Safety of LA-EP2006 and Neulasta® in Breast Cancer Patients Treated With Myelosuppressive Chemotherapy), which is not on this map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
2.4field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01735175 phase3completednot on this map

A Randomized, Double-blind, Parallel-group, Multi-center Phase 3 Comparative Study Investigating Efficacy and Safety of LA-EP2006 and Neulasta® in Breast Cancer Patients Treated With Myelosuppressive Chemotherapy

TypeinterventionalSponsorSandozRan2012 to 2014Enrolled316ConditionsNeutropenic Complications, Breast Neoplasms, Chemotherapy-induced Neutropenia, Chemotherapeutic ToxicityArmsLA-EP2006, Neulasta®
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Comparative Safety Profiles of Oncology Biosimilars: A Systematic Review and Network Meta-analysis.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2023
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  13. Cost-effectiveness analysis of pegfilgrastim in patients with non-small cell lung cancer receiving ramucirumab plus docetaxel in Japan.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
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  14. Article
  15. Pegfilgrastim Biosimilars: Where Are We Now?Journal of the advanced practitioner in oncology · 2021
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  18. Biosimilar Pegfilgrastim: Improving Access and Optimising Practice to Supportive Care that Enables Cure.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2020
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 3 countries.

Nadia HarbeckBreast Center & CCCLMU, University of Munich, Munich, Germany.
Oleg LipatovRepublican Clinical Oncology Dispensary of the Ministry of Public Health of Bashkortostan Republic, Ufa, Russia.
Mona FrolovaRussian Oncology Research Center n.a. N.N. Blochin of RAMS, Moscow, Russia.
Dmitry UdovitsaOncological Dispensary #2 of Healthcare Department of Krasnodar Territory, Krasnodar, Russia.
Eldar TopuzovNorthwest State Medical University n.a. I.I. Mechnikov, St Petersburg, Russia.
Doina Elena Ganea-MotanSpitalul Judetean de Urgenta, Suceava, Romania.
Roumen NakovHexal AG (a Sandoz company), Holzkirchen, Germany.
Pritibha SinghHexal AG (a Sandoz company), Holzkirchen, Germany.
Anita RudyHexal AG (a Sandoz company), Holzkirchen, Germany.
Kimberly BlackwellDuke University, DUMC, NC, USA.
Hexal (Germany) · DEDuke Medical Center · USNorth-Western State Medical University named after I.I. Mechnikov · RUOncological Dispensary No. 2 · RURussian Cancer Research Center NN Blokhin · RU

Funding

Statistical Methods for Cancer Clinical TrialsP01CA142538 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KOSOROK, MICHAEL R · 2010 to 2019
$21.3M
NCI NIH HHS P01 CA142538
6 · The paper itself

Abstract

aimThis randomized, double-blind trial compared proposed biosimilar LA-EP2006 with reference pegfilgrastim in women receiving chemotherapy for breast cancer (PROTECT-1). PATIENTS &

methodsWomen (≥18 years) were randomized to receive LA-EP2006 (n = 159) or reference (n = 157) pegfilgrastim (Neulasta(®), Amgen) for ≤6 cycles of (neo)-adjuvant TAC chemotherapy. Primary end point was duration of severe neutropenia (DSN) during cycle 1 (number of consecutive days with absolute neutrophil count <0.5 × 10(9)/l) with equivalence confirmed if 90% and 95% CIs were within a ±1 day margin.

resultsFor DSN, LA-EP2006 was equivalent to reference (difference: 0.07 days; 90% CI: -0.09-0.23; 95% CI: -0.12-0.26).

conclusionLA-EP2006 and reference pegfilgrastim showed no clinically meaningful differences regarding efficacy and safety in breast cancer patients receiving chemotherapy.

Indexed as

Antineoplastic AgentsBiosimilar PharmaceuticalsBreast NeoplasmsDouble-Blind MethodFemaleFilgrastimGranulocyte Colony-Stimulating FactorHumansMiddle AgedNeutropeniaPolyethylene GlycolsRecombinant ProteinsAntineoplastic AgentsBiosimilar PharmaceuticalsFilgrastimGranulocyte Colony-Stimulating FactorpegfilgrastimPolyethylene GlycolsRecombinant Proteinsbiosimilarsgranulocyte-colony-stimulating factorpegfilgrastim

Identifiers

PMID27020170
PMCPMC5705792
OpenAlexW2331170460

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.