Evidence map›Paper›PMID 33789616›Full record

ArticleBMC cancer2021

Randomized and dose-escalation trials of recombinant human serum albumin /granulocyte colony-stimulating factor in patients with breast cancer receiving anthracycline-containing chemotherapy.

Shanshan Chen, Yiqun Han, Quchang Ouyang, Jianguo Lu, Qingyuan Zhang, Shun'e Yang, Jingfen Wang, Haixin Huang, Hong Liu, Zhimin Shao and 8 more

3 registry-linked trialsOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 39% 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.

NCT02465801 phase2completednot on this map

Efficacy and Safety Phase II Study of Recombinant Human Serum Albumin/Granulocyte Colony-Stimulating Factor Fusion Protein for Injection to Prevent Neutrophilic Granulocytopenia Among Chemotherapy Patients

TypeinterventionalSponsorTianjin SinoBiotech Ltd.Ran2014 to 2016Enrolled216ConditionsChemotherapy-induced NeutropeniaArmsHSA-GCSF 1.2 mg, HSA-GCSF 1.5 mg, GCSF
NCT03246009 phase1completednot on this map

Efficacy and Safety Phase Ib Study of Recombinant Human Serum Albumin/ Granulocyte Colony-Stimulating Factor Fusion Protein for Injection to Prevent Neutrophilic Granulocytopenia Among Chemotherapy Patients

TypeinterventionalSponsorTianjin SinoBiotech Ltd.Ran2016 to 2017Enrolled24ConditionsChemotherapy-induced Neutropenia, Cancer, BreastArmsrHSA/GCSF
NCT03251768 phase2completednot on this map

Efficacy and Safety Phase IIb Study of Recombinant Human Serum Albumin/ Granulocyte Colony-Stimulating Factor Fusion Protein for Injection to Prevent Neutrophilic Granulocytopenia Among Chemotherapy Breast Cancer Patients

TypeinterventionalSponsorTianjin SinoBiotech Ltd.Ran2017 to 2019Enrolled80ConditionsChemotherapy-induced NeutropeniaArmsrHSA-GCSF 2.4mg, GCSF
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
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

18 authors at 15 institutions in 1 country.

Shanshan Chen *Department of Medical Oncology, National Cancer Center/ National Clinical Research Center for Cancer/ Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 17 Panjiayuan Nanli, Chaoyang District, Beijing, 100021, China.
Yiqun Han *Department of Medical Oncology, National Cancer Center/ National Clinical Research Center for Cancer/ Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 17 Panjiayuan Nanli, Chaoyang District, Beijing, 100021, China.
Quchang OuyangDepartment of Breast Cancer Medical Oncology, Hunan Cancer Hospital, Changsha, Hunan, China.
Jianguo LuDepartment of General Surgery, Xi'an Tangdu Hospital, Xi'an, Shanxi, China.
Qingyuan ZhangDepartment of Oncology, Harbin Medical University Cancer Hospital, Harbin, Heilongjiang, China.
Shun'e YangDepartment of Breast Cancer and Lymphoma, The Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China.
Jingfen WangDepartment of Internal Medicine, Linyi Tumor Hospital, Linyi, Shandong, China.
Haixin HuangDepartment of Oncology, The Fourth Affiliated Hospital of Guangxi Medical University, Liuzhou, Guangxi, China.
Hong LiuDepartment of Breast Surgery, National Clinical Research Center for Cancer, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China.
Zhimin ShaoDepartment of Breast Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.
Hui LiDepartment of Breast Surgery, Sichuan Province Tumor Hospital, Chengdu, Sichuan, China.
Zhendong ChenDepartment of Medical Oncology, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Sanyuan SunDepartment of Medical Oncology, Central Hospital of Xuzhou, the Cancer Institute of Southeast University, Xuzhou, Jiangsu, China.
Cuizhi GengFirst Department of Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Junguo LuDepartment of Medical Oncology, Nantong Tumor Hospital, Nantong, Jiangsu, China.
Jianwei SunDepartment of Tumor, Yunnan First People's Hospital, Kunming, Yunnan, China.
Jiayu WangDepartment of Medical Oncology, National Cancer Center/ National Clinical Research Center for Cancer/ Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 17 Panjiayuan Nanli, Chaoyang District, Beijing, 100021, China. wangjiayu8778@sina.com.
Binghe XuDepartment of Medical Oncology, National Cancer Center/ National Clinical Research Center for Cancer/ Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 17 Panjiayuan Nanli, Chaoyang District, Beijing, 100021, China. xubingheBM@163.com.
Chinese Academy of Medical Sciences & Peking Union Medical College · CNLinyi People's Hospital · CNAnhui Medical University · CNFirst People's Hospital of Yunnan Province · CNFourth Affiliated Hospital of Guangxi Medical University · CNFudan University Shanghai Cancer Center · CNHebei Medical University · CNHunan Cancer Hospital · CNNantong Tumor Hospital · CNSichuan Cancer Hospital · CNSoutheast University · CNTang Du Hospital · CNThird Affiliated Hospital of Harbin Medical University · CNTianjin Medical University Cancer Institute and Hospital · CNTumor Hospital of Xinjiang Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the efficacy and safety of recombinant human serum albumin /granulocyte colony-stimulating factor (rHSA/G-CSF) in breast cancer following receipt of cytotoxic agents.

methodsThe phase 1b trial assessed the pharmacokinetics, pharmacodynamics, and safety of dose-escalation, ranging from rHSA/G-CSF 1800 μg, 2100 μg, and 2400 μg. Randomized controlled phase 2b trial was further conducted to ensure the comparative efficacy and safety of rHSA/G-CSF 2400 μg and rhG-CSF 5 μg/kg. In multicenter, randomized, open-label, parallel, phase 2 study, participants treated with anthracycline-containing chemotherapy were assigned in a ratio 1:1:1 to receive double delivery of rHSA/G-CSF 1200 μg, 1500 μg, and continuous rhG-CSF 5 μg/kg.

resultsBetween December 16, 2014, to July 23, 2018, a total of 320 patients were enrolled, including 25 individuals in phase 1b trial, 80 patients in phase 2b trial, and 215 participants in phase 2 study. The mean duration of agranulocytosis during the first chemotherapeutic intermission was observed as 1.14 ± 1.35 days in rHSA/G-CSF 1500 μg, which was comparable with that of 1.07 ± 0.97 days obtained in rhG-CSF control (P = 0.71). Safety profiles were assessed to be acceptable ranging from rHSA/G-CSF 1800 μg to 2400 μg, while the double delivery of HSA/G-CSF 2400 μg failed to meet the noninferiority in comparison with rhG-CSF.

conclusionThe prospective randomized controlled trials demonstrated that rHSA/G-CSF was efficacious and well-tolerated with an approachable frequency and expense of application for prophylactic management of agranulocytosis. The double delivery of rHSA/G-CSF 1500 μg in comparisons with paralleling G-CSF preparations is warranted in the phase 3 trial.

trial registrationClinicalTrials.gov identifiers: NCT02465801 (11/17/2014), NCT03246009 (08/08/2017), NCT03251768 (08/07/2017).

Indexed as

AnthracyclinesBreast NeoplasmsFemaleGranulocyte Colony-Stimulating FactorHumansMiddle AgedRandomized Controlled Trials as TopicSerum AlbuminAnthracyclinesGranulocyte Colony-Stimulating FactorSerum AlbuminBreast cancerChemotherapyClinical trialsNeutropeniarhG-CSFrHSA/G-CSF

Identifiers

PMID33789616
PMCPMC8010964
OpenAlexW3143470973

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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.