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Balugrastim

Phase 2

Chemotherapy-induced Neutropenia | Monoclonal antibody | Hematology |Teva Pharmaceutical Industries Limited|Last Updated: Apr 3, 2024

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment334
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00837265Balugrastim (Neugranin) in Breast Cancer Participants Receiving Doxorubicin/DocetaxelPHASE2 COMPLETED 334Aug 21, 2008Jun 26, 2009Apr 3, 2024 -
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Study Endpoints
Primary Endpoints
Duration of Severe Neutropenia in Cycle 1
Cycle 1 (cycle length = 21 days)

Severe neutropenia was defined as Grade 4 neutropenia (absolute neutrophil count \[ANC\] \<0.5 x 10\^9/liter \[L\]). The duration of severe neutropenia was calculated by cycle as the number of days from the first day in which the ANC fell below 0.5 x 10\^9/L after beginning a chemotherapy cycle until the participant had an ANC ≥0.5 x 10\^9/L within the cycle.

Secondary Endpoints
Number of Participants With Febrile Neutropenia
Cycles 1 to 4 (each cycle length = 21 days)
Duration of Severe Neutropenia in Cycles 2, 3, and 4
Cycles 2, 3, and 4 (each cycle length = 21 days)
Time to Absolute Neutrophil Count (ANC) Recovery in Cycles 1, 2, 3, and 4
Cycles 1, 2, 3, and 4
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeSUPPORTIVE_CARE
Treatment Arms
ArmTypeDescription
Pilot Phase: Balugrastim Low DoseEXPERIMENTALParticipants will receive balugrastim low dose administered by subcutaneous (SC) injection once per chemotherapy cycle (approximately 24 hours after chemotherapy administration) for up to 4 cycles (each cycle length = 21 days).
Pilot Phase: Balugrastim Medium DoseEXPERIMENTALParticipants will receive balugrastim medium dose administered by SC injection once per chemotherapy cycle (approximately 24 hours after chemotherapy administration) for up to 4 cycles (each cycle length = 21 days).
Pilot Phase: Balugrastim High DoseEXPERIMENTALParticipants will receive balugrastim high dose administered by SC injection once per chemotherapy cycle (approximately 24 hours after chemotherapy administration) for up to 4 cycles (each cycle length = 21 days).
Pilot Phase: PegfilgrastimACTIVE_COMPARATORParticipants will receive pegfilgrastim 6 mg administered by SC injection once per chemotherapy cycle (approximately 24 hours after chemotherapy administration) for up to 4 cycles (each cycle length = 21 days).
Main Phase: Balugrastim Medium DoseEXPERIMENTALParticipants will receive balugrastim medium dose administered by SC injection once per chemotherapy cycle (approximately 24 hours after chemotherapy administration) for up to 4 cycles (each cycle length = 21 days).
Main Phase: Balugrastim High DoseEXPERIMENTALParticipants will receive balugrastim high dose administered by SC injection once per chemotherapy cycle (approximately 24 hours after chemotherapy administration) for up to 4 cycles (each cycle length = 21 days).
Main Phase: PegfilgrastimACTIVE_COMPARATORParticipants will receive pegfilgrastim 6 mg administered by SC injection once per chemotherapy cycle (approximately 24 hours after chemotherapy administration) for up to 4 cycles (each cycle length = 21 days).
Interventions
NameTypeDescription
BalugrastimBIOLOGICALBalugrastim (Recombinant Human Albumin-Human Granulocyte Colony Stimulating Factor) will be administered per dose and schedule specified in the arm description.
PegfilgrastimDRUGPegfilgrastim will be administered per dose and schedule specified in the arm description.
Chemotherapy RegimenDRUGThe chemotherapy regimen consisting of doxorubicin 60 mg/square meter (m\^2) and docetaxel 75 mg/m\^2 will be administered sequentially by intravenous (IV) infusion on Day 1 of treatment for up to four 21-day cycles.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Breast cancer participants scheduled to receive the AT regimen (doxorubicin/ docetaxel). Exclusion Criteria: * Participants may have received no more than 1 prior chemotherapy regimen (including adjuvant therapy if given within the last 12 months).

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