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Neugranin

Phase 3

Chemotherapy-induced Neutropenia | Monoclonal antibody | Hematology |Teva Pharmaceutical Industries Limited|Last Updated: Mar 28, 2023

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
RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment381
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01126190Neugranin in Breast Cancer Participants Receiving Doxorubicin/DocetaxelPHASE3 COMPLETED 381Jun 30, 2010Feb 29, 2012Mar 28, 202359 Bulgaria, Romania +3
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Study Endpoints
Primary Endpoints
Double-Blind Phase: 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.

Open-Label Phase: Duration of Severe Neutropenia in Cycle 1
Cycle 1 (cycle length = 21 days)

Severe neutropenia was defined as Grade 4 neutropenia (ANC \<0.5 x 10\^9/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. There was no planned statistical analysis for the open-label phase arm.

Secondary Endpoints
Double-Blind Phase: Number of Participants With Febrile Neutropenia
Cycles 1-4 (each cycle = 21 days)
Open-Label Phase: Number of Participants With Febrile Neutropenia
Cycles 1-4 (each cycle = 21 days)
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeSUPPORTIVE_CARE
Treatment Arms
ArmTypeDescription
Double-Blind Phase: PegfilgrastimACTIVE_COMPARATORParticipants will receive pegfilgrastim 6 milligrams (mg), 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). The chemotherapy regimen consists of doxorubicin 60 mg/square meter (m\^2) and docetaxel 75 mg/m\^2 administered sequentially by intravenous (IV) infusion on Day 1 of treatment for up to four 21-day cycles.
Double-Blind Phase: Neugranin 40 mgEXPERIMENTALParticipants will receive neugranin 40 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). The chemotherapy regimen consists of doxorubicin 60 mg/m\^2 and docetaxel 75 mg/m\^2 administered sequentially by IV infusion on Day 1 of treatment for up to four 21-day cycles.
Open-Label Phase: Neugranin 40 mgEXPERIMENTALParticipants will receive neugranin 40 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). The chemotherapy regimen consists of doxorubicin 60 mg/m\^2 and docetaxel 75 mg/m\^2 administered sequentially by IV infusion on Day 1 of treatment for up to four 21-day cycles.
Interventions
NameTypeDescription
NeugraninBIOLOGICALNeugranin will be administered per dose and schedule specified in the arm description.
PegfilgrastimBIOLOGICALPegfilgrastim will be administered per dose and schedule specified in the arm description.
ChemotherapyDRUGThe chemotherapy regimen for this trial consists of doxorubicin 60 mg/m\^2 and docetaxel 75 mg/m\^2 in combination
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites59

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)

Countries:BulgariaRomaniaRussiaSerbiaUkraine
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