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Label indication GRANIX is indicated to reduce the duration of severe neutropenia in adult and pediatric patients 1 month and older with non-myeloid malignancies receiving myelosuppressive anticancer drugs associated with a clinically significant incidence of febrile neutropenia. FDA label
tbo-filgrastim · 1 trial · 1 indication
An adverse event was defined as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. A treatment-emergent AE (TEAE) is an AE occurring during the timeframe. A non-TEAE is any AE not considered a TEAE. Severity was rated by the investigator using the NCI Common Terminology Criteria for Adverse Events (NCI-CTCAE) scale where 3=severe but not life-threatening, 4=life-threatening and 5=death. Relation of AE to treatment was determined by the investigator (related=reasonable possibility). Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes.
Serum chemistry tests included alkaline phosphatase, alanine aminotransferase (ALT), aspartate aminotransferase (AST), direct bilirubin, indirect bilirubin, total bilirubin, calcium, creatinine, gammaglutamyl transpeptidase (GGT), glucose, potassium, lactate dehydrogenase (LDH), phosphate, sodium and uric acid. Only tests with potentially clinically significant abnormal results are reported. ULN = upper limit of normal
Hematology tests included Basophils ABS (x 10\^9/L), Basophils (%), Eosinophils ABS (x 10\^9/L), Eosinophils (%), Hematocrit (%), Hemoglobin (g/L), Lymphocytes Absolute Count (ABS) (x 10\^9/L), Lymphocytes (%), Monocytes ABS (x 10\^9/L), Monocytes (%), Neutrophils ABS (x 10\^9/L), Neutrophils (%), Platelets (x 10\^9/L), Red Blood Cell (RBC) (x 10\^12/L), White Blood Cell (WBC) (x 10\^9/L). Only tests with potentially clinically significant abnormal results are reported. ULN = upper limit of normal
Vital sign tests included Pulse Rate (bpm), Systolic BP (mmHg), Diastolic BP (mmHg), Respiratory Rate (bpm), and Temperature (°C). Only tests with potentially clinically significant abnormal results are reported.
Triplicate 12-lead ECGs were conducted at screening, predose, 4 and 6 hours postdose on day 1 of tbo-filgrastim administration, and at the end-of-study visit. The ECGs were interpreted by both the investigator and a qualified physician at the central diagnostic center as normal, abnormal not clinically significant, or abnormal clinically significant. The following parameters were measured/derived for each ECG assessment: heart rate, PR interval, RR interval, QT interval, corrected QT interval according to Fridericia's formula (QTcF), corrected QT interval according to Bazett's formula (QTcB), QRS duration, and QRS axis. The count of participants with potentially clinically significant ECG findings is reported.
Physical examination was performed at screening and at the end-of-study visit. The following body systems were marked as normal or abnormal and if abnormal, whether clinically significant: Head, ears, eyes, nose and throat (HEENT), chest and lungs, heart, abdomen, skin, lymph nodes and neurological. Any physical examination finding that is judged by the investigator as a clinically significant change (worsening) compared with a baseline value were considered as an adverse event. Counts of participants with a negative shift from baseline in any of the body systems (including shifts from normal to abnormal, not clinically significant) are presented.
Using Local Tolerability Assessment Scale ranging from Pain severity 0 (Absent) to 3 (Spontaneously painful)
The investigator assessed spleen sonography findings as normal, abnormal not clinically significant, or abnormal clinically significant. Data representing counts of participants with a negative shift from baseline in spleen sonography findings (including shifts from normal to abnormal, not clinically significant) are presented.
Summary of participant survival at 90 day follow-up.
| Arm | Type | Description |
|---|---|---|
| tbo-filgrastim | EXPERIMENTAL | Patients will receive subcutaneous doses of tbo-filgrastim 5 μg/kg body weight daily; each daily dose, to be administered at the investigative site |
| Name | Type | Description |
|---|---|---|
| tbo-filgrastim | DRUG | 5 μg/kg |
Inclusion: 1. Male or female infants, children and adolescents aged 1 month to \<16 years. 2. Patients with solid tumors without bone marrow involvement, who are scheduled to receive myelosuppressive CTX. 3. Body weight ≥5 kg. 4. Patients must have an initial diagnosis and histologic proof of their...
| Company | Ticker | Trials | Lead Phase | Drugs |
|---|---|---|---|---|
| X4 Pharmaceuticals, Inc. | XFOR | 1 | PHASE3 | Mavorixafor |
Tbo-filgrastim is used to treat neutropenia, a condition marked by low levels of neutrophils, a type of white blood cell. It is being studied in patients with solid tumors who do not have bone marrow involvement, including infants, children, and adolescents. It is a hematology asset developed by Teva Pharmaceutical Industries Limited.
Tbo-filgrastim targets CSF3R, also known as the granulocyte colony-stimulating factor receptor. It acts as an agonist at this receptor, meaning it activates the receptor rather than blocking it. This receptor plays a central role in the production and maturation of neutrophils.
Tbo-filgrastim is developed by Teva Pharmaceutical Industries Limited, which trades under the ticker TEVA. Teva is the company responsible for the drug's clinical development program in neutropenia.
Tbo-filgrastim is in Phase 2 clinical development for neutropenia. It is an investigational therapy and is not approved for this use. The Phase 2 program includes one completed trial, and no trials are currently active.
Tbo-filgrastim has been studied in the Phase 2 trial NCT02190721, titled a study to evaluate 5 μg/kg tbo-filgrastim in infants, children and adolescents with solid tumors without bone marrow involvement. The trial enrolled 50 participants, was uncontrolled, and has been completed. It ran across the United States, Bulgaria, Croatia, Hungary, Poland, Romania, Russia, and Ukraine.