Can a newer drug ease the bone pain of chemotherapy support?
NCT ID NCT07806084
First seen Sep 08, 2026 · Last updated Sep 09, 2026 · Updated 1 time
Summary
This study looks at whether a long-acting G-CSF called telpegfilgrastim causes less bone pain than other long-acting G-CSFs in breast cancer patients receiving chemotherapy. About 132 patients will be divided into two groups based on which G-CSF their doctor prescribes. Researchers will track bone pain during the first chemotherapy cycle and monitor neutrophil levels to see if there is a link. The goal is to find a way to prevent infections with fewer side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Telpegfilgrastim, a long-acting G-CSF, compared with other approved long-acting G-CSFs
- What this could lead to
- If telpegfilgrastim causes less bone pain, it could become a preferred option for preventing infections during chemotherapy, improving comfort and adherence.
- What could go wrong
- This is a non-randomized study with a moderate size, so results may be influenced by patient differences. Bone pain is subjective, and the comparison may not show a clear difference.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 132 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Mar 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients with breast cancer receiving neoadjuvant or adjuvant chemotherapy with anthracycline- and/or taxane-containing regimens associated with a moderate-to-high risk of febrile neutropenia will be enrolled from 7 participating centers in China. Eligible patients receive prophylactic long-acting G-CSF according to the treating physician's clinical decision and are classified into the Telpegfilgrastim cohort or the other long-acting G-CSF cohort. Patients are followed for at least 3 chemotherapy cycles to evaluate bone pain, neutrophil counts, treatment for bone pain, and changes in long-acting G-CSF use.
- Ages
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18 to 69 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Histologically or cytologically confirmed breast cancer. 2. Patients considered by the investigator to be suitable for neoadjuvant or adjuvant chemotherapy with an anthracycline- and/or taxane-containing regimen administered in 21-day cycles, and expected to receive at least 3 chemotherapy cycles. 3. Age ≥18 years and \<70 years. 4. Body weight ≥45 kg. 5. Eastern Cooperative Oncology Group (ECOG) performance status ≤2. 6. Adequate baseline white blood cell and neutrophil counts before chemotherapy: white blood cell count (WBC) ≥3.5 × 10\^9/L and absolute neutrophil count (ANC) ≥1.5 × 10\^9/L. 7. Expected survival ≥3 months. 8. Willing to participate in the study, able to understand the study procedures, and able to provide written informed consent. Exclusion Criteria: 1. Previous or anticipated large-field radiotherapy involving \>25% of the total bone marrow. 2. Significant dysfunction of major organs, including heart, lung, liver, or kidney; liver function abnormalities defined as ALT or total bilirubin \>2.5 × ULN, or \>5 × ULN in patients with liver metastases; hepatitis B virus infection, hepatitis C virus infection, or cirrhosis; or serum creatinine \>1.5 × ULN. 3. Pregnant or breastfeeding women. 4. Previous or ongoing bone marrow transplantation or organ transplantation. 5. Known hypersensitivity to G-CSF or any component of a G-CSF product. 6. Patients who are unable to reliably understand or report their medical condition. 7. Any other condition that, in the investigator's judgment, makes the patient unsuitable for participation in the study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
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