Trial Outcomes & Findings for Plinabulin vs. Pegfilgrastim in Patients With Solid Tumors Receiving Docetaxel Myelosuppressive Chemotherapy Phase 3 (NCT NCT03102606)

NCT ID: NCT03102606

Last Updated: 2024-08-29

Results Overview

Duration of severe neutropenia (ANC \< 0.5 × 109/L)

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

105 participants

Primary outcome timeframe

21 Days

Results posted on

2024-08-29

Participant Flow

Participant milestones

Participant milestones
Measure
Docetaxel (75 mg/m2) + Pegfilgrastim (6 mg) + Placebo Matching Plinabulin
Arm 1 Pegfilgrastim: PEGFILGRASTIM is a long-acting granulocyte colony-stimulating factor that stimulates the growth of neutrophils, to reduce the incidence of fever and infection in patients with certain types of cancer who are receiving chemotherapy that affects the bone marrow. D5W Placebo: Placebo 250 ml D5W to match the administration of plinabulin diluted in 250 ml D5W
Docetaxel (75 mg/m2) + Plinabulin (40 mg) + Placebo Matching Pegfilgrastim
Arm 2 Plinabulin: Plinabulin (BPI-2358) is a synthetic, low molecular weight, new chemical entity that belongs to the diketopiperazine class of compounds. Plinabulin is intended for intravenous (IV) infusion and is diluted in D5W and administered for 30 minutes (± 5 minutes). Saline Placebo: Placebo Syringe 0.6 ml Saline to match the 0.6 ml pegfilgrastim administration
Overall Study
STARTED
53
52
Overall Study
COMPLETED
39
45
Overall Study
NOT COMPLETED
14
7

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Plinabulin vs. Pegfilgrastim in Patients With Solid Tumors Receiving Docetaxel Myelosuppressive Chemotherapy Phase 3

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Docetaxel (75 mg/m2) + Pegfilgrastim (6 mg) + Placebo Matching Plinabulin
n=53 Participants
Arm 1 Pegfilgrastim: PEGFILGRASTIM is a long-acting granulocyte colony-stimulating factor that stimulates the growth of neutrophils, to reduce the incidence of fever and infection in patients with certain types of cancer who are receiving chemotherapy that affects the bone marrow. D5W Placebo: Placebo 250 ml D5W to match the administration of plinabulin diluted in 250 ml D5W
Docetaxel (75 mg/m2) + Plinabulin (40 mg) + Placebo Matching Pegfilgrastim
n=52 Participants
Arm 2 Plinabulin: Plinabulin (BPI-2358) is a synthetic, low molecular weight, new chemical entity that belongs to the diketopiperazine class of compounds. Plinabulin is intended for intravenous (IV) infusion and is diluted in D5W and administered for 30 minutes (± 5 minutes). Saline Placebo: Placebo Syringe 0.6 ml Saline to match the 0.6 ml pegfilgrastim administration
Total
n=105 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
34 Participants
n=99 Participants
40 Participants
n=107 Participants
74 Participants
n=206 Participants
Age, Categorical
>=65 years
19 Participants
n=99 Participants
12 Participants
n=107 Participants
31 Participants
n=206 Participants
Age, Continuous
58.9 years
STANDARD_DEVIATION 10.85 • n=99 Participants
57.0 years
STANDARD_DEVIATION 10.79 • n=107 Participants
58.0 years
STANDARD_DEVIATION 10.81 • n=206 Participants
Sex: Female, Male
Female
32 Participants
n=99 Participants
33 Participants
n=107 Participants
65 Participants
n=206 Participants
Sex: Female, Male
Male
21 Participants
n=99 Participants
19 Participants
n=107 Participants
40 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
25 Participants
n=99 Participants
25 Participants
n=107 Participants
50 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
White
28 Participants
n=99 Participants
27 Participants
n=107 Participants
55 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants

PRIMARY outcome

Timeframe: 21 Days

Duration of severe neutropenia (ANC \< 0.5 × 109/L)

Outcome measures

Outcome measures
Measure
Docetaxel (75 mg/m2) + Pegfilgrastim (6 mg) + Placebo Matching Plinabulin
n=53 Participants
Arm 1 Pegfilgrastim: PEGFILGRASTIM is a long-acting granulocyte colony-stimulating factor that stimulates the growth of neutrophils, to reduce the incidence of fever and infection in patients with certain types of cancer who are receiving chemotherapy that affects the bone marrow. D5W Placebo: Placebo 250 ml D5W to match the administration of plinabulin diluted in 250 ml D5W
Docetaxel (75 mg/m2) + Plinabulin (40 mg) + Placebo Matching Pegfilgrastim
n=52 Participants
Arm 2 Plinabulin: Plinabulin (BPI-2358) is a synthetic, low molecular weight, new chemical entity that belongs to the diketopiperazine class of compounds. Plinabulin is intended for intravenous (IV) infusion and is diluted in D5W and administered for 30 minutes (± 5 minutes). Saline Placebo: Placebo Syringe 0.6 ml Saline to match the 0.6 ml pegfilgrastim administration
Duration of Severe Neutropenia (DSN)
0.246 Days
Interval 0.205 to 0.287
0.770 Days
Interval 0.682 to 0.857

SECONDARY outcome

Timeframe: Day 1 through 8 in Cycle 1 (each cycle is 21 days)

Change in estimated mean bone pain score from pre-dose Day 1 through Day 8. The bone pain scale assessment was based on the validated Wong-Baker Faces® Pain Rating Scale. The pain scale range is from 0 to 10. The severity of pain marked on a scale is from 0 ('no hurt') to 10 ('hurt worst').

Outcome measures

Outcome measures
Measure
Docetaxel (75 mg/m2) + Pegfilgrastim (6 mg) + Placebo Matching Plinabulin
n=53 Participants
Arm 1 Pegfilgrastim: PEGFILGRASTIM is a long-acting granulocyte colony-stimulating factor that stimulates the growth of neutrophils, to reduce the incidence of fever and infection in patients with certain types of cancer who are receiving chemotherapy that affects the bone marrow. D5W Placebo: Placebo 250 ml D5W to match the administration of plinabulin diluted in 250 ml D5W
Docetaxel (75 mg/m2) + Plinabulin (40 mg) + Placebo Matching Pegfilgrastim
n=52 Participants
Arm 2 Plinabulin: Plinabulin (BPI-2358) is a synthetic, low molecular weight, new chemical entity that belongs to the diketopiperazine class of compounds. Plinabulin is intended for intravenous (IV) infusion and is diluted in D5W and administered for 30 minutes (± 5 minutes). Saline Placebo: Placebo Syringe 0.6 ml Saline to match the 0.6 ml pegfilgrastim administration
Change in Estimated Mean Bone Pain Score
2.35 Wong-Baker FACES Pain Scale (range:0-10)
Standard Error 0.178
1.69 Wong-Baker FACES Pain Scale (range:0-10)
Standard Error 0.179

SECONDARY outcome

Timeframe: Anytime during Cycle 1 (each cycle is 21 days)

Patients with platelet count at least 30% change from baseline at any time during Cycle 1

Outcome measures

Outcome measures
Measure
Docetaxel (75 mg/m2) + Pegfilgrastim (6 mg) + Placebo Matching Plinabulin
n=53 Participants
Arm 1 Pegfilgrastim: PEGFILGRASTIM is a long-acting granulocyte colony-stimulating factor that stimulates the growth of neutrophils, to reduce the incidence of fever and infection in patients with certain types of cancer who are receiving chemotherapy that affects the bone marrow. D5W Placebo: Placebo 250 ml D5W to match the administration of plinabulin diluted in 250 ml D5W
Docetaxel (75 mg/m2) + Plinabulin (40 mg) + Placebo Matching Pegfilgrastim
n=52 Participants
Arm 2 Plinabulin: Plinabulin (BPI-2358) is a synthetic, low molecular weight, new chemical entity that belongs to the diketopiperazine class of compounds. Plinabulin is intended for intravenous (IV) infusion and is diluted in D5W and administered for 30 minutes (± 5 minutes). Saline Placebo: Placebo Syringe 0.6 ml Saline to match the 0.6 ml pegfilgrastim administration
Change in Patients With at Least 30% Platelet Count From Baseline in Cycle 1
41 Participants
23 Participants

SECONDARY outcome

Timeframe: 15 Days

Proportion of patients with neutrophil-to-lymphocyte ratio (NLR) \> 5 from Day 1 through Day 15

Outcome measures

Outcome measures
Measure
Docetaxel (75 mg/m2) + Pegfilgrastim (6 mg) + Placebo Matching Plinabulin
n=53 Participants
Arm 1 Pegfilgrastim: PEGFILGRASTIM is a long-acting granulocyte colony-stimulating factor that stimulates the growth of neutrophils, to reduce the incidence of fever and infection in patients with certain types of cancer who are receiving chemotherapy that affects the bone marrow. D5W Placebo: Placebo 250 ml D5W to match the administration of plinabulin diluted in 250 ml D5W
Docetaxel (75 mg/m2) + Plinabulin (40 mg) + Placebo Matching Pegfilgrastim
n=52 Participants
Arm 2 Plinabulin: Plinabulin (BPI-2358) is a synthetic, low molecular weight, new chemical entity that belongs to the diketopiperazine class of compounds. Plinabulin is intended for intravenous (IV) infusion and is diluted in D5W and administered for 30 minutes (± 5 minutes). Saline Placebo: Placebo Syringe 0.6 ml Saline to match the 0.6 ml pegfilgrastim administration
Proportion of Patients With Neutrophil-to-lymphocyte Ratio (NLR) > 5
24 Participants
2 Participants

SECONDARY outcome

Timeframe: 84 days

Proportion of patients with thrombocytopenia (all grade) during 4 cycles

Outcome measures

Outcome measures
Measure
Docetaxel (75 mg/m2) + Pegfilgrastim (6 mg) + Placebo Matching Plinabulin
n=53 Participants
Arm 1 Pegfilgrastim: PEGFILGRASTIM is a long-acting granulocyte colony-stimulating factor that stimulates the growth of neutrophils, to reduce the incidence of fever and infection in patients with certain types of cancer who are receiving chemotherapy that affects the bone marrow. D5W Placebo: Placebo 250 ml D5W to match the administration of plinabulin diluted in 250 ml D5W
Docetaxel (75 mg/m2) + Plinabulin (40 mg) + Placebo Matching Pegfilgrastim
n=52 Participants
Arm 2 Plinabulin: Plinabulin (BPI-2358) is a synthetic, low molecular weight, new chemical entity that belongs to the diketopiperazine class of compounds. Plinabulin is intended for intravenous (IV) infusion and is diluted in D5W and administered for 30 minutes (± 5 minutes). Saline Placebo: Placebo Syringe 0.6 ml Saline to match the 0.6 ml pegfilgrastim administration
Proportion of Patients With Thrombocytopenia
19 Participants
10 Participants

SECONDARY outcome

Timeframe: 84 Days

Incidence of infections in cycles 1 to 4

Outcome measures

Outcome measures
Measure
Docetaxel (75 mg/m2) + Pegfilgrastim (6 mg) + Placebo Matching Plinabulin
n=53 Participants
Arm 1 Pegfilgrastim: PEGFILGRASTIM is a long-acting granulocyte colony-stimulating factor that stimulates the growth of neutrophils, to reduce the incidence of fever and infection in patients with certain types of cancer who are receiving chemotherapy that affects the bone marrow. D5W Placebo: Placebo 250 ml D5W to match the administration of plinabulin diluted in 250 ml D5W
Docetaxel (75 mg/m2) + Plinabulin (40 mg) + Placebo Matching Pegfilgrastim
n=52 Participants
Arm 2 Plinabulin: Plinabulin (BPI-2358) is a synthetic, low molecular weight, new chemical entity that belongs to the diketopiperazine class of compounds. Plinabulin is intended for intravenous (IV) infusion and is diluted in D5W and administered for 30 minutes (± 5 minutes). Saline Placebo: Placebo Syringe 0.6 ml Saline to match the 0.6 ml pegfilgrastim administration
Infections
8 Participants
4 Participants

SECONDARY outcome

Timeframe: 21 Days

Incidence of antibiotic use

Outcome measures

Outcome measures
Measure
Docetaxel (75 mg/m2) + Pegfilgrastim (6 mg) + Placebo Matching Plinabulin
n=53 Participants
Arm 1 Pegfilgrastim: PEGFILGRASTIM is a long-acting granulocyte colony-stimulating factor that stimulates the growth of neutrophils, to reduce the incidence of fever and infection in patients with certain types of cancer who are receiving chemotherapy that affects the bone marrow. D5W Placebo: Placebo 250 ml D5W to match the administration of plinabulin diluted in 250 ml D5W
Docetaxel (75 mg/m2) + Plinabulin (40 mg) + Placebo Matching Pegfilgrastim
n=52 Participants
Arm 2 Plinabulin: Plinabulin (BPI-2358) is a synthetic, low molecular weight, new chemical entity that belongs to the diketopiperazine class of compounds. Plinabulin is intended for intravenous (IV) infusion and is diluted in D5W and administered for 30 minutes (± 5 minutes). Saline Placebo: Placebo Syringe 0.6 ml Saline to match the 0.6 ml pegfilgrastim administration
Antibiotic Use
7 Participants
8 Participants

SECONDARY outcome

Timeframe: 84 Days

To assess the incidence of sepsis

Outcome measures

Outcome measures
Measure
Docetaxel (75 mg/m2) + Pegfilgrastim (6 mg) + Placebo Matching Plinabulin
n=53 Participants
Arm 1 Pegfilgrastim: PEGFILGRASTIM is a long-acting granulocyte colony-stimulating factor that stimulates the growth of neutrophils, to reduce the incidence of fever and infection in patients with certain types of cancer who are receiving chemotherapy that affects the bone marrow. D5W Placebo: Placebo 250 ml D5W to match the administration of plinabulin diluted in 250 ml D5W
Docetaxel (75 mg/m2) + Plinabulin (40 mg) + Placebo Matching Pegfilgrastim
n=52 Participants
Arm 2 Plinabulin: Plinabulin (BPI-2358) is a synthetic, low molecular weight, new chemical entity that belongs to the diketopiperazine class of compounds. Plinabulin is intended for intravenous (IV) infusion and is diluted in D5W and administered for 30 minutes (± 5 minutes). Saline Placebo: Placebo Syringe 0.6 ml Saline to match the 0.6 ml pegfilgrastim administration
Sepsis
0 Participants
0 Participants

Adverse Events

Docetaxel (75 mg/m2) + Pegfilgrastim (6 mg) + Placebo Matching Plinabulin

Serious events: 6 serious events
Other events: 49 other events
Deaths: 1 deaths

Docetaxel (75 mg/m2) + Plinabulin (40 mg) + Placebo Matching Pegfilgrastim

Serious events: 8 serious events
Other events: 51 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Docetaxel (75 mg/m2) + Pegfilgrastim (6 mg) + Placebo Matching Plinabulin
n=53 participants at risk
Arm 1 Pegfilgrastim: PEGFILGRASTIM is a long-acting granulocyte colony-stimulating factor that stimulates the growth of neutrophils, to reduce the incidence of fever and infection in patients with certain types of cancer who are receiving chemotherapy that affects the bone marrow. D5W Placebo: Placebo 250 ml D5W to match the administration of plinabulin diluted in 250 ml D5W
Docetaxel (75 mg/m2) + Plinabulin (40 mg) + Placebo Matching Pegfilgrastim
n=52 participants at risk
Arm 2 Plinabulin: Plinabulin (BPI-2358) is a synthetic, low molecular weight, new chemical entity that belongs to the diketopiperazine class of compounds. Plinabulin is intended for intravenous (IV) infusion and is diluted in D5W and administered for 30 minutes (± 5 minutes). Saline Placebo: Placebo Syringe 0.6 ml Saline to match the 0.6 ml pegfilgrastim administration
Blood and lymphatic system disorders
Febrile Neutropenia
1.9%
1/53 • Number of events 2 • 6 months
1.9%
1/52 • Number of events 1 • 6 months
Blood and lymphatic system disorders
Anemia
0.00%
0/53 • 6 months
1.9%
1/52 • Number of events 1 • 6 months
Gastrointestinal disorders
Vomiting
0.00%
0/53 • 6 months
1.9%
1/52 • Number of events 1 • 6 months
Hepatobiliary disorders
Liver injury
1.9%
1/53 • Number of events 2 • 6 months
0.00%
0/52 • 6 months
Infections and infestations
Lung infection
100.0%
2/2 • Number of events 2 • 6 months
1.9%
1/52 • Number of events 1 • 6 months
Investigations
Aspartate aminotransferase increased
0.00%
0/53 • 6 months
1.9%
1/52 • Number of events 1 • 6 months
Investigations
Neutrophil count decreased
0.00%
0/53 • 6 months
1.9%
1/52 • Number of events 1 • 6 months
Investigations
White blood cell count decreased
0.00%
0/53 • 6 months
1.9%
1/52 • Number of events 2 • 6 months
Nervous system disorders
Syncope
1.9%
1/53 • Number of events 1 • 6 months
0.00%
0/52 • 6 months
Renal and urinary disorders
Renal failure
0.00%
0/53 • 6 months
1.9%
1/52 • Number of events 1 • 6 months
Reproductive system and breast disorders
Vaginal hemorrhage
1.9%
1/53 • Number of events 1 • 6 months
0.00%
0/52 • 6 months
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.00%
0/53 • 6 months
1.9%
1/52 • Number of events 1 • 6 months
Respiratory, thoracic and mediastinal disorders
Status asthmaticus
0.00%
0/53 • 6 months
1.9%
1/52 • Number of events 1 • 6 months

Other adverse events

Other adverse events
Measure
Docetaxel (75 mg/m2) + Pegfilgrastim (6 mg) + Placebo Matching Plinabulin
n=53 participants at risk
Arm 1 Pegfilgrastim: PEGFILGRASTIM is a long-acting granulocyte colony-stimulating factor that stimulates the growth of neutrophils, to reduce the incidence of fever and infection in patients with certain types of cancer who are receiving chemotherapy that affects the bone marrow. D5W Placebo: Placebo 250 ml D5W to match the administration of plinabulin diluted in 250 ml D5W
Docetaxel (75 mg/m2) + Plinabulin (40 mg) + Placebo Matching Pegfilgrastim
n=52 participants at risk
Arm 2 Plinabulin: Plinabulin (BPI-2358) is a synthetic, low molecular weight, new chemical entity that belongs to the diketopiperazine class of compounds. Plinabulin is intended for intravenous (IV) infusion and is diluted in D5W and administered for 30 minutes (± 5 minutes). Saline Placebo: Placebo Syringe 0.6 ml Saline to match the 0.6 ml pegfilgrastim administration
Blood and lymphatic system disorders
Anemia
24.5%
13/53 • 6 months
32.7%
17/52 • 6 months
Blood and lymphatic system disorders
Neutropenia
13.2%
7/53 • 6 months
23.1%
12/52 • 6 months
Blood and lymphatic system disorders
Leukopenia
13.2%
7/53 • 6 months
19.2%
10/52 • 6 months
Cardiac disorders
Tachycardia
0.00%
0/53 • 6 months
7.7%
4/52 • 6 months
Gastrointestinal disorders
Diarrhea
9.4%
5/53 • 6 months
21.2%
11/52 • 6 months
Gastrointestinal disorders
Nausea
15.1%
8/53 • 6 months
15.4%
8/52 • 6 months
Gastrointestinal disorders
Constipation
7.5%
4/53 • 6 months
7.7%
4/52 • 6 months
Gastrointestinal disorders
Vomiting
3.8%
2/53 • 6 months
7.7%
4/52 • 6 months
Gastrointestinal disorders
Abdominal pain
0.00%
0/53 • 6 months
9.6%
5/52 • 6 months
Gastrointestinal disorders
Abdominal pain upper
3.8%
2/53 • 6 months
5.8%
3/52 • 6 months
General disorders
Asthenia
18.9%
10/53 • 6 months
13.5%
7/52 • 6 months
General disorders
Malaise
9.4%
5/53 • 6 months
17.3%
9/52 • 6 months
General disorders
Fatigue
3.8%
2/53 • 6 months
11.5%
6/52 • 6 months
General disorders
Pyrexia
3.8%
2/53 • 6 months
5.8%
3/52 • 6 months
Gastrointestinal disorders
Face oedema
1.9%
1/53 • 6 months
5.8%
3/52 • 6 months
Injury, poisoning and procedural complications
Infusion related reaction
0.00%
0/53 • 6 months
7.7%
4/52 • 6 months
Investigations
Neutrophil count decreased
18.9%
10/53 • 6 months
44.2%
23/52 • 6 months
Investigations
White blood cell count decreased
18.9%
10/53 • 6 months
40.4%
21/52 • 6 months
Injury, poisoning and procedural complications
Alanine aminotransferase increased
15.1%
8/53 • 6 months
13.5%
7/52 • 6 months
Investigations
Aspartate aminotransferase increased
15.1%
8/53 • 6 months
13.5%
7/52 • 6 months
Investigations
Platelet count decreased
11.3%
6/53 • 6 months
7.7%
4/52 • 6 months
Metabolism and nutrition disorders
Hyperglycemia
24.5%
13/53 • 6 months
15.4%
8/52 • 6 months
Metabolism and nutrition disorders
Decreased appetite
9.4%
5/53 • 6 months
19.2%
10/52 • 6 months
Metabolism and nutrition disorders
Dehydration
0.00%
0/53 • 6 months
5.8%
3/52 • 6 months
Musculoskeletal and connective tissue disorders
Bone pain
28.3%
15/53 • 6 months
34.6%
18/52 • 6 months
Musculoskeletal and connective tissue disorders
Pain in extremity
1.9%
1/53 • 6 months
11.5%
6/52 • 6 months
Musculoskeletal and connective tissue disorders
Arthralgia
1.9%
1/53 • 6 months
5.8%
3/52 • 6 months
Nervous system disorders
Headache
0.00%
0/53 • 6 months
5.8%
3/52 • 6 months
Respiratory, thoracic and mediastinal disorders
Dyspnea
1.9%
1/53 • 6 months
5.8%
3/52 • 6 months
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/53 • 6 months
5.8%
3/52 • 6 months
Skin and subcutaneous tissue disorders
Alopecia
32.1%
17/53 • 6 months
32.7%
17/52 • 6 months
Vascular disorders
Hypertension
1.9%
1/53 • 6 months
13.5%
7/52 • 6 months

Additional Information

Ramon Mohanlal

BeyondSpring Pharmaceuticals

Phone: 6468491102

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place