Official Title: Randomized Comparison Between Antibiotics Alone and Antibiotics Plus Granulocyte-Colony Stimulating Factor in Pediatric Patients With Chemotherapy Induced Febrile Neutropenia
Status: COMPLETED
Status Verified Date: 2014-02
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: RATIONALE Antibiotics may decrease the side effects of neutropenia and fever caused by chemotherapy Colony-stimulating factors such as G-CSF may increase the number of immune cells found in bone marrow or peripheral blood and may help a persons immune system recover from the side effects of chemotherapy It is not yet known whether antibiotic therapy plus G-CSF is more effective than antibiotic therapy alone for treating side effects caused by chemotherapy
PURPOSE Randomized phase III trial to compare the effectiveness of antibiotic therapy with or without G-CSF in treating children who have neutropenia and fever that are caused by chemotherapy
Detailed Description: OBJECTIVES
Determine whether filgrastim G-CSF used in addition to standard antibiotic therapy accelerates time to resolution of febrile neutropenia in children receiving chemotherapy
OUTLINE This is a randomized study Patients are randomized to one of two treatment arms
Arm I Patients receive standard antibiotic therapy Arm II Patients receive treatment as in arm I Patients also receive filgrastim G-CSF subcutaneously or IV once a day until at least 2 consecutive afebrile days have passed and absolute neutrophil count is at least 500mm3
Patients are followed for 3 days
PROJECTED ACCRUAL A total of 200 patients 100 per treatment arm will be accrued for this study