Table 4.
Comparison of mean AOC of ANC in patients who received pegfilgrastim on the same day as chemotherapy versus the next day in cycle 1 and cycle 3
| AOC threshold | Cycle | Day of pegfilgrastim use | Mean ± SD AOC (n a) 109/L × day | Crude Mean AOC Difference (95 % CI) 109/L × day | Adjusted Mean AOCb Difference (95 % CI) 109/L × day |
|---|---|---|---|---|---|
| <0.5 × 109/L | Cycle 1 | Same day | 0.65 ± 0.65 (95) | 0.31 (0.17, 0.43) | 0.30 (0.16, 0.43) |
| Next day | 0.34 ± 0.49 (96) | ||||
| Cycle 3 | Same day | 0.74 ± 0.50 (30) | 0.47 (0.28, 0.64) | 0.43 (0.23, 0.61) | |
| Next day | 0.27 ± 0.33 (33) | ||||
| Cycles 1 and 3c | 0.33 (0.20, 0.45) | 0.36 (0.22, 0.49) | |||
| <1.0 × 109/L | Cycle 1 | Same day | 1.85 ± 1.71 (95) | 0.75 (0.41, 1.04) | 0.73 (0.37, 1.05) |
| Next day | 1.10 ± 1.31 (96) | ||||
| Cycle 3 | Same day | 2.23 ± 1.18 (30) | 1.21 (0.74, 1.65) | 1.11 (0.63, 1.55) | |
| Next day | 1.02 ± 0.96 (33) | ||||
| Cycles 1 and 3c | 0.82 (0.50, 1.12) | 0.88 (0.54, 1.20) |
Mean AOC difference = mean AOC in same-day patients−mean AOC in next-day patients; analyses in cycle 1 include data from eligible patients in Amgen studies 20020134, 20020778, 2003012, and 20030123 and in cycle 3 include data from eligible patients in Amgen studies 20020778 and 20030122
Bold indicates that 95 % CIs for crude or adjusted mean AOC difference do not include 0
AOC area over the curve; ANC absolute neutrophil count; CI confidence interval; ECOG Eastern Cooperative Oncology Group; SD standard deviation
aThe n for each parameter (of each treatment arm) is the number of patients eligible for the corresponding statistics in cycle 1 or cycle 3
bCovariates included in the adjusted model were age and ECOG performance status
cLinear mixed-effect regression model was used to calculate mean AOC difference in cycles 1 and 3 combined. Within-study and within-patient correlations were controlled for in the analysis. Bootstrap procedure was used to derive 95 % CIs