Abstract

Plin is a non-G-CSF small molecule, with anti-cancer activity, and prevents CIN as single agent and in combination with Peg. In the phase (Ph) III trial PROTECTIVE-2 (NCT03294577), the Plin+Peg combination had superior CIN preventive efficacy versus (vs) Peg alone for Grade 4 neutropenia (Gr4N) (86% vs 68% for Peg alone, p<0.0015), for days of severe neutropenia (DSN, p=0.03), absolute neutrophil count (ANC) nadir (p=0.0002) (Blayney ASCO 2021). We evaluated the impact of the observed reduction in Gr4N from 86% with Peg alone to 68% with Plin+Peg on CIN outcomes using a MA.

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