Dose-Finding Trial of F-627 in Women With Breast Cancer Receiving Myelotoxic Chemotherapy

Inclusion Criteria:

Show evidence of a signed (personally or by a legally acceptable representative) and dated informed consent document indicating that the patient has been informed of all pertinent aspects of the trial.
Females ≥ 18 years of age.
Diagnosed with Stage I-IV breast cancer.
Subject is scheduled to undergo 4 cycles of TC or TAC chemotherapy (Taxotere®, doxorubicin and cyclophosphamide, 75, 50 and 600 mg/m2, respectively).
ECOG Performance status of ≤ 2.
White Blood Cell count (WBC) ≥ 4.0 × 109/L, hemoglobin ≥ 11.5 g/dL and a platelet count ≥ 150 × 109/L.
Demonstrate adequate renal, hepatic function (Liver function tests (ALT, AST, alkaline phosphatase and total bilirubin)) should be less than 2.5x upper limits of normal (ULN). Serum creatinine should be less than 1.7x ULN.
All subjects must agree to use at least one of the following types of contraception: intrauterine device, implantable progesterone device, progesterone intramuscular injection, or oral contraceptive, which has been started at least one month prior to visit one and will continue for the duration of the trial. The contraceptive patch or condom use with spermicide are also acceptable forms of contraception as long as they will be used continually throughout the duration of the trial.

Exclusion Criteria:

Subject is <18 or ≥ 75 years of age.
Disease progression has occurred while receiving a taxane regimen.
Subject has undergone radiation therapy within 4 weeks of enrollment.
Subject has undergone bone marrow or stem-cell transplantation.
Subject has a history of prior malignancy other than breast cancer.
Subjects that have used G-CSF within 6 weeks of the screening period are also excluded
Subject has had chemotherapy within 365 days of screening
Subject has documented congestive heart failure, cardiomyopathy or myocardial infarction by clinical diagnosis, ECG test, or any other relevant test.
History of alcohol or drug abuse that would interfere with the ability to be compliant with the study procedure.
Unwillingness to participate in the study.
Any underlying medical condition that, in the Investigator's opinion, would make the administration of study drug hazardous to the patient or that would obscure the interpretation of adverse events.
Receiving other investigational drugs or biologics within 1 month or five half lives of enrollment.
Any condition, which can cause splenomegaly.
Chronic constipation or diarrhea, irritable bowel syndrome, inflammatory bowel disease.
ALT, AST, alkaline phosphatase > 2.5 upper limit of normal.
Patients with active infection, or known to be infected with chronic active Hepatitis B within the last 1 year (unless shown at the time of study entry to be Hepatitis B antigen negative), or having any history of Hepatitis C.
Women who are pregnant or breast-feeding.
Patients known to be seropositive for HIV, or who have had an AIDS defining illness or a known immunodeficiency disorder.
Patients with a history of tuberculosis or exposure to tuberculosis. Patients that have received a prior chest X-ray for suspicion of tuberculosis are also excluded unless they have been confirmed to be PPD negative or they had latent tuberculosis that has been previously treated.
Subjects with Sickle Cell disease
Subjects with known hypersensitivity to E.coli derived proteins' pegfilgrastim' filgrastim, or any other component of the study drug.