Trial of Primary Prophylaxis With rhTPO Administered to Patients With High Risk Sarcoma Receiving Intensive Chemotherapy

To evaluate the effectiveness of intravenous rhTPO vs. placebo as primary prophylaxis in reducing the cumulative proportion of patients requiring platelet transfusion for severe chemotherapy-induced thrombocytopenia (platelet count <15,000) during the first four study cycles. To evaluate the severity and duration of thrombocytopenia and neutropenia associated with rhTPO prophylaxis, the impact of rhTPO prophylaxis on health economics/cost effectiveness, and patient quality of life. To assess the safety of multiple IV doses of rhTPO.

Inclusion criteria

• Confirmed new diagnosis of moderate or high-grade sarcoma (except leiomyosarcoma of gastrointestinal origin)
• Must have high risk disease by American Joint Committee on Cancer (AJCC) Staging System Stage IIC, III, or IV
• Must have recovered from surgery for a minimum of 2 weeks
• Must be scheduled for a minimum of 4 cycles of AI therapy
• Must be 13 years or older
• Must have ECOG performance status of 0, 1, or 2.
• Must have life expectancy of at least 12 weeks.
• Left ventricular ejection fraction must be more than 50%.
• Laboratory data within normal limits.

Exclusion criteria

• Prior front-line standard or experimental therapy for sarcoma
• History of bone marrow and or peripheral blood progenitor cell transplantation
• Prior pelvic radiation or radiation therapy to more than 25% of bone marrow reserves
• Prior treatment with megakaryocyte growth and differentiation factor
• Prior treatment with rhTPO
• History of platelet disorder
• History of myocardial infarction, stroke, pulmonary embolism, or deep vein thrombosis within the past 12 months
• Pregnant or lactating women
• Use of anticoagulants such as coumadin, heparin, etc.
• Known HIV or hepatitis