Cost-Utility Analysis Hospital Versus Home in Multiple Myeloma (ADHOMY)

August 13, 2020 updated by: Central Hospital, Nancy, France

Cost-Utility Evaluation Comparing Hospital Versus Home-Based Bortezomib in Multiple Myeloma: The ADHOMY Study

Bortezomib needs repetitive visits at hospital for injections. Hospital-at-Home (HaH) might be an attractive and suitable alternative in this situation.

This study aim to perform a cost-utility analysis of two different strategies in several HaH structures within the Grand Est region in France.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Bortezomib is a standard therapy of newly-diagnosed multiple myeloma and is also approved for relapsing disease, requiring the patients to travel to the outpatient-hospital (OH) once a week for several months. Hospital-at-Home (HaH) might be an attractive and suitable alternative in this situation.

This study aim to perform a cost-utility analysis of two different strategies in several HaH structures within the Grand Est region in France: exclusive hospital-based Bortezomib administration versus combined administration in both OH and HaH.

Study Type

Observational

Enrollment (Actual)

43

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • France
      • Vandœuvre-lès-Nancy, France, 54500
        • CHRU Nancy

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Patients with multiple myeloma requiring a treatment with Bortezomib

Description

Inclusion Criteria:

  • Minimum age 18
  • Enrolled in a social security scheme
  • Diagnosis of multiple myeloma in first line or relapse
  • Treatment plan including Bortezomib, adopted in a multidisciplinary meeting in a department of Hematology in Nancy (main investigator), Reims, Strasbourg University Hospitals or Metz-Thionville and Mulhouse local state-run hospitals
  • The patients must have agreed to the treatment protocol and to take IV or PO associated drugs prescribed in addition to Bortezomib

  • The patients must meet the 2003 eligibility criteria of the National Agency for Accreditation and Evaluation in Health (ANAES) for chemotherapy at home:

    • Absence of severe adaptive or psychological disorders, ability to understand the protocol
    • Absence of cognitive impairment
    • Availability and agreement of the attending physician
    • Home safety and hygiene
  • Do not decline to participate in the research and share their personal data

Exclusion Criteria:

  • Already participating in another trial
  • Have a follow-up and/or treatment for another condition requiring a particular care during the Bortezomib treatment period

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
HaH (Hospital-at-Home)
Bortezomib is injected at Outpatient hospital at day 1 and at Home at further day of cycles
Behavioral: Quality of life surveys
Quality of life surveys by EQ-5D and QLQ-C30
OH (Outpatient Hospital)
Bortezomib is always injected at Outpatient hospital
Behavioral: Quality of life surveys
Quality of life surveys by EQ-5D and QLQ-C30

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Cost therapy assessment
Time Frame: 10 months follow-up per patient
Cost therapy assessment including direct medical costs, non-medical costs and indirect costs, investigated from the French Health Insurance perspective and expressed in Euro.
10 months follow-up per patient
EQ-5D questionnaire
Time Frame: 10 months follow-up per patient
10 months follow-up per patient
QLQ-C30 questionnaire
Time Frame: 10 months follow-up per patient
an oncology-specific instrument
10 months follow-up per patient

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Central Hospital, Nancy, France

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

April 10, 2018

Primary Completion (Actual)

August 15, 2019

Study Completion (Actual)

February 15, 2020

Study Registration Dates

First Submitted

April 3, 2018

First Submitted That Met QC Criteria

April 9, 2018

First Posted (Actual)

April 10, 2018

Study Record Updates

Last Update Posted (Actual)

August 17, 2020

Last Update Submitted That Met QC Criteria

August 13, 2020

Last Verified

August 1, 2020

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 2018-A00103-52

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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