A Registry Study of Participants With Multiple Myeloma in Latin America (MYLACRE)

Latin American Multiple Myeloma Registry Study

The purpose of this study is to characterize the multiple myeloma (MM) population concerning demographics and clinical characteristics (for example. frailty, risk strata, manifestations of target organ damage [TOD]) in 6 countries (that is Argentina, Brazil, Mexico, Chile, Colombia and Panama); and to profile the treatment landscape of Latin American MM participants, including factors associated with health-care provider (HCP) selections of different treatment regimens. These factors can include a participant's demographic and clinical characteristics and availability of different therapy options per institution in each country.

Study Overview

• Status: Completed
• Conditions: Multiple Myeloma
• Intervention / Treatment: Other: No intervention

• Study Type: Observational
• Enrollment (Actual): 2059

Contacts and Locations

Study Locations

• Argentina
  • Buenos Aires, Argentina, C1181ACH
    • Hospital Italiano de Buenos Aires
  • Buenos Aires, Argentina, C1417DTB
    • Instituto de Oncología Ángel H. Roffo
  • Buenos Aires, Argentina, C1114AAP
    • Fundaleu
  • Cordoba, Argentina, X5016KEH
    • Hospital Privado - Centro Medico de Córdoba
  • La Plata, Argentina, B1900AXI
    • Hospital Italiano de La Plata
• Brazil
  • Botucatu, Brazil, 18618-686
    • Fundacao para o Desenvolvimento Medico Hospitalar (UNESP Botucatu)
  • Natal, Brazil, 59062-000
    • Liga Norte Riograndense contra o cancer
  • Porto Alegre, Brazil, 90035-903
    • Hospital das Clinicas de Porto Alegre
  • Rio de Janeiro, Brazil, 22775-001
    • Instituto de Educacao, Pesquisa e Gestao em Saude Instituto Americas (COI)
  • Salvador, Brazil, 45995-000
    • CEHON
  • Sao Paulo, Brazil, 04039-004
    • Instituto de Assistencia Medica ao Servidor Publico Estadual - IAMSPE
  • Sao Paulo, Brazil, 04037-002
    • SPDM - Associacao Paulista para o Desenvolvimento da Medicina - Hospital Sao Paulo
  • São Paulo, Brazil, 01455-010
    • Clinica Sao Germano
  • São Paulo, Brazil, 01508-010
    • Fundação Antonio Prudente - A.C. Camargo Cancer Center
• Colombia
  • Bogota, Colombia, 00000
    • Hospital Universitario Mayor - Mederi
  • Bogota, Colombia, 110111
    • Fundacion Santa Fe de Bogota
  • Cali, Colombia
    • Clínica de Occidente
  • Floridablanca, Colombia, 681004
    • Fundacion Oftalmologica de Santander - FOSCAL
  • Medellin, Colombia, 0000
    • Hospital Pablo Tobón Uribe
• Mexico
  • Guadalajara, Mexico, 44160
    • Centro de Investigación Farmacéutica Especializada
  • Huixquilucan, Mexico, 52787
    • Hospital Angeles Lomas
• Panama
  • Panama, Panama, 00000
    • Centro Hemato Oncologico Paitilla

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

Participants with Multiple Myeloma (MM)

Description

Inclusion Criteria:

• Incident diagnosis of MM between 01 January 2016 and 31 December 2020 (that is the first observed diagnosis noted in the medical charts)
• An informed-consent form (ICF) or participation agreement must be signed before any data are collected only if a waiver is not permissible. For deceased participants who did not provide consent before death, the permission to research on their information should satisfy the local requirements (that each study site's ethics committee and each country's regulatory authority)

Exclusion Criteria:

• Failed to satisfy one or more of the foregoing inclusion criteria or
• Only with diagnosis of smouldering myeloma between 01 January 2016 and 31 December 2020 in the medical charts

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Prospective

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Participants with Multiple Myeloma (MM); Participants with MM will be observed in real-world clinical practice settings. The primary data source for this study will be the medical records of each participant.	Other: No intervention; Both retrospective and prospective data will be collected. The retrospective data will be collected through medical chart review.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Demographic Characteristics of Multiple Myeloma (MM) Participants	Demographic characteristics (such as age, gender, race, ethnicity, country of residence, and health insurance) of MM participants will be assessed at baseline.	Baseline
Number of Participants with Comorbid Conditions	Number of participants with comorbid conditions (such as obesity, diabetes, cardiovascular disease, anemia alcohol, and tobacco use) will be assessed at baseline.	Baseline
General Health Status Based on Frailty Score	General health status based on Frailty Score will be reported. International Myeloma Working Group (IMWG) frailty score: Participants frailty status will be assessed on the basis of 4 components: age (less than [<75], 76- 80, and greater than [>]80 years correspond to frailty scores of 0, 1, and 2, respectively), the charlson comorbidity scoring system without age weighting (scores of less than or equal to [<=]1 and greater than or equal to [>=]2 correspond to frailty scores of 0 and 1, respectively), independence in activities of daily living (scores of >4 and <=4 correspond to frailty scores of 0 and 1, respectively) and instrumental activities of daily living scale (scores of >5 and <=5 correspond to frailty scores of 0 and 1, respectively). The sum of the 4 frailty scores equals the total frailty score. The total frailty score ranges from 0 to 5, with a total of three categories: 0 (fit), 1 (intermediate-fitness) and greater than or equal to (>=)2 (frail).	Approximately up to 2.7 years
Eastern Cooperative Oncology Group (ECOG) Performance Status Score	ECOG performance status is a standard criterion for measuring how the disease impacts daily living abilities. It describes the level of functioning in terms of the ability to care for oneself, daily activity, and physical ability (walking, working, etc). ECOG performance status score ranges from Grade 0 to 5: 0= Fully active and performances without restriction, 1= Restricted in physically strenuous activity, 2= Ambulatory and capable of all self-care but unable to carry out any work activities, 3= Capable of only limited self-care and confined to bed or chair more than 50% of waking hours, 4= Completely disabled, and 5= Dead.	Approximately up to 2.7 years
Sequence of Treatments in Participants with Multiple Myeloma (MM)	Treatment sequences for participants with MM within routine clinical care will be assessed.	Approximately up to 2.7 years
Number of Participants in Each Stage of Multiple Myeloma (MM) Disease	Number of participants in each stage of MM disease will reported. The stage of MM disease will be determined by International Staging System (ISS). ISS categorizes MM participants into three groups (Stage I, II, or III). Stage I: beta2-microglobulin less than (<)3.5 milligram per liter (mg/L) and albumin greater than or equal to (>=)3.5 gram (g)/100 milliliter (mL); stage II: neither stage I nor stage III; and stage III: beta2-microglobulin >=5.5 mg/L.	Approximately up to 2.7 years

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Overall Survival (OS)	The OS in MM participants will be measured and reported from diagnosis to the date of death.	Approximately up to 2.7 years
Progression-Free Survival (PFS)	PFS is defined as time from diagnosis to disease progression. IMWG criteria for disease progression: increase of greater than or equal to (>=)25 percent (%) from lowest response value in any one of the following: Serum M-component (absolute increase must be >=0.5 gram per deciliter [g/dL]), Urine M-component (absolute increase must be >=200 milligram per 24 hour [mg/24 hour]), only in participants without measurable serum and urine M-protein levels: the difference between involved and uninvolved free light chain levels (absolute increase must be greater than >10 mg/dL), Bone marrow plasma cell percentage: the absolute percent must be >=10%, Definite development of new bone lesions or soft tissue plasmacytomas or definite increase in the size of existing bone lesions or soft tissue plasmacytomas, Development of hypercalcemia (corrected serum calcium >11.5 mg/dL or 2.65 millimoles per liter [mmol/L]) that can be attributed solely to the plasma cell proliferative disorder.	Approximately up to 2.7 years
Percentage of Participants with Complete Response (CR)	Complete response (CR) per International Myeloma Working Group (IMWG 2014) criteria is defined by negative immunofixation on the serum and urine, disappearance of any soft-tissue plasmacytomas, and less than (<)5 percent (%) plasma cells in bone marrow.	Approximately up to 2.7 years
Percentage of Participants with Stringent Complete Response (sCR)	Stringent CR per IMWG criteria is defined by a below plus normal fee-light-chain (FLC) ratio and absence of clonal cells in bone marrow by immunohistochemistry or immunofluorescence.	Approximately up to 2.7 years
Duration of Response	Duration of response is defined as the time from the date of initial documentation of a response (CR or partial response [PR]) to the date of first documented evidence of progressive disease (or relapse for participants who experience CR during the study) or death. Relapse as per IMWG criteria is defined as presence of definite new bone lesions and/or soft-tissue plasmacytomas, with a clear increase in the size of existing plasmacytomas, or hypocalcemia that cannot be attributed to another cause.	Approximately up to 2.7 years
Time to Next Treatment	Time to next treatment is defined as the time from diagnosis to the start of the next-line treatment.	Approximately up to 2.7 years
Percentage of Participants who Adopted Treatment Regimens	Percentage of participants who adopted treatment regimens will be reported.	Approximately up to 2.7 years
Number of Participants with Adverse Events	An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product.	Approximately up to 2.7 years
Number of Participants who Underwent Different Types of Minimal Residual Disease (MRD) Tests	Number of participants who underwent different types of MRD tests will be reported. MRD tests include next-generation [NG] flow cytometry, NG sequencing, positron emission tomography with computed tomography [PET-CT].	Approximately up to 2.7 years

Collaborators and Investigators

• Sponsor: Janssen-Cilag Ltd.

Study record dates

Study Major Dates

• Study Start (Actual): May 29, 2019
• Primary Completion (Actual): June 30, 2022
• Study Completion (Actual): June 30, 2022

Study Registration Dates

• First Submitted: May 17, 2019
• First Submitted That Met QC Criteria: May 17, 2019
• First Posted (Actual): May 20, 2019

Study Record Updates

• Last Update Posted (Estimate): March 7, 2023
• Last Update Submitted That Met QC Criteria: March 6, 2023
• Last Verified: March 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Cardiovascular Diseases; Vascular Diseases; Immune System Diseases; Neoplasms by Histologic Type; Neoplasms; Lymphoproliferative Disorders; Immunoproliferative Disorders; Hematologic Diseases; Hemorrhagic Disorders; Hemostatic Disorders; Paraproteinemias; Blood Protein Disorders; Multiple Myeloma; Neoplasms, Plasma Cell
• Other Study ID Numbers: CR108622; 54767414MMY4021 (Other Identifier: Janssen-Cilag Ltd.)