- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06252753
Observational Study Protocol: LIVER-R (LIVER-R)
April 22, 2024 updated by: AstraZeneca
An Observational Multi Center Study to Evaluate Real World Treatment Outcomes of Durvalumab Based Regimens in Hepatobiliary Cancers
Given the number of anticipated durvalumab-based treatment launches in the hepatobiliary cancer space over the next 3 years, there is a need to capture contemporary real-world data across these indications.
LIVER-R is a multicountry, multicenter, observational study of patients with a confirmed diagnosis of hepatobiliary cancer treated with a durvalumab-based regimen as part of routine clinical practice or early access program (EAP).
The study design will include primary and secondary data collection.
The primary objective of this study is to evaluate the effectiveness of durvalumab-based regimens in real-world settings as measured by real-world overall survival.
Other endpoints include demographics, clinical characteristics, clinically significant events of interest, treatment patterns, concomitant medications, and other real-world clinical endpoints (such as duration of treatment, progression-free survival, time to treatment progression, time to next treatment, recurrence-free survival, and time to treatment recurrence).
Study Overview
Status
Recruiting
Conditions
Detailed Description
LIVER-R is a real-world, multi-country, multi-centre study aiming to enroll approximately 2500 pts with unresectable hepatocellular carcinoma (uHCC; n=1135) or advanced biliary tract cancers (aBTCs; n=1355) across 22 countries from North and South America, Europe, the Middle East and the Asia-Pacific region.
The study design will include primary and secondary data collection.
Primary data will be collected in real-time during the patient's routine visit.
Secondary data will be collected from the patient's medical record at enrollment and at prespecified study time points (6-month intervals).
The study population includes adult patients whose physician has previously made the decision to treat them with a durvalumab-based regimen for hepatobiliary cancer as part of routine clinical practice or patients receiving treatment through EAP.
The study will include a baseline period of up to 5 years before the index date (initiation of a Durvalumab-based regimen) and a follow-up period to the earliest of death, loss to follow-up, withdrawal, or end of study for a maximum follow-up of 2 years for patients with aBTCs or 3 years for patients with uHCC.
This is a descriptive, noncomparative study.
No formal hypotheses are to be tested.
All descriptive analyses will be conducted separately for each primary hepatobiliary cancer indication.
Kaplan Meier estimates will be produced for time-to-event outcomes.
Study Type
Observational
Enrollment (Estimated)
4490
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: AstraZeneca Clinical Study Information Center
- Phone Number: 1-877-240-9479
- Email: information.center@astrazeneca.com
Study Locations
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Bavaria
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Augsburg, Bavaria, Germany, 86150
- Recruiting
- Research Site
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Lower Saxony
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Hannover, Lower Saxony, Germany, 30161
- Recruiting
- Research Site
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North Rhine-Westphalia
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Dortmund, North Rhine-Westphalia, Germany, 44137
- Recruiting
- Research Site
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Saxony
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Dresden, Saxony, Germany, 1307
- Recruiting
- Research Site
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Campania
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Naples, Campania, Italy, 80131
- Recruiting
- Research Site
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Lombardy
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Brescia, Lombardy, Italy, 25123
- Recruiting
- Research Site
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California
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Coronado, California, United States, 92118
- Recruiting
- Research Site
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Florida
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Gainesville, Florida, United States, 32610
- Recruiting
- Research Site
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Illinois
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Hinsdale, Illinois, United States, 60521
- Recruiting
- Research Site
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Ohio
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Canton, Ohio, United States, 44718
- Recruiting
- Research Site
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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
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Sampling Method
Non-Probability Sample
Study Population
The study population includes patients treated with a durvalumab based regimen for hepatobiliary cancer as part of routine clinical practice.
The decision to treat patients with a durvalumab based regimen should be independent from the decision to enroll patients in the study.
Depending on the country, it is anticipated that 15 to 400 patients may be enrolled in each participating country.
Description
Inclusion Criteria:
- Age ≥18 years and a lawful adult in the country at the index date
- Confirmed presence of malignancy of primary hepatobiliary cancer (i.e., uHCC or aBTC) by the treating physician
- Type of hepatobiliary cancer indication is approved to be treated (i.e., positive phase 3 clinical trial read out for HIMALAYA or TOPAZ 1) with a durvalumab based regimen in the respective country or was administered as part of an EAP
- Informed consent was obtained as per country level regulations on or after the index date
Exclusion Criteria:
- Currently/was participating or plans to participate in any clinical trial for investigational treatment for hepatobiliary cancers on or after the diagnosis date until the index date
- Received other systemic therapies for hepatobiliary cancer indication on or after diagnosis date through the index date (e.g., uHCC or aBTC patient who received a systemic treatment for unresectable HCC or advanced BTC, respectively, prior to initiating durvalumab based regimen)
- Received a liver transplant during the baseline 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 |
---|---|
unresectable hepatocellular carcinoma (uHCC)
|
Data on patients who initiated durvalumab-based regimens, including STRIDE (Single Tremelimumab Regular Interval Durvalumab), will be collected).
Other Names:
Data on patients who initiated durvalumab-based regimens, including durvalumab + chemotherapy combinations (e.g., Durvalumab + GemCis etc.) will be collected.
Other Names:
|
advanced biliary tract cancer (aBTC)
|
Data on patients who initiated durvalumab-based regimens, including STRIDE (Single Tremelimumab Regular Interval Durvalumab), will be collected).
Other Names:
Data on patients who initiated durvalumab-based regimens, including durvalumab + chemotherapy combinations (e.g., Durvalumab + GemCis etc.) will be collected.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Real-world overall survival (rwOS)
Time Frame: rwOS will be assessed as OS rates at 6, 12, 24 months (both aBTC and uHCC), and 36 months (uHCC), median OS for a maximum follow-up of 2 and 3 years for aBTC and uHCC, respectively.
|
rwOS will be calculated as the time from the index date to date of death, by any cause.
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rwOS will be assessed as OS rates at 6, 12, 24 months (both aBTC and uHCC), and 36 months (uHCC), median OS for a maximum follow-up of 2 and 3 years for aBTC and uHCC, respectively.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Real-world duration of treatment (rwDOT)
Time Frame: rwDOT will be assessed as median DOT for a maximum follow-up of 2 years (aBTC) or 3 years (uHCC).
|
rwDOT will be calculated for each systemic treatment as the time from the index date to date of discontinuation for any reason.
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rwDOT will be assessed as median DOT for a maximum follow-up of 2 years (aBTC) or 3 years (uHCC).
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Real-world progression free survival (rwPFS)
Time Frame: rwPFS will be assessed as PFS rates at 6, 12, 24 months (both aBTC and uHCC), and 36 months (uHCC), median PFS for a maximum follow-up of 2 and 3 years for aBTC and uHCC, respectively.
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rwPFS will be calculated as the time from the index date to the date of documented disease progression as determined by the physician's assessment or death, whichever is earlier.
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rwPFS will be assessed as PFS rates at 6, 12, 24 months (both aBTC and uHCC), and 36 months (uHCC), median PFS for a maximum follow-up of 2 and 3 years for aBTC and uHCC, respectively.
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Real-world time to progression (rwTTP)
Time Frame: rwTTP will be assessed as median TTP for a maximum follow-up of 2 years (aBTC) or 3 years (uHCC).
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rwTTP will be calculated as the time from the index date to the date of documented disease progression as determined by the physician's assessment.
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rwTTP will be assessed as median TTP for a maximum follow-up of 2 years (aBTC) or 3 years (uHCC).
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Real-world time to next treatment (rwTTNT)
Time Frame: rwTTNT will be assessed as median TTNT for a maximum follow-up of 2 years (aBTC) or 3 years (uHCC).
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rwTTNT will be calculated as the time from the index date to the date of initiation of the next treatment.
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rwTTNT will be assessed as median TTNT for a maximum follow-up of 2 years (aBTC) or 3 years (uHCC).
|
Real-world recurrence free survival (rwRFS)
Time Frame: rwRFS will be assessed as RFS rates at 6, 12, 24 months (both aBTC and uHCC), and 36 months (uHCC), median RFS for a maximum follow-up of 2 and 3 years for aBTC and uHCC, respectively.
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rwRFS will be defined as the time from the index date to the date of documented disease recurrence as determined by the physician's assessment or death, whichever is earlier.
The analysis will be performed in patients who underwent curative therapy (resection or ablation).
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rwRFS will be assessed as RFS rates at 6, 12, 24 months (both aBTC and uHCC), and 36 months (uHCC), median RFS for a maximum follow-up of 2 and 3 years for aBTC and uHCC, respectively.
|
Real-world time to recurrence (rwTTR)
Time Frame: rwTTR will be assessed as median TTR for a maximum follow-up of 2 years (aBTC) or 3 years (uHCC).
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rwTTR will be defined as the time from the index date to the date of documented disease recurrence as determined by the physician's assessment.
The analysis will be performed in patients who underwent curative therapy (resection or ablation).
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rwTTR will be assessed as median TTR for a maximum follow-up of 2 years (aBTC) or 3 years (uHCC).
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Patient demographic and clinical characteristics
Time Frame: Patient demographic and clinical characteristics will be captured up to 5 years prior to the index date.
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Descriptive statistics will be used to describe demographic and clinical characteristics for the enrolled patients.
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Patient demographic and clinical characteristics will be captured up to 5 years prior to the index date.
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Percentage of patients receiving each treatment regimen
Time Frame: Treatment patterns will be captured from the index date until the earliest of death, loss to follow-up, withdrawal, or end of study for a maximum follow-up of 2 years for patients with aBTCs or 3 years for patients with uHCC.
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Treatment patterns will be calculated from the index date until death, loss to follow-up, withdrawal from the study, or end of the study, whichever is earliest.
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Treatment patterns will be captured from the index date until the earliest of death, loss to follow-up, withdrawal, or end of study for a maximum follow-up of 2 years for patients with aBTCs or 3 years for patients with uHCC.
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Clinically significant events (CSEs) of interest leading to a medical intervention
Time Frame: CSEs will be captured from the index date through 90 days after the last administration of durvalumab-based regimen or death, whichever occurs first.
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CSEs of interest leading to medical intervention including durvalumab based treatment interruption, discontinuation, hospitalization, or which require interventions of concomitant use of corticosteroids, immunosuppressants and/or endocrine therapies will be captured for the enrolled patients.
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CSEs will be captured from the index date through 90 days after the last administration of durvalumab-based regimen or death, whichever occurs first.
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
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)
December 20, 2023
Primary Completion (Estimated)
December 13, 2029
Study Completion (Estimated)
December 13, 2029
Study Registration Dates
First Submitted
December 21, 2023
First Submitted That Met QC Criteria
February 1, 2024
First Posted (Actual)
February 12, 2024
Study Record Updates
Last Update Posted (Actual)
April 23, 2024
Last Update Submitted That Met QC Criteria
April 22, 2024
Last Verified
April 1, 2024
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- D419CR00035
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
IPD Plan Description
Plan to share only the redacted CSR synopsis
IPD Sharing Time Frame
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA/PhRMA Data-Sharing Principles.
For details of our timelines, please refer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
IPD Sharing Access Criteria
When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org.
A Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.
IPD Sharing Supporting Information Type
- CSR
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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