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Registerplatform Urologisk kræft (CARAT)

6. november 2026 opdateret af: iOMEDICO AG

Klinisk forskningsplatform om urologisk kræftbehandling og -resultat (Registry Platform Urologisk kræft; CARAT)

The purpose of the project is to set up a national, prospective, longitudinal, multicenter cohort study with associated satellites, a tumor registry platform, to document uniform data on characteristics, molecular diagnostics, treatment and course of disease, to collect patient-reported outcomes and to establish a decentralized biobank for patients with advanced renal cell carcinoma or urothelial cancer in Germany.

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

CARAT is a national, observational, prospective, longitudinal, multicenter cohort study (tumor registry platform) with the purpose to record information on the antineoplastic treatment of renal cell carcinoma and urothelial cancer in Germany. The registry will follow patients with advanced renal carcinoma for up to three years, patients with advanced urothelial cancer for up to two years and patients with muscle-invasive bladder cancer for up to five years. It will identify common therapeutic sequences and changes in the treatment of the disease. At inclusion, data in patient characteristics, comorbidities, tumor characteristics and previous treatments are collected. During the course of observation data on all systemic treatments, radiotherapies, surgeries, and outcome are documented. Moreover, data on perioperative therapies in patients with high-risk muscle-invasive urothelial carcinoma and radical surgery will be collected. Additionally for patients with muscle-invasive bladder cancer data on (neo)adjuvant systemic therapies and details on surgeries will be collected.

Health-related quality of life (HRQoL) in patients with advanced renal cell carcinoma or advanced urothelial cancel will be evaluated for up to two years.

Undersøgelsestype

Observationel

Tilmelding (Anslået)

2370

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

      • Multiple Locations, Tyskland
        • Rekruttering
        • Multiple sites, Germany
        • Kontakt:

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

Adult patients with locally advanced and inoperable, or metastatic Renal Cell Carcinoma (aRCC); locally advanced and inoperable, or metastatic Urothelial Cancer (including Bladder Cancer) (aUBC); High-risk Muscle-Invasive Urothelial Carcinoma (High-risk MIUC); or patients with Muscle-Invasive Bladder Cancer (MIBC).

Beskrivelse

Inclusion Criteria:

Cohorts aRCC and aUBC (prospective)

  • Female and male patients with aRCC or aUBC (locally advanced, inoperable or metastatic)

  • Patients at start of their first-line systemic treatment for aRCC or aUBC

  • Written informed consent

    • Patients participating in the PRO module: signing of in-formed consent form and completion of baseline questionnaire before start of initial systemic treatment
    • Patients not participating in the PRO module: within twelve weeks after start of systemic first-line for aRCC or aUBC
  • Age ≥ 18 years

Cohort High-risk MIUC (prospective and retrospective)

  • Histologically proven muscle-invasive urothelial carcinoma (MIUC) of the lower or upper urinary tract (ICD-10 C65, C66, C67.x, C68.x). Mixed histologies are allowed (main compo-nent must be urothelial carcinoma, with minor variants accept-ed).

  • Radical surgery (e.g., radical cystectomy, nephroureterecto-my) between October 1, 2021 and October 31, 2024.

  • High-risk of recurrence, defined as follows: Post-operative, pathological tumor status

    • ypT2-ypT4 and/or ypN+ and without clinically detectable metastases (M0) at cystectomy for patients with prior neo-adjuvant chemotherapy or
    • pT3-pT4 and/or pN+ and without clinically detectable me-tastases (M0) at cystectomy for patients without prior neo-adjuvant chemotherapy.
  • Age ≥ 18 years at the time of surgery.

  • Written informed consent (only if patient is alive at time of data entry; not applicable for inclusion of deceased patients' data)

Cohort MIBC (prospective)

  • Diagnosis of MIBC (muscle-invasive bladder cancer; ICD-10 C67.x; cT2-T4aN0M0 or T1-T4aN1M0).
  • Histologically proven muscle-invasive urothelial carcinoma. Mixed histologies are allowed (main component must be urothelial histology, with minor variants accepted).
  • Age ≥ 18 years at the time of diagnosis.
  • Written informed consent within 15 weeks from diagnosis of MIBC.

Exclusion Criteria:

Cohorts aRCC and aUBC (prospective)

  • Patients with prior systemic therapy for aRCC or aUBC
  • No systemic treatment for aRCC or aUBC

Cohort High-risk MIUC (prospective and retrospective)

  • Partial cystectomy or partial nephrectomy of the primary tumor as definitive therapy
  • Metastatic disease (M1) at the time of surgery

Cohort MIBC (prospective)

  • Clinically detectable metastases (M1) at the time of diagnosis.
  • Treatment in palliative intention (for tumors considered inoperable).

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Observationsmodeller: COHORT
  • Tidsperspektiver: PROSPECTIVE

Kohorter og interventioner

Gruppe / kohorte
Intervention / Behandling
aRCC

Patients with advanced renal cell carcinoma

Physician's choice according to patient's needs.

aUBC

Patients with advanced urothelial carcinoma (locally advanced and inoperable, or metastatic)

Physician's choice according to patient's needs.

High-risk MIUC

Patients with muscle-invasive urothelial carcinoma classified as high-risk after radical surgery (ypT2-ypT4 and/or ypN+,M0 for patients with prior neoadjuvant chemotherapy; pT3-pT4 and/or pN+, M0 for patients without prior neoadjuvant chemotherapy)

Physician's choice according to patient's needs.

MIBC

Patients with the diagnosis of MIBC (muscle-invasive bladder cancer; ICD-10 C67.x; cT2-T4aN0M0 or T1-T4aN1M0) and with histologically proven muscle-invasive urothelial carcinoma; mMixed histologies are allowed (main component must be urothelial histology, with minor variants accepted).

Physician's choice according to patient's needs.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Course of treatment (treatment reality)
Tidsramme: 3 years per patient

Documentation of anamnestic data and therapy sequences

3 years per patient

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Best Response
Tidsramme: 3 years per patient

Documentation of response rates per line of treatment.

3 years per patient
Progression-free survival
Tidsramme: 3 years per patient

Documentation of progression-free survival per line of treatment.

3 years per patient
Overall survival
Tidsramme: 3 years per patient

Documentation of overall survival time.

3 years per patient
Health-related quality of life (Patient-reported outcome)
Tidsramme: 2 years per patient

Cohort aRCC: National Comprehensive Cancer Network/ Functional Assessment of Cancer Therapy (FACT)-Kidney Symptom Index 19 (NCCN-FACT FKSI-19) Cohort aUBC: NCCN/FACT Bladder Symptom Index (NCCN-FACT FBlSI-18, Version 2)

2 years per patient
Treatment symptom related quality of life
Tidsramme: 2 years per patient

Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE™) - Items/Scores cohort aRCC: 3/7/15/22/24/27/28/50/51; Items/Scores cohort aUBC: 3/7/15/22/24/27/28/39/45/50/51

2 years per patient

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Efterforskere

  • Studiestol: Michael Staehler, Prof. Dr., Ludwig Maximilian University of Munich, Dept. of Urology - University Hospital, Munich, Germany
  • Studiestol: Peter Goebell, Prof. Dr., University Clinic Erlangen, Department of Urology Comprehensive Cancer Center Erlangen EMN, Erlangen, Germany
  • Studiestol: Lothar Müller, Dr., Onkologie UnterEms, Leer-Emden-Papenburg, Leer, Germany
  • Studiestol: Viktor Grünwald, Prof. Dr., University Hospital Essen West German Cancer Center Essen, Clinic for Medical Oncology and Clinic for Urology, Essen, Germany
  • Studiestol: Carsten Grüllich, Prof. Dr., Sana Clinic Hof, Dept. of Hematology and Oncology, Hof, Germany
  • Studiestol: Christian Gratzke, Prof. Dr., University Hospital Freiburg, Dept. of Urology, Freiburg, Germany

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

7. december 2017

Primær færdiggørelse (Anslået)

1. marts 2034

Studieafslutning (Anslået)

1. marts 2034

Datoer for studieregistrering

Først indsendt

12. december 2017

Først indsendt, der opfyldte QC-kriterier

12. december 2017

Først opslået (Faktiske)

15. december 2017

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

12. november 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

6. november 2026

Sidst verificeret

1. november 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • iOM-110363

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

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