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Outcomes Of The Spanish Cohort Of Early Access To Pertuzumab And Trastuzumab Emtansine (KNOWHER)

4 de marzo de 2020 actualizado por: BELEN RUIZ-ANTORAN

Use Of Pertuzumab And Trastuzumab Emtansine In Adult Patients With Her2-Positive Metastatic Or Locally Recurrent Unresectable Breast Cancer

The overall study objective is to evaluate the effectiveness and safety of Trastuzumab emtansine (T-DM1) and Pertuzumab under real-world disease conditions in the Spain, and specifically in patients treated under compassionate use or early access program

Descripción general del estudio

Estado

Terminado

Condiciones

Descripción detallada

This is a retrospective, non-interventional, non-comparative, observational cohort study / registry in the Spain. The study design will reflect real-life clinical management of patients with HER2-positive MBC. Type and frequency of actual patient visits and all evaluations will be done as for routine clinical practice.

The analysis of the efficacy and safety results obtained in patients receiving pertuzumab or TDM1 in those early access systems is of utmost importance. These real-world patients with advanced breast cancer may have different characteristics than those enrolled in clinical trials and clinicians must often extrapolate into therapeutic decisions not fully supported by a robust evidence.

Tipo de estudio

De observación

Inscripción (Actual)

220

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

      • Madrid, España, 28222
        • Puerta de Hierro University Hospital

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años a 100 años (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Método de muestreo

Muestra no probabilística

Población de estudio

This study will include a cohort of approximately 700 adult patients from the Spain with HER2-positive metastatic or locally recurrent unresectable breast cancer and who are treated with Trastuzumab emtansine (T-DM1) or Pertuzumab under compassionate use or early access program. The decision to initiate use of Trastuzumab emtansine (T-DM1) and Pertuzumab is made independently by the participant and their health care provider and is not mandated by the study design or protocol.

Descripción

Inclusion Criteria:

  • Adult patients (age ≥ 18 years at enrolment) with HER2-positive metastatic or locally recurrent unresectable breast cancer and who are treated with Trastuzumab emtansine (T-DM1) or Pertuzumab.
  • Patients who initiate Trastuzumab emtansine (T-DM1) and Pertuzumab under Spanish compassionate use or early access program.

Exclusion Criteria:

  • Given the characteristics of the study there are no exclusion criteria.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

Cohortes e Intervenciones

Grupo / Cohorte
Pertuzumab
Patients with HER2-positive metastatic or locally recurrent unresectable breast cancer and who are treated with Pertuzumab under Spanish compassionate use or early access program
Trastuzumab emtansine
Patients with HER2-positive metastatic or locally recurrent unresectable breast cancer and who are treated with Trastuzumab emtansine (T-DM1) under Spanish compassionate use or early access program

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Overall survival.
Periodo de tiempo: Through study completion (from date of start of treatment until the date of death from any cause, assessed up to 48 months).
The time between the date of start of treatment and the date of death. For subjects without documentation of death, OS will be censored on the last date the subject was known to be alive
Through study completion (from date of start of treatment until the date of death from any cause, assessed up to 48 months).

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Progression free survival.
Periodo de tiempo: Through study completion (from date of start of treatment until the date of first documented progression assessed up to 48 months)
The time from start of treatment to the date of the first documented tumour progression as determined by the clinician (may be based on clinical examination or radiographic or laboratory features).
Through study completion (from date of start of treatment until the date of first documented progression assessed up to 48 months)
Best overall response rate
Periodo de tiempo: Through study completion, an average of 4 year
Response rate is defined as the proportion of patients with complete response (CR) or partial response (PR) based on their best overall response as written in the medical record
Through study completion, an average of 4 year
Duration of response (DOR)
Periodo de tiempo: Through study completion, an average of 4 year
The time between the date of first confirmed response to the date of the first documented tumour progression, or death due to any cause, whichever occurs first. At the time of the analysis, several limitations should be taken into consideration for this retrospective study: DOR is only appraisable if measurable disease and DOR data availability in the medical records (ideally assessed with the RECIST criteria) could be incomplete.
Through study completion, an average of 4 year
Time to treatment failure
Periodo de tiempo: Through study completion (from date of start of treatment until the date of treatment failure, assessed up to 48 months)
Through study completion (from date of start of treatment until the date of treatment failure, assessed up to 48 months)
Time to Objective Response
Periodo de tiempo: Through study completion (from date of start of treatment until the date of the first confirmed response, assessed up to 48 months)
The time from start of treatment to the date of the first confirmed response (evaluated for responders only)
Through study completion (from date of start of treatment until the date of the first confirmed response, assessed up to 48 months)
Time to change treatment
Periodo de tiempo: Through study completion (from date of start of treatment until the date of change treatment, assessed up to 48 months)
Through study completion (from date of start of treatment until the date of change treatment, assessed up to 48 months)
Time to next treatment
Periodo de tiempo: Through study completion (from date of start of treatment until the date of start other treatment, assessed up to 48 months)
Through study completion (from date of start of treatment until the date of start other treatment, assessed up to 48 months)
All suspected Grade 3/4/5 adverse reactions
Periodo de tiempo: Through study completion, an average of 4 year
Through study completion, an average of 4 year
Adverse events of special interest to anti HER2 Mab (AESI)
Periodo de tiempo: Through study completion, an average of 4 year
  • AESIs regarding treatment with T-DM1: Hepatic disorder (specific analytical alteration)
  • AESIs regarding treatment with Pertuzumab: Interstitial Lung Disease
Through study completion, an average of 4 year
AEs of scientific interest
Periodo de tiempo: Through study completion, an average of 4 year
  • An asymptomatic decline in LVEF requiring treatment or leading to discontinuation of study treatment (regarding treatment with T-DM1 and Pertuzumab)
  • Other AEs leading to treatment discontinuation
Through study completion, an average of 4 year

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Investigadores

  • Investigador principal: Belén Ruiz-Antorán, PhD, Department of Clinical Pharmacology, University Hospital Puerta de Hierro Majadahonda, Madrid, Spain

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

1 de diciembre de 2017

Finalización primaria (Actual)

1 de octubre de 2018

Finalización del estudio (Actual)

31 de enero de 2020

Fechas de registro del estudio

Enviado por primera vez

11 de enero de 2017

Primero enviado que cumplió con los criterios de control de calidad

16 de enero de 2017

Publicado por primera vez (Estimar)

19 de enero de 2017

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

5 de marzo de 2020

Última actualización enviada que cumplió con los criterios de control de calidad

4 de marzo de 2020

Última verificación

1 de marzo de 2020

Más información

Términos relacionados con este estudio

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

NO

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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