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Protocolo de estudio observacional: LIVER-R (LIVER-R)

27 de octubre de 2026 actualizado por: AstraZeneca

Un estudio observacional multicéntrico para evaluar los resultados del tratamiento en el mundo real de regímenes basados ​​​​en Durvalumab en cánceres hepatobiliares

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 multi-country, multi-center, observational study of patients with a confirmed diagnosis of hepatobiliary cancer treated with or without 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 regimens (durvalumab-based or otherwise) 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, treatment provider characteristics, and other real-world clinical endpoints (such as duration of treatment, progression-free survival, time to treatment progression, time to next treatment, time to treatment discontinuation, recurrence-free survival, and time to treatment recurrence ).

Descripción general del estudio

Descripción detallada

LIVER-R is a real-world, multi-country, multi-centre study aiming to enroll approximately 4,000 patients across hepatobiliary cohorts (approximately 1,385 patients for aBTC, approximately 1,165 patients for uHCC, approximately 1,000 patients for eeHCC, and approximately 400 patients for EMERALD) across multiple 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 or without 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 or non durvalumab-based regimen) and a follow-up period to the earliest of death, loss to follow-up, withdrawal, or end of study for a minimum follow-up of 2 years. 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.

Tipo de estudio

De observación

Inscripción (Estimado)

4000

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.

Estudio Contacto

Ubicaciones de estudio

      • Berlin, Alemania, 13353
        • Reclutamiento
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      • Berlin, Alemania, 14165
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      • Bremen, Alemania, 28211
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      • Hamburg, Alemania, 22291
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      • Hamburg, Alemania, 20259
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    • Baden W Rttemberg
      • Heidenheim, Baden W Rttemberg, Alemania, 89522
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    • Baden-W Rttemberg
      • Konstanz, Baden-W Rttemberg, Alemania, 78484
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      • Mannheim, Baden-W Rttemberg, Alemania, 68167
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      • Schorndorf, Baden-W Rttemberg, Alemania, 73614
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      • Stuttgart, Baden-W Rttemberg, Alemania, 70174
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    • Bavaria
      • Augsburg, Bavaria, Alemania, 86150
        • Terminado
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      • Munich, Bavaria, Alemania, 81377
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    • Free Hanseatic City of Bremen
      • Bremenhaven, Free Hanseatic City of Bremen, Alemania, 27574
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    • Hesse
      • Kassel, Hesse, Alemania, 34125
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      • Marburg, Hesse, Alemania, 35033
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    • Hesse Land
      • Wiesbaden, Hesse Land, Alemania, 65189
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    • Lower Saxony
      • Göttingen, Lower Saxony, Alemania, 37075
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      • Hanover, Lower Saxony, Alemania, 30161
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      • Hanover, Lower Saxony, Alemania, 30459
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    • Mecklenburg-Vorpommern
      • Rostock, Mecklenburg-Vorpommern, Alemania, 18057
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    • North Rhine-Westphalia
      • Aachen, North Rhine-Westphalia, Alemania, 52074
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      • Bochum, North Rhine-Westphalia, Alemania, 44892
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      • Cologne, North Rhine-Westphalia, Alemania, 50937
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      • Dortmund, North Rhine-Westphalia, Alemania, 44137
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      • Moers, North Rhine-Westphalia, Alemania, 47441
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      • Stolberg, North Rhine-Westphalia, Alemania, 52222
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    • Rhineland-Palatinate
      • Koblenz, Rhineland-Palatinate, Alemania, 56073
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    • Saxony
      • Dresden, Saxony, Alemania, 1307
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      • Leipzig, Saxony, Alemania, 4103
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      • Zwickau, Saxony, Alemania, 8060
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    • Saxony-Anhalt
      • Halle, Saxony-Anhalt, Alemania, 06108
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      • Magdeburg, Saxony-Anhalt, Alemania, 39120
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    • Schleswig-Holstein
      • Neumünster, Schleswig-Holstein, Alemania, 24534
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    • Ar Riyadh
      • Riyadh, Ar Riyadh, Arabia Saudita, 12231
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    • Mecca Region
      • Jeddah, Mecca Region, Arabia Saudita, 22384
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    • Australian Capital Territory
      • Garran, Australian Capital Territory, Australia, 2605
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    • Victoria
      • Heidelberg, Victoria, Australia, 3084
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      • Melbourne, Victoria, Australia, 3004
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    • Western Australia
      • Murdoch, Western Australia, Australia, 6150
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    • Lower Austria
      • Sankt Pölten, Lower Austria, Austria, 3100
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    • State of Vienna
      • Vienna, State of Vienna, Austria, 1090
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    • Upper Austria
      • Linz, Upper Austria, Austria, 4010
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      • São Paulo, Brasil, 04538-132
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      • São Paulo, Brasil, 01246-000
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    • Paraná
      • Curitiba, Paraná, Brasil, 81480-580
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    • Recife - PE
      • Recife - PE, Recife - PE, Brasil, 50070-490
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    • Rio Grande do Sul
      • Porto Alegre, Rio Grande do Sul, Brasil, 90035-001
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    • São Paulo
      • Morumbi, São Paulo, Brasil, 05651-901
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    • Anderlecht
      • Brussels, Anderlecht, Bélgica, 1070
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    • Antwerp
      • Bonheiden, Antwerp, Bélgica, 2820
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      • Edegem, Antwerp, Bélgica, 2650
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    • Brabant
      • Leuven, Brabant, Bélgica, 3000
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    • Wallonia
      • Liège, Wallonia, Bélgica, 4000
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    • West Flanders
      • Stene, West Flanders, Bélgica, 8400
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    • Alberta
      • Calgary, Alberta, Canadá, T2N 4N2
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      • Edmonton, Alberta, Canadá, T6G-1Z2
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    • Nova Scotia
      • Halifax, Nova Scotia, Canadá, B3H 2Y9
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    • Ontario
      • London, Ontario, Canadá, N6A 5W9
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    • Abu Dhabi Emirate
      • Mohammed Bin Zayed City, Abu Dhabi Emirate, Emiratos Árabes Unidos, 92510
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    • Dubai
      • Deira, Dubai, Emiratos Árabes Unidos, 7272
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      • Barcelona, España, 8035
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      • Madrid, España, 28007
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      • Madrid, España, 28034
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      • Madrid, España, 28040
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      • Madrid, España, 28041
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      • Oviedo, España, 33011
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      • Pamplona, España, 31008
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      • Santa Cruz de Tenerife, España, 38010
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      • Seville, España, 41009
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      • Valencia, España, 46010
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    • A Coru A
      • Santiago de Compostela, A Coru A, España, 15706
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    • Aragon
      • Zaragoza, Aragon, España, 50009
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    • C Rdoba
      • Poniente Sur, C Rdoba, España, 14004
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    • Cantabria
      • Santander, Cantabria, España, 39008
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    • Castile-Le N
      • Burgos, Castile-Le N, España, 9006
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    • Galicia
      • Ourense, Galicia, España, 32005
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    • Madrid
      • Majadahonda, Madrid, España, 28222
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    • Murcia
      • El Palmar, Murcia, España, 30120
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    • Alabama
      • Birmingham, Alabama, Estados Unidos, 35233-1932
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      • Mobile, Alabama, Estados Unidos, 36604
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    • Arizona
      • Phoenix, Arizona, Estados Unidos, 85004
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    • California
      • Coronado, California, Estados Unidos, 92118
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      • Los Angeles, California, Estados Unidos, 90048
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      • Walnut Creek, California, Estados Unidos, 94598
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    • Florida
      • Clermont, Florida, Estados Unidos, 34711
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      • Gainesville, Florida, Estados Unidos, 32610
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      • Tampa, Florida, Estados Unidos, 33606
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    • Georgia
      • Augusta, Georgia, Estados Unidos, 30912
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    • Illinois
      • Evergreen Park, Illinois, Estados Unidos, 60805
        • Reclutamiento
        • Research Site
      • Hinsdale, Illinois, Estados Unidos, 60521
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    • Louisiana
      • Baton Rouge, Louisiana, Estados Unidos, 70808
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    • Massachusetts
      • Boston, Massachusetts, Estados Unidos, 02215
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    • Missouri
      • Osage Beach, Missouri, Estados Unidos, 65065
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    • New York
      • White Plains, New York, Estados Unidos, 10601
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    • Ohio
      • Canton, Ohio, Estados Unidos, 44718
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    • Pennsylvania
      • Bethlehem, Pennsylvania, Estados Unidos, 18015
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      • Lancaster, Pennsylvania, Estados Unidos, 17604
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      • Philadelphia, Pennsylvania, Estados Unidos, 19141
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      • Pittsburgh, Pennsylvania, Estados Unidos, 15212
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    • Texas
      • Dallas, Texas, Estados Unidos, 75390-8567
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      • Temple, Texas, Estados Unidos, 76508
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    • Washington
      • Spokane, Washington, Estados Unidos, 99204
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    • Alsace
      • Strasbourg, Alsace, Francia, 67000
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    • Auvergne-Rh ne-Alpes
      • Grenoble, Auvergne-Rh ne-Alpes, Francia, 38700
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    • Brittany Region
      • St-Malo, Brittany Region, Francia, 35403
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    • Grand Est
      • Mulhouse, Grand Est, Francia, 68100
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    • Hauts-de-France
      • Boulogne-sur-Mer, Hauts-de-France, Francia, 62200
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    • New Aquitaine
      • Poitiers, New Aquitaine, Francia, 86000
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    • Provence-Alpes-Côte d'Azur Region
      • Avignon, Provence-Alpes-Côte d'Azur Region, Francia, 84918
        • Reclutamiento
        • Research Site
      • Marseille, Provence-Alpes-Côte d'Azur Region, Francia, 13008
        • Reclutamiento
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    • Île-de-France Region
      • Paris, Île-de-France Region, Francia, 75012
        • Reclutamiento
        • Research Site
      • Paris, Île-de-France Region, Francia, 75014
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    • Athens
      • Chaïdári, Athens, Grecia, 12462
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    • Attica
      • Athens, Attica, Grecia, 11527
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      • Athens, Attica, Grecia, 14564
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    • Central Macedonia
      • Thessaloniki, Central Macedonia, Grecia, 55236
        • Reclutamiento
        • Research Site
      • Thessaloniki, Central Macedonia, Grecia, 54639
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    • Thessaly
      • Larissa, Thessaly, Grecia, 41110
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        • Research Site
      • Jerusalem, Israel, 9103102
        • Reclutamiento
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      • Tel Aviv, Israel, 6423906
        • Reclutamiento
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    • Northern Didstrict
      • Nahariya, Northern Didstrict, Israel, 22100
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    • Tel Aviv
      • Ramat Gan, Tel Aviv, Israel, 52621
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    • Campania
      • Naples, Campania, Italia, 80131
        • Reclutamiento
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    • Lazio
      • Rome, Lazio, Italia, 00128
        • Reclutamiento
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      • Rome, Lazio, Italia, 00168
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    • Lombardy
      • Brescia, Lombardy, Italia, 25123
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      • Milan, Lombardy, Italia, 20132
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      • Milan, Lombardy, Italia, 20133
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      • Rozzano, Lombardy, Italia, 20089
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    • Piedmont
      • Turin, Piedmont, Italia, 10126
        • Reclutamiento
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    • Sardinia
      • Monserrato, Sardinia, Italia, 09042
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    • Tuscany
      • Pisa, Tuscany, Italia, 56124
        • Reclutamiento
        • Research Site
    • Aichi-ken
      • Nagoya, Aichi-ken, Japón, 466-8550
        • Reclutamiento
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    • Chiba
      • Kashiwa-shi, Chiba, Japón, 277-8577
        • Reclutamiento
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    • Fukuoka
      • Kurume, Fukuoka, Japón, 830-0011
        • Reclutamiento
        • Research Site
    • Ishikawa-ken
      • Kanazawa, Ishikawa-ken, Japón, 920-8641
        • Reclutamiento
        • Research Site
    • Kanagawa
      • Yokohama, Kanagawa, Japón, 241-8515
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    • Kyoto
      • Kyoto, Kyoto, Japón, 606-8507
        • Reclutamiento
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    • Miyagi
      • Sendai, Miyagi, Japón, 980-8574
        • Reclutamiento
        • Research Site
    • Osaka
      • Ōsaka-sayama, Osaka, Japón, 589-8511
        • Reclutamiento
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    • Akershus
      • Lorenskog, Akershus, Noruega, 1478
        • Reclutamiento
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    • Hordaland
      • Bergen, Hordaland, Noruega, 5021
        • Reclutamiento
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    • Stlandet
      • Oslo, Stlandet, Noruega, 379
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      • Faro, Portugal, 8000-386
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      • Lisbon, Portugal, 1400 - 038
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      • Lisbon, Portugal, 1649-028
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    • North
      • Vila Real, North, Portugal, 5000-508
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    • Rio Piedras
      • San Juan, Rio Piedras, Puerto Rico, 00935
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      • Bucharest, Rumania, 22328
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        • Research Site
      • Cluj-Napoca, Rumania, 400162
        • Reclutamiento
        • Research Site
      • Craiova, Rumania, 200347
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      • Iași, Rumania, 700483
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        • Research Site
      • Singapore, Singapur, 169610
        • Reclutamiento
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      • Singapore, Singapur, 329563
        • Reclutamiento
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      • Zurich, Suiza, 8032
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    • Canton of Vaud
      • Lausanne, Canton of Vaud, Suiza, 1005
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      • Kaohsiung City, Taiwán, 82445
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      • Taipei, Taiwán, 11217
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      • Taipei, Taiwán, 100225
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      • Taoyuan City, Taiwán, 33305
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    • Taichung City
      • Taichung, Taichung City, Taiwán, 40705
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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 130 años (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Método de muestreo

Muestra no probabilística

Población de estudio

The study population includes patients treated with durvalumab-based and non durvalumab-based regimens 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.

Descripción

Inclusion Criteria General Inclusion Criteria

All patients must meet all of the following general criteria 1-4 along with all respective cohort specific criteria noted below:

  1. Age ≥18 years and a lawful adult in the country at the index date
  2. Confirmed presence of malignancy of primary hepatobiliary cancer by any method (e.g., radiological, histological, etc.)
  3. Decision to treat was made independently and prior to obtaining informed consent
  4. Informed consent was obtained as per country level regulations (includes waiver of consent for retrospective data collection if approved)

aBTC Specific Inclusion Criteria

A patient will be eligible to be included in the aBTC cohort if they meet all general inclusion criteria 1-4 in addition to the following criteria:

  1. Patient has unresectable aBTC
  2. Has received or is intending to receive a durvalumab-based regimen (may have been treated in an EAP)

uHCC Specific Inclusion Criteria

A patient will be eligible to be included in the uHCC cohort if they meet all general inclusion criteria 1-4 in addition to the following criteria:

  1. Patient has unresectable uHCC
  2. Not eligible for LRT, as well as for those who progressed following LRT
  3. Has received or is intending to receive a durvalumab-based regimen (may have been treated in an EAP)

eeHCC Specific Inclusion Criteria

A patient will be eligible to be included in the eeHCC cohort if they meet all general inclusion criteria 1-4 in addition to the following criteria:

  1. HCC confirmed by radiological or histological diagnosis
  2. Child-Pugh A-B7
  3. Disease not amenable to curative treatment but amenable to LRT at index
  4. Patients with liver-confined HCC who initiated first non-curative intent LRT on or after 01 January 2024
  5. Patients eligible for LRT with palliative intent such as TACE/ TARE/transarterial infusion chemotherapy (TAIC)/ hepatic arterial infusion chemotherapy (HAIC)/transarterial embolization (TAE) given by itself or in combination with other systemic therapy (can include durvalumab) within 60 days of the LRT

EMERALD Specific Inclusion Criteria

A patient will be eligible to be included in the EMERALD cohort if they meet all general inclusion criteria 1-4 in addition to the following criteria:

  1. HCC confirmed by radiological or histological diagnosis
  2. Child-Pugh score of A-B7
  3. Liver-confined disease not amenable to curative treatment but amenable to LRT at index
  4. Receipt of a durvalumab-based regimen in combination with LRT administered within 28 days of each other (index is the first of the two treatments administered)

Exclusion Criteria

General Exclusion Criteria

A patient will be excluded from participating in this study if they meet any of the following general criteria 1-2 or any cohort specific exclusion criteria:

  1. 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
  2. Second primary malignancy prior to HCC or BTC diagnosis

aBTC Specific Exclusion Criteria

A patient will be excluded from participating in the aBTC cohort if they meet any of the general exclusion criteria 1-2 or any of the following criteria:

  1. Received a liver transplant during the baseline period
  2. Received more than 1 cycle of Gemcitabine + Cisplatin for biliary tract cancer on or after diagnosis of unresectable, locally advanced or metastatic disease through the index date. Patients who received any systemic therapy while having early stage, resectable disease are eligible

uHCC Specific Exclusion Criteria

A patient will be excluded from participating in the uHCC cohort if they meet any of the general exclusion criteria 1-2 or any of the following criteria:

  1. Received a liver transplant during the baseline period
  2. Received other systemic therapies for hepatobiliary cancer indication on or after diagnosis date through the index date

eeHCC Specific Exclusion Criteria

A patient will be excluded from participating in the eeHCC cohort if they meet any of the general exclusion criteria 1-2 or any of the following criteria:

  1. Eligible for curative therapy at the time of receiving LRT (ablation)
  2. Extrahepatic spread
  3. Portal vein tumor thrombosis (PVTT) of VP3/4
  4. Receipt of systemic therapy prior to index LRT in the baseline period
  5. Liver transplant any time prior to index

EMERALD Specific Exclusion Criteria

A patient will be excluded from participating in the EMERALD cohort if they meet any of the general exclusion criteria 1-2 or any of the following criteria:

  1. Eligible for curative therapy at the time of receiving LRT (ablation)
  2. Extrahepatic spread
  3. Portal vein tumor thrombosis (PVTT) of VP3/4
  4. Receipt of systemic therapy prior to index LRT in the baseline period
  5. Liver transplant any time prior to index

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

  • Modelos observacionales: COHORT
  • Perspectivas temporales: OTHER

Cohortes e Intervenciones

Grupo / Cohorte
Intervención / Tratamiento
unresectable hepatocellular carcinoma (uHCC)

advanced uHCC patients who had not received prior systemic therapy and were not eligible for LRT, as well as those who had progressed following LRT, and who have received a durvalumab-based regimen

Data on patients who initiated durvalumab-based regimens, including STRIDE (Single Tremelimumab Regular Interval Durvalumab), will be collected).

Otros nombres:
  • Imfinzi

Data on patients who initiated durvalumab-based regimens, including durvalumab + chemotherapy combinations (e.g., Durvalumab + GemCis etc.) will be collected.

Otros nombres:
  • Imfinzi
advanced biliary tract cancer (aBTC)

patients with advanced BTC (aBTC) who are not eligible for resection and who have received a durvalumab-based regimen

Data on patients who initiated durvalumab-based regimens, including STRIDE (Single Tremelimumab Regular Interval Durvalumab), will be collected).

Otros nombres:
  • Imfinzi

Data on patients who initiated durvalumab-based regimens, including durvalumab + chemotherapy combinations (e.g., Durvalumab + GemCis etc.) will be collected.

Otros nombres:
  • Imfinzi
eeHCC

uHCC patients with liver-confined disease not amenable to curative treatment but amenable to LRT who receive LRT alone or LRT followed by systemic therapy within 60 days (if administered in combination, LRT must be received first)

Data on patients who initiated non durvalumab-based regimens, including LRT alone or LRT followed by systemic therapies, will be collected.

EMERALD

uHCC patients with liver-confined disease not amenable to curative treatment but amenable to LRT who receive durvalumab-based regimens in combination with LRT (durvalumab and LRT are given within 28 days of each other, regardless of order)

Data on patients who initiated durvalumab-based regimens in combination with LRT, will be collected

Otros nombres:
  • Imfinzi

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Real-world overall survival (rwOS) in all participants
Periodo de tiempo: rwOS will be assessed as OS rates at 6, 12, 18, 24, and 36 months, as applicable per the type of hepatobiliary cancer; median OS for a minimum follow-up of 2 years.

rwOS will be calculated as the time from the index date to date of death, by any cause.

rwOS will be assessed as OS rates at 6, 12, 18, 24, and 36 months, as applicable per the type of hepatobiliary cancer; median OS for a minimum follow-up of 2 years.

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Clinically significant events (CSEs) of interest leading to a medical intervention in all participants
Periodo de tiempo: CSEs will be captured from the index date through 90 days after the last administration of durvalumab-based or non durvalumab-based regimens or death, whichever occurs first.

CSEs of interest leading to medical intervention including 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.

CSEs will be captured from the index date through 90 days after the last administration of durvalumab-based or non durvalumab-based regimens or death, whichever occurs first.
Patient demographic and clinical characteristics in all participants
Periodo de tiempo: Patient demographic and clinical characteristics will be captured up to 5 years prior to the index date.

Descriptive statistics will be used to describe demographic and clinical characteristics for the enrolled patients.

Patient demographic and clinical characteristics will be captured up to 5 years prior to the index date.
Characterize the durvalumab-based regimen and/or LRT treatment patterns in all participants
Periodo de tiempo: 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 minimum follow-up of 2 years.

Treatment patterns of the index durvalumab-based regimen or LRT will be described.

Treatment patterns of therapies administered both before and after the first administration of index durvalumab-based regimen or LRT will be described.

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 minimum follow-up of 2 years.
Real-world duration of treatment (rwDOT) in all participants
Periodo de tiempo: rwDOT will be assessed as event rates at 6, 12, 18, 24, and 36 months, as applicable per the type of hepatobiliary cancer; median DOT for a minimum follow-up of 2 years.

rwDOT will be calculated as the time from the index date to date of discontinuation of the index durvalumab-based regimen or LRT.

rwDOT will be assessed as event rates at 6, 12, 18, 24, and 36 months, as applicable per the type of hepatobiliary cancer; median DOT for a minimum follow-up of 2 years.
Real-world progression free survival (rwPFS) in all participants
Periodo de tiempo: rwPFS will be assessed as PFS rates at 6, 12, 18, 24, and 36 months, as applicable per the type of hepatobiliary cancer; median PFS for a minimum follow-up of 2 years.

rwPFS will be calculated as the time from the index date to the earliest date of documented disease progression as determined by the physician's assessment or death.

rwPFS will be assessed as PFS rates at 6, 12, 18, 24, and 36 months, as applicable per the type of hepatobiliary cancer; median PFS for a minimum follow-up of 2 years.
Real-world time to progression (rwTTP) in all participants
Periodo de tiempo: rwTTP will be assessed as event rates at 6, 12, 18, 24, and 36 months, as applicable per the type of hepatobiliary cancer; median TTP for a minimum follow up of 2 years.

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.

rwTTP will be assessed as event rates at 6, 12, 18, 24, and 36 months, as applicable per the type of hepatobiliary cancer; median TTP for a minimum follow up of 2 years.
Real-world time to next treatment (rwTTNT) in all participants
Periodo de tiempo: rwTTNT will be assessed as event rates at 6, 12, 18, 24, and 36 months, as applicable per the type of hepatobiliary cancer; median TTNT for a minimum follow-up of 2 years.

rwTTNT will be calculated as the time from the index date (first-line treatment date) to the date of initiation of the next treatment. rwTTNT will also be assessed for subsequent lines of therapy among patients who started a second line of therapy until a third line of therapy, patients who started a third line of therapy until a fourth line of therapy (rwTTNT), etc.

rwTTNT will be assessed as event rates at 6, 12, 18, 24, and 36 months, as applicable per the type of hepatobiliary cancer; median TTNT for a minimum follow-up of 2 years.
Real-world time to treatment discontinuation (rwTTD) in all participants
Periodo de tiempo: rwTTD will be assessed as event rates at 6, 12, 18, 24, and 36 months, as applicable per the type of hepatobiliary cancer; median TTD for a minimum follow-up of 2 years.

rwTTD will be calculated as the time from index date until discontinuation of treatment for any reason, including disease progression, toxicity, and death.

rwTTD will be assessed as event rates at 6, 12, 18, 24, and 36 months, as applicable per the type of hepatobiliary cancer; median TTD for a minimum follow-up of 2 years.
Characterization of providers among all participants
Periodo de tiempo: Provider characteristics will be captured up to 5 years prior to the index date

Descriptive statistics will be used to describe provider characteristics: academic vs. community.

Provider characteristics will be captured up to 5 years prior to the index date
Real-world recurrence free survival (rwRFS) in aBTC and uHCC
Periodo de tiempo: rwRFS will be assessed as RFS rates at 6, 12, 18, 24, and 36 months, as applicable per the type of hepatobiliary cancer; median RFS for a minimum follow-up of 2 years.

rwRFS will be defined as the time from the index date to the earliest 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).

rwRFS will be assessed as RFS rates at 6, 12, 18, 24, and 36 months, as applicable per the type of hepatobiliary cancer; median RFS for a minimum follow-up of 2 years.
Real-world time to recurrence (rwTTR) in aBTC and uHCC
Periodo de tiempo: rwTTR will be assessed as recurrence rates at 6, 12, 18, 24, and 36 months, as applicable per the type of hepatobiliary cancer; median TTR for a minimum follow-up of 2 years.

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).

rwTTR will be assessed as recurrence rates at 6, 12, 18, 24, and 36 months, as applicable per the type of hepatobiliary cancer; median TTR for a minimum follow-up of 2 years.
Liver function over time in eeHCC and EMERALD
Periodo de tiempo: Liver function will be assessed as the change in liver function markers for a minimum follow-up of 2 years

Liver function markers over time will be examined including the closest measure to the index date in the baseline period of first LRT, from pre-treatment through the follow-up period. The primary summary of interest is the change (or trajectory) in liver function markers (ALBI score and Child-Pugh score) over time.

Liver function will be assessed as the change in liver function markers for a minimum follow-up of 2 years
Provider specialty and treatment patterns in eeHCC
Periodo de tiempo: Provider specialty will be assessed descriptively and treatment patterns will be assessed as a percentage of participants for a minimum follow-up of 2 years

Provider specialty characteristics will be described. The percentage of participants receiving LRT as subsequent line of treatment (among participants receiving only LRT as standard of care).

Provider specialty will be assessed descriptively and treatment patterns will be assessed as a percentage of participants for a minimum follow-up of 2 years
Clinical characteristics in EMERALD and eeHCC
Periodo de tiempo: Clinical characteristics will be assessed descriptively for a minimum follow-up of 2 years.

The percentage of participants who receive subsequent curative resection or liver transplant will be described.

Clinical characteristics will be assessed descriptively for a minimum follow-up of 2 years.

Colaboradores e Investigadores

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

Patrocinador

Colaboradores

Publicaciones y enlaces útiles

La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.

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)

20 de diciembre de 2023

Finalización primaria (Estimado)

30 de diciembre de 2030

Finalización del estudio (Estimado)

30 de diciembre de 2030

Fechas de registro del estudio

Enviado por primera vez

21 de diciembre de 2023

Primero enviado que cumplió con los criterios de control de calidad

1 de febrero de 2024

Publicado por primera vez (Actual)

12 de febrero de 2024

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

28 de octubre de 2026

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

27 de octubre de 2026

Última verificación

1 de octubre de 2026

Más información

Términos relacionados con este estudio

Términos MeSH relevantes adicionales

Otros números de identificación del estudio

  • D419CR00035

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

SÍ

Descripción del plan IPD

Plan to share only the redacted CSR synopsis

Marco de tiempo para compartir IPD

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.

Criterios de acceso compartido de IPD

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.

Tipo de información de apoyo para compartir IPD

  • RSC

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

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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