An Observational Study of Avastin (Bevacizumab) in Patients With Metastatic Colorectal Cancer (ACORN)
An Observational Study of Avastin® (Bevacizumab) in Combination With Chemotherapy for Treatment of First-line Metastatic Colorectal Adenocarcinoma
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Tipo di studio
Tipo di studio
Iscrizione (Effettivo)
Iscrizione
Contatti e Sedi
Luoghi di studio
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Bath, Regno Unito, BA1 3NG
- Royal United Hospital Bath; Diabetes and Lipid Research, Wolfson Centre
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Berkshire, Regno Unito, SL2 4HL
- Wexham Park Hospital; Oncology
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Birmingham, Regno Unito, B15 2TH
- Queen Elizabeth Hospital
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Birmingham, Regno Unito, B9 5SS
- Birmingham Heartlands Hospital; Dept of Oncology
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Bishop Auckland, Regno Unito, DL14 6AD
- Bishop Auckland Hospital;Oncology Department
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Blackpool, Regno Unito, FY3 8NR
- University Hospital of North Staffordhire
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Bradford, Regno Unito, BD9 6RJ
- Bradford Royal Infirmary; Dept of Medical Oncology C/O Ward15
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Bristol, Regno Unito, BS2 8ED
- Bristol Haematology and Oncology Centre
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Bury St Edmunds, Regno Unito, IP33 2QZ
- West Suffolk Hospital Nhs Trust; Gi Corridor
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Canterbury, Regno Unito, CT1 3NG
- Kent & Canterbury Hospital
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Carlisle, Regno Unito, CA2 7HY
- Cumberland Infirmary; Oncology Department
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Chelsmford, Regno Unito, CM1 7ET
- Broomfield Hospital; Oncology
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Cleveland, Regno Unito, TS19 8PE
- University Hospital North Tees
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Cottingham, Regno Unito, HU16 5JQ
- Castle Hill Hospital; Academic Oncology
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Darlington, Regno Unito, DL3 6HX
- Darlington Memorial Hospital
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Dudley, Regno Unito, DY1 2HQ
- Russells Hall Hospital; Dept of Hematology
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Durham, Regno Unito, DH15TW
- University Hospital of North Durham; Oncology
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Harrogate, Regno Unito, HG2 8AY
- Harrogate Hospital
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Harrow, Regno Unito, HA1 3UJ
- Northhwick Park Hospital;Oncology Department
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Ipswich, Regno Unito, IP4 5PD
- Ipswich Hospital; Oncology Pharmacy
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Kidderminster, Regno Unito, DY11 6RJ
- Kidderminster Hospital; Oncology Dept
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London, Regno Unito, NW3 2QG
- Royal Free Hospital; Dept of Oncology
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London, Regno Unito, SE18 4QH
- Queen Elizabeth Hospital
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London, Regno Unito, SE1 9RT
- Guys Hosp./Med. Onc./3rd Fl. T; Clinical Trial Office
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Macclesfield, Regno Unito, SK10 3BL
- Macclesfield District General Hospital
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Maidstone, Regno Unito, ME16 9QQ
- Maidstone & Tonbridge Wells Hospital; Kent Oncology Center
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Middlesborough, Regno Unito, TS4 3BW
- The James Cook University Hospital
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Newcastle upon Tyne, Regno Unito, NE7 7DN
- Freeman Hospital
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North Shields, Regno Unito, NE29 8NH
- North Tyneside General Hospital
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Northwood, Regno Unito, HA6 2RN
- Mount Vernon Cancer Centre
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Nottingham, Regno Unito, NG5 1PB
- Nottingham University Hospitals City Campus
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Peterborough, Regno Unito, PE3 9GZ
- Peterborough City Hospital, Edith Cavell Campus; Oncology Department
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Plymouth, Regno Unito, PL6 8DH
- Derriford Hospital; Gastroenterology
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Romford, Regno Unito, RM7 0AG
- Queen's Hospital
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Scunthorpe, Regno Unito, DN16 7BH
- Scunthorpe General Hospital; Dept of Oncology
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Stafford, Regno Unito, ST16 3SA
- Stafford Hospital; Oncology Department
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Sutton, Regno Unito, SM2 5PT
- The Royal Marsden Hospital
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Swindon, Regno Unito, SN3 6BB
- Great Western Hospital, Swindon Cancer Research Unit; Osprey Unit Level 3
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Torquay, Regno Unito, TQ2 7AA
- Torbay Hospital; Oncology
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Truro, Regno Unito, TR1 3LJ
- Royal Cornwall Hospital; Dept of Clinical Oncology
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Walsall, Regno Unito, WS2 9PS
- Walsall Manor Hospital
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Winchester, Regno Unito, SO22 5DG
- Royal Hampshire County Hospital; Winchester & Andover Breast Unit
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Wolverhampton, Regno Unito, WV10 0QP
- The Royal Wolverhampton Hospitals NHS Trust
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Metodo di campionamento
Popolazione di studio
Descrizione
Inclusion Criteria:
- Metastatic colorectal cancer with no previous systemic treatment for advanced disease
- Receiving Avastin in combination with a first-line standard of care chemotherapy regimen
- Avastin initiated at the same time as first-line chemotherapy regimen
Exclusion Criteria:
- Investigational, non-standard of care first-line chemotherapy regimen for treatment of metastatic colorectal cancer
- Contraindication to Avastin
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
Numero di gruppi/coorti
Coorti e interventi
Gruppo / CoorteGruppo / Coorte |
Intervento / TrattamentoIntervento / Trattamento |
|---|---|
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Bevacizumab and Capecitabine/Oxaliplatin
Participants who receive bevacizumab in combination with capecitabine/oxaliplatin
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Bevacizumab was administered as part of standard first-line treatment
Altri nomi:
Capecitabine/oxaliplatin were administered along with bevacizumab as part of standard first-line treatment
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Bevacizumab and Fluorouracil/Folinic Acid/Oxaliplatin
Participants who receive bevacizumab in combination with fluorouracil/folinic acid/oxaliplatin
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Bevacizumab was administered as part of standard first-line treatment
Altri nomi:
Fluorouracil/folinic acid/oxaliplatin were administered along with bevacizumab as part of standard first-line treatment
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Bevacizumab and Capecitabine
Participants who receive bevacizumab in combination with capecitabine
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Bevacizumab was administered as part of standard first-line treatment
Altri nomi:
Capecitabine was administered along with bevacizumab as part of standard first-line treatment
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Bevacizumab and Fluorouracil/Folinic Acid/Irinotecan
Participants who receive bevacizumab in combination with fluorouracil/folinic acid/irinotecan
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Bevacizumab was administered as part of standard first-line treatment
Altri nomi:
Fluorouracil/folinic acid/irinotecan were administered along with bevacizumab as part of standard first-line treatment
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Bevacizumab and Capecitabine/Irinotecan
Participants who receive bevacizumab in combination with capecitabine/irinotecan
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Bevacizumab was administered as part of standard first-line treatment
Altri nomi:
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Bevacizumab and Fluorouracil +/- Folinic Acid
Participants who receive bevacizumab in combination with fluorouracil +/- folinic acid
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Bevacizumab was administered as part of standard first-line treatment
Altri nomi:
Fluorouracil +/- folinic acid were administered along with bevacizumab as part of standard first-line treatment
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Other
Participants who receive bevacizumab in combination with other first-line chemotherapy regimens
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Bevacizumab was administered as part of standard first-line treatment
Altri nomi:
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Percentage of Participants with Serious Adverse Events (SAEs)
Lasso di tempo: 1.5 years
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An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires new in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is a significant medical event in the investigator's judgment or requires intervention to prevent one or other of these outcomes.
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1.5 years
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Percentage of Participants with Grade 3-5 Avastin Related Adverse Events
Lasso di tempo: 1.5 years
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An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product, regardless of causal attribution.
Adverse events were graded according to NCI-CTCAE, v4.0 (National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0).
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1.5 years
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Progression-Free Survival
Lasso di tempo: 1.5 years
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Progression-Free Survival (PFS) was defined as the number of days from start of first-line therapy administration (earliest date of either the start of chemotherapy regimen administration or the start of Avastin) to the date of first occurrence of investigator-assessed disease progression or death.
PFS was assessed using Kaplan-Meier method.
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1.5 years
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Overall Survival
Lasso di tempo: 1.5 years
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Overall Survival (OS) is defined as the number of days from the start of first-line therapy (earliest date of either the start of chemotherapy regimen administration or the start of Avastin) to death by any cause.
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1.5 years
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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Percentage of Participants with Avastin Related Adverse Events of Special Interest
Lasso di tempo: 1.5 years
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Adverse events of special interest (AESIs) are defined by their possible association with Avastin® treatment.
The adverse events of special interest in this study include all grades of gastrointestinal perforation, fistulae, arterial and venous thromboembolic events, congestive heart failure and pulmonary haemorrhages; and Grade 2-5: hypertension, wound healing complications, proteinuria and mucocutaneous haemorrhages.
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1.5 years
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Reasons for Discontinuation of Avastin
Lasso di tempo: 1.5 years
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1.5 years
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Median Progression Free Survival from Four Avastin Studies
Lasso di tempo: 1.5 years (ACORN)
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PFS was defined as the number of days from start of first-line therapy administration (earliest date of either the start of chemotherapy regimen administration or the start of Avastin) to the date of first occurrence of investigator-assessed disease progression or death.
The BRITE, BEAT and ARIES trials were conducted outside of the UK unlike the ACORN trial which was conducted in England only.
Median PFS is presented for data from other registration trials and similar observational studies.
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1.5 years (ACORN)
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Median Overall Survival from Four Avastin Studies
Lasso di tempo: 1.5 years (ACORN)
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OS is defined as the number of days from the start of first-line therapy (earliest date of either the start of chemotherapy regimen administration or the start of Avastin) to death by any cause.
The BRITE, BEAT and ARIES trials were conducted outside of the UK unlike the ACORN trial which was conducted in England only.
Median OS is presented for data from other registration trials and similar observational studies.
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1.5 years (ACORN)
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Percentage of Participants with Comparative AEs from Four Avastin® Studies
Lasso di tempo: 1.5 years (ACORN)
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Comparative AEs included Gastrointestinal perforation; Haemorrhage (specific grade); All Haemorrhages; Hypertension; and Arterial thromboembolic events (cerebrovascular accident, myocardial infarction, transient ischaemic attack and other).
The specific grade of haemorrhage was 3/4 for BRITE, 3/4 for BEAT and 3-5 for ARIES.
The specific grade for ACORN was unknown.
The BRITE, BEAT and ARIES trials were conducted outside of the UK unlike the ACORN trial which was conducted in England only.
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1.5 years (ACORN)
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Median Age of Participants in Four Avastin® Studies
Lasso di tempo: Baseline
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The BRITE, BEAT and ARIES trials were conducted outside of the UK unlike the ACORN trial which was conducted in England only.
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Baseline
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Percentage of Participants Over (or equal to) 75 Years of Age in Four Avastin Studies
Lasso di tempo: Baseline
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The BRITE, BEAT and ARIES trials were conducted outside of the UK unlike the ACORN trial which was conducted in England only.
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Baseline
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Percentage of Males and Females in Four Avastin Studies
Lasso di tempo: Baseline
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The BRITE, BEAT and ARIES trials were conducted outside of the UK unlike the ACORN trial which was conducted in England only.
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Baseline
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Eastern Cooperative Oncology Group (ECOG) Performance Status in Four Avastin Studies
Lasso di tempo: 1.5 years (ACORN)
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ECOG Performance Status measured on-therapy (time between first dose and last dose date) assessed participant's performance status on 5 point scale: 0 is equal to (=) fully active/able to carry on all pre-disease activities without restriction; 1=restricted in physically strenuous activity, ambulatory/able to carry out light or sedentary work; 2=ambulatory (greater than [>] 50% of waking hours [hrs]), capable of all self care, unable to carry out any work activities; 3=capable of only limited self care, confined to bed/chair >50% of waking hrs; 4=completely disabled, cannot carry on any self care, totally confined to bed/chair; 5=dead.
The BRITE, BEAT and ARIES trials were conducted outside of the UK unlike the ACORN trial which was conducted in England only.
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1.5 years (ACORN)
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Race/Ethnicity of Participants in Four Avastin Studies
Lasso di tempo: Baseline
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The BRITE, BEAT and ARIES trials were conducted outside of the UK unlike the ACORN trial which was conducted in England only.
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Baseline
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Percentage of Participants at Stage IV (at diagnosis) in Four Avastin Studies
Lasso di tempo: Baseline
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The BRITE, BEAT and ARIES trials were conducted outside of the UK unlike the ACORN trial which was conducted in England only.
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Baseline
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Percentage of Participants that Received Previous Systematic Treatment for CRC in Four Avastin Studies
Lasso di tempo: Baseline
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The BRITE, BEAT and ARIES trials were conducted outside of the UK unlike the ACORN trial which was conducted in England only.
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Baseline
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Sites of CRC in Four Avastin Studies
Lasso di tempo: Baseline
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The BRITE, BEAT and ARIES trials were conducted outside of the UK unlike the ACORN trial which was conducted in England only.
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Baseline
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Percentage of Participants with Primary Resection in Four Avastin Studies
Lasso di tempo: Baseline
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The BRITE, BEAT and ARIES trials were conducted outside of the UK unlike the ACORN trial which was conducted in England only.
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Baseline
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Metastatic Sites of CRC in Four Avastin Studies
Lasso di tempo: Baseline
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The BRITE, BEAT and ARIES trials were conducted outside of the UK unlike the ACORN trial which was conducted in England only.
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Baseline
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Ongoing Patient Medical Conditions in Four Avastin Studies
Lasso di tempo: Baseline
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The BRITE, BEAT and ARIES trials were conducted outside of the UK unlike the ACORN trial which was conducted in England only.
|
Baseline
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Weeks of Further Treatment After 1st Line Chemotherapy
Lasso di tempo: From disease progression until end of study.
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Number of weeks of further chemotherapy regimen administered after 1st line treatment.
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From disease progression until end of study.
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Quality of Life as Assessed by the Euro-Quality of Life-5 Dimensions (EQ-5D) Weighted Index Score
Lasso di tempo: Baseline and 3, 6, 9, 12, 15, 18, 21, 24 and 27 Months post chemotherapy
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The EQ-5D is composed of 5 single-item measures where participants responded to questions assessing health status by responding with either "no problems", "slight problems", "moderate problems", "severe problems" or "extreme [problem]/unable to perform" in the following categories: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression.
Based on population surveys, an algorithm was used to combine the responses to each of these 5 measures into 1 single EQ-5D weighted index score ranging from -0.59 (extreme problems) to +1 (no problems) where a negative value indicated a worsening of perceived quality of life and a positive value indicated an improvement of perceived quality of life.
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Baseline and 3, 6, 9, 12, 15, 18, 21, 24 and 27 Months post chemotherapy
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Quality of Life as Assessed by the Euro-Quality of Life-5 Dimensions (EQ-5D) Crosswalk Index Score
Lasso di tempo: Baseline and 3, 6, 9, 12, 15, 18, 21, 24 and 27 Months post chemotherapy
|
The EQ-5D is composed of 5 single-item measures where participants responded to questions assessing health status by responding with either "no problems", "slight problems", "moderate problems", "severe problems" or "extreme [problem]/unable to perform" in the following categories: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression.
Based on population surveys, an algorithm was used to combine the responses to each of these 5 measures into 1 single EQ-5D index score ranging from -0.59 (extreme problems) to +1 (no problems) where a negative value indicated a worsening of perceived quality of life and a positive value indicated an improvement of perceived quality of life.
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Baseline and 3, 6, 9, 12, 15, 18, 21, 24 and 27 Months post chemotherapy
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Response to the Burden of Illness Question: In the last three months how many times have health care professionals been to your home?
Lasso di tempo: Baseline and 3, 6, 9, 12, 15, 18, 21, 24 and 27 Months post chemotherapy
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Baseline and 3, 6, 9, 12, 15, 18, 21, 24 and 27 Months post chemotherapy
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Response to the Burden of Illness Question: In the last three months how many times have you seen health care professionals at your GP Surgery or day centre?
Lasso di tempo: Baseline and 3, 6, 9, 12, 15, 18, 21, 24 and 27 Months post chemotherapy
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Baseline and 3, 6, 9, 12, 15, 18, 21, 24 and 27 Months post chemotherapy
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Response to the Burden of Illness Question: In the last three months how many nights in total did you spend in hospital/hospice?
Lasso di tempo: Baseline and 3, 6, 9, 12, 15, 18, 21, 24 and 27 Months post chemotherapy
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Baseline and 3, 6, 9, 12, 15, 18, 21, 24 and 27 Months post chemotherapy
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Response to the Burden of Illness Question: In the last three months how many times did you visit the imaging department for these examinations?
Lasso di tempo: Baseline and 3, 6, 9, 12, 15, 18, 21, 24 and 27 Months post chemotherapy
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Baseline and 3, 6, 9, 12, 15, 18, 21, 24 and 27 Months post chemotherapy
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Response to the Burden of Illness Question: What was your employment status before diagnosis?
Lasso di tempo: Baseline
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Baseline
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Response to the Burden of Illness Question: What is your employment status now?
Lasso di tempo: Baseline and 3, 6, 9, 12, 15, 18, 21, 24 and 27 Months post chemotherapy
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Baseline and 3, 6, 9, 12, 15, 18, 21, 24 and 27 Months post chemotherapy
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Response to the Burden of Illness Question: Has your cancer resulted in you seeking support services?
Lasso di tempo: Baseline and 3, 6, 9, 12, 15, 18, 21, 24 and 27 Months post chemotherapy
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Baseline and 3, 6, 9, 12, 15, 18, 21, 24 and 27 Months post chemotherapy
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Response to the Burden of Illness Question: Has a previously employed family member had to take time off work to care for you?
Lasso di tempo: Baseline and 3, 6, 9, 12, 15, 18, 21, 24 and 27 Months post chemotherapy
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Baseline and 3, 6, 9, 12, 15, 18, 21, 24 and 27 Months post chemotherapy
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Response to the Burden of Illness Question: Has your cancer resulted in a family member seeking support?
Lasso di tempo: Baseline and 3, 6, 9, 12, 15, 18, 21, 24 and 27 Months post chemotherapy
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Baseline and 3, 6, 9, 12, 15, 18, 21, 24 and 27 Months post chemotherapy
|
Collaboratori e investigatori
Sponsor
Sponsor
Pubblicazioni e link utili
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Inizio studio
Completamento primario (Effettivo)
Completamento primario
Completamento dello studio (Effettivo)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Stima)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Termini MeSH pertinenti aggiuntivi
- Malattie dell'apparato digerente
- Neoplasie
- Neoplasie per sede
- Neoplasie gastrointestinali
- Neoplasie dell'apparato digerente
- Malattie gastrointestinali
- Malattie del colon
- Malattie intestinali
- Neoplasie intestinali
- Malattie del retto
- Neoplasie colorettali
- Effetti fisiologici delle droghe
- Meccanismi molecolari dell'azione farmacologica
- Inibitori enzimatici
- Antimetaboliti, Antineoplastici
- Antimetaboliti
- Agenti antineoplastici
- Agenti immunosoppressivi
- Fattori immunologici
- Agenti protettivi
- Inibitori della topoisomerasi
- Agenti antineoplastici, immunologici
- Inibitori dell'angiogenesi
- Agenti di modulazione dell'angiogenesi
- Sostanze per la crescita
- Inibitori della crescita
- Micronutrienti
- Vitamine
- Inibitori della topoisomerasi I
- Antidoti
- Complesso di vitamina B
- Ematinici
- Fluorouracile
- Capecitabina
- Oxaliplatino
- Bevacizumab
- Leucovorin
- Irinotecano
- Levoleucovorin
- Acido folico
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- ML27971
Informazioni su farmaci e dispositivi, documenti di studio
Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti
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