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Observationeel onderzoeksprotocol: LIVER-R (LIVER-R)

27 oktober 2026 bijgewerkt door: AstraZeneca

Een observationeel multicenteronderzoek om de behandelresultaten in de praktijk te evalueren van op durvalumab gebaseerde behandelingen bij lever- en galkanker

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 ).

Studie Overzicht

Gedetailleerde beschrijving

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.

Studietype

Observationeel

Inschrijving (Geschat)

4000

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studiecontact

Studie Locaties

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

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

18 jaar tot 130 jaar (Volwassen, Oudere volwassene)

Accepteert gezonde vrijwilligers

Nee

Geslachten die in aanmerking komen voor studie

Allemaal

Bemonsteringsmethode

Niet-waarschijnlijkheidssteekproef

Studie Bevolking

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.

Beschrijving

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

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Observatiemodellen: COHORT
  • Tijdsperspectieven: OTHER

Cohorten en interventies

Groep / Cohort
Interventie / Behandeling
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).

Andere namen:
  • Imfinzi

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

Andere namen:
  • 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).

Andere namen:
  • Imfinzi

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

Andere namen:
  • 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

Andere namen:
  • Imfinzi

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Real-world overall survival (rwOS) in all participants
Tijdsspanne: 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.

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Clinically significant events (CSEs) of interest leading to a medical intervention in all participants
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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.

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

Medewerkers

Publicaties en nuttige links

De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

20 december 2023

Primaire voltooiing (Geschat)

30 december 2030

Studie voltooiing (Geschat)

30 december 2030

Studieregistratiedata

Eerst ingediend

21 december 2023

Eerst ingediend dat voldeed aan de QC-criteria

1 februari 2024

Eerst geplaatst (Werkelijk)

12 februari 2024

Updates van studierecords

Laatste update geplaatst (Werkelijk)

28 oktober 2026

Laatste update ingediend die voldeed aan QC-criteria

27 oktober 2026

Laatst geverifieerd

1 oktober 2026

Meer informatie

Termen gerelateerd aan deze studie

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

JA

Beschrijving IPD-plan

Plan to share only the redacted CSR synopsis

IPD-tijdsbestek voor delen

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-toegangscriteria voor delen

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 delen Ondersteunend informatietype

  • MVO

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .

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