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Predicting Severe Toxicity of Targeted Therapies in Elderly Patients With Cancer (PreToxE)

3 juni 2021 uppdaterad av: Institut Bergonié
In order to assess the important issue of the safety of antiangiogenic TKI in geriatric population we set up this project which aims to identify, among clinical, biological, pharmacokinetic data, predictive factors for severe toxicity of antiangiogenic TKI (sunitinib, sorafenib, pazopanib, regorafenib, axitinib) in patients over 70 year-old.

Studieöversikt

Status

Avslutad

Betingelser

Intervention / Behandling

Detaljerad beskrivning

This is a prospective cohort with collection of biological samples, including 300 patients > 70 year-old treated in multicenter with antiangiogenic TKI regularly approved for metastatic cancers. Data on clinical and biological characteristics of the patient, disease and treatment as well as pharmacogenomics will be centrally collected at the beginning of the treatment. Drug exposure-safety analyses will be performed through assessment of drug through levels (Cmin). Primary endpoint is severe toxicity defined as treatment-related death, hospitalization or disruption of treatment for more than three weeks.

Studietyp

Observationell

Inskrivning (Faktisk)

312

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

      • Bordeaux, Frankrike, 33076
        • Institut Bergonie
      • Lyon Cedex 08, Frankrike, 69373
        • Centre Léon Bérard

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

70 år och äldre (Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Testmetod

Sannolikhetsprov

Studera befolkning

All patients without major violations of the eligibility criteria are included in the eligible population. In case of violation of the eligibility criteria, the steering committee will assess for each patient, whether the violation is minor or major.

All eligible patients who have received at least one TKI administration were included in analysis.

Beskrivning

Inclusion Criteria:

  • Age ≥ 70 years
  • Treatment with pazopanib, regorafenib, sorafenib, sunitinib,axitinib in the context of market authorization
  • Voluntary signed and dated written informed consent prior to any study specific procedure.

Exclusion Criteria:

  • Patient treated in a context of clinical trial
  • Patient with altered mental status or psychiatric disorder that, in the opinion of the investigator, would preclude a valid patient consent

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Observationsmodeller: Kohort
  • Tidsperspektiv: Blivande

Kohorter och interventioner

Grupp / Kohort
Intervention / Behandling
Prospective cohort

Prospective cohort involving patients treated in four distinct centers. Patients were treated with a tyrosine kinase inhibitor (TKI) prescribed as part of a marketing authorization (MA).

All patients without major violations of the eligibility criteria are included in the eligible population. In case of violation of the eligibility criteria, the steering committee will assess for each patient, whether the violation is minor or major.

All eligible patients who have received at least one TKI administration were included in analysis.

One blood sample before treatment initiation (Cycle 1 Day predose) for pharmacogenomics

One blood sample at the end of the firth month of treatment (postdose) for pharmacokinetic

Retrospective cohort A

Retrospective cohort of patients treated at the Institut Bergonié (Bordeaux, France). Patients were treated with a tyrosine kinase inhibitor (TKI) prescribed as part of a marketing authorization (MA).

All patients without major violations of the eligibility criteria are included in the eligible population. In case of violation of the eligibility criteria, the steering committee will assess for each patient, whether the violation is minor or major.

All eligible patients who have received at least one TKI administration were included in analysis.

Retrospective cohort B

Retrospective cohort of patients treated at the Centre Antoine Lacassagne(Nice, France). Patients were treated with a tyrosine kinase inhibitor (TKI) prescribed as part of a marketing authorization (MA).

All patients without major violations of the eligibility criteria are included in the eligible population. In case of violation of the eligibility criteria, the steering committee will assess for each patient, whether the violation is minor or major.

All eligible patients who have received at least one TKI administration were included in analysis.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Rate of Severe Toxicity
Tidsram: During treatment, up to 12 months or within 4 weeks following definitive treatment discontinuation, an average of 5 months.

Severe toxicity was defined as any TKI-related adverse events (AE) leading to any one of the following events: death, persistent or significant disability/incapacity (defined as a permanent physical or mental impairmentwhich seriously limits one or more functional capacities such as mobility, communication, self-care, self-direction, or interpersonal skills), unexpected hospitalization, drug discontinuation for more than three weeks or definitive discontinuation.

All adverse events (AE) were graded as per the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE v4.0).

During treatment, up to 12 months or within 4 weeks following definitive treatment discontinuation, an average of 5 months.

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Publikationer och användbara länkar

Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.

Användbara länkar

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

2 februari 2016

Primärt slutförande (Faktisk)

19 november 2019

Avslutad studie (Faktisk)

19 november 2019

Studieregistreringsdatum

Först inskickad

25 april 2016

Först inskickad som uppfyllde QC-kriterierna

25 april 2016

Första postat (Uppskatta)

26 april 2016

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

25 juni 2021

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

3 juni 2021

Senast verifierad

1 juni 2021

Mer information

Termer relaterade till denna studie

Andra studie-ID-nummer

  • IB 2015-02

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

Nej

Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .

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