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

2021年6月3日 更新者: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.

研究概览

地位

完全的

条件

详细说明

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.

研究类型

观察性的

注册 (实际的)

312

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

      • Bordeaux、法国、33076
        • Institut Bergonié
      • Lyon Cedex 08、法国、69373
        • Centre Léon Bérard

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

70年 及以上 (年长者)

接受健康志愿者

有资格学习的性别

全部

取样方法

概率样本

研究人群

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.

描述

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

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 观测模型:队列
  • 时间观点:预期

队列和干预

团体/队列
干预/治疗
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.

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Rate of Severe Toxicity
大体时间: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.

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2016年2月2日

初级完成 (实际的)

2019年11月19日

研究完成 (实际的)

2019年11月19日

研究注册日期

首次提交

2016年4月25日

首先提交符合 QC 标准的

2016年4月25日

首次发布 (估计)

2016年4月26日

研究记录更新

最后更新发布 (实际的)

2021年6月25日

上次提交的符合 QC 标准的更新

2021年6月3日

最后验证

2021年6月1日

更多信息

与本研究相关的术语

其他研究编号

  • IB 2015-02

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

Blood sample的临床试验

3
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