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NCT04142437ClinicalTrials.gov

Study to Learn More About the Safety and Effectiveness of the Drug VITRAKVI During Routine Use in Patients With TRK Fusion Cancer Which is Locally Advanced or Spread From the Place Where it Started to Other Places in the Body

PrOspective Non-interventional Study in Patients With Locally Advanced or Metastatic TRK Fusion Cancer Treated With Larotrectinib

RekrutiertNimmt laut Registereintrag derzeit Teilnehmende auf.
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Kurz gefasst

In this observational study researcher want to learn more about the effectiveness of drug VITRAKVI (generic name: larotrectinib) and how well the drug is tolerated during routine use in patients with TRK fusion cancer which is locally advanced or spread…

Beobachtend150 Teilnehmende gesucht76 Studienzentren26 Länder

Kategorien

In 1 Register registriert

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How this study is set up

The points below are drawn from the public registry record for this study. Each one cites the field or sentence it came from. A dash (—) means the record does not state something — not that it is missing or wrong. Many well-run studies, especially small ones, leave some of these blank.

  • Present: Registered before enrolment beganFirst posted 2019-10-29; recorded start 2020-04-03
  • Present: Has a defined primary outcomeA primary outcome measure is listed in the record
  • Present: The primary outcome states a time frameThe primary outcome measure records a time frame
  • Not stated: Whether participants are randomly assigned is not stated in the registry recordNo allocation method is recorded
  • Present: Has a comparison groupThe record lists a placebo or comparator arm, or more than one study arm
  • Not stated: Whether the study is blinded is not stated in the registry recordNo masking information is recorded
  • Not stated: An ethics committee is not stated in the registry recordThis registry's ingested record has no ethics-committee field
  • Not stated: Regulatory oversight (such as an IND or IDE) is not stated in the registry recordThis registry's ingested record has no regulatory-authorisation field
  • Not stated: A data monitoring committee is not stated in the registry recordThis registry's ingested record has no data-monitoring-committee fieldA data monitoring committee is not required for many smaller studies, and its absence here is not unusual.
  • Present: No cost to participants is mentioned in the recordChecked the summary, description and eligibility text; no cost-to-participant phrase found
  • Present: Sponsor has 203 other studies in this databaseCounted from the lead sponsor named in the record (Bayer)
  • Present: Sponsor has posted results for at least one studyBased on the sponsor’s studies in this database
  • The record lists 1 condition.
  • Lead sponsor type recorded as: industry.

Trial stature

Three independent measures of this study, described from its registry record — not a recommendation about it. A rigorous study by investigators nobody has heard of is better evidence than a weak study led by a famous one. How these are scored.

Methodological rigourEXPLORATORY

An exploratory-stage design for a study of this type, judged from its ClinicalTrials.gov record.

How this score is built
  • Randomised allocation0/20

    Allocation not stated in the record

  • Blinding0/20

    Masking not stated in the record

  • Control arm0/15

    No comparator arm stated in the record

  • Primary-outcome specificity10/10

    Named primary outcome with a defined time frame

  • Endpoint type3/10

    Surrogate or intermediate endpoint (conservative default)

  • Multi-centre8/8

    Multi-centre: 76 sites

  • Data monitoring committee0/7

    No data monitoring committee stated

  • Prospective registration5/5

    Registered before the study start date

  • Protocol / SAP posted0/5

    No protocol or SAP posted to the registry

ScaleMEDIUM

A medium-sized study, international in scope: 150 participants (target), run at 76 sites, across 26 countries.

How this score is built
  • Enrolment21/40

    150 participants (target)

  • Site count22/25

    76 sites

  • Country count15/15

    26 countries

  • Planned duration10/10

    Planned over about 122 months

  • Sponsor scale9/10

    Bayer has led 201 trials in our corpus

Investigator standingUNKNOWN

We have no verifiable track record for the investigator named on this trial. That is common for early-career investigators and for records held outside ClinicalTrials.gov — it is not a negative signal.

How this score is built
  • Investigator standing0/100

    No investigator recorded in the registry for this trial

These describe the registry record only, and today we hold ClinicalTrials.gov data. Absent fields lower a score, and absence often reflects registration practice rather than study quality. A high-stature trial is not necessarily safer or a better choice for you — enrolling in a large definitive trial can mean a higher chance of receiving placebo, while a small early-phase study may be the only route to a new therapy.

Zusammenfassung

In this observational study researcher want to learn more about the effectiveness of drug VITRAKVI (generic name: larotrectinib) and how well the drug is tolerated during routine use in patients with TRK fusion cancer which is locally advanced or spread from the place where it started to other places in the body. TRK fusion cancer is a term used to describe a variety of common and rare cancers that are caused by a change to the NTRK (Neurotrophic Tyrosine Kinase) gene called a fusion. During this fusion, an NTRK gene joins together, or fuses, with a different gene. This joining results in the activation of certain proteins (TRK fusion proteins), which can cause cancer cells to multiply and form a tumor. VITRAKVI is an approved drug that blocks the action of the NTRK gene fusion. This study will enroll adult and paediatric patients suffering from a solid tumor with NTRK gene fusion for whom the decision to treat their disease with VITRAKVI has been made by their treating physicians. During the study, patients' medical information such as treatment information with VITRAKVI, other medication or treatments, changes in disease status and other health signs and symptoms will be collected within the normal medical care by the treating doctor. Participants will be observed over a period from 24 to 60 months.

Erkrankungen

  • Locally Advanced or Metastatic Solid Tumor Harboring an NTRK Gene Fusion

Eignung

Eignung
GeschlechtAlle
AlterIm Registereintrag nicht angegeben
Gesunde FreiwilligeNein
StichprobenverfahrenNON_PROBABILITY_SAMPLE

Studienpopulation

Adult and pediatric (from birth to 18-year-old) patients with a locally advanced or metastatic solid tumor harboring an NTRK gene fusion (detected by NGS (Next-Generation Sequencing), FISH (Fluorescent In Situ Hybridization), rt-PCR (Reverse Transcription Polymerase Chain Reaction) or other genomic testing able to detect NTRK gene fusion) assessed locally for whom a decision to treat with larotrectinib has been made before enrollment

Eignung im Wortlaut des Registers

Inclusion Criteria: * Adult and pediatric (from birth to 18-year-old) patients * Patients with locally advanced or metastatic solid tumor harboring an NTRK gene fusion. NTRK (NTRK1, NTRK2, and NTRK3) gene fusions will be identified locally. Acceptable methods of detection of NTRK gene fusion include NGS, fluorescence in situ hybridization (FISH), reverse-transcription polymerase chain reaction (rt-PCR) or any other genomic testing able to detect NTRK gene fusion. If a pan-TRK IHC method is used, this result needs to be accompanied with the results using one of the other methods noted above. * Life expectancy of at least 3 months based on clinical judgement * Decision to treat with larotrectinib made by the treating physician prior to study enrollment * Patients can also be enrolled if the initial visit (larotrectinib start date) occurred within 2 months ±3 days prior to informed consent signed date * Signed informed consent form * For patients under legal age, signed assent by the patient (where applicable) and parental/legal guardian signed informed consent is required Exclusion Criteria: * Any contraindications as listed in the local approved product information * Pregnancy * Participation in an investigational program with interventions outside of routine clinical practice * Prior treatment with larotrectinib or other kinase inhibitor with TRK inhibition * Patients with NTRK gene amplification or NTRK point mutation

Eignung in einfachen Aussagen

Die Kriterien dieses Eintrags wurden noch nicht in einzelne Aussagen aufgeschlüsselt. Der Registertext oben ist vollständig und ist die maßgebliche Fassung.

Studiendesign

Studiendesign
StudientypBeobachtend
PhaseIm Registereintrag nicht angegeben
ZuteilungIm Registereintrag nicht angegeben
InterventionsmodellIm Registereintrag nicht angegeben
Primäres ZielIm Registereintrag nicht angegeben
VerblindungIm Registereintrag nicht angegeben
Teilnahme150 Teilnehmende gesucht

Sponsor und Mitwirkende

  • Bayer Sponsor

Studienarme und Interventionen

  • GI

    adult patients with gastrointestinal (GI) cancer

  • H&N

    adult patients with head and neck (H\&N) cancer

  • STS

    adult patients with soft tissue sarcoma (STS)

  • CNS

    adult patients with primary central nervous system (CNS) cancer

  • Lung

    adult patients with lung cancer

  • Melanoma

    adult patients with melanoma

  • Pediatric

    all pediatric patients regardless of tumor type will be enrolled under this cohort

  • other

    patients with other tumor types

Interventionen

  • Arzneimittel larotrectinib(Vitrakvi, BAY2757556)

    In the study, patients treated under local standard of care clinical practice; all decisions in terms of diagnostic procedures, treatments, management of the disease, and resource utilization are fully dependent on mutual agreement between the patient and the attending physician, without interference by the study initiator or study protocol

Endpunkte

  1. Primärer Endpunkt

    Number of participants with treatment-emergent adverse events (TEAEs)

    Zeitrahmen Up to 30 days after last dose

  2. Primärer Endpunkt

    Severity of TEAEs

    Zeitrahmen Up to 30 days after last dose

  3. Primärer Endpunkt

    Seriousness of TEAEs

    Zeitrahmen Up to 30 days after last dose

  4. Primärer Endpunkt

    Reasonable causal relationship between larotrectinib and an AE

    Zeitrahmen Up to 30 days after last dose

  5. Primärer Endpunkt

    Causality of TEAEs

    Zeitrahmen Up to 30 days after last dose

  6. Primärer Endpunkt

    Action taken related to larotrectinib treatment

    Zeitrahmen Up to 30 days after last dose

  7. Sekundärer Endpunkt

    Objective response rate (ORR)

    Zeitrahmen Up to 8 years

  8. Sekundärer Endpunkt

    Disease control rate (DCR)

    Zeitrahmen Up to 8 years

  9. Sekundärer Endpunkt

    Duration of response (DOR)

    Zeitrahmen Up to 8 years

  10. Sekundärer Endpunkt

    Time to response (TTR)

    Zeitrahmen Up to 8 years

  11. Sekundärer Endpunkt

    Progression-free survival (PFS)

    Zeitrahmen Up to 8 years

  12. Sekundärer Endpunkt

    Overall survival (OS)

    Zeitrahmen Up to 8 years

  13. Sekundärer Endpunkt

    Total dose

    Zeitrahmen Up to 8 years

  14. Sekundärer Endpunkt

    Starting and ending dose

    Zeitrahmen Up to 8 years

  15. Sekundärer Endpunkt

    Dose modification during treatment

    Zeitrahmen Up to 8 years

  16. Sekundärer Endpunkt

    Duration of treatment (DOT)

    Zeitrahmen Up to 8 years

  17. Sekundärer Endpunkt

    ORR by patient subgroup(s)

    Zeitrahmen Up to 8 years

  18. Sekundärer Endpunkt

    DCR by patient subgroup(s)

    Zeitrahmen Up to 8 years

  19. Sekundärer Endpunkt

    DOR by patient subgroup(s)

    Zeitrahmen Up to 8 years

  20. Sekundärer Endpunkt

    TTR by patient subgroup(s)

    Zeitrahmen Up to 8 years

  21. Sekundärer Endpunkt

    PFS by patient subgroup(s)

    Zeitrahmen Up to 8 years

  22. Sekundärer Endpunkt

    OS by patient subgroup(s)

    Zeitrahmen Up to 8 years

  23. Sekundärer Endpunkt

    Number of patients with change in height and weight from baseline by visit, neurological abnormalities (normal/abnormal)

    for all patients

    Zeitrahmen Up to 8 years

  24. Sekundärer Endpunkt

    Number of patients with abnormal developmental milestones

    Pediatric cohort only

    Zeitrahmen Up to 8 years

  25. Sekundärer Endpunkt

    Number of patients with abnormal Tanner stage

    Pediatric cohort only

    Zeitrahmen Up to 8 years

Daten

Daten
Startdatum3. April 2020 (tatsächlich)
Primärer Abschluss30. November 2029 (geschätzt)
Abschluss31. März 2030 (geschätzt)
Erstveröffentlichung29. Oktober 2019 (tatsächlich)
Zuletzt aktualisiert7. Juli 2026
Ergebnisse veröffentlichtIm Registereintrag nicht angegeben
Status zuletzt bestätigtJuli 2026

Tatsächlich bedeutet, dass das Ereignis eingetreten ist. Geschätzt bedeutet, dass der Sponsor es erwartet. Die beiden bedeuten Unterschiedliches.

Standorte

27 Studienzentren rekrutieren

Argentina

Argentina
EinrichtungStadtBundesland oder RegionStatus
Many LocationsMultiple LocationsAktiv, rekrutiert nicht

Australia

Australia
EinrichtungStadtBundesland oder RegionStatus
Many LocationsMultiple LocationsZurückgezogen

Austria

Austria
EinrichtungStadtBundesland oder RegionStatus
Many LocationsMultiple LocationsAktiv, rekrutiert nicht

Belgium

Belgium
EinrichtungStadtBundesland oder RegionStatus
Many LocationsMultiple LocationsAktiv, rekrutiert nicht

Brazil

Brazil
EinrichtungStadtBundesland oder RegionStatus
Many LocationsMultiple LocationsZurückgezogen

Canada

Canada
EinrichtungStadtBundesland oder RegionStatus
Many LocationsMultiple LocationsAbgeschlossen

China

China
EinrichtungStadtBundesland oder RegionStatus
Many LocationsMultiple LocationsAktiv, rekrutiert nicht

Denmark

Denmark
EinrichtungStadtBundesland oder RegionStatus
Many LocationsMultiple LocationsZurückgezogen

Finland

Finland
EinrichtungStadtBundesland oder RegionStatus
Many LocationsMultiple LocationsAktiv, rekrutiert nicht

France

France
EinrichtungStadtBundesland oder RegionStatus
Many LocationsMultiple LocationsAktiv, rekrutiert nicht

Germany

Germany
EinrichtungStadtBundesland oder RegionStatus
Many LocationsMultiple LocationsAktiv, rekrutiert nicht

Greece

Greece
EinrichtungStadtBundesland oder RegionStatus
Many LocationsMultiple LocationsZurückgezogen

Ireland

Ireland
EinrichtungStadtBundesland oder RegionStatus
Many LocationsMultiple LocationsZurückgezogen

Italy

Italy
EinrichtungStadtBundesland oder RegionStatus
Many LocationsMultiple LocationsAktiv, rekrutiert nicht

Japan

Japan
EinrichtungStadtBundesland oder RegionStatus
Many LocationsMultiple LocationsZurückgezogen

Luxembourg

Luxembourg
EinrichtungStadtBundesland oder RegionStatus
Many LocationsMultiple LocationsAktiv, rekrutiert nicht

Norway

Norway
EinrichtungStadtBundesland oder RegionStatus
Many LocationsMultiple LocationsZurückgezogen

Russia

Russia
EinrichtungStadtBundesland oder RegionStatus
Many LocationsMultiple LocationsZurückgezogen

Singapore

Singapore
EinrichtungStadtBundesland oder RegionStatus
Many LocationsMultiple LocationsZurückgezogen

South Korea

South Korea
EinrichtungStadtBundesland oder RegionStatus
Many LocationsMultiple LocationsAktiv, rekrutiert nicht

Spain

Spain
EinrichtungStadtBundesland oder RegionStatus
Many LocationsMultiple LocationsAktiv, rekrutiert nicht

Sweden

Sweden
EinrichtungStadtBundesland oder RegionStatus
Many LocationsMultiple LocationsAktiv, rekrutiert nicht

Switzerland

Switzerland
EinrichtungStadtBundesland oder RegionStatus
Many LocationsMultiple LocationsAktiv, rekrutiert nicht

Taiwan

Taiwan
EinrichtungStadtBundesland oder RegionStatus
Many LocationsMultiple LocationsZurückgezogen

United Kingdom

United Kingdom
EinrichtungStadtBundesland oder RegionStatus
Many LocationsMultiple LocationsZurückgezogen

United States

United States
EinrichtungStadtBundesland oder RegionStatus
Univ. of Maryland / Greenebaum Comp. Cancer Ctr.BaltimoreMarylandZurückgezogen
Johns Hopkins / Sidney Kimmel Cancer CenterBaltimoreMarylandRekrutiert
Tufts / Neely Cancer CenterBostonMassachusettsRekrutiert
Boston Children's / Dana FarberBostonMassachusettsZurückgezogen
Great Lakes Cancer CenterBuffaloNew YorkVorzeitig beendet
Medical Univ. of South CarolinaCharlestonSouth CarolinaRekrutiert
Levine Cancer CenterCharlotteNorth CarolinaZurückgezogen
Ohio State Comp. Cancer Ctr. / James Cancer HospitalColumbusOhioZurückgezogen
UT Southwestern Medical Center / Children's HealthDallasTexasRekrutiert
Detroit Clinical Research CenterFarmington HillsMichiganRekrutiert
Fort Wayne Medical Oncology HematologyFort WayneIndianaRekrutiert
Frederick Health-James M Stockman Cancer InstituteFrederickMarylandVorzeitig beendet
SCL HealthGrand JunctionColoradoZurückgezogen
East Carolina University / Vidant HealthGreenvilleNorth CarolinaRekrutiert
MD Anderson Cancer CenterHoustonTexasRekrutiert
Mayo ClinicJacksonvilleFloridaZurückgezogen
Gundersen Health SystemLa CrosseWisconsinRekrutiert
Sparrow Cancer CenterLansingMichiganRekrutiert
Nevada Cancer Research FoundationLas VegasNevadaRekrutiert
California Research Inst.Los AngelesCaliforniaRekrutiert
USC / Norris Comprehensive Cancer CenterLos AngelesCaliforniaZurückgezogen
UCLA - Mattel Children's HospitalLos AngelesCaliforniaRekrutiert
SSM Health Cancer Center - Dean Medical GroupMadisonWisconsinVorzeitig beendet
St. Jude Children's Research HospitalMemphisTennesseeZurückgezogen
Banner Desert Medical CenterMesaArizonaZurückgezogen

26 weitere Studienzentren sind im Registereintrag aufgeführt.

Studiendokumente

In diesem Registereintrag sind keine Dokumente verlinkt.

Änderungen im Zeitverlauf

Seit wir diesen Eintrag erstmals eingelesen haben, wurden keine Änderungen erfasst.

Eine Änderung wird jedes Mal erfasst, wenn der Sponsor den Registereintrag aktualisiert. Status, Daten, Teilnahme und Studienzentren erscheinen hier, sobald sie sich ändern.