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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

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En resumen

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…

Observacional150 participantes buscados76 centros26 países

Categorías

Registrado en 1 registro

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La información del ensayo se muestra tal como la publicó el registro, en su idioma original.

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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.

Resumen

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.

Afecciones

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

Elegibilidad

Elegibilidad
SexoTodos
EdadesNo indicado en el registro
Voluntarios sanosNo
Método de muestreoNON_PROBABILITY_SAMPLE

Población del estudio

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

Elegibilidad tal como figura en el registro

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

Elegibilidad en frases sencillas

Los criterios de este registro aún no se han desglosado en frases separadas. El texto del registro anterior está completo y es la versión autorizada.

Diseño del estudio

Diseño del estudio
Tipo de estudioObservacional
FaseNo indicado en el registro
AsignaciónNo indicado en el registro
Modelo de intervenciónNo indicado en el registro
Propósito principalNo indicado en el registro
EnmascaramientoNo indicado en el registro
Inscripción150 participantes buscados

Patrocinador y colaboradores

  • Bayer Patrocinador

Grupos e intervenciones

  • 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

Intervenciones

  • Fármaco 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

Variables de resultado

  1. Variable de resultado principal

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

    Plazo Up to 30 days after last dose

  2. Variable de resultado principal

    Severity of TEAEs

    Plazo Up to 30 days after last dose

  3. Variable de resultado principal

    Seriousness of TEAEs

    Plazo Up to 30 days after last dose

  4. Variable de resultado principal

    Reasonable causal relationship between larotrectinib and an AE

    Plazo Up to 30 days after last dose

  5. Variable de resultado principal

    Causality of TEAEs

    Plazo Up to 30 days after last dose

  6. Variable de resultado principal

    Action taken related to larotrectinib treatment

    Plazo Up to 30 days after last dose

  7. Variable de resultado secundaria

    Objective response rate (ORR)

    Plazo Up to 8 years

  8. Variable de resultado secundaria

    Disease control rate (DCR)

    Plazo Up to 8 years

  9. Variable de resultado secundaria

    Duration of response (DOR)

    Plazo Up to 8 years

  10. Variable de resultado secundaria

    Time to response (TTR)

    Plazo Up to 8 years

  11. Variable de resultado secundaria

    Progression-free survival (PFS)

    Plazo Up to 8 years

  12. Variable de resultado secundaria

    Overall survival (OS)

    Plazo Up to 8 years

  13. Variable de resultado secundaria

    Total dose

    Plazo Up to 8 years

  14. Variable de resultado secundaria

    Starting and ending dose

    Plazo Up to 8 years

  15. Variable de resultado secundaria

    Dose modification during treatment

    Plazo Up to 8 years

  16. Variable de resultado secundaria

    Duration of treatment (DOT)

    Plazo Up to 8 years

  17. Variable de resultado secundaria

    ORR by patient subgroup(s)

    Plazo Up to 8 years

  18. Variable de resultado secundaria

    DCR by patient subgroup(s)

    Plazo Up to 8 years

  19. Variable de resultado secundaria

    DOR by patient subgroup(s)

    Plazo Up to 8 years

  20. Variable de resultado secundaria

    TTR by patient subgroup(s)

    Plazo Up to 8 years

  21. Variable de resultado secundaria

    PFS by patient subgroup(s)

    Plazo Up to 8 years

  22. Variable de resultado secundaria

    OS by patient subgroup(s)

    Plazo Up to 8 years

  23. Variable de resultado secundaria

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

    for all patients

    Plazo Up to 8 years

  24. Variable de resultado secundaria

    Number of patients with abnormal developmental milestones

    Pediatric cohort only

    Plazo Up to 8 years

  25. Variable de resultado secundaria

    Number of patients with abnormal Tanner stage

    Pediatric cohort only

    Plazo Up to 8 years

Fechas

Fechas
Fecha de inicio3 de abril de 2020 (real)
Finalización principal30 de noviembre de 2029 (estimada)
Finalización31 de marzo de 2030 (estimada)
Primera publicación29 de octubre de 2019 (real)
Última actualización7 de julio de 2026
Resultados publicadosNo indicado en el registro
Estado verificado por última vezjulio de 2026

Real significa que el evento ocurrió. Estimada significa que el patrocinador lo prevé. Ambas cosas significan algo distinto.

Ubicaciones

27 centros están en reclutamiento

Argentina

Argentina
CentroCiudadEstado o regiónEstado
Many LocationsMultiple LocationsActivo, sin reclutar

Australia

Australia
CentroCiudadEstado o regiónEstado
Many LocationsMultiple LocationsRetirado

Austria

Austria
CentroCiudadEstado o regiónEstado
Many LocationsMultiple LocationsActivo, sin reclutar

Belgium

Belgium
CentroCiudadEstado o regiónEstado
Many LocationsMultiple LocationsActivo, sin reclutar

Brazil

Brazil
CentroCiudadEstado o regiónEstado
Many LocationsMultiple LocationsRetirado

Canada

Canada
CentroCiudadEstado o regiónEstado
Many LocationsMultiple LocationsCompletado

China

China
CentroCiudadEstado o regiónEstado
Many LocationsMultiple LocationsActivo, sin reclutar

Denmark

Denmark
CentroCiudadEstado o regiónEstado
Many LocationsMultiple LocationsRetirado

Finland

Finland
CentroCiudadEstado o regiónEstado
Many LocationsMultiple LocationsActivo, sin reclutar

France

France
CentroCiudadEstado o regiónEstado
Many LocationsMultiple LocationsActivo, sin reclutar

Germany

Germany
CentroCiudadEstado o regiónEstado
Many LocationsMultiple LocationsActivo, sin reclutar

Greece

Greece
CentroCiudadEstado o regiónEstado
Many LocationsMultiple LocationsRetirado

Ireland

Ireland
CentroCiudadEstado o regiónEstado
Many LocationsMultiple LocationsRetirado

Italy

Italy
CentroCiudadEstado o regiónEstado
Many LocationsMultiple LocationsActivo, sin reclutar

Japan

Japan
CentroCiudadEstado o regiónEstado
Many LocationsMultiple LocationsRetirado

Luxembourg

Luxembourg
CentroCiudadEstado o regiónEstado
Many LocationsMultiple LocationsActivo, sin reclutar

Norway

Norway
CentroCiudadEstado o regiónEstado
Many LocationsMultiple LocationsRetirado

Russia

Russia
CentroCiudadEstado o regiónEstado
Many LocationsMultiple LocationsRetirado

Singapore

Singapore
CentroCiudadEstado o regiónEstado
Many LocationsMultiple LocationsRetirado

South Korea

South Korea
CentroCiudadEstado o regiónEstado
Many LocationsMultiple LocationsActivo, sin reclutar

Spain

Spain
CentroCiudadEstado o regiónEstado
Many LocationsMultiple LocationsActivo, sin reclutar

Sweden

Sweden
CentroCiudadEstado o regiónEstado
Many LocationsMultiple LocationsActivo, sin reclutar

Switzerland

Switzerland
CentroCiudadEstado o regiónEstado
Many LocationsMultiple LocationsActivo, sin reclutar

Taiwan

Taiwan
CentroCiudadEstado o regiónEstado
Many LocationsMultiple LocationsRetirado

United Kingdom

United Kingdom
CentroCiudadEstado o regiónEstado
Many LocationsMultiple LocationsRetirado

United States

United States
CentroCiudadEstado o regiónEstado
Univ. of Maryland / Greenebaum Comp. Cancer Ctr.BaltimoreMarylandRetirado
Johns Hopkins / Sidney Kimmel Cancer CenterBaltimoreMarylandEn reclutamiento
Tufts / Neely Cancer CenterBostonMassachusettsEn reclutamiento
Boston Children's / Dana FarberBostonMassachusettsRetirado
Great Lakes Cancer CenterBuffaloNew YorkFinalizado antes de tiempo
Medical Univ. of South CarolinaCharlestonSouth CarolinaEn reclutamiento
Levine Cancer CenterCharlotteNorth CarolinaRetirado
Ohio State Comp. Cancer Ctr. / James Cancer HospitalColumbusOhioRetirado
UT Southwestern Medical Center / Children's HealthDallasTexasEn reclutamiento
Detroit Clinical Research CenterFarmington HillsMichiganEn reclutamiento
Fort Wayne Medical Oncology HematologyFort WayneIndianaEn reclutamiento
Frederick Health-James M Stockman Cancer InstituteFrederickMarylandFinalizado antes de tiempo
SCL HealthGrand JunctionColoradoRetirado
East Carolina University / Vidant HealthGreenvilleNorth CarolinaEn reclutamiento
MD Anderson Cancer CenterHoustonTexasEn reclutamiento
Mayo ClinicJacksonvilleFloridaRetirado
Gundersen Health SystemLa CrosseWisconsinEn reclutamiento
Sparrow Cancer CenterLansingMichiganEn reclutamiento
Nevada Cancer Research FoundationLas VegasNevadaEn reclutamiento
California Research Inst.Los AngelesCaliforniaEn reclutamiento
USC / Norris Comprehensive Cancer CenterLos AngelesCaliforniaRetirado
UCLA - Mattel Children's HospitalLos AngelesCaliforniaEn reclutamiento
SSM Health Cancer Center - Dean Medical GroupMadisonWisconsinFinalizado antes de tiempo
St. Jude Children's Research HospitalMemphisTennesseeRetirado
Banner Desert Medical CenterMesaArizonaRetirado

En el registro figuran 26 centros más.

Documentos del estudio

No hay documentos enlazados en este registro.

Cambios a lo largo del tiempo

No se han registrado cambios desde que incorporamos este registro por primera vez.

Se registra un cambio cada vez que el patrocinador actualiza el registro. El estado, las fechas, la inscripción y los centros aparecen aquí a medida que cambian.