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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

En recrutementAccepte des participants actuellement, selon la fiche du registre.
Contacter cette étude

En bref

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…

Observationnelle150 participants recherchés76 sites26 pays

Catégories

Enregistré dans 1 registre

Une même étude peut être enregistrée dans plusieurs registres. Nous l'affichons une seule fois et renvoyons vers chaque fiche que nous détenons.

Les informations de l'essai sont affichées telles que publiées par le registre, dans leur langue d'origine.

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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.

Résumé

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.

Affections

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

Éligibilité

Éligibilité
SexeTous
ÂgesNon précisé dans la fiche du registre
Volontaires sainsNon
Méthode d'échantillonnageNON_PROBABILITY_SAMPLE

Population de l'étude

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

Éligibilité telle qu'elle figure dans le registre

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

Éligibilité en énoncés simples

Les critères de cette fiche n'ont pas encore été décomposés en énoncés distincts. Le texte du registre ci-dessus est complet et fait foi.

Conception de l'étude

Conception de l'étude
Type d'étudeObservationnelle
PhaseNon précisé dans la fiche du registre
RépartitionNon précisé dans la fiche du registre
Modèle d'interventionNon précisé dans la fiche du registre
Objectif principalNon précisé dans la fiche du registre
InsuNon précisé dans la fiche du registre
Recrutement150 participants recherchés

Promoteur et collaborateurs

  • Bayer Promoteur

Groupes et interventions

  • 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

Interventions

  • Médicament 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

Critères de jugement

  1. Critère de jugement principal

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

    Délai Up to 30 days after last dose

  2. Critère de jugement principal

    Severity of TEAEs

    Délai Up to 30 days after last dose

  3. Critère de jugement principal

    Seriousness of TEAEs

    Délai Up to 30 days after last dose

  4. Critère de jugement principal

    Reasonable causal relationship between larotrectinib and an AE

    Délai Up to 30 days after last dose

  5. Critère de jugement principal

    Causality of TEAEs

    Délai Up to 30 days after last dose

  6. Critère de jugement principal

    Action taken related to larotrectinib treatment

    Délai Up to 30 days after last dose

  7. Critère de jugement secondaire

    Objective response rate (ORR)

    Délai Up to 8 years

  8. Critère de jugement secondaire

    Disease control rate (DCR)

    Délai Up to 8 years

  9. Critère de jugement secondaire

    Duration of response (DOR)

    Délai Up to 8 years

  10. Critère de jugement secondaire

    Time to response (TTR)

    Délai Up to 8 years

  11. Critère de jugement secondaire

    Progression-free survival (PFS)

    Délai Up to 8 years

  12. Critère de jugement secondaire

    Overall survival (OS)

    Délai Up to 8 years

  13. Critère de jugement secondaire

    Total dose

    Délai Up to 8 years

  14. Critère de jugement secondaire

    Starting and ending dose

    Délai Up to 8 years

  15. Critère de jugement secondaire

    Dose modification during treatment

    Délai Up to 8 years

  16. Critère de jugement secondaire

    Duration of treatment (DOT)

    Délai Up to 8 years

  17. Critère de jugement secondaire

    ORR by patient subgroup(s)

    Délai Up to 8 years

  18. Critère de jugement secondaire

    DCR by patient subgroup(s)

    Délai Up to 8 years

  19. Critère de jugement secondaire

    DOR by patient subgroup(s)

    Délai Up to 8 years

  20. Critère de jugement secondaire

    TTR by patient subgroup(s)

    Délai Up to 8 years

  21. Critère de jugement secondaire

    PFS by patient subgroup(s)

    Délai Up to 8 years

  22. Critère de jugement secondaire

    OS by patient subgroup(s)

    Délai Up to 8 years

  23. Critère de jugement secondaire

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

    for all patients

    Délai Up to 8 years

  24. Critère de jugement secondaire

    Number of patients with abnormal developmental milestones

    Pediatric cohort only

    Délai Up to 8 years

  25. Critère de jugement secondaire

    Number of patients with abnormal Tanner stage

    Pediatric cohort only

    Délai Up to 8 years

Dates

Dates
Date de début3 avril 2020 (réelle)
Achèvement principal30 novembre 2029 (estimée)
Achèvement31 mars 2030 (estimée)
Première publication29 octobre 2019 (réelle)
Dernière mise à jour7 juillet 2026
Résultats publiésNon précisé dans la fiche du registre
Statut vérifié pour la dernière foisjuillet 2026

Réelle signifie que l'événement a eu lieu. Estimée signifie que le promoteur s'y attend. Les deux ont un sens différent.

Lieux

27 sites sont en recrutement

Argentina

Argentina
ÉtablissementVilleÉtat ou régionStatut
Many LocationsMultiple LocationsActif, sans recrutement

Australia

Australia
ÉtablissementVilleÉtat ou régionStatut
Many LocationsMultiple LocationsRetiré

Austria

Austria
ÉtablissementVilleÉtat ou régionStatut
Many LocationsMultiple LocationsActif, sans recrutement

Belgium

Belgium
ÉtablissementVilleÉtat ou régionStatut
Many LocationsMultiple LocationsActif, sans recrutement

Brazil

Brazil
ÉtablissementVilleÉtat ou régionStatut
Many LocationsMultiple LocationsRetiré

Canada

Canada
ÉtablissementVilleÉtat ou régionStatut
Many LocationsMultiple LocationsTerminé

China

China
ÉtablissementVilleÉtat ou régionStatut
Many LocationsMultiple LocationsActif, sans recrutement

Denmark

Denmark
ÉtablissementVilleÉtat ou régionStatut
Many LocationsMultiple LocationsRetiré

Finland

Finland
ÉtablissementVilleÉtat ou régionStatut
Many LocationsMultiple LocationsActif, sans recrutement

France

France
ÉtablissementVilleÉtat ou régionStatut
Many LocationsMultiple LocationsActif, sans recrutement

Germany

Germany
ÉtablissementVilleÉtat ou régionStatut
Many LocationsMultiple LocationsActif, sans recrutement

Greece

Greece
ÉtablissementVilleÉtat ou régionStatut
Many LocationsMultiple LocationsRetiré

Ireland

Ireland
ÉtablissementVilleÉtat ou régionStatut
Many LocationsMultiple LocationsRetiré

Italy

Italy
ÉtablissementVilleÉtat ou régionStatut
Many LocationsMultiple LocationsActif, sans recrutement

Japan

Japan
ÉtablissementVilleÉtat ou régionStatut
Many LocationsMultiple LocationsRetiré

Luxembourg

Luxembourg
ÉtablissementVilleÉtat ou régionStatut
Many LocationsMultiple LocationsActif, sans recrutement

Norway

Norway
ÉtablissementVilleÉtat ou régionStatut
Many LocationsMultiple LocationsRetiré

Russia

Russia
ÉtablissementVilleÉtat ou régionStatut
Many LocationsMultiple LocationsRetiré

Singapore

Singapore
ÉtablissementVilleÉtat ou régionStatut
Many LocationsMultiple LocationsRetiré

South Korea

South Korea
ÉtablissementVilleÉtat ou régionStatut
Many LocationsMultiple LocationsActif, sans recrutement

Spain

Spain
ÉtablissementVilleÉtat ou régionStatut
Many LocationsMultiple LocationsActif, sans recrutement

Sweden

Sweden
ÉtablissementVilleÉtat ou régionStatut
Many LocationsMultiple LocationsActif, sans recrutement

Switzerland

Switzerland
ÉtablissementVilleÉtat ou régionStatut
Many LocationsMultiple LocationsActif, sans recrutement

Taiwan

Taiwan
ÉtablissementVilleÉtat ou régionStatut
Many LocationsMultiple LocationsRetiré

United Kingdom

United Kingdom
ÉtablissementVilleÉtat ou régionStatut
Many LocationsMultiple LocationsRetiré

United States

United States
ÉtablissementVilleÉtat ou régionStatut
Univ. of Maryland / Greenebaum Comp. Cancer Ctr.BaltimoreMarylandRetiré
Johns Hopkins / Sidney Kimmel Cancer CenterBaltimoreMarylandEn recrutement
Tufts / Neely Cancer CenterBostonMassachusettsEn recrutement
Boston Children's / Dana FarberBostonMassachusettsRetiré
Great Lakes Cancer CenterBuffaloNew YorkArrêté prématurément
Medical Univ. of South CarolinaCharlestonSouth CarolinaEn recrutement
Levine Cancer CenterCharlotteNorth CarolinaRetiré
Ohio State Comp. Cancer Ctr. / James Cancer HospitalColumbusOhioRetiré
UT Southwestern Medical Center / Children's HealthDallasTexasEn recrutement
Detroit Clinical Research CenterFarmington HillsMichiganEn recrutement
Fort Wayne Medical Oncology HematologyFort WayneIndianaEn recrutement
Frederick Health-James M Stockman Cancer InstituteFrederickMarylandArrêté prématurément
SCL HealthGrand JunctionColoradoRetiré
East Carolina University / Vidant HealthGreenvilleNorth CarolinaEn recrutement
MD Anderson Cancer CenterHoustonTexasEn recrutement
Mayo ClinicJacksonvilleFloridaRetiré
Gundersen Health SystemLa CrosseWisconsinEn recrutement
Sparrow Cancer CenterLansingMichiganEn recrutement
Nevada Cancer Research FoundationLas VegasNevadaEn recrutement
California Research Inst.Los AngelesCaliforniaEn recrutement
USC / Norris Comprehensive Cancer CenterLos AngelesCaliforniaRetiré
UCLA - Mattel Children's HospitalLos AngelesCaliforniaEn recrutement
SSM Health Cancer Center - Dean Medical GroupMadisonWisconsinArrêté prématurément
St. Jude Children's Research HospitalMemphisTennesseeRetiré
Banner Desert Medical CenterMesaArizonaRetiré

26 sites supplémentaires sont indiqués dans la fiche du registre.

Documents de l'étude

Aucun document n'est lié dans cette fiche du registre.

Évolution au fil du temps

Aucun changement n'a été enregistré depuis que nous avons intégré cette fiche pour la première fois.

Un changement est enregistré chaque fois que le promoteur met à jour la fiche du registre. Le statut, les dates, le recrutement et les sites apparaissent ici au fur et à mesure de leur évolution.