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 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
- ClinicalTrials.govNCT04142437Ouvrir cette fiche sur ClinicalTrials.govSynchronisé il y a 2 mois
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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.
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
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
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
| Sexe | Tous |
|---|---|
| Âges | Non précisé dans la fiche du registre |
| Volontaires sains | Non |
| Méthode d'échantillonnage | NON_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
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
| Type d'étude | Observationnelle |
|---|---|
| Phase | Non précisé dans la fiche du registre |
| Répartition | Non précisé dans la fiche du registre |
| Modèle d'intervention | Non précisé dans la fiche du registre |
| Objectif principal | Non précisé dans la fiche du registre |
| Insu | Non précisé dans la fiche du registre |
| Recrutement | 150 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
Critère de jugement principal
Number of participants with treatment-emergent adverse events (TEAEs)
Délai Up to 30 days after last dose
Critère de jugement principal
Severity of TEAEs
Délai Up to 30 days after last dose
Critère de jugement principal
Seriousness of TEAEs
Délai Up to 30 days after last dose
Critère de jugement principal
Reasonable causal relationship between larotrectinib and an AE
Délai Up to 30 days after last dose
Critère de jugement principal
Causality of TEAEs
Délai Up to 30 days after last dose
Critère de jugement principal
Action taken related to larotrectinib treatment
Délai Up to 30 days after last dose
Critère de jugement secondaire
Objective response rate (ORR)
Délai Up to 8 years
Critère de jugement secondaire
Disease control rate (DCR)
Délai Up to 8 years
Critère de jugement secondaire
Duration of response (DOR)
Délai Up to 8 years
Critère de jugement secondaire
Time to response (TTR)
Délai Up to 8 years
Critère de jugement secondaire
Progression-free survival (PFS)
Délai Up to 8 years
Critère de jugement secondaire
Overall survival (OS)
Délai Up to 8 years
Critère de jugement secondaire
Total dose
Délai Up to 8 years
Critère de jugement secondaire
Starting and ending dose
Délai Up to 8 years
Critère de jugement secondaire
Dose modification during treatment
Délai Up to 8 years
Critère de jugement secondaire
Duration of treatment (DOT)
Délai Up to 8 years
Critère de jugement secondaire
ORR by patient subgroup(s)
Délai Up to 8 years
Critère de jugement secondaire
DCR by patient subgroup(s)
Délai Up to 8 years
Critère de jugement secondaire
DOR by patient subgroup(s)
Délai Up to 8 years
Critère de jugement secondaire
TTR by patient subgroup(s)
Délai Up to 8 years
Critère de jugement secondaire
PFS by patient subgroup(s)
Délai Up to 8 years
Critère de jugement secondaire
OS by patient subgroup(s)
Délai Up to 8 years
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
Critère de jugement secondaire
Number of patients with abnormal developmental milestones
Pediatric cohort only
Délai Up to 8 years
Critère de jugement secondaire
Number of patients with abnormal Tanner stage
Pediatric cohort only
Délai Up to 8 years
Dates
| Date de début | 3 avril 2020 (réelle) |
|---|---|
| Achèvement principal | 30 novembre 2029 (estimée) |
| Achèvement | 31 mars 2030 (estimée) |
| Première publication | 29 octobre 2019 (réelle) |
| Dernière mise à jour | 7 juillet 2026 |
| Résultats publiés | Non précisé dans la fiche du registre |
| Statut vérifié pour la dernière fois | juillet 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
| Établissement | Ville | État ou région | Statut |
|---|---|---|---|
| Many Locations | Multiple Locations | Actif, sans recrutement |
Australia
| Établissement | Ville | État ou région | Statut |
|---|---|---|---|
| Many Locations | Multiple Locations | Retiré |
Austria
| Établissement | Ville | État ou région | Statut |
|---|---|---|---|
| Many Locations | Multiple Locations | Actif, sans recrutement |
Belgium
| Établissement | Ville | État ou région | Statut |
|---|---|---|---|
| Many Locations | Multiple Locations | Actif, sans recrutement |
Brazil
| Établissement | Ville | État ou région | Statut |
|---|---|---|---|
| Many Locations | Multiple Locations | Retiré |
Canada
| Établissement | Ville | État ou région | Statut |
|---|---|---|---|
| Many Locations | Multiple Locations | Terminé |
China
| Établissement | Ville | État ou région | Statut |
|---|---|---|---|
| Many Locations | Multiple Locations | Actif, sans recrutement |
Denmark
| Établissement | Ville | État ou région | Statut |
|---|---|---|---|
| Many Locations | Multiple Locations | Retiré |
Finland
| Établissement | Ville | État ou région | Statut |
|---|---|---|---|
| Many Locations | Multiple Locations | Actif, sans recrutement |
France
| Établissement | Ville | État ou région | Statut |
|---|---|---|---|
| Many Locations | Multiple Locations | Actif, sans recrutement |
Germany
| Établissement | Ville | État ou région | Statut |
|---|---|---|---|
| Many Locations | Multiple Locations | Actif, sans recrutement |
Greece
| Établissement | Ville | État ou région | Statut |
|---|---|---|---|
| Many Locations | Multiple Locations | Retiré |
Ireland
| Établissement | Ville | État ou région | Statut |
|---|---|---|---|
| Many Locations | Multiple Locations | Retiré |
Italy
| Établissement | Ville | État ou région | Statut |
|---|---|---|---|
| Many Locations | Multiple Locations | Actif, sans recrutement |
Japan
| Établissement | Ville | État ou région | Statut |
|---|---|---|---|
| Many Locations | Multiple Locations | Retiré |
Luxembourg
| Établissement | Ville | État ou région | Statut |
|---|---|---|---|
| Many Locations | Multiple Locations | Actif, sans recrutement |
Norway
| Établissement | Ville | État ou région | Statut |
|---|---|---|---|
| Many Locations | Multiple Locations | Retiré |
Russia
| Établissement | Ville | État ou région | Statut |
|---|---|---|---|
| Many Locations | Multiple Locations | Retiré |
Singapore
| Établissement | Ville | État ou région | Statut |
|---|---|---|---|
| Many Locations | Multiple Locations | Retiré |
South Korea
| Établissement | Ville | État ou région | Statut |
|---|---|---|---|
| Many Locations | Multiple Locations | Actif, sans recrutement |
Spain
| Établissement | Ville | État ou région | Statut |
|---|---|---|---|
| Many Locations | Multiple Locations | Actif, sans recrutement |
Sweden
| Établissement | Ville | État ou région | Statut |
|---|---|---|---|
| Many Locations | Multiple Locations | Actif, sans recrutement |
Switzerland
| Établissement | Ville | État ou région | Statut |
|---|---|---|---|
| Many Locations | Multiple Locations | Actif, sans recrutement |
Taiwan
| Établissement | Ville | État ou région | Statut |
|---|---|---|---|
| Many Locations | Multiple Locations | Retiré |
United Kingdom
| Établissement | Ville | État ou région | Statut |
|---|---|---|---|
| Many Locations | Multiple Locations | Retiré |
United States
| Établissement | Ville | État ou région | Statut |
|---|---|---|---|
| Univ. of Maryland / Greenebaum Comp. Cancer Ctr. | Baltimore | Maryland | Retiré |
| Johns Hopkins / Sidney Kimmel Cancer Center | Baltimore | Maryland | En recrutement |
| Tufts / Neely Cancer Center | Boston | Massachusetts | En recrutement |
| Boston Children's / Dana Farber | Boston | Massachusetts | Retiré |
| Great Lakes Cancer Center | Buffalo | New York | Arrêté prématurément |
| Medical Univ. of South Carolina | Charleston | South Carolina | En recrutement |
| Levine Cancer Center | Charlotte | North Carolina | Retiré |
| Ohio State Comp. Cancer Ctr. / James Cancer Hospital | Columbus | Ohio | Retiré |
| UT Southwestern Medical Center / Children's Health | Dallas | Texas | En recrutement |
| Detroit Clinical Research Center | Farmington Hills | Michigan | En recrutement |
| Fort Wayne Medical Oncology Hematology | Fort Wayne | Indiana | En recrutement |
| Frederick Health-James M Stockman Cancer Institute | Frederick | Maryland | Arrêté prématurément |
| SCL Health | Grand Junction | Colorado | Retiré |
| East Carolina University / Vidant Health | Greenville | North Carolina | En recrutement |
| MD Anderson Cancer Center | Houston | Texas | En recrutement |
| Mayo Clinic | Jacksonville | Florida | Retiré |
| Gundersen Health System | La Crosse | Wisconsin | En recrutement |
| Sparrow Cancer Center | Lansing | Michigan | En recrutement |
| Nevada Cancer Research Foundation | Las Vegas | Nevada | En recrutement |
| California Research Inst. | Los Angeles | California | En recrutement |
| USC / Norris Comprehensive Cancer Center | Los Angeles | California | Retiré |
| UCLA - Mattel Children's Hospital | Los Angeles | California | En recrutement |
| SSM Health Cancer Center - Dean Medical Group | Madison | Wisconsin | Arrêté prématurément |
| St. Jude Children's Research Hospital | Memphis | Tennessee | Retiré |
| Banner Desert Medical Center | Mesa | Arizona | Retiré |
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.