Vai al contenuto principale
xMedica

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

In reclutamentoAccetta partecipanti ora, secondo la scheda del registro.
Contatta questo studio

In breve

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…

Osservazionale150 partecipanti ricercati76 centri26 paesi

Categorie

Registrato in 1 registro

Uno studio può essere registrato in più registri. Lo mostriamo una volta sola e colleghiamo ogni scheda in nostro possesso.

Le informazioni sulla sperimentazione sono mostrate così come pubblicate dal registro, nella lingua originale.

Ti interessa questo studio?

Accedi oppure crea un account per registrare il tuo interesse e seguire questo studio.

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.

Sintesi

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.

Patologie

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

Idoneità

Idoneità
SessoTutti
EtàNon indicato nella scheda del registro
Volontari saniNo
Metodo di campionamentoNON_PROBABILITY_SAMPLE

Popolazione dello studio

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

Idoneità come riportata nel 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

Idoneità in frasi semplici

I criteri di questa scheda non sono ancora stati suddivisi in affermazioni distinte. Il testo del registro qui sopra è completo ed è la versione autorevole.

Disegno dello studio

Disegno dello studio
Tipo di studioOsservazionale
FaseNon indicato nella scheda del registro
AssegnazioneNon indicato nella scheda del registro
Modello di interventoNon indicato nella scheda del registro
Finalità principaleNon indicato nella scheda del registro
MascheramentoNon indicato nella scheda del registro
Arruolamento150 partecipanti ricercati

Sponsor e collaboratori

  • Bayer Sponsor

Bracci e interventi

  • 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

Interventi

  • Farmaco 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

Esiti misurati

  1. Esito primario

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

    Orizzonte temporale Up to 30 days after last dose

  2. Esito primario

    Severity of TEAEs

    Orizzonte temporale Up to 30 days after last dose

  3. Esito primario

    Seriousness of TEAEs

    Orizzonte temporale Up to 30 days after last dose

  4. Esito primario

    Reasonable causal relationship between larotrectinib and an AE

    Orizzonte temporale Up to 30 days after last dose

  5. Esito primario

    Causality of TEAEs

    Orizzonte temporale Up to 30 days after last dose

  6. Esito primario

    Action taken related to larotrectinib treatment

    Orizzonte temporale Up to 30 days after last dose

  7. Esito secondario

    Objective response rate (ORR)

    Orizzonte temporale Up to 8 years

  8. Esito secondario

    Disease control rate (DCR)

    Orizzonte temporale Up to 8 years

  9. Esito secondario

    Duration of response (DOR)

    Orizzonte temporale Up to 8 years

  10. Esito secondario

    Time to response (TTR)

    Orizzonte temporale Up to 8 years

  11. Esito secondario

    Progression-free survival (PFS)

    Orizzonte temporale Up to 8 years

  12. Esito secondario

    Overall survival (OS)

    Orizzonte temporale Up to 8 years

  13. Esito secondario

    Total dose

    Orizzonte temporale Up to 8 years

  14. Esito secondario

    Starting and ending dose

    Orizzonte temporale Up to 8 years

  15. Esito secondario

    Dose modification during treatment

    Orizzonte temporale Up to 8 years

  16. Esito secondario

    Duration of treatment (DOT)

    Orizzonte temporale Up to 8 years

  17. Esito secondario

    ORR by patient subgroup(s)

    Orizzonte temporale Up to 8 years

  18. Esito secondario

    DCR by patient subgroup(s)

    Orizzonte temporale Up to 8 years

  19. Esito secondario

    DOR by patient subgroup(s)

    Orizzonte temporale Up to 8 years

  20. Esito secondario

    TTR by patient subgroup(s)

    Orizzonte temporale Up to 8 years

  21. Esito secondario

    PFS by patient subgroup(s)

    Orizzonte temporale Up to 8 years

  22. Esito secondario

    OS by patient subgroup(s)

    Orizzonte temporale Up to 8 years

  23. Esito secondario

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

    for all patients

    Orizzonte temporale Up to 8 years

  24. Esito secondario

    Number of patients with abnormal developmental milestones

    Pediatric cohort only

    Orizzonte temporale Up to 8 years

  25. Esito secondario

    Number of patients with abnormal Tanner stage

    Pediatric cohort only

    Orizzonte temporale Up to 8 years

Date

Date
Data di inizio3 aprile 2020 (effettiva)
Conclusione primaria30 novembre 2029 (stimata)
Conclusione31 marzo 2030 (stimata)
Prima pubblicazione29 ottobre 2019 (effettiva)
Ultimo aggiornamento7 luglio 2026
Risultati pubblicatiNon indicato nella scheda del registro
Stato verificato l'ultima voltaluglio 2026

«Effettiva» significa che l'evento è avvenuto. «Stimata» significa che lo sponsor lo prevede. Le due cose non sono equivalenti.

Centri

27 centri stanno reclutando

Argentina

Argentina
StrutturaCittàStato o regioneStato
Many LocationsMultiple LocationsAttivo, non in reclutamento

Australia

Australia
StrutturaCittàStato o regioneStato
Many LocationsMultiple LocationsRitirato

Austria

Austria
StrutturaCittàStato o regioneStato
Many LocationsMultiple LocationsAttivo, non in reclutamento

Belgium

Belgium
StrutturaCittàStato o regioneStato
Many LocationsMultiple LocationsAttivo, non in reclutamento

Brazil

Brazil
StrutturaCittàStato o regioneStato
Many LocationsMultiple LocationsRitirato

Canada

Canada
StrutturaCittàStato o regioneStato
Many LocationsMultiple LocationsCompletato

China

China
StrutturaCittàStato o regioneStato
Many LocationsMultiple LocationsAttivo, non in reclutamento

Denmark

Denmark
StrutturaCittàStato o regioneStato
Many LocationsMultiple LocationsRitirato

Finland

Finland
StrutturaCittàStato o regioneStato
Many LocationsMultiple LocationsAttivo, non in reclutamento

France

France
StrutturaCittàStato o regioneStato
Many LocationsMultiple LocationsAttivo, non in reclutamento

Germany

Germany
StrutturaCittàStato o regioneStato
Many LocationsMultiple LocationsAttivo, non in reclutamento

Greece

Greece
StrutturaCittàStato o regioneStato
Many LocationsMultiple LocationsRitirato

Ireland

Ireland
StrutturaCittàStato o regioneStato
Many LocationsMultiple LocationsRitirato

Italy

Italy
StrutturaCittàStato o regioneStato
Many LocationsMultiple LocationsAttivo, non in reclutamento

Japan

Japan
StrutturaCittàStato o regioneStato
Many LocationsMultiple LocationsRitirato

Luxembourg

Luxembourg
StrutturaCittàStato o regioneStato
Many LocationsMultiple LocationsAttivo, non in reclutamento

Norway

Norway
StrutturaCittàStato o regioneStato
Many LocationsMultiple LocationsRitirato

Russia

Russia
StrutturaCittàStato o regioneStato
Many LocationsMultiple LocationsRitirato

Singapore

Singapore
StrutturaCittàStato o regioneStato
Many LocationsMultiple LocationsRitirato

South Korea

South Korea
StrutturaCittàStato o regioneStato
Many LocationsMultiple LocationsAttivo, non in reclutamento

Spain

Spain
StrutturaCittàStato o regioneStato
Many LocationsMultiple LocationsAttivo, non in reclutamento

Sweden

Sweden
StrutturaCittàStato o regioneStato
Many LocationsMultiple LocationsAttivo, non in reclutamento

Switzerland

Switzerland
StrutturaCittàStato o regioneStato
Many LocationsMultiple LocationsAttivo, non in reclutamento

Taiwan

Taiwan
StrutturaCittàStato o regioneStato
Many LocationsMultiple LocationsRitirato

United Kingdom

United Kingdom
StrutturaCittàStato o regioneStato
Many LocationsMultiple LocationsRitirato

United States

United States
StrutturaCittàStato o regioneStato
Univ. of Maryland / Greenebaum Comp. Cancer Ctr.BaltimoreMarylandRitirato
Johns Hopkins / Sidney Kimmel Cancer CenterBaltimoreMarylandIn reclutamento
Tufts / Neely Cancer CenterBostonMassachusettsIn reclutamento
Boston Children's / Dana FarberBostonMassachusettsRitirato
Great Lakes Cancer CenterBuffaloNew YorkInterrotto
Medical Univ. of South CarolinaCharlestonSouth CarolinaIn reclutamento
Levine Cancer CenterCharlotteNorth CarolinaRitirato
Ohio State Comp. Cancer Ctr. / James Cancer HospitalColumbusOhioRitirato
UT Southwestern Medical Center / Children's HealthDallasTexasIn reclutamento
Detroit Clinical Research CenterFarmington HillsMichiganIn reclutamento
Fort Wayne Medical Oncology HematologyFort WayneIndianaIn reclutamento
Frederick Health-James M Stockman Cancer InstituteFrederickMarylandInterrotto
SCL HealthGrand JunctionColoradoRitirato
East Carolina University / Vidant HealthGreenvilleNorth CarolinaIn reclutamento
MD Anderson Cancer CenterHoustonTexasIn reclutamento
Mayo ClinicJacksonvilleFloridaRitirato
Gundersen Health SystemLa CrosseWisconsinIn reclutamento
Sparrow Cancer CenterLansingMichiganIn reclutamento
Nevada Cancer Research FoundationLas VegasNevadaIn reclutamento
California Research Inst.Los AngelesCaliforniaIn reclutamento
USC / Norris Comprehensive Cancer CenterLos AngelesCaliforniaRitirato
UCLA - Mattel Children's HospitalLos AngelesCaliforniaIn reclutamento
SSM Health Cancer Center - Dean Medical GroupMadisonWisconsinInterrotto
St. Jude Children's Research HospitalMemphisTennesseeRitirato
Banner Desert Medical CenterMesaArizonaRitirato

Nella scheda del registro sono indicati altri 26 centri.

Documenti dello studio

In questa scheda del registro non sono collegati documenti.

Modifiche nel tempo

Non è stata registrata alcuna modifica da quando abbiamo acquisito questa scheda.

Viene registrata una modifica ogni volta che lo sponsor aggiorna la scheda del registro. Stato, date, arruolamento e centri compaiono qui man mano che cambiano.