Sonntag, 28. April 2024
Navigation öffnen
Anzeige:
Wefra Programatic
 
JOURNAL ONKOLOGIE – STUDIE
PREPARE

Role of PRoactivE Coaching on PAtient REported Outcome in Advanced or Metastatic RCC Treated With Sunitinib or a Combination of Pembrolizumab + Axitinib or Avelumab + Axitinib in First Line Therapy

Rekrutierend

NCT-Nummer:
NCT03013946

Studienbeginn:
Januar 2017

Letztes Update:
15.06.2023

Wirkstoff:
-

Indikation (Clinical Trials):
Carcinoma, Carcinoma, Renal Cell

Geschlecht:
Alle

Altersgruppe:
Erwachsene (18+)

Phase:
Phase 3

Sponsor:
AIO-Studien-gGmbH

Collaborator:
Pfizer, Crolll Gmbh,

Studienleiter

Viktor Grünwald, Prof. Dr.
Principal Investigator
Universitätsklinikum Essen

Kontakt

Mischo Kursar, Dr.
Kontakt:
Phone: +49 30 8145 344
Phone (ext.): 67
E-Mail: Mischo.Kursar@aio-studien-ggmbh.de» Kontaktdaten anzeigen
Johanna Homfeld
Kontakt:
Phone: +49 30 8145344
Phone (ext.): 72
E-Mail: johanna.homfeld@aio-studien-ggmbh.de» Kontaktdaten anzeigen

Studienlocations
(3 von 34)

Onkologisches Zentrum - Krankenhaus Barmherzige Brüder Regensburg
Prüfeninger Straße 86
93049 Regensburg
(Bayern)
DeutschlandRekrutierend» Google-Maps
Ansprechpartner:
Heribert Stauder, MD
Phone: 09413693309
E-Mail: heribert.stauder@barmherzige-regensburg.de

heribert.stauder@barmherzige-regensburg.de» Ansprechpartner anzeigen
Universitätsklinikum Frankfurt
60590 Frankfurt am Main
(Hessen)
GermanyNoch nicht rekrutierend» Google-Maps
Ansprechpartner:
Severine Banek, Dr.
Phone: 069 630180072
E-Mail: severine.banek@kgu.de» Ansprechpartner anzeigen
Darmzentrum Klinikum Fulda
Pacelliallee 4
36043 Fulda
DeutschlandNoch nicht rekrutierend» Google-Maps
Ansprechpartner:
Heinz-Gert Höffkes, Prof.
Phone: 0926162480
E-Mail: hoeffkes.tumorklinik@klinikum-fulda.de» Ansprechpartner anzeigen
Brustzentrum der Universitätsmedizin Göttingen
Robert-Koch-Straße 40
37075 Göttingen
DeutschlandNoch nicht rekrutierend» Google-Maps
Ansprechpartner:
Arne Strauß, Dr.
Phone: 055160823
E-Mail: astrauss@med.uni-goettingen.de» Ansprechpartner anzeigen
Hämatologisch-Onkologische Praxis Stolberg
52222 Stolberg
(Nordrhein-Westfalen)
GermanyNoch nicht rekrutierend» Google-Maps
Ansprechpartner:
Matthias Groschek, MD
E-Mail: m.groschek@onkologie-stolberg.de» Ansprechpartner anzeigen
Evangelische Kliniken Bonn gGmbH, Johanniter Krankenhaus
53113 Bonn
(Nordrhein-Westfalen)
GermanyNoch nicht rekrutierend» Google-Maps
Ansprechpartner:
Yon-Dschun Ko, Prof.
Phone: 0228 5432203
E-Mail: yon-dschun.ko@johanniter-kliniken.de» Ansprechpartner anzeigen
Universitätsklinikum Essen (AöR)
45147 Essen
(Nordrhein-Westfalen)
GermanyNoch nicht rekrutierend» Google-Maps
Ansprechpartner:
Viktor Grünwald, Prof.
Phone: 0201723-2637
E-Mail: viktor.gruenwald@uk-essen.de» Ansprechpartner anzeigen
Darmkrebszentrum der Universitätsmedizin Mainz
Langenbeckstraße 1
55131 Mainz
DeutschlandNoch nicht rekrutierend» Google-Maps
Ansprechpartner:
Rene Mager, Dr.
Phone: 06131172041
E-Mail: rene.mager@unimedizin-mainz.de» Ansprechpartner anzeigen
Universitätsklinikum Magdeburg A.ö.R.
39120 Magdeburg
(Sachsen-Anhalt)
GermanyRekrutierend» Google-Maps
Ansprechpartner:
Andreas Janitzky, Dr.
Phone: 03916724770
E-Mail: andreas.janitzky@med.ovgu.de» Ansprechpartner anzeigen
Urologische Arztpraxis Dr. Ralf Eckert
Wittenberg
(Sachsen-Anhalt)
GermanyNoch nicht rekrutierend» Google-Maps
Ansprechpartner:
Ralf Eckert, Dr.
Phone: 03475250059
E-Mail: urologiestudie.eckert@web.de» Ansprechpartner anzeigen
Darmkrebszentrum am Universitätsklinikum Schleswig-Holstein, Campus Lübeck
Ratzeburger Allee 160
23562 Lübeck
DeutschlandRekrutierend» Google-Maps
Ansprechpartner:
Nils Gilbert, Dr.
Phone: 045150043601
E-Mail: Nils.Gilbert@uksh.de» Ansprechpartner anzeigen
FEK - Friedrich-Ebert-Krankenhaus Neumünster
24534 Neumünster
(Schleswig-Holstein)
GermanyNoch nicht rekrutierend» Google-Maps
Ansprechpartner:
Stefan Mahlmann, Dr.
Phone: 043214055037
E-Mail: stefan.mahlmann@fek.de» Ansprechpartner anzeigen
Katholisches Krankenhaus St. Johann Nepomuk Erfurt
99097 Erfurt
(Thüringen)
GermanyAktiv, nicht rekrutierend» Google-Maps
Gemeinschaftspraxis Dr. med. Johannes Mohm Dr. med. Gabriele Prange Krex Fachärzte für Innere Medizin Hämatologie und Internistische Onkologie
01307 Dresden
(Sachsen)
GermanyNoch nicht rekrutierend» Google-Maps
Ansprechpartner:
Johannes Mohm, Dr. med.» Ansprechpartner anzeigen
Leberkrebszentrum Medizinische Hochschule Hannover
Carl-Neuberg-Straße 1
30625 Hannover
DeutschlandRekrutierend» Google-Maps
Ansprechpartner:
Philipp Ivanyi, Dr.
Phone: +49 511 532
Phone (ext.): 2301
E-Mail: Ivanyi.Philipp@mh-hannover.de» Ansprechpartner anzeigen
IDGGQ Institut für medizinische Dokumentation, Gutachtenerstellung, Gesundheitsförderung u. Qualitätssicherung
67655 Kaiserslautern
(Rheinland-Pfalz)
GermanyNoch nicht rekrutierend» Google-Maps
Ansprechpartner:
Richard Hansen, Dr. med.» Ansprechpartner anzeigen
Gemeinschaftspraxis für Hämatologie u. Onkologie PD Dr. Jan Schröder
45468 Mühlheim
(Nordrhein-Westfalen)
GermanyNoch nicht rekrutierend» Google-Maps
Ansprechpartner:
Jan Schröder, PD Dr.» Ansprechpartner anzeigen
Kinderonkologisches Zentrum am Universitätsklinikum Münster
Albert-Schweitzer-Campus 1
48149 Münster
DeutschlandNoch nicht rekrutierend» Google-Maps
Ansprechpartner:
Martin Bögemann, PD Dr.» Ansprechpartner anzeigen
Alle anzeigen

Studien-Informationen

Detailed Description:

The goal of our study is to define the benefit of proactive coaching in mRCC, when compared

to a reactive approach, which is considered the standard of care.

Patients in the Coaching Arm A will be trained continuously at personal interactions of coach

and patient (Face-to Face meetings as well as telephone contacts). The patient is educated on

nature and severity of treatment emergent Adverse events (TEAE) of sunitinib or a combination

of pembrolizumab + axitinib or avelumab + axitinib in first line therapy.

Quality of Life (QoL) is assessed during sunitinib treatment in both arms (Arm A Coaching and

Arm B non Coaching).

Ein-/Ausschlusskriterien

Inclusion Criteria:

1. Written informed consent and any locally-required authorization (EU Data Privacy

Directive in the EU) obtained from the subject prior to performing any

protocol-related procedures, including screening evaluations

2. Age ≥ 18 years at time of study entry

3. Advanced or metastatic renal cell carcinoma, not amendable to surgery with curative

intent, rendering the patient eligible for Tyrosin Kinase Inhibitor (TKI) treatment

with sunitinib

4. Intended first-line treatment with sunitinib

5. Documented progressive disease within 6 months prior to study inclusion

6. Patients with measurable disease (at least one uni-dimensionally measurable target

lesion by CT-scan or MRI) according to modified Response Evaluation Criteria in Solid

Tumors (RECIST 1.1) as well as non-measurable disease are eligible.

7. Prior radiotherapy and surgery are allowed if completed 4 weeks (for minor surgery and

palliative radiotherapy for bone pain: 2 weeks) prior to start of treatment and

patient recovered from toxic effects.

8. Female subjects must either be of non-reproductive potential (ie, post-menopausal by

history: ≥60 years old and no menses for ≥1 year without an alternative medical cause;

OR history of hysterectomy, OR history of bilateral tubal ligation, OR history of

bilateral oophorectomy) or must have a negative serum pregnancy test upon study entry.

9. Subject is willing to receive additional concomitant coaching and able to comply with

the QoL/PRO (patient-reported outcome) assessments specified in the protocol for the

duration of the study including scheduled visits, examinations and follow up.

Exclusion Criteria:

1. Any other anti-cancer treatment aside of sunitinib for mRCC (except palliative

radiotherapy)

2. Previous malignancy (other than mRCC) which either progresses or requires active

treatment.

Exceptions are: basal cell cancer of the skin, pre-invasive cancer of the cervix, T1a

or T1b prostate carcinoma, or superficial bladder tumor [Ta, Tis and T1].

3. CNS metastases, unless local therapy has been completed for at least 3 month and

patient does not require the use of steroids.

4. Chronic liver disease with Child-Pugh B or C score

5. Female subjects who are pregnant, breast-feeding or male or female patients of

reproductive potential who are not employing an effective method of birth control

(failure rate of less than 1% per year)

6. Any condition that, in the opinion of the investigator, would interfere with

evaluation of the concomitant coaching or QoL assessments or interpretation of patient

safety or study results

7. Participation in another clinical study with an investigational product during the

last 30 days before inclusion

8. Any previous treatment with a tyrosine kinase inhibitor for metastatic disease.

Adjuvant or neoadjuvant therapy for localized disease is permitted, provided that

relapse occurred at least 6 months after last exposure

9. Previous enrollment or randomization in the present study (does not include screening

failure).

10. Involvement in the planning and/or conduct of the study (applies to both Pfizer staff

and/or staff of sponsor and study site)

11. Patient who might be affiliated or otherwise dependent on the sponsor, site or the

investigator

12. Patient who has been incarcerated or involuntarily institutionalized by court order or

by the authorities [§ 40 Abs. 1 S. 3 Nr. 4 AMG].

13. Patients who are unable to consent because they do not understand the nature,

significance and implications of the clinical trial and therefore cannot form a

rational intention in the light of the facts [§ 40 Abs. 1 S. 3 Nr. 3a AMG].

Studien-Rationale

Primary outcome:

1. QoL assessment during sunitinib treatment: questionnaire (Time Frame - 24 weeks from randomization):
Rate of responders to concomitant coaching assessed by the (Functional Assessment of Cancer Therapy-Kidney Symptom Index (FKSI)) FKSI-15 questionnaire.



Secondary outcome:

1. Objective Response Rate (ORR) according to RECIST 1.1 criteria (Time Frame - up to one year from randomization):
Objective Response Rate (ORR) according to RECIST 1.1 criteria

2. Overall Survival (OS) (Time Frame - up to 36 months from randomization):
Overall Survival (OS)

3. progression-free survival (PFS) (Time Frame - up to 36 months from randomization):
progression-free survival (PFS)

4. Duration of treatment (coaching and cancer treatment) (Time Frame - Coaching: up to 24 weeks from randomization / cancer treatment: up to 36 months from randomization):
Duration of treatment (coaching and cancer treatment)

5. dose density of sunitinib (Time Frame - 24 weeks from randomization):
dose density of sunitinib

6. Rate of patients receiving treatment beyond progression (Time Frame - up to 36 months from randomization):
Rate of patients receiving treatment beyond progression

7. Further cancer treatment (Time Frame - up to 36 months):
Further cancer treatment

8. Time to first subsequent therapy (TFST) (Time Frame - up to 36 months):
Time to first subsequent therapy (TFST)

9. Patient adherence / treatment discontinuation due to Adverse drug reactions (ADRs) / Serious adverse events (SAEs): (Time Frame - 24 weeks from randomization):
% of patients with treatment discontinuation due to specific ADRs (e.g. hand-foot syndrome, diarrhea, stomatitis, fatigue, hypertension)

10. Treatment Emergent Adverse Events according to CTC 4.03: (Time Frame - 24 weeks from randomization):
Frequency/incidence, severity, percentage reduction, time-to-event of ADRs, AEs and specific TEAEs (e.g. hand-foot syndrome, diarrhea, stomatitis, fatigue, hypertension) change of grade 3/4 ADRs

11. Assessment of comorbidities (Time Frame - at inclusion):
Charlson Comorbidity Index (CCI)

Studien-Arme

  • Experimental: Arm A (Coaching)
    Concomitant coaching (24 weeks) Pro-active TEAE (Treatment emergent adverse events) management Cancer therapy according to Standard of Care (SOC) QoL assessments/ primary endpoint FKSI-15
  • No Intervention: Arm B (Control)
    Re-activeTEAE management (SOC) Cancer therapy according to Standard of Care (SOC) QoL assessments/ primary endpoint FKSI-15

Geprüfte Regime

  • Concomitant coaching:
    The corner stones of the pro-active coaching are as follows: Patient education: Information on nature and severity of treatment emergent AEs information about remedies for TEAEs propagation and explanation of tests and treatment decisions Patient instruction on self-care and preventive measures Preemptive AE treatment strategies Supervision of reported ADR severity, ADR mitigation strategies according to recommendations of the PREPARE protocol and cancer treatment modification by treating physician in close collaboration with the coach

Quelle: ClinicalTrials.gov


Sie können folgenden Inhalt einem Kollegen empfehlen:

"Role of PRoactivE Coaching on PAtient REported Outcome in Advanced or Metastatic RCC Treated With Sunitinib or a Combination of Pembrolizumab + Axitinib or Avelumab + Axitinib in First Line Therapy"

Bitte tragen Sie auch die Absenderdaten vollständig ein, damit Sie der Empfänger erkennen kann.

Die mit (*) gekennzeichneten Angaben müssen eingetragen werden!

Die Verwendung Ihrer Daten für den Newsletter können Sie jederzeit mit Wirkung für die Zukunft gegenüber der MedtriX GmbH - Geschäftsbereich rs media widersprechen ohne dass Kosten entstehen. Nutzen Sie hierfür etwaige Abmeldelinks im Newsletter oder schreiben Sie eine E-Mail an: rgb-info[at]medtrix.group.