Clinical Research Platform On Urologic Cancer Treatment And Outcome (Registry Platform Urologic Cancer; CARAT)
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- iOMEDICO AG
- 入组人数
- 2,230
- 试验地点
- 1
- 主要终点
- Course of treatment (treatment reality)
研究概览
简要总结
The purpose of the project is to set up a national, prospective, longitudinal, multicenter cohort study with associated satellites, a tumor registry platform, to document uniform data on characteristics, molecular diagnostics, treatment and course of disease, to collect patient-reported outcomes and to establish a decentralized biobank for patients with advanced renal cell carcinoma or urothelial cancer in Germany.
详细描述
CARAT is a national, observational, prospective, longitudinal, multicenter cohort study (tumor registry platform) with the purpose to record information on the antineoplastic treatment of renal cell carcinoma and urothelial cancer in Germany. The registry will follow patients with advanced renal carcinoma for up to three years, patients with advanced urothelial cancer for up to two years and patients with muscle-invasive bladder cancer for up to five years. It will identify common therapeutic sequences and changes in the treatment of the disease. At inclusion, data in patient characteristics, comorbidities, tumor characteristics and previous treatments are collected. During the course of observation data on all systemic treatments, radiotherapies, surgeries, and outcome are documented. Moreover, data on perioperative therapies in patients with high-risk muscle-invasive urothelial carcinoma and radical surgery will be collected. Additionally for patients with muscle-invasive bladder cancer data on (neo)adjuvant systemic therapies and details on surgeries will be collected.
Health-related quality of life (HRQoL) in patients with advanced renal cell carcinoma or advanced urothelial cancel will be evaluated for up to two years.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Cohorts aRCC and aUBC (prospective)
- •Female and male patients with aRCC or aUBC (locally advanced, inoperable or metastatic)
- •Patients at start of their first-line systemic treatment for aRCC or aUBC
- •Written informed consent
- •Patients participating in the PRO module: signing of in-formed consent form and completion of baseline questionnaire before start of initial systemic treatment
- •Patients not participating in the PRO module: within twelve weeks after start of systemic first-line for aRCC or aUBC
- •Age ≥ 18 years
- •Cohort High-risk MIUC (prospective and retrospective)
- •Histologically proven muscle-invasive urothelial carcinoma (MIUC) of the lower or upper urinary tract (ICD-10 C65, C66, C67.x, C68.x). Mixed histologies are allowed (main compo-nent must be urothelial carcinoma, with minor variants accept-ed).
- •Radical surgery (e.g., radical cystectomy, nephroureterecto-my) between October 1, 2021 and October 31,
- •High-risk of recurrence, defined as follows: Post-operative, pathological tumor status
- •ypT2-ypT4 and/or ypN+ and without clinically detectable metastases (M0) at cystectomy for patients with prior neo-adjuvant chemotherapy or
- •pT3-pT4 and/or pN+ and without clinically detectable me-tastases (M0) at cystectomy for patients without prior neo-adjuvant chemotherapy.
- •Age ≥ 18 years at the time of surgery.
- •Written informed consent (only if patient is alive at time of data entry; not applicable for inclusion of deceased patients' data)
- •Cohort MIBC (prospective)
- •Diagnosis of MIBC (muscle-invasive bladder cancer; ICD-10 C67.x; cT2-T4aN0M0 or T1-T4aN1M0).
- •Histologically proven muscle-invasive urothelial carcinoma. Mixed histologies are allowed (main component must be urothelial histology, with minor variants accepted).
- •Age ≥ 18 years at the time of diagnosis.
- •Written informed consent within 15 weeks from diagnosis of MIBC.
排除标准
- •Cohorts aRCC and aUBC (prospective)
- •Patients with prior systemic therapy for aRCC or aUBC
- •No systemic treatment for aRCC or aUBC
- •Cohort High-risk MIUC (prospective and retrospective)
- •Partial cystectomy or partial nephrectomy of the primary tumor as definitive therapy
- •Metastatic disease (M1) at the time of surgery
- •Cohort MIBC (prospective)
- •Clinically detectable metastases (M1) at the time of diagnosis.
- •Treatment in palliative intention (for tumors considered inoperable).
研究组 & 干预措施
MIBC
Patients with the diagnosis of MIBC (muscle-invasive bladder cancer; ICD-10 C67.x; cT2-T4aN0M0 or T1-T4aN1M0) and with histologically proven muscle-invasive urothelial carcinoma; mMixed histologies are allowed (main component must be urothelial histology, with minor variants accepted).
干预措施: Routine care as per site standard. (Other)
aRCC
Patients with advanced renal cell carcinoma
干预措施: Routine care as per site standard. (Other)
aUBC
Patients with advanced urothelial carcinoma (locally advanced and inoperable, or metastatic)
干预措施: Routine care as per site standard. (Other)
High-risk MIUC
Patients with muscle-invasive urothelial carcinoma classified as high-risk after radical surgery (ypT2-ypT4 and/or ypN+,M0 for patients with prior neoadjuvant chemotherapy; pT3-pT4 and/or pN+, M0 for patients without prior neoadjuvant chemotherapy)
干预措施: Routine care as per site standard. (Other)
结局指标
主要结局
Course of treatment (treatment reality)
时间窗: 3 years per patient
Documentation of anamnestic data and therapy sequences
次要结局
- Best Response(3 years per patient)
- Treatment symptom related quality of life(2 years per patient)
- Health-related quality of life (Patient-reported outcome)(2 years per patient)
- Progression-free survival(3 years per patient)
- Overall survival(3 years per patient)