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Outcomes Database to prospectivelY aSSEss the Changing TherapY Landscape in Renal Cell Carcinoma

Recruiting
Conditions
Metastatic Renal Cell Carcinoma
Registration Number
NCT04919122
Lead Sponsor
Duke University
Brief Summary

ODYSSEY RCC is a prospective, observational Phase IV study is to understand the cancer management and health-related quality of life in patients with mRCC in routine real-world clinical practice in the United States, including both community and academic treatment settings.

Detailed Description

This trial is a prospective, observational Phase IV study is to understand the cancer management and health-related quality of life in patients with mRCC in routine real-world clinical practice in the United States, including both community and academic treatment settings. Primarily, the study will evaluate patient experience through collection of patient reported outcomes (PROs). The study will also collect and assess information on the therapies used such as first-line treatment selection, treatment sequence and duration, the drivers of physician selection of particular agents, and discontinuation of therapies.

The primary objective is to determine distinct patterns of change in the quality of life and symptom burden in mRCC patients receiving therapy.

Patients will be identified and undergo consent and baseline assessments, including research blood collection and processing, by the study site team, this baseline visit will be their only clinic visits per protocol. All other visits are standard of care visits and outside the scope of the study.

Subsequent follow up with be coordinated centrally by DCRI. Additional clinic data will be obtained via PCORnet data pull and Medicare claims. Patient reported outcomes, quality of life and medications data will be obtained via the DCRI Call Center through follow-up phone interviews.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
800
Inclusion Criteria
  • Age 19 or over at time of informed consent.

  • Diagnosis of metastatic renal cell cancer (mRCC) with less than or equal to (≤) 6 weeks of first-line systemic therapy for mRCC.

    1. Prior surgery and radiation therapy are permitted.
    2. Prior neoadjuvant and adjuvant therapy for non-metastatic renal cell carcinoma are permitted.
    3. Patients currently not on therapy and being observed are permitted.
  • Evidence of signed and dated informed consent document indicating that the patient has been informed of all pertinent aspects of the study.

  • Ability to comply with completion of PROs

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Exclusion Criteria
  • Patients being treated for metastatic solid tumors other than mRCC are excluded. Non-cytotoxic oral agents for adjuvant or maintenance therapy of other cancers are permitted.
  • Patients who are not intending to undergo follow up care at a study site within PCORnet
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change in medication adherence as measured by patient report.baseline, every 3 months for 2 years, every 6 months for up to 36 months

Patient's report their medication at each study visit.

Change in quality of life in mRCC patients receiving therapy as measured by FKSI-19baseline, every 3 months for 2 years, every 6 months for up to 36 months

The FKSI-19 is a questionnaire about the disease-related symptoms - physical, disease-related symptoms - emotional, treatment side-effects, and function/well-being.

Change in symptom burden in mRCC patients receiving therapy as measured by FACT-Gbaseline, every 3 months for 2 years, every 6 months for up to 36 months

The FACT-G is a questionnaire about the physical well-being, social/family well-being, emotional well-being, and functional well-being.

Change in symptom burden in mRCC patients receiving therapy as measured by FKSI-19baseline, every 3 months for 2 years, every 6 months for up to 36 months

The FKSI-19 is a questionnaire about the disease-related symptoms - physical, disease-related symptoms - emotional, treatment side-effects, and function/well-being.

Change in quality of life in mRCC patients receiving therapy as measured by FACT-Gbaseline, every 3 months for 2 years, every 6 months for up to 36 months

The FACT-G is a questionnaire about the physical well-being, social/family well-being, emotional well-being, and functional well-being.

Secondary Outcome Measures
NameTimeMethod
Health care resource utilization (including hospitalizations)Up to 36 months

A composite of PCORnet data pull, Medicare data pull, Physician questionnaire and patient follow-up interviews will be used to get data on health care resource utilization.

Overall survival (OS) of mRCC patientsUp to 36 months

A composite of various starting points (time of diagnosis of metastatic disease, time of study entry and time of starting systemic therapy) to avoid lead-time bias.

Dose holds and dose interruptionsUp to 36 months

A composite of PCORnet data pull, Medicare data pull, Physician questionnaire and patient follow-up interviews will be used to get data on dosing holds and interruptions.

Concomitant glucocorticoid useUp to 36 months

A composite of PCORnet data pull, Medicare data pull, Physician questionnaire and patient follow-up interviews will be used to get data on concomitant glucocorticoid use.

Subsequent line management choice(s)Up to 36 months

A composite of REDCap data entry by sites, PCORnet data pull, Medicare data pull, Physician questionnaire and patient follow-up interviews will be used to get data on line management choice(s).

Dosing (starting dose, dose intensity, ending dose)Up to 36 months

A composite of REDCap data entry by sites, PCORnet data pull, Medicare data pull, Physician questionnaire and patient follow-up interviews will be used to get data on dosing.

Work Productivity and Activity Impairment (WAPI) questionnaireUp to 36 months

A composite of REDCap data entry by sites, PCORnet data pull, Medicare data pull, Physician questionnaire and patient follow-up interviews will be used to get data on the WAPI questionnaire.

Time on treatmentUp to 36 months

A composite of REDCap data entry by sites, PCORnet data pull, Medicare data pull, Physician questionnaire and patient follow-up interviews will be used to get data on time on treatment.

First line management choice(s)Up to 36 months

A composite of REDCap data entry by sites, PCORnet data pull, Medicare data pull, Physician questionnaire and patient follow-up interviews will be used to get data on line management choice(s).

Time to next treatmentUp to 36 months

A composite of PCORnet data pull, Medicare data pull, Physician questionnaire and patient follow-up interviews will be used to get data on time to next treatment.

Early discontinuation of one agent of a combinationUp to 36 months

A composite of PCORnet data pull, Medicare data pull, Physician questionnaire and patient follow-up interviews will be used to get data on early discontinuation of one agent of a combination.

Trial Locations

Locations (11)

University of Pittsburgh

🇺🇸

Pittsburgh, Pennsylvania, United States

Duke University

🇺🇸

Durham, North Carolina, United States

University of Utah

🇺🇸

Salt Lake City, Utah, United States

Mayo Clinic

🇺🇸

Rochester, Minnesota, United States

State University of Iowa

🇺🇸

Iowa City, Iowa, United States

Geisinger Clinic

🇺🇸

Danville, Pennsylvania, United States

The Johns Hopkins University

🇺🇸

Baltimore, Maryland, United States

The University of Texas Southwestern Medical Center

🇺🇸

Dallas, Texas, United States

The Medical College of Wisconsin, Inc.

🇺🇸

Milwaukee, Wisconsin, United States

The Regents of the University of Michigan

🇺🇸

Ann Arbor, Michigan, United States

University of Kansas Medical Center

🇺🇸

Kansas City, Kansas, United States

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