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Treatment Patterns and Outcomes Study in Patients With Unresectable Stage III and Metastatic (Stage IV) Melanoma in the United States

Completed
Conditions
Melanoma
Interventions
Other: Non-Interventional
Registration Number
NCT03199846
Lead Sponsor
Bristol-Myers Squibb
Brief Summary

This study will collect real-world data from advanced melanoma diagnosis through most recent visit and data sourced from patient medical records following a 2-part study design consisting of a random sample (Part 1) and an oversample (Part 2).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
650
Inclusion Criteria
  • Adults 18 years or older
  • Diagnosis of unresectable stage III and/or metastatic (stage IV) melanoma before 01-Nov-2015
  • Initiating a new line of therapy during the index period between 01-Jan-2015 and 31-May-2016, irrespective of advanced melanoma diagnosis date
  • Medical history available for medical chart abstraction from date of diagnosis through most recent or current therapy (defined as end of data collection period)
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Exclusion Criteria
  • Physicians unwilling or unable to follow study instructions
  • Patients who were previously enrolled in a cancer treatment-related clinical trial since the diagnosis of unresectable stage III and/or metastatic (stage IV) melanoma
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Nivo monotherapyNon-InterventionalPart 2: patients must have been prescribed Nivo monotherapy during the index period between 01-Jan-2015 and 31-May-2016
Ipi monotherapyNon-InterventionalPart 2: patients must have been prescribed Ipi monotherapy during the index period between 01-Jan-2015 and 31-May-2016.
Dabrafenib + trametinib combination therapyNon-InterventionalPart 2: patients must have been prescribed Dabrafenib + trametinib combination therapy during the index period between 01-Jan-2015 and 31-May-2016.
Pembro monotherapyNon-InterventionalPart 2: patients must have been prescribed Pembro monotherapy during the index period between 01-Jan-2015 and 31-May-2016
advanced melanoma patientsNon-InterventionalPart 1 will consist of a representative sample of advanced melanoma patients, irrespective of date of diagnosis of stage III unresectable and metastatic/stage IV, to address information objectives on treatment patterns, clinical outcomes, and resource use after the start of treatment post-launch of new drugs, ie, since 2011 for ipi and 2015 for ipi + nivo in advanced melanoma
Ipi + nivo combination therapyNon-InterventionalPart 2: patients must have been prescribed Ipi + nivo combination therapy during the index period between 01-Jan-2015 and 31-May-2016.
Primary Outcome Measures
NameTimeMethod
Distribution of treatment patterns for advanced melanoma patientsAproximately 6 months

Distribution of treatment patterns for advanced melanoma patients including, treatment regimen selection and rationale, as well as time to initiation of therapy and type of therapy

Secondary Outcome Measures
NameTimeMethod
Distribution of Healthcare Coverage typeAt Baseline

Healthcare Coverage type will be determined using Medical Records

Distribution of Diagnosis DateAt Baseline

Melanoma Diagnosis Date will be determined using medical records

Distribution of prescribing patternsApproximately 16 months

Distribution of prescribing patterns by type of practice setting and melanoma patient volume

Distribution of Patient Age at index dateat baseline

Patient Age at index date will be determined from Medical Records

Distribution of Patient's Sex at Index DateAt Baseline

Patient's sex will be determined from Medical Records

Distribution of Comorbidities at index dateAt Baseline

Comorbidities will be determined using the Charlson Comorbidity Index (CCI)

Distribution of Advanced Diagnosis DateAt Baseline

Date of advanced/ metastatic melanoma diagnosis will be determined using medical records

Distribution of Age at OnsetAt Baseline

Diagnosis date-Date of Birth

Distribution of Disease stage at time of diagnosisAt Baseline

Disease stage at time of diagnosis will be determined using medical records

Distribution of Disease stage at subsequent visitsApproximately 16 months

Disease stage at subsequent visits will be determined using medical records

Distribution of ECOG status at BaselineAt Baseline

Eastern Cooperative Oncology Group (ECOG) status at Baseline will be determined using medical records

Distribution of ECOG status at Last VisitApproximately 16 months

Eastern Cooperative Oncology Group (ECOG) status at Last Visit will be determined using medical records

Distribution of Biomarker status at baselineat baseline

Biomarker status will be determined using Medical Records

Distribution of treatment-related adverse eventsApproximately 16 months

treatment-related adverse events will be determined using medical records

Distribution of Overall Survival (OS) from Advanced DiagnosisApproximately 16 months

Date of death minus advanced/metastatic diagnosis date, censoring for LTF or end of observation

Distribution of Progression-Free Survival (PFS) at Advanced DiagnosisApproximately 16 months

Date of progression (increase in tumor size or increase in cancer stage)/start of next line of therapy minus advanced/metastatic diagnosis date, censoring for LTF or end of observation

Distribution of Overall Response Rate (ORR)Approximately 16 months
Distribution of Overall Survival (OS) from Index DateApproximately 16 months

Date of death minus index treatment start date, censoring for LTF or end of observation

Distribution of Progression-Free Survival (PFS) at Index DateApproximately 16 months

Date of progression (increase in tumor size or increase in cancer stage)/start of next line of therapy minus index treatment start date, censoring for LTF or end of observation

Distribution of melanoma related HCRUApproximately 16 months

Trial Locations

Locations (1)

Local Institution

🇺🇸

Morristown, New Jersey, United States

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