MedPath

Ivosidenib (TIBSOVO®) Combined With Azacitidine According to Current SmPC

Recruiting
Conditions
Acute Myeloid Leukemia (AML)
Registration Number
NCT06181734
Lead Sponsor
iOMEDICO AG
Brief Summary

The goal of this non-interventional study is to evaluate quality of life (QoL) in adult patients with newly diagnosed IDH1 R132-mutated AML who are not eligible to receive standard induction chemotherapy and who are treated with ivosidenib in combination with azacitidine in a real-world setting in Germany.

The main questions it aims to answer are:

* Evaluate QoL by validated and widely used Functional Assessment of Cancer Therapy - Leukemia (FACT-Leu) questionnaire and European Quality of Life 5 Dimensions 5 Level Version (EQ-5D-5L) questionnaire during treatment and follow-up period

* Assesment of effectiveness in routine treatment (e.g. overall survival, event-free survival, overall response rate)

* Assessment of drug safety (all adverse events)

* Description of treatment reality in detail

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Age 18 years or older.

  • Newly diagnosed Acute Myeloid Leukemia (AML).

  • Having an isocitrate dehydrogenase 1 (IDH1) R132 mutation.

  • Not eligible to receive standard induction chemotherapy.

  • Decision for treatment with ivosidenib in combination with azacitidine as per current SmPC.

  • Signed written informed consent*

    *Patients are allowed to be enrolled up to 6 weeks after ivosidenib plus azacitidine dose

  • For patients participating in PROs: Willingness and capability to participate in PRO assessment in German language

  • Other criteria according to current SmPC.

Exclusion Criteria
  • Participation in an interventional clinical trial within 30 days prior to enrollment or simultaneous participation in an interventional clinical trial except for the follow-up period.
  • Patients unable to consent
  • Other contraindications according to current SmPC.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Evaluate quality of lifeBaseline until end of study (during invosidinib treatment and Follow-Up); Up to 54 months

Validation of FACT-Leu. Change from baseline (treatment start) of FACT-Leu total score over time

Secondary Outcome Measures
NameTimeMethod
Subjective well-being: Validation of FACT-LeuBaseline until end of study (during invosidinib treatment and Follow-Up); Up to 54 months

Time to deterioration of Trial Outcome Index

Treatment reality in detail: Transfusion dependencyBaseline until end of study (during invosidinib treatment and Follow-Up); Up to 54 months

Proportion of transfusion dependent patients to independency and vice versa will be provided

Subjective well-being: Validation of FACT-Leu and EQ-5D-5L questionnaireBaseline until end of study (during invosidinib treatment and Follow-Up); Up to 54 months

Trial Outcome Index

Subjective well-being: Validation of EQ-5D-5L questionnaireBaseline until end of study (during invosidinib treatment and Follow-Up); Up to 54 months

Time to deterioration of the EQ-%D-5l visual analogue scale score over time

Assessment of parameters of treatment decision makingFrom date of patient enrollment until start of treatment

Frequency of distinct parameters affecting therapy choice including reasons why patient is ineligible for standard induction chemotherapy.

Ivosidenib and azacitidine treatment: Reason for end of treatment (EOT)Baseline until end of study (during invosidinib treatment and Follow-Up); Up to 54 months

Frequency tables of EOT-reasons will be provided

Assesment of effectiveness in routine treatmentBaseline until end of study (during invosidinib treatment and Follow-Up); Up to 54 months

Time to first response (TTR)

Assessment of drug safetyBaseline until end of study (during invosidinib treatment and Follow-Up); Up to 54 months

Assesment of adverse events (AEs), serious adverse events (SAEs), adverse drug reactions (ADRs), serious adverse drug reactions (SADRs), Adverse events of special interest (AESIs)

Ivosidenib and azacitidine treatment: Dose intensityBaseline until end of study (during invosidinib treatment and Follow-Up); Up to 54 months

Descriptive statistics will be provided for dose intensity for ivosidinib and azacitidine

Ivosidenib and azacitidine treatment: Frequency and type of dose modificationBaseline until end of study (during invosidinib treatment and Follow-Up); Up to 54 months

Frequency tables will be provided for frequency and type of dose modification for ivosidinib and azacitidine

Ivosidenib and azacitidine treatment: Reason for dose modificationsBaseline until end of study (during invosidinib treatment and Follow-Up); Up to 54 months

Frequency tables of reasons for dose modifications will be provided for ivosidinib and azacitidine

Ivosidenib and azacitidine treatment: Duration of treatment in total and for each substanceBaseline until end of study (during invosidinib treatment and Follow-Up); Up to 54 months

Descriptive statistics will be provided for duration of treatment in total and for each substance dose

Treatment reality in detail: Concomitant medicationBaseline until end of study (during invosidinib treatment and Follow-Up); Up to 54 months

Frequency table of concomitant medication in total and frequency of concomitant medications known to induce QT prolongation (e.g., antiarrhythmic medicines, fluoroquinolones, triazole anti-fungals, 5-HT3 receptor antagonists) as well as strong CYP3A4 inducers or dabigatran will be provided

Treatment reality in detail: Subsequent antineoplastic therapiesBaseline until end of study (during invosidinib treatment and Follow-Up); Up to 54 months

Description of frequency and type of subsequent antineoplastic therapies by line of therapy (number and substance)

Treatment reality in detail: Frequency of hospitalizations/emergency room visitsBaseline until end of study (during invosidinib treatment and Follow-Up); Up to 54 months

Frequency table of hospitalization and emergency room visits will be provided

Treatment reality in detail: Reasons for hospitalizations/emergency room visitsBaseline until end of study (during invosidinib treatment and Follow-Up); Up to 54 months

Frequency table of reasons for hospitalization and emergency room visits will be provided

Treatment reality in detail: Length of hospital stayBaseline until end of study (during invosidinib treatment and Follow-Up); Up to 54 months

Descriptive statistic for length of hospital stay will be provided

Trial Locations

Locations (1)

Praxis für interdisziplinäre Onkologie & Hämatologie

🇩🇪

Freiburg, Germany

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