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临床试验/NCT07839858
NCT07839858已完成不适用

Real-world Use and Effectiveness of Cytoreductive Strategies for the Treatment of Second-line Polycythemia Vera: A Multicenter, Retrospective, Non-interventional Study in France

Novartis Pharmaceuticals51 个研究点 分布在 1 个国家目标入组 237 人开始时间: 2025年3月13日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
237
试验地点
51
主要终点
Proportion of Patients per Type of Second-line Cytoreductive Treatment

研究概览

简要总结

The aim of this study was to assess which cytoreductive treatments are currently administered in standard practice as second-line therapy to patients with polycythemia vera (PV) in France and to find out the reasons physicians switch treatments. In addition, the research aimed to describe real-world effectiveness of second-line cytoreductive therapies and the occurrence of adverse events of special interest.

Study data were collected from the medical charts of patients who initiated a second-line cytoreductive agent for the treatment of PV and received their first dose between 1 Jan 2022 and 31 Dec 2023.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Retrospective

入排标准

年龄范围
18 Years 至 99 Years(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •Male or female patient diagnosed with PV after 01 Jan 2014 according to World Health Organization (WHO) criteria.
  • •Patient ≥ 18 years of age at the time of PV diagnosis.
  • •Patient who received a first dose of a second-line cytoreductive treatment between 01 Jan 2022 and 31 Dec 2023.

排除标准

  • •Patient alive at study initiation who opposed to data use for research purposes.
  • •Patient who died before study initiation and who had opposed to data use for research purpose prior to their death.
  • •Patient who took part in an interventional clinical trial(s) between 01 January 2022 and 31 December 2023.

研究组 & 干预措施

PV Cohort

Adult PV patients who received a first dose of a second-line cytoreductive treatment between 1 January 2022 and 31 December 2023.

结局指标

主要结局

Proportion of Patients per Type of Second-line Cytoreductive Treatment

时间窗: Day 1 (first dose of second-line cytoreductive treatment)

次要结局

  • Age(Day 1 (first dose of second-line cytoreductive treatment))
  • Proportion of Patients Who Permanently Discontinued Second-line Cytoreductive Treatment(Up to approximately 12 months)
  • Proportion of Patients by Reasons for Switching to Second-line Cytoreductive Treatment(Baseline)
  • Initial Dose of Second-line Cytoreductive Treatment Received for Each Type of Treatment(Day 1 (first dose of second-line cytoreductive treatment))
  • Duration of Each Line of Treatment(Baseline up to approximately 12 months)
  • Duration Between PV Diagnosis and Second-line Cytoreductive Treatment Initiation(Baseline)
  • Proportion of Patients With Treatment Interruptions and Dose Modification During Second-line Treatment(Up to approximately 12 months)
  • Proportion of Patients per Type of First-line Cytoreductive Treatment(Baseline)
  • Proportion of Patients per Type of Third-line Cytoreductive Treatment(Up to approximately 12 months)
  • Proportion of Patients by Reasons for Switching to Third-line Cytoreductive Treatment(Up to approximately 12 months)
  • Proportion of Patients by Number of Dose Modifications During Second-line Cytoreductive Treatment(Up to approximately 12 months)
  • Proportion of Patients per Type of Concomitant Treatment/Procedure During Second-line Cytoreductive Treatment(Up to approximately 12 months)
  • Proportion of Patients Who had a Bone Marrow Biopsy Following PV Diagnosis and the Timing of Bone Marrow Biopsy in Relation to First-line Cytoreductive Treatment(Baseline)
  • Proportion of Patients Who had a Bone Marrow Biopsy Following PV Diagnosis and the Timing of Bone Marrow Biopsy in Relation to Second-line Cytoreductive Treatment(Baseline)
  • Proportion of Patients Achieving Hematocrit Control(Approximately 6 months)
  • Proportion of Patients Achieving Clinicohematologic Response(Approximately 6 months)
  • Proportion of Patients Achieving Symptom Response(Approximately 6 months)
  • Proportion of Patients Achieving Molecular Response(Approximately 6 months)
  • Proportion of Patients With Occurrence of Disease Progression Events(Up to 6 approximately months)
  • Proportion of Patients With Occurrence of Thromboembolic or Hemorrhagic Events(Up to 6 approximately months)
  • Proportion of Patients by Sex(Day 1 (first dose of second-line cytoreductive treatment))
  • Proportion of Patients With Cardiovascular and Thromboembolic Risk Factors(Baseline)
  • Proportion of Patients With a History of Medical Conditions(Baseline)
  • Proportion of Patients With Other Ongoing Comorbidities(Baseline)
  • Proportion of Patients per Number and Type of Thromboembolic and Hemorrhagic Events Prior to First-line Treatment(Baseline)
  • Proportion of Patients per Number and Type of Thromboembolic and Hemorrhagic Events Between First- and Second-line Cytoreductive Treatment(Baseline)
  • Duration Between Most Recent Thromboembolic or Hemorrhagic Event and Initiation of First and Second-line Cytoreductive Treatment(Baseline)
  • Proportion of Patients by Reason for Initiating First-line Cytoreductive Treatment(Baseline)
  • Proportion of Patients per Type of Pre-specified Emergency Treatment/Procedure Administered Prior to Second-line Cytoreductive Treatment Initiation(Baseline)
  • Proportion of Patients by Number of Phlebotomies Required in the 3 Months Prior to Second-line Cytoreductive Treatment(Within the 3 months preceding Day 1 (first dose of second-line cytoreductive treatment))
  • Proportion of Patients by PV Symptoms(Day 1 (first dose of second-line cytoreductive treatment))
  • MPN-SAF TSS Score(Day 1 (first dose of second-line cytoreductive treatment))
  • Hemoglobin Level(Within the 3 months preceding Day 1 (first dose of second-line cytoreductive treatment))
  • Hematocrit Level(Within the 3 months preceding Day 1 (first dose of second-line cytoreductive treatment))
  • Leukocyte Count(Within the 3 months preceding Day 1 (first dose of second-line cytoreductive treatment))
  • Platelet Count(Within the 3 months preceding Day 1 (first dose of second-line cytoreductive treatment))
  • Proportion of Patients by Type of Mutation(Baseline)
  • Mutant Allele Burden(Baseline)
  • Proportion of Patients With Pre-specified Adverse Events of Special Interest Occurring After Initiation of the Second-line Cytoreductive Treatment(Up to 12 months)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (51)

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