European, Observational, Prospective Study to Evaluate the Benefit/Risk of Vandetanib in RET Mutation Negative and Positive Patients With Symptomatic, Aggressive, Sporadic, Unresectable, Locally Advanced/Metastatic Medullary Thyroid Cancer
Overview
- Phase
- Not Applicable
- Intervention
- Vandetanib 300 mg
- Conditions
- Symptomatic, Aggressive, Sporadic, Unresectable, Locally
- Sponsor
- Genzyme, a Sanofi Company
- Enrollment
- 31
- Locations
- 8
- Primary Endpoint
- Evaluation of Safety by assessment of QTc prolongations
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
This is a European multinational, multicenter, non-interventional (observational) and prospective study. It is carried on to confirm in real life conditions the benefit/risk of vandetanib (CAPRELSA™) 300 mg, both in RET negative and RET positive patients with symptomatic, aggressive, sporadic, unresectable, locally advanced/metastatic MTC.
Detailed Description
This is a multinational, multicenter, non-interventional (observational) and prospective study. European countries where vandetanib is on the market will participate in the study. This study is being conducted to fulfil the specific obligation post-authorisation measure for the conditional marketing authorisation. It is carried on to confirm in real life conditions the benefit/risk of vandetanib (CAPRELSA™) 300 mg, both in RET negative and RET positive patients with symptomatic, aggressive, sporadic, unresectable, locally advanced/metastatic MTC. The clinical benefit of vandetanib (CAPRELSA™) 300 mg has previously been established in a clinical trial (Study 58) on the basis of a clinically and statistically significant advantage in progression free survival (PFS) which was supported by a high response rate and substantial duration of response.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Signed informed consent
- •Male or female aged 18 years or above
- •Histological diagnosis of MTC
- •Patients with symptomatic and aggressive sporadic MTC, who have unresectable, locally advanced/metastatic disease. (The factors considered by the investigator to determine a patient's disease to be symptomatic and aggressive will be recorded in the CRF).
- •Measurable disease:
- •assessment confirmed within the 12 weeks previous to start of treatment, and
- •defined according to RECIST 1.1: at least one lesion, not irradiated, that can be accurately measured as ≥10 mm in the longest diameter (except lymph nodes which must have short axis ≥15 mm) with CT or MRI and which is suitable for accurate repeated measurements. Measurable lesions with calcifications should not be assessed as target lesions unless no other measurable lesion is available.
- •Known definite RET mutation status (definition according to section 3.2). The status should be:
- •for patients prescribed with vandetanib: positive or negative
- •for patients not prescribed with vandetanib: negative RET mutation status must be determined from a tumour sample obtained within 18 months prior to enrollment. It is strongly recommended that a tissue sample obtained within 6 months prior to enrolment is used.
Exclusion Criteria
- Not provided
Arms & Interventions
1. patient cohorts (40 patients/cohort)
RET positive patient cohorts
Intervention: Vandetanib 300 mg
2. patient cohorts (40 patients/cohort)
RET negative patient cohorts
Intervention: Vandetanib 300 mg
Outcomes
Primary Outcomes
Evaluation of Safety by assessment of QTc prolongations
Time Frame: From enrollment until study completion, assessed up to 38 months
Assessment of QTc prolongations
Assessment of Duration of Response
Time Frame: From enrollment until study completion, assessed up to 38 months
Assessment of Duration of Response (using RECIST 1.1)
Assessment of Progression Free Survival
Time Frame: From enrollment until study completion, assessed up to 38 months
Assessment of Progression Free Survival (using RECIST 1.1)
Assessment of Objective Response Rate
Time Frame: From enrollment until study completion, assessed up to 38 months
Assessment of Objective Response Rate \[using Response Evaluation Criteria In Solid Tumours (RECIST) 1.1\]
Assessment of Disease control rate
Time Frame: From enrollment until study completion, assessed up to 38 months
Assessment of Disease control rate \[using Response Evaluation Criteria In Solid Tumours (RECIST) 1.1\]
Evaluation of Safety by assessment of vital signs
Time Frame: From enrollment until study completion, assessed up to 38 months
Assessment of Vital signs
Evaluation of Safety by assessment of Adverse Events
Time Frame: From enrollment until study completion, assessed up to 38 months
Assessment of Adverse Events
Evaluation of Safety by assessment of laboratory data
Time Frame: From enrollment until study completion, assessed up to 38 months
Assessment of Laboratory data
Secondary Outcomes
- Patient Characteristics(From enrollment until study completion, assessed up to 38 months)