MedPath

Therapy Management With Nab-Paclitaxel in Daily Routine

Conditions
Metastatic Breast Cancer
Registration Number
NCT02642406
Lead Sponsor
University Hospital Tuebingen
Brief Summary

Despite treatment improvements in breast cancer, a large number of patients still progress to the metastatic stage. Metastatic breast cancer patients have an extremely unfavorable prognosis. Not only efficacy, but also quality of life are in the focus when planning a therapy or therapy sequence for metastatic breast cancer patients. Therapy options include anti-hormonal Therapy, antibody therapies, other targeted therapies and chemotherapies. One of the most effective chemotherapies in the adjuadjuvant and metastatic setting is paclitaxel. However drug handling and its side effects can compromise patients quality of life and can have an impact on the pharmacokinetics of the drug.

In metastatic breast cancer patients increasing therapy efficacy and reduction of side effect frequency are considered to be advancements of therapy. One of these advancements is the development of a cremophor free and albumin bound paclitaxel, nab-Paclitaxel (Abraxane), which is thought to have a better efficacy and reduced toxicity profile. Nab-Paclitaxel is approved for the treatment of metastatic breast cancer after a failure of first-line therapy and when antracyclines are not indicated.

The SERAPHINA study aims to investigate in the use of nab-Paclitaxel in daily routine and the frequency and perception of side effects.

As a non-interventional study, the SERAPHINA Study will assess the patient characteristics and describe the patient cohort, in which nab-Paclitaxel is given. This includes age distribution and characteristics documented by the patients themselves.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
1200
Inclusion Criteria
  • Patients with metastatic breast cancer in which a therapy with nab-paclitaxel was indicated by the treating physician
  • Treatment of nab-Paclitaxel must either have not been started yet, or first application of nab-Paclitaxel was not prior to 21 days before study entry
  • Female patients, age ≥18 years
  • Invasive breast cancer (irrespective of status of BC, e.g. TNM, receptor status etc.)
  • Metastatic or locally advanced, inoperable disease proven by clinical measures (i.e. standard imaging)
  • Patients scheduled for nab-Paclitaxel treatment in daily routine before screening
  • Patients, who are able and willing to sign the informed consent form
Exclusion Criteria
  • Patient is currently enrolled, or will enroll in an interventional clinical study in which investigational therapeutic procedures are performed or investigational therapies are administered while participating in this study

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Epidemiological assessment of progression free survival (PFS) under real life conditions.A patient remains in the study for a maximum of 36 months or until death, whatever occurs first

PFS defined as the time to the first progression or death after therapy start of nab-Paclitaxel.

Secondary Outcome Measures
NameTimeMethod
Influence of age on the prognosis and quality of life.A patient remains in the study for a maximum of 36 months or until death, whatever occurs first

Progression free survival, overall survival and quality of life assessed with PRO

Assessment of other prognostic characteristicsA patient remains in the study for a maximum of 36 months or until death, whatever occurs first

OS (overall survival) is defined as the time to death from therapy start of nab-Paclitaxel. Reason for death is taken into consideration as well (BBCS, breast cancer specific survival).

Incidence of adverse events, serious adverse events will be reported.A patient remains in the study for a maximum of 36 months or until death, whatever occurs first

NCI Common Toxicity Criteria Version 4.03

Influence of breast cancerpatient characteristics on prognosis, adverse event frequencies, quality of life and therapy decision making.A patient remains in the study for a maximum of 36 months or until death, whatever occurs first

The patient group is described by patient and tumor characteristics and a series of questionnaires assessing health and socioeconomic status and geriatric assessment status. These parameters that describe the patient cohort will be analyzed with regard to their influence on prognosis, adverse event frequencies, quality of life and therapy decision making.

Quality of life (FACT-B -Taxane, Version 4, nab-Paclitaxel specific questions, NCCN-Distress-Thermometer)A patient remains in the study for a maximum of 36 months or until death, whatever occurs first

Patient reported (PRO) quality of life is assessed with standardized questionnaires (FACT-B, Version 4, FACT-Taxane, Version 4, nab-Paclitaxel specific questions, NCCN-Distress-Thermometer.

Trial Locations

Locations (82)

Klinikum Augsburg Frauenklinik

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Augsburg, Bayern, Germany

Sozialstiftung Bamberg, Klinikum am Bruderwald Klinik für Frauenheilkunde und Geburtshilfe

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Bayreuth, Bayern, Germany

MOPS Elisenhof MOP-Studiengesellschaft

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München, Bayern, Germany

Onkologische Gemeinschaftspraxis

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Würzburg, Bayern, Germany

Klinikum Darmstadt

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Darmstadt, Hessen, Germany

Praxis Ammon/Meyer

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Göttingen, Hessen, Germany

Praxisklinik am Rosengarten

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Mannheim, Baden-Württemberg, Germany

Klinikum für Frauenheilkunde und Geburtshilfe Esslingen

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Esslingen, Baden-Württenberg, Germany

Caritas-Krankenhaus St. Josef

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Regensburg, Bayern, Germany

MVZ Weiden GmbH

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Weiden, Bayern, Germany

Zentrum für Hämatologie und Onkologie Bethanien

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Frankfurt, Hessen, Germany

Paracelsus Krankenhaus Ruit

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Ruit, Baden-Württemberg, Germany

Frauenklinik des Städtischen Klinikums

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Karlsruhe, Baden-Württemberg, Germany

St. Vicentius Kliniken gAG

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Karlsruhe, Baden-Württemberg, Germany

phase drei Hämato-Onkologischer Studienkreis am Klinikum Aschaffenburg

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Aschaffenburg, Bayern, Germany

Rottal-Inn-Kliniken GmbH

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Eggenfelden, Bayern, Germany

Praxis für Hämatologie Onkologie Palliativmedizin

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Landshut, Bayern, Germany

Klinikum der Universität München (LMU)

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München, Bayern, Germany

NCT Heidelberg

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Heidelberg, Baden-Württemberg, Germany

Universitätsfrauenklinik Tübingen

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Tübingen, Baden-Württemberg, Germany

Akad. Lehrkrankenhaus der Charité

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Ludwigsfelde, Brandenburg, Germany

MVZ Amberg

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Amberg, Bayern, Germany

Praxisgemeinschaft Dr. med. Steffi Busch

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Mühlhausen, Bayern, Germany

Praxis Dr. med. Uwe G. Pöhls und Kollegen Fachärzte für Frauenheilkunde und Geburtshilfe

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Würzburg, Bayern, Germany

g.SUND Gynäkologie Kompetenzzentrum

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Stralsund, Brandenburg, Germany

Universitätsfrauenklinik Düsseldorf

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Düsseldorf, Nordrhein-Westfalen, Germany

Universitätsklinikum Essen

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Essen, Nordrhein-Westfalen, Germany

Helios Klinikum Krefeld

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Krefeld, Nordrhein-Westfalen, Germany

Schwerpunktpraxis für Hämatologie und Onkologie Hansen/Reeb/Pfitzner-Dempfle/Stehle

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Kaiserslautern, Rheinland-Pfalz, Germany

Universitätsklinikum Münster

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Münster, Germany

Haveland Kliniken GmbH

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Nauen, Germany

Aalen Brustzentrum

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Aalen, Baden-Württemberg, Germany

Universitätsklinikum Freiburg

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Freiburg, Baden-Württemberg, Germany

Ortenau Klinikum Lahr-Ettenheim

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Lahr, Baden-Württemberg, Germany

Universitätsmedizin Mannheim

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Mannheim, Baden-Württemberg, Germany

Schwerpunktpraxis für Hämatologie und Internistische Onkologie, Gastroenterologie

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Singen, Baden-Württemberg, Germany

Brustzentrum

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Stuttgart, Baden-Württemberg, Germany

Christian-Albrecht-Universitäts Kiel

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Kiel, Schleswig-Holstein, Germany

Gynäkologische Praxisklinik Harburg

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Hamburg, Germany

Universitätsfrauenklinik Erlangen

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Erlangen, Bayern, Germany

Praxisgemeinschaft - Frauenärzte am Stadtpark

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Nürnberg, Bayern, Germany

Brustzentrum am Elisabeth-KH Leipzig

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Leipzig, Dresden, Germany

MVZ Onkologische Kooperation Harz

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Goslar, Hessen, Germany

Niels-Stensen-Kliniken

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Georgsmarienhütte, Niedersachsen, Germany

Gynäkologisch-Onkologische Praxis am Pelikanplatz

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Hannover, Niedersachsen, Germany

Frauenarzt Bewer und Sternberg Gynäkologie

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Hannover, Niedersachsen, Germany

Dokusan Gesellschaft für medizinische studien mbH & Co .KG

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Herne, Nordrhein-Westfalen, Germany

Praxisnetzwerk Hämatologie/Onkologie

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Troisdorf, Nordrhein-Westfalen, Germany

GRN-Klinik Weinheim Abteilung für Gynäkologie und Geburtshilfe

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Weinheim, Baden-Württemberg, Germany

Ruppiner Kliniken GmbH

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Neuruppin, Brandenburg, Germany

Universitätsklinikum des Saarlandes

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Homburg, Saarland, Germany

Agaplesion Markus Krankenhaus

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Frankfurt, Hessen, Germany

Frauenklinik Wetzlar

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Wetzlar, Hessen, Germany

MarienHospital Onkologische Praxis

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Bonn, Nordrhein-Westfalen, Germany

PIOH Praxis Internistischer Onkologie und Hämatologie

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Frechen, Nordrhein-Westfalen, Germany

Fachinternistische Gemeinschaftspraxis

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Witten, Nordrhein-Westfalen, Germany

Hämatologisch-Onkologische Praxis Würselen

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Würselen, Nordrhein-Westfalen, Germany

Poliklinik Chemnitz GmbH

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Chemnitz, Sachsen, Germany

Charité

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Berlin, Germany

Marienhospital Bottrop gGmbH

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Bottrop, Nordrhein-Westfalen, Germany

Klinikum Kassel GmbH

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Kassel, Hessen, Germany

Gemeinschaftspraxis f. Hämatologie u. Onkologie

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Westerstede, Niedersachsen, Germany

Facharztzentrum am Schloß

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Wolfenbüttel, Niedersachsen, Germany

Kliniken der Stadt Köln g.GmbH

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Köln, Nordrhein-Westfalen, Germany

Marienkrankenhaus/Brustzentrum

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Schwerte, Nordrhein-Westfalen, Germany

Onkologische Praxis

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Velbert, Nordrhein-Westfalen, Germany

Johanniter-Krankenhaus Genthin-Stendal Klinik für Frauenheilkunde und Geburtshilfe

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Stendal, Sachsen-Anhalt, Germany

Universitätsklinikum Leipzig AöR

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Leipzig, Sachsen, Germany

Klinikum Obergöltzsch Rodewisch

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Rodewisch, Sachsen, Germany

KKH Torgau, Brustzentrum

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Torgau, Sachsen, Germany

Praxis für Frauen

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Ilsede, Germany

Schwerpunktpraxis Onkologie

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Speyer, Germany

Universitätsklinikum Hamburg-Eppendorf

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Hamburg, Germany

Klinik f. Frauenheilkunde u. Geburtshilfe

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Hannover, Niedersachsen, Germany

Evangelisches Krankenhaus Bethedsa Mönchengladbach GmbH

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Mönchengladbach, Nordrhein-Westfalens, Germany

Gemeinschaftspraxis f. Onkologie und Hämatologie

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Köln, Nordrhein-Westfalen, Germany

Johannes Wesling Klinikum Minden

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Minden, Nordrhein-Westfalen, Germany

Onkologische Gemeinschaftspraxis Dresden

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Dresden, Sachsen, Germany

Universitätsklinikum Jena

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Jena, Thüringen, Germany

MVZ Kloster Paradiese GbR

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Soest, Germany

Onkozentrum Dresden

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Dresden, Sachsen, Germany

Gynäkologische Gemeinschaftspraxis

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Berlin, Germany

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