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Ripretinib (QINLOCK®) According to Current SmPC

Recruiting
Conditions
GIST - Gastrointestinal Stromal Tumor
Registration Number
NCT06619275
Lead Sponsor
iOMEDICO AG
Brief Summary

The goal of this prospective, observational study INTEREST is to collect real-world data on ripretinib treatment in a broad patient population in Germany. Ripretinib will be administered according to the current SmPC. Thus, INTEREST will evaluate for the first time ripretinib in GIST patients in a real-world setting in Germany.

The main questions the study aims to answer are:

* Evaluate quality of live (QoL) using the questionnaire EQ-5D-5L to gain knowledge about how ripretinib treatment affects GIST patients' well-being (change compared to Baseline, Time to Deterioration)

* Assessment of effectiveness in routine treatment (Progression-Free Survival, Overall Survival, Best Response, Overall Response Rate, Disease Control Rate

* Assessment of drug safety

* Assessment of parameters of physicians\' treatment decision making

* Description of treatment reality in detail

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
100
Inclusion Criteria

Patient is eligible if all criteria are met:

  • Aged 18 years or older.

  • Histologically confirmed advanced GIST.

  • Patients must have received prior treatment with three or more kinase inhibitors, including imatinib.

  • Decision for treatment with ripretinib as per current SmPC.

  • Signed written informed consent

    * Patients are allowed to be enrolled up to 6 weeks after their first dose of ripretinib. Patients with signed written informed consent after start of ripretinib treatment are not participating in the PRO assessments.

  • Willingness and capability to participate in Patient-Reported Outcome (PRO) assessment in German language.

  • Other criteria according to current SmPC.

Exclusion Criteria
  • Participation in an interventional clinical trial within 30 days prior to enrolment 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 Live (QoL): EQ-5D-5L index valuemax. 36 months; from the patient-specific study start to end of study (during ripretinib treatment and follow-up)

Evaluation of Quality of Life by validated European Quality of Life 5 Dimensions 5 Level Version (EQ-5D-5L) questionnaire. Change from baseline in the EQ-5D-5L index value

Evaluate Quality of Live (QoL): EQ-Visual Analogue Scale (VAS)max. 36 months; from the patient-specific study start to end of study (during ripretinib treatment and follow-up)

Evaluation of Quality of Life by validated European Quality of Life 5 Dimensions 5 Level Version (EQ-5D-5L) questionnaire. Change from baseline in the EQ-Visual Analogue Scale (VAS)

Secondary Outcome Measures
NameTimeMethod
Subjective well-being: EQ-5D-5L questionnaire (index value)max. 36 months; from the patient-specific study start to end of study (during ripretinib treatment and follow-up)

Time to deterioration (TTD) in the EQ-5D-5L index value

Subjective well-being: EQ-5D-5L questionnaire (EQ-VAS)max. 36 months; from the patient-specific study start to end of study (during ripretinib treatment and follow-up)

Time to deterioration (TTD) in the European Quality- Visual Analogue Scale (EQ-VAS)

Assess effectiveness in routine treatment: Progression-free survival (PFS)max. 36 months; from the patient-specific study start to end of study (during ripretinib treatment and follow-up)

PFS is defined as time interval measured form the day of first ripretinib administration to first progression or death, whichever comes first. Patients without tumor progression or death at the time of analysis will be censored at their date of last contact.

Assess effectiveness in routine treatment: Overall Survival (OS)max. 36 months; from the patient-specific study start to end of study (during ripretinib treatment and follow-up)

OS is defined as the time interval measured form the day of first ripretinib administration to time of death from any cause. Time to last contact will be used if a patient has no documented date of death and OS for the patient will be considered censored.

Assess effectiveness in routine treatment: Best responsemax. 36 months; from the patient-specific study start to end of study (during ripretinib treatment and follow-up)

Best response is defined as Complete Response (CR), Partial Response (PR), Stable Disease (SD), or Progressive Disease (PD))

Assess effectiveness in routine treatment: Overall Response Rate (ORR)max. 36 months; from the patient-specific study start to end of study (during ripretinib treatment and follow-up)

ORR is defined as the proportion of patients achieving a complete or partial response as best response.

Assess effectiveness in routine treatment: Disease Control Rate (DCR)max. 36 months; from the patient-specific study start to end of study (during ripretinib treatment and follow-up)

DCR is defined as proportion of patients with Complete Response, Partial Response or Stable Disease as best response.

Assess drug safety: Incidence of (serious) treatment emergent adverse events (TEAEs)Baseline up to 30 days after ripretinib therapy

An adverse event will be classified as TEAE if it is related to the study medication (ripretinib).

Assess drug safety: Incidence of (serious) treatment emergent adverse drug reactions (TEADRs)Baseline up to 30 days after ripretinib therapy

An adverse drug reaction will be classified as TEADR if it is temporally related to the study medication (ripretinib).

Assess parameters of physicians' treatment decision making using a questionnaireBaseline

Frequency of distinct parameters affecting therapy choice; questionnaire completed by treating physician.

Line of ripretinib treatmentmax. 36 months; from the patient-specific study start to end of study (during ripretinib treatment and follow-up)

Description of treatment reality in detail: Line of ripretinib treatment

Absolute dose intensitymax. 36 months; from the patient-specific study start to end of study (during ripretinib treatment and follow-up)

Description of treatment reality in detail: Absolute dose intensity of ripretinib

Relative dose intensitymax. 36 months; from the patient-specific study start to end of study (during ripretinib treatment and follow-up)

Description of treatment reality in detail: Relative dose intensity of ripretinib

Frequency of dose modificationsmax. 36 months; from the patient-specific study start to end of study (during ripretinib treatment and follow-up)

Description of treatment reality in detail: Frequency of dose modifications during ripretinib treatment

Type of dose modificationsmax. 36 months; from the patient-specific study start to end of study (during ripretinib treatment and follow-up)

Description of treatment reality in detail: Type of dose modifications during ripretinib treatment

Reasons of dose modificationsmax. 36 months; from the patient-specific study start to end of study (during ripretinib treatment and follow-up)

Description of treatment reality in detail: Reasons of dose modifications during ripretinib treatment

Duration of treatmentmax. 36 months; from the patient-specific study start to end of study (during ripretinib treatment and follow-up)

Description of treatment reality in detail: Duration of treatment with ripretinib

Reasons for end of treatment (EOT)max. 36 months; from the patient-specific study start to end of study (during ripretinib treatment and follow-up)

Description of treatment reality in detail: Reasons for EOT of treatment with ripretinib

Previous local anticancer therapies per treatment settingBaseline

Description of treatment reality in detail: Frequency of previous local anticancer therapies per treatment setting

Previous local anticancer therapies per treatment lineBaseline

Description of treatment reality in detail: Frequency of previous local anticancer therapies per treatment line

Previous systemic anticancer therapies per treatment settingBaseline

Description of treatment reality in detail: Frequency of previous systemic anticancer therapies per treatment setting

Previous systemic anticancer therapies per treatment lineBaseline

Description of treatment reality in detail: Frequency of previous systemic anticancer therapies per treatment line

Concomitant local anticancer therapiesBaseline up to 30 days after ripretinib therapy

Description of treatment reality in detail: Frequency of concomitant local anticancer therapies (i.e., surgeries and radiotherapies)

Subsequent local anticancer therapiesFrom date of end of ripretinib treatment up to 36 months

Description of treatment reality in detail: Frequency of subsequent local anticancer therapies

Trial Locations

Locations (1)

Praxis für interdisziplinäre Onkologie und Hämatologie

🇩🇪

Freiburg, Germany

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