A MULTI-CENTRE NON-INTERVENTIONAL STUDY TO DESCRIBE THE EARLY CLINICAL EXPERIENCE OF AVELUMAB USED AS MONOTHERAPY FOR THE FIRST-LINE MAINTENANCE TREATMENT OF ADULT PATIENTS WITH LOCALLY ADVANCED OR METASTATIC UROTHELIAL CARCINOMA WHO ARE PROGRESSION-FREE FOLLOWING PLATINUM-BASED CHEMOTHERAPY
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 106
- 试验地点
- 10
- 主要终点
- Real-World Overall Survival
研究概览
简要总结
The purpose of this clinical trial is to learn about the safety and effects of the study medicine (called Avelumab) in people with advanced urothelial (bladder) cancer (UC) whose disease hasn't worsened after receiving chemotherapy.
This study is seeking participants who:
- Have UC that cannot be operated on or has spread to other parts of the body
- Received 1st line platinum-based chemotherapy and had stable disease, partial response, or complete response to this treatment
- Received Avelumab as indicated as the only therapy for the first-line maintenance who are progression-free following platinum-based chemotherapy
- Are 18 years or older on the date that they start taking Avelumab
All participants in this study will receive Avelumab, a standard treatment for urothelial carcinoma. Participants will take part in this study for about 4 years. During this time, they will take Avelumab as instructed in the real-world setting. We will study the experiences of people receiving the study medicine. This will help us decide if the study medicine is safe and effective.
详细描述
The primary objective of this study is to estimate real-world overall survival (rwOS) in a real-world cohort of patients treated with avelumab monotherapy for the first-line maintenance treatment of adult patients with locally advanced or metastatic UC who are progression-free following platinum-based chemotherapy.
The secondary objectives are:
- To describe the clinical and demographic characteristics of the study population
- To estimate real-world progression-free survival (rwPFS)
- To describe treatment characteristics of 1L anti-cancer therapies received prior to the initiation of avelumab as 1Lmaintenance therapy
- To describe treatment patterns after initiation of avelumab as 1L maintenance therapy
- To describe the adverse events (AEs) explicitly attributed to avelumab in a real-world population
- To describe real-world all-cause associated healthcare resource burden associated with avelumab therapy
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Other
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with a diagnosis of locally advanced or metastatic UC, either de novo or relapsed
- •Patients received 1L platinum-based chemotherapy and had stable disease, partial response, or complete response to this treatment
- •Patients received avelumab as indicated as a monotherapy for the first-line maintenance treatment of adult patients with locally advanced or metastatic UC who are progression-free following platinum-based chemotherapy
- •Patients aged ≥18 years on the date that they commenced avelumab -
排除标准
- •Patients whose hospital records are not available for review
- •Patients who are receiving an investigational medicinal product as part of a clinical trial at the time of maintenance therapy with avelumab
研究组 & 干预措施
Adult patients with locally advanced or metastatic urothelial cancer
干预措施: Avelumab (Drug)
结局指标
主要结局
Real-World Overall Survival
时间窗: From participant eCRF index date (avelumab initiation between September 2020 to November 2021) to date of death by any cause, or date of censoring (whichever is first) (up to 24-months from initiation of avelumab treatment)
Real-World Overall Survival is the time from participant eCRF index date (avelumab initiation between September 2020 to November 2021) to date of death by any cause, or date of censoring, inclusive of start and end date. Analysis was performed using Kaplan-Meier method.
次要结局
- Clinical Characteristics: Time From First Diagnosis to Locally Advanced or Metastatic Diagnosis(Time between date of first diagnosis and date of locally advanced or metastatic diagnosis measured at baseline (date of locally advanced or metastatic diagnosis) (Up to 621.4 weeks))
- Treatment Characteristics: Type of First Systemic Anticancer Treatment (SACT) Regimen Received Before Avelumab Start Date(From date of locally advanced or metastatic diagnosis to index date (Day 0) (avelumab initiation date between Sep 2020 to Nov 2021 as reported in the eCRF) (Up to 24 months))
- Clinical Characteristics: Participant's Age at Locally Advanced or Metastatic Diagnosis(Time between date of first diagnosis and date of locally advanced or metastatic diagnosis measured at baseline (date of locally advanced or metastatic diagnosis) (Up to 621.4 weeks))
- Clinical Characteristics: Participant's Stage of UC at Locally Advanced or Metastatic Diagnosis(Time between date of first diagnosis and date of locally advanced or metastatic diagnosis measured at baseline (date of locally advanced or metastatic diagnosis) (Up to 621.4 weeks))
- Clinical Characteristics: Participant's Histology at Locally Advanced or Metastatic Diagnosis(Time between date of first diagnosis and date of locally advanced or metastatic diagnosis measured at baseline (date of locally advanced or metastatic diagnosis) (Up to 621.4 weeks))
- Number of Participants With Adverse Events (AEs) Explicitly Attributed to Avelumab in a Real-World Population(From participant eCRF index date (avelumab initiation between September 2020 to November 2021) to date of death by any cause, or date of censoring (whichever is first) (up to 24-months from initiation of avelumab treatment))
- Healthcare Resource Burden Associated With Avelumab Therapy: Accident and Emergency Visits(From participant eCRF index date (avelumab initiation between September 2020 to November 2021) to date of death by any cause, or date of censoring (whichever is first) (up to 24-months from initiation of avelumab treatment))
- Clinical Characteristics: Number of Participants With De Novo Disease or Newly Relapsed at Locally Advanced or Metastatic Diagnosis(Time between date of first diagnosis and date of locally advanced or metastatic diagnosis measured at baseline (date of locally advanced or metastatic diagnosis) (Up to 621.4 weeks))
- Clinical Characteristics: Participants Site of Metastases(Time between date of first diagnosis and date of locally advanced or metastatic diagnosis measured at baseline (date of locally advanced or metastatic diagnosis) (Up to 621.4 weeks))
- Clinical Characteristics: Number of Participants With Prior Radical Treatment of Primary UC at Locally Advanced or Metastatic Diagnosis(Time between date of first diagnosis and date of locally advanced or metastatic diagnosis measured at baseline (date of locally advanced or metastatic diagnosis) (Up to 621.4 weeks))
- Clinical Characteristics: Participant's Programmed Death-Ligand 1 (PD-L1) Tumour Assessment Immune Cell (IC) Test Result at Locally Advanced or Metastatic Diagnosis(Time between date of first diagnosis and date of locally advanced or metastatic diagnosis measured at baseline (date of locally advanced or metastatic diagnosis) (Up to 621.4 weeks))
- Clinical Characteristics: Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status Score of 0, 1 and 2, 3 or 4(Time between date of first diagnosis and date of locally advanced or metastatic diagnosis measured at baseline (date of locally advanced or metastatic diagnosis) (Up to 621.4 weeks))
- Clinical Characteristics: Number of Participants With Prior Adjuvant or Neoadjuvant System Therapy at Locally Advanced or Metastatic Diagnosis(Time between date of first diagnosis and date of locally advanced or metastatic diagnosis measured at baseline (date of locally advanced or metastatic diagnosis) (Up to 621.4 weeks))
- Age of Participants at Avelumab Initiation(At Index date (date of avelumab initiation between September 2020 to November 2021 ) as reported in the eCRF.)
- Treatment Characteristics: Time From Completion of First Line Systematic Anti-Cancer Therapy (SACT) to Start of Avelumab(From date of the last record of first line SACT to index date (Day 0) (avelumab initiation date between September 2020 - November 2021 as reported in the eCRF) (Up to 24 months))
- Real-World Progression-Free Survival (Rw-PFS)(From participant eCRF index date (avelumab initiation between September 2020 to November 2021) to date of death by any cause, or date of censoring (whichever is first) (up to 24-months from initiation of avelumab treatment))
- Treatment Characteristics: Number of Participants Switching Between Different Platinum-Based Chemotherapies(From date of locally advanced or metastatic diagnosis to index date (Day 0) (avelumab initiation date between Sep 2020 to Nov 2021 as reported in the eCRF) (Up to 24 months))
- Treatment Characteristics: Number of First- Line Systematic Anti-Cancer Therapy (SACT) Cycles Received(From date of locally advanced or metastatic diagnosis to index date (Day 0) (avelumab initiation date between Sep 2020 to Nov 2021 as reported in the eCRF) (Up to 24 months))
- Treatment Characteristics: Response to First Line Therapy(From date of first line SACT initiation to index date (Day 0) (avelumab initiation date between September 2020 - November 2021 as reported in the eCRF) (Up to 24 months))
- Treatment Characteristics: Response to First-Line Therapy Based on Computed Tomography (CT) Scan Evidence(From date of first line SACT initiation to index date (Day 0) (avelumab initiation date between September 2020 - November 2021 as reported in the eCRF) (Up to 24 months))
- Treatment Patterns: Duration of Treatment With Avelumab(From (avelumab initiation date between September 2020 - November 2021 as reported in the eCRF) to end date of avelumab, or date of censoring (whichever is first), assessed upto 24 months after avelumab initiation)
- Treatment Patterns: Number of Participants Who Received Second-Line Therapy as Per eCRF(From (avelumab initiation date between September 2020 - November 2021 as reported in the eCRF) and end of follow-up (upto 24 months after avelumab initiation))
- Treatment Patterns: Time Interval Between Start of Avelumab and Start of Second-Line Therapy(From (avelumab initiation date between September 2020 - November 2021 as reported in the eCRF)to start of second-line therapy assessed upto 24 months after avelumab initiation.)
- Treatment Patterns: Systematic Anti-Cancer Therapy Regimen Received as Second Line Therapy(From avelumab initiation date between September 2020 - November 2021 as reported in the eCRF and upto 24 months after avelumab initiation)
- Treatment Patterns: High Dose Systemic Steroid Use(From avelumab initiation date between September 2020 - November 2021 as reported in the eCRF up to 24 months after avelumab initiation)
- Healthcare Resource Burden Associated With Avelumab Therapy: Hospitalizations(From participant electronic case report form (eCRF) index date (avelumab initiation between September 2020 to November 2021) to date of death by any cause, or date of censoring (whichever is first) (up to 24-months from initiation of avelumab treatment))
- Healthcare Resource Burden Associated With Avelumab Therapy: Participants Duration of Hospitalisation(Time from the start date of platinum-basedchemotherapeutic treatment to the earliest of date of death or date of censoring,as reported on the eCRF assessed up to 24 months from avelumab initiation (index date))
- Real-World Overall Survival(From participant electronic case report form (eCRF) index date (avelumab initiation between September 2020 to November 2021) to date of death by any cause, or date of censoring (whichever is first) (up to 24-months from initiation of avelumab treatment))
