AnemiaNCT01444456
Assessment of Quality of Life in Patients With Symptomatic Chemotherapy-induced Anaemia
An observational study of Anemia and Breast Cancer, run by Amgen at 117 sites in 9 countries.
Trial summary
This is a multicenter, international, prospective, observational study of patients who are receiving systemic chemotherapy for solid tumour cancers (breast, colorectal, ovarian, prostate, lung, bladder, endometrial, renal, pancreatic, esophageal or gastric) and who are receiving darbepoetin alfa (Aranesp®) or other… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Anemia, Breast Cancer, Cancer
- How many people
- 1,262 participants
- Where
- 117 sitesin 9 countries
- Study dates
- Oct 2011to Aug 2013
- Phase
- Observational
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Adults with either breast, colorectal, ovarian, prostate, lung, bladder, endometrial, renal, pancreatic, esophageal or gastric cancer who will receive darbepoetin alfa (Aranesp®) or other erythropoiesis-stimulating agent (ESA) for the treatment of symptomatic chemotherapy-induced anaemia (CIA) in routine clinical practice.
Who may be able to join
- Diagnosed with breast, colorectal, ovarian, prostate, lung, bladder, endometrial, renal, pancreatic, esophageal or gastric cancer
- Expected to receive at least 8 additional weeks of a given regimen of myelosuppressive chemotherapy after enrolment
- Starting treatment with either darbepoetin alfa (in Cohort 1 countries) or any ESA (in Cohort 2 countries) as per European Summary of Product Characteristics (SPC) for symptomatic anaemia.
Who cannot join
- Received any ESA treatment or Red Blood Cell (RBC) transfusion within 28 days prior to enrolment
- Known primary benign or malignant haematologic disorder which can cause anaemia
- Known hypersensitivity to ESAs
Trial locations and contacts
117 sites in 9 countries.
117 sites in 9 countries
France42 sites
Research Site
Aix-en-Provence, 13100
Research Site
Aix-en-Provence, 13616
Research Site
Amiens, 80000
Research Site
Aubagne, 13675
Research Site
Bayonne, 64100
Research Site
Besançon, 25030
Research Site
Bordeaux, 33077
Research Site
Boulogne Sur Mer Cédex, 62321
Research Site
Bourg-en-Bresse, 01012
Research Site
Brive-la-Gaillarde, 19312
Research Site
Carcassonne, 11890
Research Site
Clermont-Ferrand, 63000
Research Site
Clermont-Ferrand, 63011
Research Site
Colmar, 68024
Research Site
Dijon, 21034
Research Site
Draguignan, 83007
Research Site
La Seyne-sur-Mer, 83500
Research Site
Le Mans, 72037
Research Site
Longjumeau, 91161
Research Site
Marseille, 13009
Research Site
Marseille, 13331
Research Site
Mont-de-Marsan, 40000
Research Site
Montauban, 82013
Research Site
Nancy, 54100
Research Site
Orléans, 45000
Research Site
Paris, 75020
Research Site
Périgueux, 24004
Research Site
Pontoise, 95301
Research Site
Pringy, 74374
Research Site
Reims, 51056
Research Site
Reims, 51092
Research Site
Reims, 51100
Research Site
Rennes, 35033
Research Site
Rouen, 76000
Research Site
Saint-Grégoire, 35768
Research Site
Saint-Quentin, 02321
Research Site
Soissons, 02209
Research Site
Soyaux, 16800
Research Site
Strasbourg, 67000
Research Site
Vichy, 03207
Research Site
Villefranche-sur-Saône, 69400
Research Site
Villejuif, 94804
Germany15 sites
Research Site
Augsburg, 86150
Research Site
Berlin, 10317
Research Site
Berlin, 13055
Research Site
Berlin, 13347
Research Site
Bremerhaven, 27568
Research Site
Cologne, 50677
Research Site
Gelsenkirchen, 45899
Research Site
Goslar, 38642
Research Site
Halle, 06110
Research Site
Mannheim, 68165
Research Site
Neunkirchen, 66538
Research Site
Rotenburg (Wümme), 27356
Research Site
Soest, 59494
Research Site
Stralsund, 18435
Research Site
Würselen, 52146
Romania13 sites
Research Site
Alba Iulia, 510077
Research Site
Baia Mare, 430031
Research Site
Brasov, 500366
Research Site
Bucharest, 011171
Research Site
Bucharest, 020947
Research Site
Bucharest, 022328
Research Site
Bucharest, 030442
Research Site
Bucharest, 050659
Research Site
Cluj-Napoca, 400058
Research Site
Oradea, 410469
Research Site
Râmnicu Vâlcea, 240156
Research Site
Târgu Mureş, 540142
Research Site
Timișoara, 300167
Poland12 sites
Research Site
Bialystok, 15-027
Research Site
Gdansk, 80-402
Research Site
Konin, 62-500
Research Site
Koszalin, 75-581
Research Site
Krakow, 31-531
Research Site
Lubin, 59-300
Research Site
Olsztyn, 10-228
Research Site
Poznan, 61-878
Research Site
Wałbrzych, 58-309
Research Site
Warsaw, 04-125
Research Site
Wroclaw, 50-981
Research Site
Wroclaw, 51-124
Belgium11 sites
Research Site
Aalst, 9300
Research Site
Bonheiden, 2820
Research Site
Brasschaat, 2930
Research Site
Bruges, 8000
Research Site
Eupen, 4700
Research Site
Gilly, 6060
Research Site
Mechelen, 2800
Research Site
Namur, 5000
Research Site
Ostend, 8400
Research Site
Sint-Niklaas, 9100
Research Site
Verviers, 4800
Netherlands8 sites
Research Site
Amstelveen, 1186 AM
Research Site
Dordrecht, 3318 AT
Research Site
Enschede, 7513 ER
Research Site
Flushing, 4382 EE
Research Site
Leiderdorp, 2353 GA
Research Site
Purmerend, 1441 RN
Research Site
Roosendaal, 4708 AE
Research Site
Zutphen, 7207 AE
Austria6 sites
Research Site
Graz, 8042
Research Site
Innsbruck, 6020
Research Site
Sankt Pölten, 3100
Research Site
Vienna, 1090
Research Site
Vöcklabruck, 4840
Research Site
Wels, 4600
Greece5 sites
Research Site
Athens, 11522
Research Site
Athens, 18547
Research Site
Chania, 73300
Research Site
Marousi, 15121
Research Site
Papagou, 11526
Italy5 sites
Research Site
Cefalù PA, 90015
Research Site
Naples, 80131
Research Site
Padova, 35128
Research Site
Roma, 00128
Research Site
Torino, 10100
About this study
Official title: Electronic Assessment of Quality of Life in Patients With Symptomatic Chemotherapy-induced Anaemia: An International Prospective Observational Study (eAQUA)
This is a multicenter, international, prospective, observational study of patients who are receiving systemic chemotherapy for solid tumour cancers (breast, colorectal, ovarian, prostate, lung, bladder, endometrial, renal, pancreatic, esophageal or gastric) and who are receiving darbepoetin alfa (Aranesp®) or other erythropoiesis-stimulating agent (ESA) to treat symptomatic anaemia.
Quality of Life will be assessed electronically with the aim of estimating improvement in quality of life for those patients receiving darbepoetin alfa (Aranesp®) who also have an increase in haemoglobin (Hb) of ≥1 g/dL
Read the detailed description
Before enrolling participants, each country was assigned to either cohort 1 (patients receiving only darbepoetin alfa) or cohort 2 (patients receiving any ESA). Cohort 2 was assigned only to those countries in which local regulations did not permit observational study participation by patients receiving a specific agent in a drug class.
- Conditions
- Anemia, Breast Cancer, Cancer, Colorectal Cancer, Lung Cancer, Ovarian Cancer
- Keywords
- Breast Cancer, Lung Cancer, Ovarian Cancer, Prostate Cancer, Colorectal Cancer, Aranesp, Chemotherapy induced anaemia, Chemotherapy, Bladder Cancer, Endometrial Cancer, Renal Cancer, Pancreatic Cancer, Esophageal Cancer, Gastric Cancer
- Medical subject headings
- Anemia, Breast Neoplasms, Neoplasms, Colorectal Neoplasms, Lung Neoplasms, Ovarian Neoplasms, Prostatic Neoplasms, Urinary Bladder Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Cohort 1: Darbepoetin alfa | Participants receiving systemic chemotherapy for solid tumors who also received darbepoetin alfa (Aranesp®) to treat symptomatic anemia according to routine institutional practice. | |
| Cohort 2: Any ESA | Participants receiving systemic chemotherapy for solid tumors who also received darbepoetin alfa (Aranesp®) or another erythropoiesis-stimulating agent (ESA) to treat symptomatic anemia according to routine institutional practice. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Receiving Darbepoetin Alfa With Improvement in Patient Perceived Fatigue (PPF) and Increase in Hemoglobin ≥ 1 g/dL
Improvement in PPF was defined as improvement at Week 9 in Functional Assessment of Cancer Therapy-Fatigue (FACT-F) score of ≥ 3.5 points from Baseline (the minimally important difference [MID]), and an increase in hemoglobin was defined as ≥ 1 g/dL increase from Baseline. The FACT-F MID was determined by the mean FACT-F change score (between Baseline and Week 9) for participants who had an improvement in the fatigue visual analog scale (VAS) score of 5 ± 3 points. The FACT-F subscale consists of 13 fatigue-related items that are a subset of the Functional Assessment of Cancer Therapy - Anaemia (FACT-An) questionnaire. Participants indicate how they feel in response to 13 statements on a scale from 0 for "Not at all" to 4 for "Very much". Total scores for the FACT-F subscale range from 0 to 52; the higher the score the better the quality of life. The fatigue-VAS is a 100-point scale, where fatigue-levels are rated from 0 (least fatigue) to 100 (worst possible fatigue).
Measured: Baseline to Week 9 (Treatment Day 57). Due to the observational nature of the study and variation in ESA dosing schedules, assessments closest to day 57 and within Days 43 to 70 (inclusive) were used to calculate the Week 9 visit results.
Secondary outcomes (5)
Percentage of Participants by Tumor Type With Improvement in Patient Perceived Fatigue (PPF) and Increase in Hemoglobin ≥ 1 g/dL
Improvement in PPF was defined as improvement at week 9 in Functional Assessment of Cancer Therapy-Fatigue (FACT-F) score of ≥ 3.5 points from Baseline (the minimally important difference [MID]), and an increase in hemoglobin was defined as ≥ 1 g/dL increase from Baseline. The FACT-F MID was determined by the mean FACT-F change score (between Baseline and Week 9) for participants who had an improvement in the fatigue visual analog scale (VAS) score of 5 ± 3 points. The FACT-F subscale consists of 13 fatigue-related items that are a subset of the Functional Assessment of Cancer Therapy - Anaemia (FACT-An) questionnaire. Participants indicate how they feel in response to 13 statements on a scale from 0 for "Not at all" to 4 for "Very much". Total scores for the FACT-F subscale range from 0 to 52; the higher the score the better the quality of life. The fatigue-VAS is a 100-point scale, where fatigue-levels are rated from 0 (least fatigue) to 100 (worst possible fatigue).
Measured: Baseline to Week 9
Mean Change From Baseline in FACT-F Score for Participants With a VAS Improvement of 5 ± 3 Points
The FACT-F subscale consists of 13 fatigue-related items (statements) that are a subset of the Functional Assessment of Cancer Therapy - Anaemia (FACT-An) questionnaire. Participants are asked to indicate how they feel in response to each of the 13 statements on a scale from 0 for "Not at all" to 4 for "Very much". Total scores for the FACT-F subscale can range from 0 to 52; the higher the score the better the quality of life. A positive change (>0) from baseline score constitutes an improvement in fatigue between Baseline and Week 9. The fatigue-visual analog scale (VAS) is a 100-point scale where fatigue-levels are rated from 0 (least fatigue) to 100 (worst possible fatigue).
Measured: Baseline and Week 9
Time to First Increase in Hemoglobin
Time from Baseline to first increase in hemoglobin of ≥ 1 g/dL
Measured: From Baseline until Week 9
Percentage of Participants With Improvement in Patient-perceived Fatigue (PPF) at Any Time
The percentage of participants with iimprovement in PPF at any time from Day 2 until the end-of-study assessment (Week 13). Improvement in PPF was defined as improvement in Functional Assessment of Cancer Therapy-Fatigue (FACT-F) score of ≥ 3.5 points from Baseline (the minimally important difference [MID]). The FACT-F MID was determined by the mean FACT-F change score (between Baseline and Week 9) for participants who had an improvement in the fatigue visual analog scale (VAS) score of 5 ± 3 points. The FACT-F subscale consists of 13 fatigue-related items that are a subset of the FACT-An questionnaire. Participants indicate how they feel in response to 13 statements on a scale from 0 for "Not at all" to 4 for "Very much". Total scores for the FACT-F subscale range from 0 to 52; the higher the score the better the quality of life. The fatigue-VAS is a 100-point scale, where fatigue-levels are rated from 0 (least fatigue) to 100 (worst possible fatigue).
Measured: From Baseline to Week 13
Percentage of Participants With Increase in Hemoglobin ≥ 1 g/dL at Any Time
The percentage of participants with increase in hemoglobin (≥ 1 g/dL) at any time from Day 2 until the end-of-study assessment (Week 13).
Measured: From Baseline to Week 13
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Sep 2011 (estimated)
- Study startOct 2011
- Primary completionAug 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for AnemiaStudies of the same condition, open and under way.
- More trials run by AmgenThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 1,262 participants (actual)
Sponsor and investigators
- Lead sponsor
- Amgen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- MD, Study director, Amgen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01444456
- Sponsor's protocol ID
- 20101123
- Status last verified
- Feb 2017
- First submitted
- 29 Sep 2011
- Last updated
- 20 Mar 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Mouysset JL, Freier B, van den Bosch J, Levache CB, Bols A, Tessen HW, Belton L, Bohac GC, Terwey JH, Tonini G. Hemoglobin levels and quality of life in patients with symptomatic chemotherapy-induced anemia: the eAQUA study. Cancer Manag Res. 2016 Jan 21;8:1-10. doi: 10.2147/CMAR.S88110. eCollection 2016.
PubMed 26855598
Study at a glance
From the registry record, last updated by the sponsor on 20 Mar 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Electronic Assessment of Quality of Life in Patients With Symptomatic Chemotherapy-induced Anaemia: An International Prospective Observational Study (eAQUA)
- ClinicalTrials.gov ID
- NCT01444456
- Acronym / sponsor ID
- 20101123
- Conditions
- Anemia, Breast Cancer, Cancer, Colorectal Cancer, Lung Cancer, Ovarian Cancer
- Keywords
- Breast Cancer, Lung Cancer, Ovarian Cancer, Prostate Cancer, Colorectal Cancer, Aranesp, Chemotherapy induced anaemia, Chemotherapy
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 1,262 participants (actual)
- Lead sponsor
- AmgenIndustry (pharma, biotech, devices)
- Study start
- Oct 2011
- Primary completion
- Aug 2013 (actual)
- First posted
- 30 Sep 2011 (estimated)
- Results
- Posted 15 Aug 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a multicenter, international, prospective, observational study of patients who are receiving systemic chemotherapy for solid tumour cancers (breast, colorectal, ovarian, prostate, lung, bladder, endometrial, renal, pancreatic, esophageal or gastric) and who are receiving darbepoetin alfa (Aranesp®) or other erythropoiesis-stimulating agent (ESA) to treat symptomatic anaemia.
Quality of Life will be assessed electronically with the aim of estimating improvement in quality of life for those patients receiving darbepoetin alfa (Aranesp®) who also have an increase in haemoglobin (Hb) of ≥1 g/dL
Detailed description
Before enrolling participants, each country was assigned to either cohort 1 (patients receiving only darbepoetin alfa) or cohort 2 (patients receiving any ESA). Cohort 2 was assigned only to those countries in which local regulations did not permit observational study participation by patients receiving a specific agent in a drug class.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Cohort 1: Darbepoetin alfa | – | –Participants receiving systemic chemotherapy for solid tumors who also received darbepoetin alfa (Aranesp®) to treat symptomatic anemia according to routine institutional practice. |
| Cohort 2: Any ESA | – | –Participants receiving systemic chemotherapy for solid tumors who also received darbepoetin alfa (Aranesp®) or another erythropoiesis-stimulating agent (ESA) to treat symptomatic anemia according to routine institutional practice. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Adults with either breast, colorectal, ovarian, prostate, lung, bladder, endometrial, renal, pancreatic, esophageal or gastric cancer who will receive darbepoetin alfa (Aranesp®) or other erythropoiesis-stimulating agent (ESA) for the treatment of symptomatic chemotherapy-induced anaemia (CIA) in routine clinical practice.
Key inclusion criteria (3 listed)
- Diagnosed with breast, colorectal, ovarian, prostate, lung, bladder, endometrial, renal, pancreatic, esophageal or gastric cancer
- Expected to receive at least 8 additional weeks of a given regimen of myelosuppressive chemotherapy after enrolment
- Starting treatment with either darbepoetin alfa (in Cohort 1 countries) or any ESA (in Cohort 2 countries) as per European Summary of Product Characteristics (SPC) for symptomatic anaemia.
Key exclusion criteria (3 listed)
- Received any ESA treatment or Red Blood Cell (RBC) transfusion within 28 days prior to enrolment
- Known primary benign or malignant haematologic disorder which can cause anaemia
- Known hypersensitivity to ESAs
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Percentage of Participants Receiving Darbepoetin Alfa With Improvement in Patient Perceived Fatigue (PPF) and Increase in Hemoglobin ≥ 1 g/dL
Time frame: Baseline to Week 9 (Treatment Day 57). Due to the observational nature of the study and variation in ESA dosing schedules, assessments closest to day 57 and within Days 43 to 70 (inclusive) were used to calculate the Week 9 visit results.
Improvement in PPF was defined as improvement at Week 9 in Functional Assessment of Cancer Therapy-Fatigue (FACT-F) score of ≥ 3.5 points from Baseline (the minimally important difference [MID]), and an increase in hemoglobin was defined as ≥ 1 g/dL increase from Baseline. The FACT-F MID was determined by the mean FACT-F change score (between Baseline and Week 9) for participants who had an improvement in the fatigue visual analog scale (VAS) score of 5 ± 3 points. The FACT-F subscale consists of 13 fatigue-related items that are a subset of the Functional Assessment of Cancer Therapy - Anaemia (FACT-An) questionnaire. Participants indicate how they feel in response to 13 statements on a scale from 0 for "Not at all" to 4 for "Very much". Total scores for the FACT-F subscale range from 0 to 52; the higher the score the better the quality of life. The fatigue-VAS is a 100-point scale, where fatigue-levels are rated from 0 (least fatigue) to 100 (worst possible fatigue).
5 secondary outcomes
Percentage of Participants by Tumor Type With Improvement in Patient Perceived Fatigue (PPF) and Increase in Hemoglobin ≥ 1 g/dL
Time frame: Baseline to Week 9
Mean Change From Baseline in FACT-F Score for Participants With a VAS Improvement of 5 ± 3 Points
Time frame: Baseline and Week 9
Time to First Increase in Hemoglobin
Time frame: From Baseline until Week 9
Percentage of Participants With Improvement in Patient-perceived Fatigue (PPF) at Any Time
Time frame: From Baseline to Week 13
Percentage of Participants With Increase in Hemoglobin ≥ 1 g/dL at Any Time
Time frame: From Baseline to Week 13
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Mar 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 26855598Mouysset JL, Freier B, van den Bosch J, Levache CB, Bols A, Tessen HW, Belton L, Bohac GC, Terwey JH, Tonini G. Hemoglobin levels and quality of life in patients with symptomatic chemotherapy-induced anemia: the eAQUA study. Cancer Manag Res. 2016 Jan 21;8:1-10. doi: 10.2147/CMAR.S88110. eCollection 2016.
- AmgenTrials clinical trials websiteLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
MD study director
Amgen
117 sites in 9 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Anemia and Breast Cancer, run by Amgen at 117 sites in 9 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 20 Mar 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 117 sites in France, Germany, Romania, Poland, Belgium and 4 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 15 Aug 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants Receiving Darbepoetin Alfa With Improvement in Patient Perceived Fatigue (PPF) and Increase in Hemoglobin ≥ 1 g/dL (time frame: Baseline to Week 9 (Treatment Day 57). Due to the observational nature of the study and variation in ESA dosing schedules, assessments closest to day 57 and within Days 43 to 70 (inclusive) were used to calculate the Week 9 visit results.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01444456, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Mar 2017.