AzTrials
AzTrials

Metastatic Breast CancerNCT04857619

Study to Describe the Real-world Treatment Patterns and Associated Outcomes in Patients With HER2-positive Unresectable or Metastatic Breast Cancer

An observational study of Metastatic Breast Cancer, run by AstraZeneca at 44 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This multicountry, multicenter, retrospective, non-interventional study involving patients diagnosed with HER2-positive unresectable or metastatic breast cancer mBC will be conducted to understand the demographic and clinico-pathological profile of the patients, diagnostic practices for human epidermal growth factor… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Metastatic Breast Cancer
What is being tested?
None (Observational study)
How many people
763 participants
Where
44 sitesin 6 countries
Study dates
14 May 2021to 31 Oct 2022
Phase
Observational
Are there results?
None posted in the registry

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: Study population will include patients who are diagnosed with HER2-positive unresectable or mBC and have received at least 1 LOT in the advanced setting.

Who may be able to join

  • Adult female or male patients ≥18 years old or 'adults' according to the age of majority as defined by the local regulations
  • Patient or next of kin/legal representative willing and able to provide written informed consent according to the local regulations unless a waiver is granted by the local IRB/IEC/EC
  • Patients' medical records showing a diagnosis of HER2-positive unresectable or mBC (can be either de novo advanced disease, progression or recurrence of previous early-stage HER2-positive BC) since the available date of T-DM1 (Kadcyla) through reimbursement or patient access programme as a valid local treatment option or 01 January 2017, whichever is earlier and with the availability of at least 12 months of follow-up data (from the date of diagnosis of unresectable or mBC) in the medical records at the participating site, unless patient died within the first 12 months of diagnosis
  • Patients completing at least 1 LOT for HER2-positive unresectable or mBC

Who cannot join

  • Patients with HER2-negative unresectable or mBC at index diagnosis
  • Patients with a change in HER2 status from positive to negative at the progression from early-stage to advanced-stage disease (ie, shown on a repeat biopsy at diagnosis of advanced-stage disease) will be excluded (patients who change from HER2-positive to negative on repeat biopsy during treatment for advanced-stage disease may be included)
  • Patients with concomitant cancer at the time of diagnosis of HER2-positive unresectable or mBC except for the non-metastatic non-melanoma skin cancers, or in situ, or benign neoplasms; a cancer is considered concomitant if it occurs within 5 years of HER2-positive breast cancer diagnosis
  • Patients who at the time of data collection for this study are participating or have participated in an interventional study that remains blinded

Trial locations and contacts

44 sites in 6 countries.

44 sites in 6 countries

Brazil16 sites
  • Research Site

    Cachoeiro de Itapemirim, Espírito Santo, 29308 014

  • Research Site

    Caxias do Sul, Rio Grande do Sul, 85020 450

  • Research Site

    Curitiba, Paraná, 80040 170

  • Research Site

    Fortaleza, Ceará, 60336 232

  • Research Site

    Fortaleza, 60416 130

  • Research Site

    Goiânia, 74605 070

  • Research Site

    Itajaí, Santa Catarina, 88301 220

  • Research Site

    Manaus, Amazonas, 69056 037

  • Research Site

    Porto Alegre, Rio Grande do Sul, 90035 001

  • Research Site

    Porto Alegre, Rio Grande do Sul, 90610 000

  • Research Site

    Rio de Janeiro, 22250 905

  • Research Site

    Salvador, Estado de Bahia, 40170 110

  • Research Site

    Salvador, Estado de Bahia, 41950 640

  • Research Site

    Santo André, São Paulo, 09060 650

  • Research Site

    São Paulo, 01321 001

  • Research Site

    São Paulo, 04502 001

Other trials in Brazil

South Korea8 sites
  • Research Site

    Goyang, 10408

  • Research Site

    Incheon, Incheon Gwang Yeogsi, 21565

  • Research Site

    Seoul, Seoul Teugbyeolsi, 03080

  • Research Site

    Seoul, Seoul Teugbyeolsi, 03722

  • Research Site

    Seoul, Seoul Teugbyeolsi, 5505

  • Research Site

    Seoul, Seoul Teugbyeolsi, 6351

  • Research Site

    Seoul, Seoul Teugbyeolsi, 8308

  • Research Site

    Seoul, 2841

Other trials in South Korea

Taiwan8 sites
  • Research Site

    Kaohsiung City, 824

  • Research Site

    Taichung, 404

  • Research Site

    Taichung, 40705

  • Research Site

    Tainan, 70403

  • Research Site

    Tainan County, Tainan, 71004

  • Research Site

    Taipei, 100

  • Research Site

    Taipei, 11217

  • Research Site

    Taipei, 11490

Other trials in Taiwan

Australia5 sites
  • Research Site

    Macquarie, New South Wales, 2109

  • Research Site

    Newcastle, New South Wales, 2305

  • Research Site

    Parramatta, New South Wales, 2145

  • Research Site

    Perth, Western Australia

  • Research Site

    St Leonards, New South Wales, 2065

Other trials in Australia

Singapore4 sites
  • Research Site

    Singapore, Central Singapore, 217562

  • Research Site

    Singapore, South East, 308433

  • Research Site

    Singapore, 119228

  • Research Site

    Singapore, 609606

Other trials in Singapore

Hong Kong3 sites
  • Research Site

    Hong Kong, 150001

  • Research Site

    Hong Kong

  • Research Site

    Kowloon

Other trials in Hong Kong

About this study

Official title: A Multicountry, Multicentre, Non-interventional, Retrospective Study to Describe the Real-world Treatment Patterns and Associated Outcomes in Patients With HER2-positive Unresectable or Metastatic Breast Cancer

This multicountry, multicenter, retrospective, non-interventional study involving patients diagnosed with HER2-positive unresectable or metastatic breast cancer mBC will be conducted to understand the demographic and clinico-pathological profile of the patients, diagnostic practices for human epidermal growth factor receptor 2 (HER2) status, current treatment landscape and sequencing of therapies, associated burden of toxicities with all lines of treatment (LOTs), and survival outcomes in the real-world setting.

Read the detailed description

The study will involve patients diagnosed with HER2-positive unresectable or mBC since the earlier date between the date of trastuzumab emtansine ([T-DM1] Kadcyla) becoming available through reimbursement or patient access programme as a valid local treatment option or 01 January 2017 and who received at least 1 LOT. The data will be collected from the date of diagnosis of unresectable or mBC (index date) to the end of follow-up (ie, until death, the last medical record entry, or date of data extraction, whichever is earlier). The study will not have any study-specific patient visits or a longitudinal follow-up. All available data will be extracted from patients' medical records or obtained from patients themselves after obtaining an informed consent unless a waiver is granted by the local Institutional Review Board (IRB)/Institutional Ethics Committee (IEC)/Ethics Committee (EC). The informed consent may be obtained at the time of patients routine clinical care visit to the oncology centre. The data on different types of treatment received by the patients, socio-demographics, and clinico-pathological characteristics will be extracted from patients medical records up to the date informed consent was obtained.

This study will be conducted in non-US and non-European countries including Australia, Brazil, Hong Kong, Korea, Singapore and Taiwan. The total number of patients in the study will be approximately a minimum of 570 and a maximum of 830 patients. The study will be implemented at approximately 50 to 100 oncology centres spanning across 6 countries in the AstraZeneca (AZ) International Region (ie, non-US, non-European countries).

Being tested
None (Observational study)
Keywords
Human epidermal growth factor receptor 2 - positive, Retrospective
Medical subject headings
Breast Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • None (Observational study)Other

    Also called Observational study

    The data on different types of treatment received by the patients, socio-demographics, and clinico-pathological characteristics and healthcare resource utilisation will be extracted from patients' medical records (both alive and deceased).

Study groups in NCT04857619
Study groupRoleWhat they receive
RetrospectivePatients who are diagnosed with HER2-positive unresectable or mBC and have received at least 1 LOT in the advanced setting will be included. Approximately a total of 570-830 patients will be enrolled in the study.
Receives: Other: None (Observational study)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of patients receiving each treatment regimen with or without hormonal therapy in each LOT

    Assessment of treatment patterns in patients diagnosed with HER2-positive unresectable or mBC. Line of treatment (LOT) is defined as one regimen, possibly a combination of several drugs, given from either the index diagnosis or disease progression until the treatment fails to control the disease, is not tolerated by the patient, the disease relapses/progresses, or death occurs.

    Measured: Retrospective: from date of first diagnosis of unresectable or mBC (01 January 2017) to the end of follow-up (i.e., until death, the last medical record entry, or date of data extraction, whichever is the earliest) [Approximately 12 Months]

  2. Duration of therapy (DoT) for each regimen in each LOT

    Assessment of length of time from initiation of therapy to permanent discontinuation. The DoT will be calculated as the time from the date of initiation of LOT to the stop of the treatment regimen for every LOT as per dates available in the medical record.

    Measured: Retrospective: from date of first diagnosis of unresectable or mBC (01 January 2017) to the end of follow-up (i.e., until death, the last medical record entry, or date of data extraction, whichever is the earliest) [Approximately 12 Months]

  3. Percentage of patients receiving local and regional treatment for metastasis

    Assessment of local and regional treatment for metastasis (radiotherapy and/or surgery), and bone protection therapy

    Measured: Retrospective: from date of first diagnosis of unresectable or mBC (01 January 2017) to the end of follow-up (i.e., until death, the last medical record entry, or date of data extraction, whichever is the earliest) [Approximately 12 Months]

Secondary outcomes (7)
  1. Demographic and clinico-pathological characteristics of patients with HER2-positive unresectable or mBC

    Descriptive statistics will be used to describe socio-demographic and clinico-pathological characteristics for the overall study.

    Measured: Retrospective: from date of first diagnosis of unresectable or mBC (01 January 2017) to the end of follow-up (i.e., until death, the last medical record entry, or date of data extraction, whichever is the earliest) [Approximately 12 Months]

  2. Real-world disease progression

    Real-world disease progression of unresectable or mBC is defined as that documented in either the radiology report, pathology reports or clinician note as cancer progression.

    Measured: Retrospective: from date of first diagnosis of unresectable or mBC (01 January 2017) to the end of follow-up (i.e., until death, the last medical record entry, or date of data extraction, whichever is the earliest) [Approximately 12 Months]

  3. Real-world progression free survival (rwPFS)

    Real-world PFS is defined as the time from date of initiation of LOT to documented disease progression or death, whichever occurs first. Occurrence and date of disease progression in rwPFS will be determined from documentation within the patient record, such as pathology reports, imaging report notes, and statements about disease progression in the oncologist progress notes. Patients without an event (progression/death) will be censored at last date of assessment.

    Measured: Retrospective: from date of first diagnosis of unresectable or mBC (01 January 2017) to the end of follow-up (i.e., until death, the last medical record entry, or date of data extraction, whichever is the earliest) [Approximately 12 Months]

  4. Overall survival

    Length of time from the date of diagnosis of unresectable or mBC or date of initiation of LOT to death due to any cause. If patient is not dead until the last record available or date of data extraction, then time-to-event will be calculated for that date. Patients who are known to be alive at the date of data collection will be censored at the date of data collection. Patients who are lost to follow up will be censored on the date they were last known to be alive (eg. date of last recorded hospital visit).

    Measured: Retrospective: from date of first diagnosis of unresectable or mBC (01 January 2017) to the end of follow-up (i.e., until death, the last medical record entry, or date of data extraction, whichever is the earliest) [Approximately 12 Months]

  5. Real-world objective response rate

    The percentage of patients who have achieved real-world partial response (rwPR) and real-world complete response (rwCR) to therapy for each LOT.

    Measured: Retrospective: from date of first diagnosis of unresectable or mBC (01 January 2017) to the end of follow-up (i.e., until death, the last medical record entry, or date of data extraction, whichever is the earliest) [Approximately 12 Months]

  6. Real-world disease control rate

    The percentage of patients with rwCR, rwPR and real-world stable disease (rwSD) during treatment for each LOT

    Measured: Retrospective: from date of first diagnosis of unresectable or mBC (01 January 2017) to the end of follow-up (i.e., until death, the last medical record entry, or date of data extraction, whichever is the earliest) [Approximately 12 Months]

  7. Percentage of Proportion of patients with AESIs that led to treatment discontinuations, hospitalisatons and deaths.

    Assessment of safety and tolerability of different treatment regimens in patients with HER2-positive unresectable or mBC.

    Measured: Retrospective: from date of first diagnosis of unresectable or mBC (01 January 2017) to the end of follow-up (i.e., until death, the last medical record entry, or date of data extraction, whichever is the earliest) [Approximately 12 Months]

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Apr 2021
  2. Study start14 May 2021
  3. Primary completion31 Oct 2022
  4. Study completion31 Oct 2022

Resources

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
Other
Time perspective
Retrospective
Enrolment
763 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04857619
Sponsor's protocol ID
D9673R00005
Status last verified
Jul 2024
First submitted
21 Apr 2021
Last updated
11 Jul 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com /ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Questions about this trial

What is this clinical trial studying?

An observational study of Metastatic Breast Cancer, run by AstraZeneca at 44 sites in 6 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 4 inclusion and 4 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 11 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 44 sites in Brazil, South Korea, Taiwan, Australia, Singapore and 1 more country. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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 patients receiving each treatment regimen with or without hormonal therapy in each LOT (time frame: Retrospective: from date of first diagnosis of unresectable or mBC (01 January 2017) to the end of follow-up (i.e., until death, the last medical record entry, or date of data extraction, whichever is the earliest) [Approximately 12 Months]). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 11 Jul 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in