Cancer Clinical Trial
Official title:
Chart Review of Demographics and Clinical Outcomes and Physician Attitudes in Patients Who Have Received the Microculture Kinetic (MiCK) Apoptosis Test
Recently an automated test for measuring cancer cell death in the presence of chemotherapy
has been developed. This test has been called the MiCK assay during the ten year development
phase and is now called Correct Chemo.
CorrectChemo provides the medical community and patients a way to determine the effects of
different chemotherapies on individual cancer cells.
MiCK assay has been proven to have clinical usefulness in two studies. In one study using
multiple types of cancer, physicians used the MiCK assay in 63% of the patients. If the
physician used the results to prescribe the chemotherapy treatment, the patients' response
rate, time to the disease getting worse, and overall survival were all significantly better
compared to patients whose physicians did not use the results. In another study of breast
cancer patients, physicians used the MiCK assay in 74% of patients. If the results were used
when planning chemotherapy, response rate and time to the disease started getting worse were
all significantly better compared to patients whose physicians did not use the results of
the MiCK assay The purpose of this study is to compare the outcomes of patients who have had
the MiCK assay (CorrectChemo) with tumor types, physician attitudes towards the test, and
how the physicians used the test. This study will be gathering this data by reviewing
medical charts.
The purpose of this study is to correlate the clinical outcomes of patients who have had the
MICK assay with tumor type, physician attitudes towards the assay, and how physicians used
the assay by using data in patient charts, and surveying physician attitudes.
Study Objectives:
1. To determine how often physicians use the MiCK assay results in developing a treatment
plan, and which drugs the physician used in treatment. This will be correlated with
patient and tumor demographics.
2. To determine physician attitudes towards the MiCK assay.
3. To determine the clinical outcomes (response rates, time to progression, and overall
survival) in patients who have had a MiCK assay. This will be correlated with pattern
of physician use of the assay.
Treatment Plan:
1. The treating oncologist will provide demographic information (patient identifying
number, sex, age, number of prior lines of therapy, performance status) and tumor
information (cell type, stage, metastatic sites, goal of therapy, pre-assay planned
therapy, and post-assay therapy chosen for
2. Tumor response, patient symptom response, time to progression on each chemotherapy
regimen, and overall survival will be determined from the patient chart and will be
correlated with MICK assay results.
3. Physicians will complete a questionnaire on attitudes towards usefulness of the assay.
Statistics
1. Investigators will correlate tumor response, symptom response, time to progression and
overall survival with drug therapy with drug response in MICK assay for first chemo
regimen after assay, and according to pattern of physician use of the assay.
2. We will accumulate physician attitudes toward usefulness of the assay.
Informed Consent Since this study has no risk to the patient, informed consent will not be
needed. Physicians will have the option of participating, or not participating, in each
patient. Physicians will be compensated for completing chart review and submitting data
after the MiCK assay has been performed, and at 6,12 and 24 months after MiCK assay.
Data Collection from Physicians Data will include demographics and tumor characteristics and
physician attitudes: I used the test to develop a treatment plan yes/no, I found the test
useful yes/no, I found the test to be helpful in planning for palliative care yes/no, I
found the test to be helpful in planning for hospice yes/no. I have these suggestions for
improvement (free text response). Data will include at 6,12 and 24 months clinical outcomes
as judged by the physician: Complete, Partial, Stable, Death, symptomatic improvement
patient felt better same or worse. Data will include at time of progression, did doctor use
the MiCK assay to plan the next treatment, try to get another MiCK assay, or use the assay
to plan for palliative care or hospice.
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Observational Model: Cohort, Time Perspective: Prospective
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