Stage III Renal Cell Cancer Clinical Trial
— TOPTACOSOfficial title:
Safety and Compliance of Patients Treated With Oral Route Anti Cancer Drugs.
NCT number | NCT03630692 |
Other study ID # | TOPTACOS |
Secondary ID | |
Status | Recruiting |
Phase | |
First received | |
Last updated | |
Start date | March 25, 2016 |
Est. completion date | June 2020 |
Generally, in the trials, an observant patient is described as correctly taking 90 to 100% of
the prescribed doses. Here, the 80% compliance rate will be the cut-off between observant and
non-observant patients.
The evaluation methodology is based primarily on a survey of patients with metastatic or
locally advanced kidney cancer who have just began an oral treatment protocol. The
constitution of this cohort will be made from newly treated patients included by oncologists.
The survey consists of implementing a series of questionnaires with each patient of the
sample throughout the course of oral cancer care.
This series of questionnaires will aim to identify:
- the gradient of compliance of the patient with his treatment,
- all the factors likely to influence positively or negatively the latter, whether
medical, material or socio-economic,
- the evolution of patient compliance during their treatment course,
- a patient's quality of life index through the standardized quality of life survey form
(EORTC - Quality of Life Questionnaire QLQ C30 version 3).
- These questionnaires will be supplemented by the medical record data (including
information on tolerance and possible drug interactions). The representativeness of the
patients surveyed will be established by comparing the statistical characteristics of
the surveyed population with those of the aggregate anonymous global data obtained by
the two Medical Department of the French Regional Health Insurance of the two regions.
From the data compiled by this study, different econometric models of patient behavior
will seek to establish, in particular, a relationship between the probability that a
given patient will be either non or poorly observant and the various variables proved to
be statistically significant.
Status | Recruiting |
Enrollment | 158 |
Est. completion date | June 2020 |
Est. primary completion date | January 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Adult patient - Patient with metastatic or locally advanced kidney cancer - Patient initiating for the first time an oral route anticancer drug : Sutent® (sunitinib), Nexavar® (sorafenib), Afinitor® (everolimus), Votrient® (pazopanib) and Inlyta® (axitinib) and Cabometyx® (cabozantinib) - Patient having signed an informed consent - Patient treated outside interventional clinical trial Exclusion Criteria: - Patient with cancer other than kidney cancer - Patient with non-extensive kidney cancer - Patient treated by surgery, radiotherapy and intravenous chemotherapy exclusively - Patient unable to undergo protocol monitoring - Patient included in an interventional trial - Patient refusing a survey at home or having hearing problems - Other medical conditions that may interfere with the understanding of the informed consent document, with the assessment of tolerance and the response to questionnaires - Patient with another condition deemed incompatible with the patient's inclusion into the protocol. - Patient under guardianship or trusteeship, deprived of liberty, underage patient or pregnant woman - Patient not affiliated with a social security system beneficiary of such a scheme |
Country | Name | City | State |
---|---|---|---|
France | CHU | Angers | |
France | Institut de Cancérologie de l'Ouest | Angers | |
France | CHU Morvan | Brest | |
France | Clinique Pasteur Saint Esprit | Brest | |
France | CHD Vendée | La Roche-sur-Yon | |
France | Centre Hospitalier | Le Mans | |
France | Clinique Victor Hugo | Le mans | |
France | Centre Catherine de Sienne | Nantes | |
France | CHIC Quimper | Quimper | |
France | Centre Eugène Marquis | Rennes | |
France | CHP | Saint Grégoire | |
France | Centre Hospitalier | Saint-Malo | |
France | Clinique Mutualiste de l'Estuaire | Saint-Nazaire | |
France | CHP Océane | Vannes |
Lead Sponsor | Collaborator |
---|---|
Institut Cancerologie de l'Ouest | Fondation ARC, University of Angers, GRANEM |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Study of observant or nonobservant patient behavior via patient questionnaire | Observance is first calculated via the use of the Morisky's score. The value of the score is between 0 and 4. The 0 corresponds to the absence of observance, the 4 to the perfect observance. This score is completed by a question about drug delay (which measures poor compliance). A subjective measure of compliance is also obtained from the patient's positioning of his compliance on a scale from 0 to 10. The value 0 corresponds to the fact that the person indicates that they do not comply at all with the treatment prescribed by the oncologist. Conversely, the value 10 corresponds to the exact respect of the treatment prescribed by the oncologist. These two indicators are measured at different periods of treatment (1 month, 4 months ; 7 months and 10 months) via a patient questionnaire. |
11 months | |
Secondary | Oral route Progression Free Survival evaluation (PFS) | PFS (duration between treatment start and progression date) will be evaluated via medical records analysis. | 11 months | |
Secondary | Oral route Response rate analysis | Response rate will be evaluated via medical records analysis. | 11 months | |
Secondary | Incidence of Treatment-Emergent Adverse Events (Safety and Tolerability). | adverse event due to treatment | 11 months |
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