NTRK Gene Fusion - Positive Advanced or Recurrent Solid Tumors, a Rare Cancer Caused by Specific Changes in the Genes

Sponsor
Bayer (Industry)
Overall Status
Recruiting
CT.gov ID
NCT04945330
Collaborator
(none)
100
1
97.8
1

Study Details

Study Description

Brief Summary

Researchers want to learn more about the use of larotrectinib as a real-world treatment for tropomyosin receptor kinase fusion cancer, also called TRK fusion cancer.

In people with TRK fusion cancer, a gene called neurotrophic TRK, (NTRK) joins or "fuses" with another gene. This creates a protein known as a fusion protein, which can cause cancer cells to grow. The study treatment, larotrectinib, is already available for doctors to prescribe to patients with TRK fusion cancer. Larotrectinib works by blocking TRK genes in cancer cells which helps stop the cancer from growing.

In this study, the researchers want to learn more about the safety and effectiveness of larotrectinib in adults and children with advanced or recurrent TRK fusion cancer. This means that their cancer has spread from where it started to other areas of the body, or the cancer has come back after a period of time. To answer this question, the researchers will collect information from patients who are taking larotrectinib as prescribed by their doctors. The researchers will learn what adverse events the patients are having. An adverse event is any medical problem that a patient has during a study. Doctors keep track of all adverse events that happen in studies, even if they do not think the adverse events might be related to the study treatments.

The study will include patients of all ages with TRK fusion cancer.

In this study, there will be no required tests or visits to a study site. Instead, the researchers will collect information from:

  • the patients' medical records

  • interviews with the patients or their parents or guardians

  • the patients' visits to their doctor as part of their usual care The researchers will collect information about the adults for up to about 2 years and about the children for up to about 8 years.

Condition or Disease Intervention/Treatment Phase
  • Drug: Larotrectinib (Vitrakvi, BAY2757556)

Study Design

Study Type:
Observational
Anticipated Enrollment :
100 participants
Observational Model:
Cohort
Time Perspective:
Prospective
Official Title:
Special Drug Use Investigation for Larotrectinib
Actual Study Start Date :
Nov 5, 2021
Anticipated Primary Completion Date :
Jun 30, 2029
Anticipated Study Completion Date :
Dec 31, 2029

Arms and Interventions

Arm Intervention/Treatment
Gastrointestinal (GI)

Participants with GI cancer.

Drug: Larotrectinib (Vitrakvi, BAY2757556)
Follow clinical practice

Head and neck (H&N)

Participants with H&N cancer.

Drug: Larotrectinib (Vitrakvi, BAY2757556)
Follow clinical practice

Lung

Participants with lung cancer.

Drug: Larotrectinib (Vitrakvi, BAY2757556)
Follow clinical practice

Soft tissue sarcoma (STS)

Participants with STS cancer.

Drug: Larotrectinib (Vitrakvi, BAY2757556)
Follow clinical practice

Primary central nervous system (CNS)

Participants with CNS cancer.

Drug: Larotrectinib (Vitrakvi, BAY2757556)
Follow clinical practice

Melanoma

Participants with Melanoma cancer.

Drug: Larotrectinib (Vitrakvi, BAY2757556)
Follow clinical practice

Pediatrics

Drug: Larotrectinib (Vitrakvi, BAY2757556)
Follow clinical practice

Others

Drug: Larotrectinib (Vitrakvi, BAY2757556)
Follow clinical practice

Outcome Measures

Primary Outcome Measures

  1. Severity of treatment emergent adverse events (TEAEs) [Approximate 8 years]

  2. Frequency of TEAEs [Approximate 8 years]

  3. Seriousness of TEAEs [Approximate 8 years]

  4. Outcome of TEAEs [Approximate 8 years]

  5. Causality assessment of TEAEs [Approximate 8 years]

Secondary Outcome Measures

  1. Overall response rate (ORR), based on investigator assessment preferably using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 or Response Assessment in Neuro-Oncology (RANO) as appropriate by local investigator assessment [Approximate 8 years]

  2. Disease control rate (DCR) [Approximate 8 years]

  3. Duration of response (DOR) [Approximate 8 years]

  4. Time to response (TTR) [Approximate 8 years]

  5. Progression-free survival (PFS) [Approximate 8 years]

  6. Overall survival (OS) [Approximate 8 years]

  7. Total dose [Approximate 8 years]

  8. Starting and ending dose [Approximate 8 years]

  9. Dose modification during treatment [Approximate 8 years]

  10. Duration of treatment (DOT) [Approximate 8 years]

  11. Baseline characteristics [Approximate 8 years]

    Including but not limited to: age, NTRK gene, NTRK gene partner, prior therapy (type, number of lines of therapy), other.

  12. Neurological examination (normal/abnormal) [Approximate 8 years]

  13. Change in height from baseline by visit [Approximate 8 years]

  14. Change in weight from baseline by visit [Approximate 8 years]

  15. Developmental milestones abnormalities (normal/abnormal) [Approximate 8 years]

Eligibility Criteria

Criteria

Ages Eligible for Study:
N/A and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Patients who are treated with larotrectinib or decided to be treated with larotrectinib, under routine clinical practice.
Exclusion Criteria:
  • Participation in an investigational program with interventions outside of routine clinical practice

Contacts and Locations

Locations

Site City State Country Postal Code
1 Many locations Multiple Locations Japan

Sponsors and Collaborators

  • Bayer

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Bayer
ClinicalTrials.gov Identifier:
NCT04945330
Other Study ID Numbers:
  • 21793
First Posted:
Jun 30, 2021
Last Update Posted:
Aug 23, 2022
Last Verified:
Aug 1, 2022
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of Aug 23, 2022