Treatment Patterns and Outcomes Study in Patients With Unresectable Stage III and Metastatic (Stage IV) Melanoma in the United States

Sponsor
Bristol-Myers Squibb (Industry)
Overall Status
Completed
CT.gov ID
NCT03199846
Collaborator
(none)
650
1
14.2
45.8

Study Details

Study Description

Brief Summary

This study will collect real-world data from advanced melanoma diagnosis through most recent visit and data sourced from patient medical records following a 2-part study design consisting of a random sample (Part 1) and an oversample (Part 2).

Condition or Disease Intervention/Treatment Phase
  • Other: Non-Interventional

Study Design

Study Type:
Observational
Actual Enrollment :
650 participants
Observational Model:
Cohort
Time Perspective:
Retrospective
Official Title:
Treatment Patterns and Outcomes Study in Patients With Unresectable Stage III and Metastatic (Stage IV) Melanoma in the United States
Actual Study Start Date :
Oct 25, 2016
Actual Primary Completion Date :
Oct 30, 2017
Actual Study Completion Date :
Dec 31, 2017

Arms and Interventions

Arm Intervention/Treatment
advanced melanoma patients

Part 1 will consist of a representative sample of advanced melanoma patients, irrespective of date of diagnosis of stage III unresectable and metastatic/stage IV, to address information objectives on treatment patterns, clinical outcomes, and resource use after the start of treatment post-launch of new drugs, ie, since 2011 for ipi and 2015 for ipi + nivo in advanced melanoma

Other: Non-Interventional
Non-Interventional

Ipi monotherapy

Part 2: patients must have been prescribed Ipi monotherapy during the index period between 01-Jan-2015 and 31-May-2016.

Other: Non-Interventional
Non-Interventional

Ipi + nivo combination therapy

Part 2: patients must have been prescribed Ipi + nivo combination therapy during the index period between 01-Jan-2015 and 31-May-2016.

Other: Non-Interventional
Non-Interventional

Dabrafenib + trametinib combination therapy

Part 2: patients must have been prescribed Dabrafenib + trametinib combination therapy during the index period between 01-Jan-2015 and 31-May-2016.

Other: Non-Interventional
Non-Interventional

Pembro monotherapy

Part 2: patients must have been prescribed Pembro monotherapy during the index period between 01-Jan-2015 and 31-May-2016

Other: Non-Interventional
Non-Interventional

Nivo monotherapy

Part 2: patients must have been prescribed Nivo monotherapy during the index period between 01-Jan-2015 and 31-May-2016

Other: Non-Interventional
Non-Interventional

Outcome Measures

Primary Outcome Measures

  1. Distribution of treatment patterns for advanced melanoma patients [Aproximately 6 months]

    Distribution of treatment patterns for advanced melanoma patients including, treatment regimen selection and rationale, as well as time to initiation of therapy and type of therapy

Secondary Outcome Measures

  1. Distribution of prescribing patterns [Approximately 16 months]

    Distribution of prescribing patterns by type of practice setting and melanoma patient volume

  2. Distribution of Patient Age at index date [at baseline]

    Patient Age at index date will be determined from Medical Records

  3. Distribution of Patient's Sex at Index Date [At Baseline]

    Patient's sex will be determined from Medical Records

  4. Distribution of Comorbidities at index date [At Baseline]

    Comorbidities will be determined using the Charlson Comorbidity Index (CCI)

  5. Distribution of Healthcare Coverage type [At Baseline]

    Healthcare Coverage type will be determined using Medical Records

  6. Distribution of Diagnosis Date [At Baseline]

    Melanoma Diagnosis Date will be determined using medical records

  7. Distribution of Advanced Diagnosis Date [At Baseline]

    Date of advanced/ metastatic melanoma diagnosis will be determined using medical records

  8. Distribution of Age at Onset [At Baseline]

    Diagnosis date-Date of Birth

  9. Distribution of Disease stage at time of diagnosis [At Baseline]

    Disease stage at time of diagnosis will be determined using medical records

  10. Distribution of Disease stage at subsequent visits [Approximately 16 months]

    Disease stage at subsequent visits will be determined using medical records

  11. Distribution of ECOG status at Baseline [At Baseline]

    Eastern Cooperative Oncology Group (ECOG) status at Baseline will be determined using medical records

  12. Distribution of ECOG status at Last Visit [Approximately 16 months]

    Eastern Cooperative Oncology Group (ECOG) status at Last Visit will be determined using medical records

  13. Distribution of Biomarker status at baseline [at baseline]

    Biomarker status will be determined using Medical Records

  14. Distribution of treatment-related adverse events [Approximately 16 months]

    treatment-related adverse events will be determined using medical records

  15. Distribution of Overall Survival (OS) from Advanced Diagnosis [Approximately 16 months]

    Date of death minus advanced/metastatic diagnosis date, censoring for LTF or end of observation

  16. Distribution of Progression-Free Survival (PFS) at Advanced Diagnosis [Approximately 16 months]

    Date of progression (increase in tumor size or increase in cancer stage)/start of next line of therapy minus advanced/metastatic diagnosis date, censoring for LTF or end of observation

  17. Distribution of Overall Response Rate (ORR) [Approximately 16 months]

  18. Distribution of Overall Survival (OS) from Index Date [Approximately 16 months]

    Date of death minus index treatment start date, censoring for LTF or end of observation

  19. Distribution of Progression-Free Survival (PFS) at Index Date [Approximately 16 months]

    Date of progression (increase in tumor size or increase in cancer stage)/start of next line of therapy minus index treatment start date, censoring for LTF or end of observation

  20. Distribution of melanoma related HCRU [Approximately 16 months]

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Adults 18 years or older

  • Diagnosis of unresectable stage III and/or metastatic (stage IV) melanoma before 01-Nov-2015

  • Initiating a new line of therapy during the index period between 01-Jan-2015 and 31-May-2016, irrespective of advanced melanoma diagnosis date

  • Medical history available for medical chart abstraction from date of diagnosis through most recent or current therapy (defined as end of data collection period)

Exclusion Criteria:
  • Physicians unwilling or unable to follow study instructions

  • Patients who were previously enrolled in a cancer treatment-related clinical trial since the diagnosis of unresectable stage III and/or metastatic (stage IV) melanoma

Contacts and Locations

Locations

Site City State Country Postal Code
1 Local Institution Morristown New Jersey United States 07960

Sponsors and Collaborators

  • Bristol-Myers Squibb

Investigators

  • Study Director: Bristol-Myers Squibb, Bristol-Myers Squibb

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Bristol-Myers Squibb
ClinicalTrials.gov Identifier:
NCT03199846
Other Study ID Numbers:
  • CA209-983
First Posted:
Jun 27, 2017
Last Update Posted:
Feb 6, 2018
Last Verified:
Feb 1, 2018
Additional relevant MeSH terms:

Study Results

No Results Posted as of Feb 6, 2018