Study in Patients With Unresectable And Metastatic Melanoma: The Optimize Study

NCT ID: NCT02780089

Last Updated: 2022-05-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

408 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-10-23

Study Completion Date

2020-09-08

Brief Summary

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This study evaluates the different patterns of care for patients who have unresectable or metastatic melanoma. The dosing, duration, regimen, indication, and treatments will be observed. The survival rate of these patients will also be observed.

Detailed Description

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This is a non-interventional, observational study with the primary objective to assess and describe "real world" patterns of care in the treatment of patients with unresectable or metastatic melanoma. A sample size of 1,600 prospective patients will provide sufficient information to explore this primary objective. There will be no forced number of patients enrolled into a specific treatment cohort. Setting or controlling specific treatment enrollment cohort counts would invalidate the results of the primary objective of the study. No primary hypothesis is being tested.

Conditions

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Melanoma

Study Design

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Observational Model Type

COHORT

Study Time Perspective

OTHER

Study Groups

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Prospective Patients

There will be 1,600 prospective patients recruited over a period of two years and followed-up for a planned minimum of three years. For the prospective cohort, patients will be recruited after the course of treatment has been decided by the physician and prior to the start of treatment.Prior advanced melanoma treatment information will be collected from patient charts for pre-treated patients. Patients will be followed for a minimum of 3 years from their study index date until death, withdrawal of consent, lost to follow-up/record, or end of study, whichever comes first. Study index date will be the date when first study therapy is initiated.

No interventions assigned to this group

Treatment Group No. 1

Immune checkpoint inhibitor patients who remain on an immune checkpoint inhibitor therapy. Defined as immune checkpoint inhibitor therapy patients who either remained on their initial (index) immune checkpoint inhibitor therapy or switched to another immune checkpoint inhibitor therapy during the study period. Patients in this group remained on an immune checkpoint inhibitor therapy and did not switch to a non-immune checkpoint inhibitor therapy anytime during the study period.

No interventions assigned to this group

Treatment Group No. 2

Immune checkpoint inhibitor patients who switched to a non-immune checkpoint inhibitor therapy. Defined as patients who switched from their index immune checkpoint inhibitor therapy to a non-immune checkpoint inhibitor therapy anytime during the study period.

No interventions assigned to this group

Treatment Group No. 3

Targeted therapy patients who remain on a targeted therapy. Defined as targeted therapy patients who either remained on their initial (index) targeted therapy or switched to another targeted therapy during the study period. Patients in this group remained on a targeted therapy and did not switch to a non-targeted therapy anytime during the study period.

No interventions assigned to this group

Treatment Group No. 4

Targeted therapy patients who switched to a non-targeted therapy. Defined as patients who switched from their index targeted therapy to a non-targeted therapy anytime during the study period.

No interventions assigned to this group

Treatment Group No. 5

Chemotherapy/other therapy patients who remain on a chemotherapy/other therapy. Defined as chemotherapy/other therapy patients who either remained on their initial (index) chemotherapy/other therapy or switched to another chemotherapy/other therapy during the study period. Patients in this group remained on a chemotherapy/other therapy and did not switch to an immune checkpoint inhibitor therapy or targeted therapy anytime during the study period.

No interventions assigned to this group

Treatment Group No. 6

Chemotherapy/other patients who switched to an immune checkpoint inhibitor therapy or targeted therapy. Defined as patients who switched from their index chemotherapy/other therapy to an immune checkpoint inhibitor therapy or targeted therapy anytime during the study period.

No interventions assigned to this group

Retrospective Patients

Retrospective cohort of 600 patients with unresectable or metastatic melanoma, receiving therapies other than immune checkpoint inhibitor or targeted therapies during the four year period prior to the release of ipilimumab (March 25, 2007 -March 24, 2011), will be identified. The data for these 600 retrospective patients will be used as a benchmark for treatment patterns and outcomes prior to the marketed availability of immune checkpoint inhibitors or targeted therapies.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

Prospective cohort patients:

* Diagnosis date must occur on or after March 24, 2011 (date of ipilimumab approval in US)
* Diagnosis of stage III (unresectable) or stage IV melanoma (includes mucosal, uveal acral-lentiginous, leptomeningeal disease)
* Age ≥ 18 years at time of entry into study
* Patients must be actively receiving or scheduled to receive systemic treatment (any line, eg, first, second, third line \[including investigational drugs\]).

* For patients initiating new treatment, treatment must be started within 28 days after signing informed consent.
* For patients currently receiving treatment, patients must enroll within the first 21 days of starting new treatment

Retrospective cohort patients:

* Patients with diagnosis of confirmed unresectable stage III or stage IV melanoma (including mucosal, uveal, acral-lentiginous, leptomeningeal disease)
* Age ≥ 18 years at time of unresectable or metastatic melanoma diagnosis
* Initiated therapy for unresectable or metastatic melanoma within 4 years prior to approval of ipilimumab (first immune checkpoint inhibitor therapy approved in US)

* March 25, 2007 - March 24, 2011
* One year of follow-up data is required from date of therapy initiation, if a patient passed away within the one year of follow-up; such patients are still eligible and the date of death will be collected.

1. If retrospective patients have at least one year of follow-up data and are then treated with immuno-oncology, immune checkpoint inhibitor therapy, or targeted therapy, these patients will be analyzed separately.

Exclusion Criteria

Prospective patients:

* Patients participating in a clinical study that does not allow enrollment into a non interventional study or clinical studies in which the investigational treatment is blinded
* Patients who started new treatment \> 21 days
* Patients who enrolled in study but did not initiate treatment before 28 days
* Patients with current malignancies (except non-melanoma skin cancer and the following in situ cancers: bladder, gastric, colon, endometrial, cervical/dysplasia, melanoma, or breast) that requires additional systemic therapy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bristol-Myers Squibb

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bristol-Myers Squibb

Role: STUDY_DIRECTOR

Bristol-Myers Squibb

Locations

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Northwest Alabama Cancer Center

Muscle Shoals, Alabama, United States

Site Status

Genesis Cancer Center

Hot Springs, Arkansas, United States

Site Status

Pacific Shores Medical Group

Long Beach, California, United States

Site Status

Cancer Care Associates

Redondo Beach, California, United States

Site Status

University of Colorado

Aurora, Colorado, United States

Site Status

21st Century Oncology

Jacksonville, Florida, United States

Site Status

Cancer Specialits, LLC D/B/A

Jacksonville, Florida, United States

Site Status

Lakeland Regional Health

Lakeland, Florida, United States

Site Status

Watson Clinical Center for Research, INC

Lakeland, Florida, United States

Site Status

UF Health Cancer Center at Orlando Health

Longwood, Florida, United States

Site Status

Mount Sinai Medical Center

Miami Beach, Florida, United States

Site Status

Mid Florida Hematology and Oncology Centers

Orange City, Florida, United States

Site Status

Sacred Heart Medical Oncology Group

Pensacola, Florida, United States

Site Status

Tallahassee Memorial Healthcare

Tallahassee, Florida, United States

Site Status

H. Lee Moffitt Cancer Center Moffitt Cancer Center

Tampa, Florida, United States

Site Status

Harbin Clinic

Rome, Georgia, United States

Site Status

Summit Cancer Care

Savannah, Georgia, United States

Site Status

The Queen's Medical Center

Honolulu, Hawaii, United States

Site Status

North Shore University Health System

Evanston, Illinois, United States

Site Status

Ingalls Cancer Research Center

Harvey, Illinois, United States

Site Status

Oncology Specialits, S.C.

Niles, Illinois, United States

Site Status

Orchard Healthcare Research Inc.

Skokie, Illinois, United States

Site Status

Simmons Cancer Institute at SIU School of Medicine

Springfield, Illinois, United States

Site Status

Stormont-Vail Cancer Center

Topeka, Kansas, United States

Site Status

University of Kansas Medical Center

Westwood, Kansas, United States

Site Status

West Ky Hematology & Oncology

Paducah, Kentucky, United States

Site Status

Ochsner Clinic Foundation

New Orleans, Louisiana, United States

Site Status

CHRISTUS Schumpert Cancer Treatment Center

Shreveport, Louisiana, United States

Site Status

Saint Agnes Hospital

Baltimore, Maryland, United States

Site Status

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

Masonic Cancer Center

Minneapolis, Minnesota, United States

Site Status

Mayo Clinic Cancer Center (MCCC)

Rochester, Minnesota, United States

Site Status

Forrest General Cancer Center

Hattiesburg, Mississippi, United States

Site Status

Central Care Cancer Center

Bolivar, Missouri, United States

Site Status

Nebraska Hematology-Oncology, P.C.

Lincoln, Nebraska, United States

Site Status

Oncology Hematology West P.C.

Omaha, Nebraska, United States

Site Status

John Theurer Cancer Center at Hackensack University Medical Center

Hackensack, New Jersey, United States

Site Status

Atlantic Health, Morristown Medical Center

Morristown, New Jersey, United States

Site Status

Meridian Health

Neptune City, New Jersey, United States

Site Status

Rosewell Park Cancer Institute

Buffalo, New York, United States

Site Status

Center of Learning Healthcare

Durham, North Carolina, United States

Site Status

Hematolgoy and Oncology Associates, Inc.

Canton, Ohio, United States

Site Status

Aultman Hospital

Canton, Ohio, United States

Site Status

Tri-County Hematology and Oncology Associates, Inc

Massillon, Ohio, United States

Site Status

Genesis Cancer Care Center

Zanesville, Ohio, United States

Site Status

St. Charles Medical Center - Cancer Center

Bend, Oregon, United States

Site Status

Network Office of Research & Innovation / Lehigh Valley Health Network

Allentown, Pennsylvania, United States

Site Status

St. Luke's Hospital and Health Network

Bethlehem, Pennsylvania, United States

Site Status

The Regional Cancer Center

Erie, Pennsylvania, United States

Site Status

Lancaster General Health

Lancaster, Pennsylvania, United States

Site Status

Jefferson Medical Oncology

Philadelphia, Pennsylvania, United States

Site Status

Allegheny Health Network

Pittsburgh, Pennsylvania, United States

Site Status

UPCI - UPMC Cancer Center

Pittsburgh, Pennsylvania, United States

Site Status

Thompson Cancer Survival Center

Knoxville, Tennessee, United States

Site Status

Texas Oncology

Austin, Texas, United States

Site Status

Texas Oncology

El Paso, Texas, United States

Site Status

Texas Oncology

Paris, Texas, United States

Site Status

Huntsman Cancer Institute at the University of Utah

Salt Lake City, Utah, United States

Site Status

Inova Melanoma and Skin Cancer Center

Fairfax, Virginia, United States

Site Status

Providence Regional Medical Center Everett

Everett, Washington, United States

Site Status

Cancer Care Northwest

Spokane, Washington, United States

Site Status

West Virginia University

Bridgeport, West Virginia, United States

Site Status

West Virginia University

Huntington, West Virginia, United States

Site Status

West Virginia University Hematolgoy & Oncology

Martinsburg, West Virginia, United States

Site Status

West Virginia University

Morgantown, West Virginia, United States

Site Status

Gundersen Lutheran Medical Foundations, Inc.

La Crosse, Wisconsin, United States

Site Status

Countries

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United States

References

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Kirkwood JM, Kottschade LA, McWilliams RR, Khushalani NI, Jang S, Hallmeyer S, McDermott DF, Tawbi H, Che M, Lee CH, Ritchings C, Le TK, Park B, Ramsey S. Real-world outcomes with immuno-oncology therapies in advanced melanoma: final results of the OPTIMIzE registry study. Immunotherapy. 2024 Jan;16(1):29-42. doi: 10.2217/imt-2022-0292. Epub 2023 Nov 8.

Reference Type DERIVED
PMID: 37937397 (View on PubMed)

Related Links

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Other Identifiers

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CA209-357

Identifier Type: -

Identifier Source: org_study_id

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