Study to Describe the Real-world Treatment Patterns and Associated Outcomes in Patients With HER2-positive Unresectable or Metastatic Breast Cancer

NCT ID: NCT04857619

Last Updated: 2024-07-11

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

763 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-05-14

Study Completion Date

2022-10-31

Brief Summary

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This multicountry, multicenter, retrospective, non-interventional study involving patients diagnosed with HER2-positive unresectable or metastatic breast cancer mBC will be conducted to understand the demographic and clinico-pathological profile of the patients, diagnostic practices for human epidermal growth factor receptor 2 (HER2) status, current treatment landscape and sequencing of therapies, associated burden of toxicities with all lines of treatment (LOTs), and survival outcomes in the real-world setting.

Detailed Description

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The study will involve patients diagnosed with HER2-positive unresectable or mBC since the earlier date between the date of trastuzumab emtansine (\[T-DM1\] Kadcyla) becoming available through reimbursement or patient access programme as a valid local treatment option or 01 January 2017 and who received at least 1 LOT. The data will be collected from the date of diagnosis of unresectable or mBC (index date) to the end of follow-up (ie, until death, the last medical record entry, or date of data extraction, whichever is earlier). The study will not have any study-specific patient visits or a longitudinal follow-up. All available data will be extracted from patients' medical records or obtained from patients themselves after obtaining an informed consent unless a waiver is granted by the local Institutional Review Board (IRB)/Institutional Ethics Committee (IEC)/Ethics Committee (EC). The informed consent may be obtained at the time of patients routine clinical care visit to the oncology centre. The data on different types of treatment received by the patients, socio-demographics, and clinico-pathological characteristics will be extracted from patients medical records up to the date informed consent was obtained.

This study will be conducted in non-US and non-European countries including Australia, Brazil, Hong Kong, Korea, Singapore and Taiwan. The total number of patients in the study will be approximately a minimum of 570 and a maximum of 830 patients. The study will be implemented at approximately 50 to 100 oncology centres spanning across 6 countries in the AstraZeneca (AZ) International Region (ie, non-US, non-European countries).

Conditions

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Metastatic Breast Cancer

Study Design

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Observational Model Type

OTHER

Study Time Perspective

RETROSPECTIVE

Study Groups

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Retrospective

Patients who are diagnosed with HER2-positive unresectable or mBC and have received at least 1 LOT in the advanced setting will be included. Approximately a total of 570-830 patients will be enrolled in the study.

None (Observational study)

Intervention Type OTHER

The data on different types of treatment received by the patients, socio-demographics, and clinico-pathological characteristics and healthcare resource utilisation will be extracted from patients' medical records (both alive and deceased).

Interventions

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None (Observational study)

The data on different types of treatment received by the patients, socio-demographics, and clinico-pathological characteristics and healthcare resource utilisation will be extracted from patients' medical records (both alive and deceased).

Intervention Type OTHER

Other Intervention Names

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Observational study

Eligibility Criteria

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Inclusion Criteria

* Adult female or male patients ≥18 years old or 'adults' according to the age of majority as defined by the local regulations
* Patient or next of kin/legal representative willing and able to provide written informed consent according to the local regulations unless a waiver is granted by the local IRB/IEC/EC
* Patients' medical records showing a diagnosis of HER2-positive unresectable or mBC (can be either de novo advanced disease, progression or recurrence of previous early-stage HER2-positive BC) since the available date of T-DM1 (Kadcyla) through reimbursement or patient access programme as a valid local treatment option or 01 January 2017, whichever is earlier and with the availability of at least 12 months of follow-up data (from the date of diagnosis of unresectable or mBC) in the medical records at the participating site, unless patient died within the first 12 months of diagnosis
* Patients completing at least 1 LOT for HER2-positive unresectable or mBC

Exclusion Criteria

* Patients with HER2-negative unresectable or mBC at index diagnosis
* Patients with a change in HER2 status from positive to negative at the progression from early-stage to advanced-stage disease (ie, shown on a repeat biopsy at diagnosis of advanced-stage disease) will be excluded (patients who change from HER2-positive to negative on repeat biopsy during treatment for advanced-stage disease may be included)
* Patients with concomitant cancer at the time of diagnosis of HER2-positive unresectable or mBC except for the non-metastatic non-melanoma skin cancers, or in situ, or benign neoplasms; a cancer is considered concomitant if it occurs within 5 years of HER2-positive breast cancer diagnosis
* Patients who at the time of data collection for this study are participating or have participated in an interventional study that remains blinded
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Parexel

INDUSTRY

Sponsor Role collaborator

AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Site

Macquarie, New South Wales, Australia

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Newcastle, New South Wales, Australia

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Parramatta, New South Wales, Australia

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St Leonards, New South Wales, Australia

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Perth, Western Australia, Australia

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Manaus, Amazonas, Brazil

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Fortaleza, Ceará, Brazil

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Cachoeiro de Itapemirim, Espírito Santo, Brazil

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Salvador, Estado de Bahia, Brazil

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Salvador, Estado de Bahia, Brazil

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Curitiba, Paraná, Brazil

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Caxias do Sul, Rio Grande do Sul, Brazil

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Porto Alegre, Rio Grande do Sul, Brazil

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Porto Alegre, Rio Grande do Sul, Brazil

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Itajaí, Santa Catarina, Brazil

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Santo André, São Paulo, Brazil

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Fortaleza, , Brazil

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Goiânia, , Brazil

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Rio de Janeiro, , Brazil

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São Paulo, , Brazil

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São Paulo, , Brazil

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Hong Kong, , Hong Kong

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Hong Kong, , Hong Kong

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Kowloon, , Hong Kong

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Singapore, Central Singapore, Singapore

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Singapore, South East, Singapore

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Singapore, , Singapore

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Singapore, , Singapore

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Incheon, Incheon Gwang Yeogsi, South Korea

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Seoul, Seoul Teugbyeolsi, South Korea

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Seoul, Seoul Teugbyeolsi, South Korea

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Seoul, Seoul Teugbyeolsi, South Korea

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Seoul, Seoul Teugbyeolsi, South Korea

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Seoul, Seoul Teugbyeolsi, South Korea

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Goyang, , South Korea

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Seoul, , South Korea

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Tainan County, Tainan, Taiwan

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Kaohsiung City, , Taiwan

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Taichung, , Taiwan

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Taichung, , Taiwan

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Tainan City, , Taiwan

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Taipei, , Taiwan

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Taipei, , Taiwan

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Taipei, , Taiwan

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Countries

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Australia Brazil Hong Kong Singapore South Korea Taiwan

Other Identifiers

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D9673R00005

Identifier Type: -

Identifier Source: org_study_id

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