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出境医 / 临床实验 / Anticancer Vigilance Of Cardiac Events (AVOCETTE) in Metastatic Colorectal Cancer (AVOCETTE)

Anticancer Vigilance Of Cardiac Events (AVOCETTE) in Metastatic Colorectal Cancer (AVOCETTE)

Study Description
Brief Summary:
This study is a retrospective observational study that evaluates the rate of cardiovascular adverse events leading to hospitalization in metastatic colorectal cancer in the French county Calvados by drug exposure.

Condition or disease Intervention/treatment
Colorectal Cancer Metastatic Drug: Antineoplastic Agents

Detailed Description:

This study investigates the characteristics of cardiovascular adverse events leading to hospitalization in metastatic colorectal cancer. Descriptive analysis will include incidence, type of cardiovascular adverse events.

We will explore the incidence of cardiovascular adverse events with regard of the antineoplastic drug exposures. This will provide information about the individual drug safety profiles.

Study Design
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Study Type : Observational
Estimated Enrollment : 2000 participants
Observational Model: Cohort
Time Perspective: Retrospective
Official Title: Anticancer Drug-induced Cardiac Adverse Events in Metastatic Colorectal Cancer: Insights From the French County Calvados Registry
Estimated Study Start Date : April 2019
Estimated Primary Completion Date : June 2019
Estimated Study Completion Date : June 2019
Arms and Interventions
Group/Cohort Intervention/treatment
Metastatic colorectal cancer

The French county Calvados registry of digestive cancers will allow to identify patients with a metastatic colorectal cancer diagnosed between 2004 and 2014.

Patients will be included if the cancer was diagnosed at the metastatic stage between 2004 and 2014 or non-metastatic before 2004 that became metastatic between 2004 and 2014 (synchronous and metachronous tumors)

Drug: Antineoplastic Agents
Exposure measurement to any anticancer drug in its therapeutic use for the metastatic colorectal cancer with its posology and duration (the list provided is non-limitative). Exposure to anticancer drugs for another indication than the colorectal cancer will also be collected.
Other Names:
  • fluorouracile
  • irinotecan
  • oxaliplatine
  • bevacizumab
  • aflibercept
  • capecitabine
  • cetuximab
  • panitumumab

Outcome Measures
Primary Outcome Measures :
  1. Difference in rates of cardiovascular adverse events leading to hospitalization between chemotherapy treated patients and chemotherapy-free patients. [ Time Frame: Between 2004 and 2017 ]

    Any cardiovascular adverse event (e.g. the non limitative list: ischaemic heart disease, heart failure, hypertension, ischaemic stroke, embolic or thrombotic events, arrhythmias, conductive disorders) that was the primary diagnosis of a hospital admission.

    Any anticancer drug (chemotherapy) intake will be considered for the primary analysis.

    We will use a competing risk statistical model.



Secondary Outcome Measures :
  1. Risk of cardiovascular adverse events (any) for each individual anticancer drug. [ Time Frame: Between 2004 and 2017 ]
    Drug exposure will be defined as a binary variable for each drug. (intakes/no intakes). A competing risk model will be used.

  2. Risk of cardiovascular adverse events (any) for each anticancer drugs combination/protocol [ Time Frame: Between 2004 and 2017 ]
    Drugs combination will be defined as a binary variable for each protocol. (intakes/no intakes).

  3. Risk of individual cardiovascular adverse events of chemotherapy treated patients versus chemotherapy-free patients [ Time Frame: Between 2004 and 2017 ]
    Several individual cardiovascular adverse events will be assessed in separate analyses: ischaemic heart disease, heart failure, hypertension, ischaemic stroke, embolic or thrombotic events, arrhythmias, conductive disorders). A competing risk model will be used

  4. Dose-effect relation ship between individual anticancer drugs and cardiovascular adverse events [ Time Frame: Between 2004 and 2017 ]
    Dose will be approached by the number of cycles of the anticancer drug and by the cumulative dose (in milligram) received.

  5. Dose-effect relation ship between individual anticancer drugs combination/protocol and cardiovascular adverse events [ Time Frame: Between 2004 and 2017 ]
    Dose will be approached by the number of cycles of the anticancer drugs combination/protocol.


Eligibility Criteria
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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Exhaustive population of metastatic colorectal cancers in the French county Calvados registry diagnosed between 2004 and 2014 (synchrone and metachrone diagnosis).
Criteria

Inclusion Criteria:

  • Patients with a metastatic colorectal cancer diagnosed between 2004 and 2014 in the French county Calvados

Exclusion Criteria:

  • Minors < 18 year old
  • Patients without a metastatic colorectal cancer diagnosed between 2004 and 2014 in the French county Calvados
Contacts and Locations

Contacts
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Contact: Joachim Alexandre, MD, PhD +33231064670 alexandre-j@chu-caen.fr
Contact: Charles Dolladille, MD +33231064670 dolladille-c@chu-caen.fr

Locations
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France
CHU Caen
Caen, Normandy, France, 14000
Contact: Joachim Alexandre, MD    +33231064670    alexandre-j@chu-caen.fr   
Sponsors and Collaborators
University Hospital, Caen
Investigators
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Principal Investigator: Joachim Alexandre, MD, PhD CHu Caen
Tracking Information
First Submitted Date October 12, 2018
First Posted Date April 22, 2019
Last Update Posted Date April 22, 2019
Estimated Study Start Date April 2019
Estimated Primary Completion Date June 2019   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: April 19, 2019)
Difference in rates of cardiovascular adverse events leading to hospitalization between chemotherapy treated patients and chemotherapy-free patients. [ Time Frame: Between 2004 and 2017 ]
Any cardiovascular adverse event (e.g. the non limitative list: ischaemic heart disease, heart failure, hypertension, ischaemic stroke, embolic or thrombotic events, arrhythmias, conductive disorders) that was the primary diagnosis of a hospital admission. Any anticancer drug (chemotherapy) intake will be considered for the primary analysis. We will use a competing risk statistical model.
Original Primary Outcome Measures Same as current
Change History No Changes Posted
Current Secondary Outcome Measures
 (submitted: April 19, 2019)
  • Risk of cardiovascular adverse events (any) for each individual anticancer drug. [ Time Frame: Between 2004 and 2017 ]
    Drug exposure will be defined as a binary variable for each drug. (intakes/no intakes). A competing risk model will be used.
  • Risk of cardiovascular adverse events (any) for each anticancer drugs combination/protocol [ Time Frame: Between 2004 and 2017 ]
    Drugs combination will be defined as a binary variable for each protocol. (intakes/no intakes).
  • Risk of individual cardiovascular adverse events of chemotherapy treated patients versus chemotherapy-free patients [ Time Frame: Between 2004 and 2017 ]
    Several individual cardiovascular adverse events will be assessed in separate analyses: ischaemic heart disease, heart failure, hypertension, ischaemic stroke, embolic or thrombotic events, arrhythmias, conductive disorders). A competing risk model will be used
  • Dose-effect relation ship between individual anticancer drugs and cardiovascular adverse events [ Time Frame: Between 2004 and 2017 ]
    Dose will be approached by the number of cycles of the anticancer drug and by the cumulative dose (in milligram) received.
  • Dose-effect relation ship between individual anticancer drugs combination/protocol and cardiovascular adverse events [ Time Frame: Between 2004 and 2017 ]
    Dose will be approached by the number of cycles of the anticancer drugs combination/protocol.
Original Secondary Outcome Measures Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Anticancer Vigilance Of Cardiac Events (AVOCETTE) in Metastatic Colorectal Cancer
Official Title Anticancer Drug-induced Cardiac Adverse Events in Metastatic Colorectal Cancer: Insights From the French County Calvados Registry
Brief Summary This study is a retrospective observational study that evaluates the rate of cardiovascular adverse events leading to hospitalization in metastatic colorectal cancer in the French county Calvados by drug exposure.
Detailed Description

This study investigates the characteristics of cardiovascular adverse events leading to hospitalization in metastatic colorectal cancer. Descriptive analysis will include incidence, type of cardiovascular adverse events.

We will explore the incidence of cardiovascular adverse events with regard of the antineoplastic drug exposures. This will provide information about the individual drug safety profiles.

Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Retrospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Non-Probability Sample
Study Population Exhaustive population of metastatic colorectal cancers in the French county Calvados registry diagnosed between 2004 and 2014 (synchrone and metachrone diagnosis).
Condition Colorectal Cancer Metastatic
Intervention Drug: Antineoplastic Agents
Exposure measurement to any anticancer drug in its therapeutic use for the metastatic colorectal cancer with its posology and duration (the list provided is non-limitative). Exposure to anticancer drugs for another indication than the colorectal cancer will also be collected.
Other Names:
  • fluorouracile
  • irinotecan
  • oxaliplatine
  • bevacizumab
  • aflibercept
  • capecitabine
  • cetuximab
  • panitumumab
Study Groups/Cohorts Metastatic colorectal cancer

The French county Calvados registry of digestive cancers will allow to identify patients with a metastatic colorectal cancer diagnosed between 2004 and 2014.

Patients will be included if the cancer was diagnosed at the metastatic stage between 2004 and 2014 or non-metastatic before 2004 that became metastatic between 2004 and 2014 (synchronous and metachronous tumors)

Intervention: Drug: Antineoplastic Agents
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Unknown status
Estimated Enrollment
 (submitted: April 19, 2019)
2000
Original Estimated Enrollment Same as current
Estimated Study Completion Date June 2019
Estimated Primary Completion Date June 2019   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • Patients with a metastatic colorectal cancer diagnosed between 2004 and 2014 in the French county Calvados

Exclusion Criteria:

  • Minors < 18 year old
  • Patients without a metastatic colorectal cancer diagnosed between 2004 and 2014 in the French county Calvados
Sex/Gender
Sexes Eligible for Study: All
Ages 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers No
Contacts Contact information is only displayed when the study is recruiting subjects
Listed Location Countries France
Removed Location Countries  
 
Administrative Information
NCT Number NCT03923036
Other Study ID Numbers TPS 68479
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement
Plan to Share IPD: Undecided
Responsible Party University Hospital, Caen
Study Sponsor University Hospital, Caen
Collaborators Not Provided
Investigators
Principal Investigator: Joachim Alexandre, MD, PhD CHu Caen
PRS Account University Hospital, Caen
Verification Date October 2018

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