RecruitingNCT04142437

Study to Learn More About the Safety and Effectiveness of the Drug VITRAKVI During Routine Use in Patients With TRK Fusion Cancer Which is Locally Advanced or Spread From the Place Where it Started to Other Places in the Body

PrOspective Non-interventional Study in Patients With Locally Advanced or Metastatic TRK Fusion Cancer Treated With Larotrectinib


Sponsor

Bayer

Enrollment

150 participants

Start Date

Apr 3, 2020

Study Type

OBSERVATIONAL

Conditions

Summary

In this observational study researcher want to learn more about the effectiveness of drug VITRAKVI (generic name: larotrectinib) and how well the drug is tolerated during routine use in patients with TRK fusion cancer which is locally advanced or spread from the place where it started to other places in the body. TRK fusion cancer is a term used to describe a variety of common and rare cancers that are caused by a change to the NTRK (Neurotrophic Tyrosine Kinase) gene called a fusion. During this fusion, an NTRK gene joins together, or fuses, with a different gene. This joining results in the activation of certain proteins (TRK fusion proteins), which can cause cancer cells to multiply and form a tumor. VITRAKVI is an approved drug that blocks the action of the NTRK gene fusion. This study will enroll adult and paediatric patients suffering from a solid tumor with NTRK gene fusion for whom the decision to treat their disease with VITRAKVI has been made by their treating physicians. During the study, patients' medical information such as treatment information with VITRAKVI, other medication or treatments, changes in disease status and other health signs and symptoms will be collected within the normal medical care by the treating doctor. Participants will be observed over a period from 24 to 60 months.


Eligibility

Inclusion Criteria7

  • Adult and pediatric (from birth to 18-year-old) patients
  • Patients with locally advanced or metastatic solid tumor harboring an NTRK gene fusion. NTRK (NTRK1, NTRK2, and NTRK3) gene fusions will be identified locally. Acceptable methods of detection of NTRK gene fusion include NGS, fluorescence in situ hybridization (FISH), reverse-transcription polymerase chain reaction (rt-PCR) or any other genomic testing able to detect NTRK gene fusion. If a pan-TRK IHC method is used, this result needs to be accompanied with the results using one of the other methods noted above.
  • Life expectancy of at least 3 months based on clinical judgement
  • Decision to treat with larotrectinib made by the treating physician prior to study enrollment
  • Patients can also be enrolled if the initial visit (larotrectinib start date) occurred within 2 months ±3 days prior to informed consent signed date
  • Signed informed consent form
  • For patients under legal age, signed assent by the patient (where applicable) and parental/legal guardian signed informed consent is required

Exclusion Criteria5

  • Any contraindications as listed in the local approved product information
  • Pregnancy
  • Participation in an investigational program with interventions outside of routine clinical practice
  • Prior treatment with larotrectinib or other kinase inhibitor with TRK inhibition
  • Patients with NTRK gene amplification or NTRK point mutation

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Interventions

DRUGlarotrectinib(Vitrakvi, BAY2757556)

In the study, patients treated under local standard of care clinical practice; all decisions in terms of diagnostic procedures, treatments, management of the disease, and resource utilization are fully dependent on mutual agreement between the patient and the attending physician, without interference by the study initiator or study protocol


Locations(76)

Banner Desert Medical Center

Mesa, Arizona, United States

California Research Inst.

Los Angeles, California, United States

USC / Norris Comprehensive Cancer Center

Los Angeles, California, United States

UCLA - Mattel Children's Hospital

Los Angeles, California, United States

Hoag Memorial Hospital Presbyterian

Newport Beach, California, United States

UCSF Benioff Children's Hospital Oakland

Oakland, California, United States

Stanford Univ Med Ctr. / Lucile Packard Children's Hosp

Palo Alto, California, United States

Providence Health System - Southern California

Santa Monica, California, United States

Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center

Torrance, California, United States

SCL Health

Grand Junction, Colorado, United States

Yale University

New Haven, Connecticut, United States

Mayo Clinic

Jacksonville, Florida, United States

University of Miami

Miami, Florida, United States

Nicklaus Children's Hospital

Miami, Florida, United States

Nemours Children's Hospital

Orlando, Florida, United States

Fort Wayne Medical Oncology Hematology

Fort Wayne, Indiana, United States

Regional Health Hope Center

Terre Haute, Indiana, United States

Cancer Center of Kansas

Wichita, Kansas, United States

Maine Health

South Portland, Maine, United States

Univ. of Maryland / Greenebaum Comp. Cancer Ctr.

Baltimore, Maryland, United States

Johns Hopkins / Sidney Kimmel Cancer Center

Baltimore, Maryland, United States

Frederick Health-James M Stockman Cancer Institute

Frederick, Maryland, United States

Tufts / Neely Cancer Center

Boston, Massachusetts, United States

Boston Children's / Dana Farber

Boston, Massachusetts, United States

Detroit Clinical Research Center

Farmington Hills, Michigan, United States

Sparrow Cancer Center

Lansing, Michigan, United States

Nevada Cancer Research Foundation

Las Vegas, Nevada, United States

Atlantic Hem Onc / Morristown Medical Center

Morristown, New Jersey, United States

Rutgers Cancer Institute of New Jersey

New Brunswick, New Jersey, United States

Great Lakes Cancer Center

Buffalo, New York, United States

Memorial Sloan Kettering Children's Cancer Center

New York, New York, United States

Staten Island Univ. Hospital (Northwell Health)

Staten Island, New York, United States

Levine Cancer Center

Charlotte, North Carolina, United States

East Carolina University / Vidant Health

Greenville, North Carolina, United States

Ohio State Comp. Cancer Ctr. / James Cancer Hospital

Columbus, Ohio, United States

Mercy Health Youngstown

Youngstown, Ohio, United States

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States

University of Pennsylvania (Penn Med)

Philadelphia, Pennsylvania, United States

Allegheny Health Network

Pittsburgh, Pennsylvania, United States

Medical Univ. of South Carolina

Charleston, South Carolina, United States

St. Jude Children's Research Hospital

Memphis, Tennessee, United States

Vanderbilt University Medical Center

Nashville, Tennessee, United States

UT Southwestern Medical Center / Children's Health

Dallas, Texas, United States

MD Anderson Cancer Center

Houston, Texas, United States

Intermountain Healthcare - Intermountain Medical Center

Murray, Utah, United States

Univ. of Utah / Huntsman Cancer Center

Salt Lake City, Utah, United States

Intermountain Healthcare - Dixie Regional Medical Center

St. George, Utah, United States

Seattle Children's

Seattle, Washington, United States

West Virginia University

Morgantown, West Virginia, United States

Gundersen Health System

La Crosse, Wisconsin, United States

SSM Health Cancer Center - Dean Medical Group

Madison, Wisconsin, United States

Many Locations

Multiple Locations, Argentina

Many Locations

Multiple Locations, Australia

Many Locations

Multiple Locations, Austria

Many Locations

Multiple Locations, Belgium

Many Locations

Multiple Locations, Brazil

Many Locations

Multiple Locations, Canada

Many Locations

Multiple Locations, China

Many Locations

Multiple Locations, Denmark

Many Locations

Multiple Locations, Finland

Many Locations

Multiple Locations, France

Many Locations

Multiple Locations, Germany

Many Locations

Multiple Locations, Greece

Many Locations

Multiple Locations, Ireland

Many Locations

Multiple Locations, Italy

Many Locations

Multiple Locations, Japan

Many Locations

Multiple Locations, Luxembourg

Many Locations

Multiple Locations, Norway

Many Locations

Multiple Locations, Russia

Many Locations

Multiple Locations, Singapore

Many Locations

Multiple Locations, South Korea

Many Locations

Multiple Locations, Spain

Many Locations

Multiple Locations, Sweden

Many Locations

Multiple Locations, Switzerland

Many Locations

Multiple Locations, Taiwan

Many Locations

Multiple Locations, United Kingdom

View Full Details on ClinicalTrials.gov

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NCT04142437