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Retrospective Study on the Efficacy and Tolerability of Liposomal Irinotecan


2021-09-27


2022-03-01


2022-03-01


60

Study Overview

Retrospective Study on the Efficacy and Tolerability of Liposomal Irinotecan

The aim of this retrospective study is to confirm the efficacy and safety results obtained in the NAPOLI-1-study, when Onivyde® in combination with 5-FU/LV is used in real-life practice in Belgium. The data needed to do so will be obtained using information that is routinely collected as part of patient's medical care.

Patients with pancreatic cancer have a poor prognosis with a 5-years survival of only 1-2%. This arises from the fact that it is typically diagnosed late, when curative resection is impossible. These patients are thus restricted to chemotherapy, with gemcitabine-based therapies being the standard of care for patients with locally advanced or metastatic pancreatic ductal adenocarcinoma (mPDAC). However, even after second or subsequent lines of therapy, disease progression is inevitable. Therefore, the need for new treatment options is high. Recently, the advantage of using nanoliposomal irinotecan (Onivyde®) in combination with 5-fluorouracil and leucovorin (5-FU/LV) over the use of 5-FU/LV alone was demonstrated in a phase-3 randomized clinical trial (NAPOLI-1 trial). As this study showed significant improvement on overall survival, progression-free survival, time to treatment failure, overall response rate and tumor marker CA19-9 response, on October 14 2016 this therapy was approved by the EMA to be used for patients with mPDAC previously treated with gemcitabine-based therapy. While randomized clinical trials, like the NAPOLI-1 trial, are considered the reference standard for comparing the efficacy and safety of treatments, these studies do not always reflect the everyday clinical practice. Therefore, the aim of this study is to evaluate the efficacy and safety of Onivyde® in real-life practice in Belgium. This information would be very valuable to determine the value of the drug and improve the knowledge of the actual use of Onivyde® after marketing authorization.

  • Metastatic Pancreatic Ductal Adenocarcinoma
  • DRUG: Onivyde® + 5-FULV
  • EDGE 001385

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2021-09-21  

N/A  

2022-01-31  

2021-10-13  

N/A  

2022-02-15  

2021-10-27  

N/A  

2021-10  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
N/A


Allocation:
N/A


Interventional Model:
N/A


Masking:
N/A


Arms and Interventions

Participant Group/ArmIntervention/Treatment
Primary Outcome MeasuresMeasure DescriptionTime Frame
The overall survival (OS) from start of treatment with Onivyde® + 5-FU/LVAll this info is retrospectively obtained from the patients medical fistory. Data analysis is forseen to be finished 03/2022.03/2022
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Survival rate at 2, 4, 6, 8, 10 months from the start of treatment with Onivyde® + 5-FU/LVAll this info is retrospectively obtained from the patients medical history. Data analysis is forseen to be finished 03/2022.03/2022
Progression-free survival (PFS) from the start of Onivyde® + 5-FU/LV treatmentAll this info is retrospectively obtained from the patients medical history. Data analysis is forseen to be finished 03/2022.03/2022
Disease control rate of patients from the start of treatment with Onivyde® + 5-FU/LVAll this info is retrospectively obtained from the patients medical history. Data analysis is forseen to be finished 03/2022.03/2022
Change in baseline performance status of the patient after Onivyde® + 5-FU/LV treatmentAll this info is retrospectively obtained from the patients medical history. Data analysis is forseen to be finished 03/2022.03/2022
The OS from the date of diagnosis of metastatic diseaseAll this info is retrospectively obtained from the patients medical history. Data analysis is forseen to be finished 03/2022.03/2022

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:

  • Patient has diagnosis of pancreatic adenocarcinoma with documented metastatic disease.
  • Patient progressed after gemcitabine-based therapy.
  • Patient received at least one treatment cycle with Onivyde® + 5-FU/LV 5FU in the context of post-gemcitabine based therapy of mPDAC.

  • Exclusion Criteria:

  • Patient has not received at least one treatment cycle with Onivyde® + 5-FU/LV.
  • Previous irinotecan-based therapy in metastatic setting.
  • Patientstarted the treatment with Onivyde® + 5-FU/LV after 01/04/2021

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

  • Universitair Ziekenhuis Brussel
  • AZ Nikolaas
  • General Hospital Groeninge
  • University Hospital St Luc, Brussels
  • ASZ Aalst
  • Erasme University Hospital
  • Centre Hospitalier Universitaire de Liege
  • OLVZ Ziekenhuis Aalst

  • PRINCIPAL_INVESTIGATOR: Marc Peeters, University Hospital, Antwerp

Publications

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

No publications available