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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 (ON-TRK)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04142437
Recruitment Status : Recruiting
First Posted : October 29, 2019
Last Update Posted : December 5, 2022
Sponsor:
Information provided by (Responsible Party):
Bayer

Tracking Information
First Submitted Date October 17, 2019
First Posted Date October 29, 2019
Last Update Posted Date December 5, 2022
Actual Study Start Date April 3, 2020
Estimated Primary Completion Date November 30, 2029   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: October 25, 2019)
  • Number of participants with treatment-emergent adverse events (TEAEs) [ Time Frame: Up to 30 days after last dose ]
  • Severity of TEAEs [ Time Frame: Up to 30 days after last dose ]
  • Seriousness of TEAEs [ Time Frame: Up to 30 days after last dose ]
  • Outcome of TEAEs [ Time Frame: Up to 30 days after last dose ]
  • Causality of TEAEs [ Time Frame: Up to 30 days after last dose ]
  • Action taken related to larotrectinib treatment [ Time Frame: Up to 30 days after last dose ]
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures
 (submitted: April 12, 2021)
  • Objective response rate (ORR) [ Time Frame: Up to 8 years ]
  • Disease control rate (DCR) [ Time Frame: Up to 8 years ]
  • Duration of response (DOR) [ Time Frame: Up to 8 years ]
  • Time to response (TTR) [ Time Frame: Up to 8 years ]
  • Progression-free survival (PFS) [ Time Frame: Up to 8 years ]
  • Overall survival (OS) [ Time Frame: Up to 8 years ]
  • Total dose [ Time Frame: Up to 8 years ]
  • Starting and ending dose [ Time Frame: Up to 8 years ]
  • Dose modification during treatment [ Time Frame: Up to 8 years ]
  • Duration of treatment (DOT) [ Time Frame: Up to 8 years ]
  • ORR by patient subgroup(s) [ Time Frame: Up to 8 years ]
  • DCR by patient subgroup(s) [ Time Frame: Up to 8 years ]
  • DOR by patient subgroup(s) [ Time Frame: Up to 8 years ]
  • TTR by patient subgroup(s) [ Time Frame: Up to 8 years ]
  • PFS by patient subgroup(s) [ Time Frame: Up to 8 years ]
  • OS by patient subgroup(s) [ Time Frame: Up to 8 years ]
  • Number of patients with abnormal neurological assessments [ Time Frame: Up to 8 years ]
  • Change in height and weight from baseline by visit [ Time Frame: Up to 8 years ]
    Pediatric cohort only
  • Number of patients with abnormal developmental milestones [ Time Frame: Up to 8 years ]
    Pediatric cohort only
  • Number of patients with abnormal Tanner stage [ Time Frame: Up to 8 years ]
    Pediatric cohort only
Original Secondary Outcome Measures
 (submitted: October 25, 2019)
  • Objective response rate (ORR) [ Time Frame: Up to 8 years ]
  • Disease control rate (DCR) [ Time Frame: Up to 8 years ]
  • Duration of response (DOR) [ Time Frame: Up to 8 years ]
  • Time to response (TTR) [ Time Frame: Up to 8 years ]
  • Progression-free survival (PFS) [ Time Frame: Up to 8 years ]
  • Overall survival (OS) [ Time Frame: Up to 8 years ]
  • Total dose [ Time Frame: Up to 8 years ]
  • Starting and ending dose [ Time Frame: Up to 8 years ]
  • Dose modification during treatment [ Time Frame: Up to 8 years ]
  • Duration of treatment (DOT) [ Time Frame: Up to 8 years ]
  • ORR by patient subgroup(s) [ Time Frame: Up to 8 years ]
  • DCR by patient subgroup(s) [ Time Frame: Up to 8 years ]
  • DOR by patient subgroup(s) [ Time Frame: Up to 8 years ]
  • TTR by patient subgroup(s) [ Time Frame: Up to 8 years ]
  • PFS by patient subgroup(s) [ Time Frame: Up to 8 years ]
  • OS by patient subgroup(s) [ Time Frame: Up to 8 years ]
  • Change in height and weight from baseline by visit [ Time Frame: Up to 8 years ]
    Pediatric cohort only
  • Number of patients with abnormal neurological assessments [ Time Frame: Up to 8 years ]
    Pediatric cohort only
  • Number of patients with abnormal developmental milestones [ Time Frame: Up to 8 years ]
    Pediatric cohort only
  • Number of patients with abnormal Tanner stage [ Time Frame: Up to 8 years ]
    Pediatric cohort only
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title 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
Official Title PrOspective Non-interventional Study in Patients With Locally Advanced or Metastatic TRK Fusion Cancer Treated With Larotrectinib
Brief 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.
Detailed Description Not Provided
Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Non-Probability Sample
Study Population Adult and pediatric (from birth to 18 year old) patients with a locally advanced or metastatic solid tumor harboring an NTRK gene fusion (detected by NGS (Next-Generation Sequencing), FISH (Fluorescent In Situ Hybridization), rt-PCR (Reverse Transcription Polymerase Chain Reaction) or other genomic testing able to detect NTRK gene fusion) assessed locally for whom a decision to treat with larotrectinib has been made by the treating physician prior to or at the time of study enrollment
Condition Locally Advanced or Metastatic Solid Tumor Harboring an NTRK Gene Fusion
Intervention Drug: larotrectinib(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
Study Groups/Cohorts
  • GI
    adult patients with gastrointestinal (GI) cancer
    Intervention: Drug: larotrectinib(Vitrakvi, BAY2757556)
  • H&N
    adult patients with head and neck (H&N) cancer
    Intervention: Drug: larotrectinib(Vitrakvi, BAY2757556)
  • STS
    adult patients with soft tissue sarcoma (STS)
    Intervention: Drug: larotrectinib(Vitrakvi, BAY2757556)
  • CNS
    adult patients with primary central nervous system (CNS) cancer
    Intervention: Drug: larotrectinib(Vitrakvi, BAY2757556)
  • Lung
    adult patients with lung cancer
    Intervention: Drug: larotrectinib(Vitrakvi, BAY2757556)
  • Melanoma
    adult patients with melanoma
    Intervention: Drug: larotrectinib(Vitrakvi, BAY2757556)
  • Pediatric
    all pediatric patients regardless of tumor type will be enrolled under this cohort
    Intervention: Drug: larotrectinib(Vitrakvi, BAY2757556)
  • other
    patients with other tumor types
    Intervention: Drug: larotrectinib(Vitrakvi, BAY2757556)
Publications * Yang JCH, Brose MS, Castro G, Kim ES, Lassen UN, Leyvraz S, Pappo A, Lopez-Rios F, Reeves JA, Fellous M, Penault-Llorca F, Rudzinski ER, Tabatabai G, Vassal G, Drilon A, Trent J. Rationale and design of ON-TRK: a novel prospective non-interventional study in patients with TRK fusion cancer treated with larotrectinib. BMC Cancer. 2022 Jun 7;22(1):625. doi: 10.1186/s12885-022-09687-x.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Recruiting
Estimated Enrollment
 (submitted: October 25, 2019)
300
Original Estimated Enrollment Same as current
Estimated Study Completion Date March 31, 2030
Estimated Primary Completion Date November 30, 2029   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • 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
  • 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 Criteria:

  • 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
Sex/Gender
Sexes Eligible for Study: All
Ages Child, Adult, Older Adult
Accepts Healthy Volunteers No
Contacts
Contact: Bayer Clinical Trials Contact (+)1-888-84 22937 clinical-trials-contact@bayer.com
Listed Location Countries Argentina,   Australia,   Austria,   Belgium,   Brazil,   Canada,   China,   Denmark,   Finland,   France,   Germany,   Greece,   Ireland,   Italy,   Japan,   Korea, Republic of,   Luxembourg,   Norway,   Russian Federation,   Singapore,   Spain,   Sweden,   Switzerland,   Taiwan,   United Kingdom,   United States
Removed Location Countries  
 
Administrative Information
NCT Number NCT04142437
Other Study ID Numbers 20324
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement
Plan to Share IPD: No
Plan Description:

Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access.

As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014.

Interested researchers can use www.clinicalstudydatarequest.com to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the Study sponsors section of the portal.

Current Responsible Party Bayer
Original Responsible Party Same as current
Current Study Sponsor Bayer
Original Study Sponsor Same as current
Collaborators Not Provided
Investigators Not Provided
PRS Account Bayer
Verification Date November 2022