UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056579
Receipt number R000064652
Scientific Title A Multi-Country Real-World Evidence Study Characterising Patients and Abemaciclib Persistence at 6 Months of Treatment in HR+, HER2- High-Risk Early Breast Cancer (Abema EBC)
Date of disclosure of the study information 2024/12/27
Last modified on 2024/12/26 13:46:56

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Basic information

Public title

A Multi-Country Real-World Evidence Study Characterising Patients and Abemaciclib Persistence at 6 Months of Treatment in HR+, HER2- High-Risk Early Breast Cancer (Abema EBC)

Acronym

Abema EBC

Scientific Title

A Multi-Country Real-World Evidence Study Characterising Patients and Abemaciclib Persistence at 6 Months of Treatment in HR+, HER2- High-Risk Early Breast Cancer (Abema EBC)

Scientific Title:Acronym

Abema EBC

Region

Japan South America Europe


Condition

Condition

Early Breast Cancer

Classification by specialty

Hematology and clinical oncology Breast surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The aim of this project is to collect real-world data on abemaciclib use in early breast cancer patients in Spain, France, the UK, Japan and Brazil.

Basic objectives2

Others

Basic objectives -Others

Primary objectives
1. To describe the proportion of patients with early breast cancer receiving abemaciclib who remain on abemaciclib treatment after 6 months following treatment start.
2. To describe the demographic and clinical characteristics of patients with early breast cancer up to initiation of abemaciclib.

Secondary objectives
1. To describe treatment patterns of abemaciclib and combination hormonal therapy in patients with early breast cancer.
2. To describe the treatments that patients with early breast cancer received prior to and following abemaciclib treatment.

Trial characteristics_1


Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

1.
i. Proportion of patients still receiving abemaciclib treatment 6 months after starting treatment.
ii. Proportion of patients who discontinue abemaciclib over the first 6 months and reasons for discontinuation.
2.
i. Demographic characteristics at abemaciclib start.
ii. Clinical characteristics up to abemaciclib start.

Key secondary outcomes

Secondary endpoints
1
i. Summary of the treatment duration of abemaciclib over the study period.
ii. Proportion of patients who remain on abemaciclib at 30 days and 3 months following treatment start.
iii. Proportion of patients who discontinue abemaciclib and reasons for discontinuation over the entire follow-up period.
iv. Dose changes following treatment start and reasons for change.
v. Starting combination hormonal agent and starting dose of combination hormonal therapy.
vi. Proportion of patients who remain on combination hormonal therapy 6 months after starting abemaciclib treatment.

2
i. Description of surgery received prior to and following abemaciclib, overall and by type of surgery, and outcomes following surgery.
ii. Description of hormonal, chemotherapy, and other treatments received prior to and following abemaciclib + combination hormonal agent, overall and by drug.
iii. Description of radiotherapy received prior to and following abemaciclib.
iv. Description of the time from definitive breast cancer surgery to adjuvant treatment start.
v. Description of the time from definitive breast cancer surgery to abemaciclib treatment start.
vi. Description of the time from start of combination adjuvant endocrine therapy to abemaciclib start.
vii. Description of the time from the start of adjuvant chemotherapy to abemaciclib treatment start.
viii. Description of the time from the start of adjuvant radiotherapy to abemaciclib treatment start.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Female

Key inclusion criteria

1.Provision of patient informed consent (or consent from next of kin/legal representative, if applicable) for use of patients' secondary data or appropriate informed consent waiver according to local regulations.
2.Hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative patients with early breast cancer at high-risk of recurrence receiving abemaciclib following surgery.
a. Early-stage breast cancer is defined as no record of stage IV or metastatic disease from breast cancer diagnosis date to abemaciclib start date.
b. For patients enrolled in France, UK, Spain and Japan, the definition of high-risk is:
i. either >=4 positive axillary lymph nodes (pALN),
ii. or 1-3 pALN and at least one of the following criteria: tumour size >=5 cm or histological grade 3.
c. For patients enrolled in Brazil, the definition of high-risk is:
i. either >=4 positive axillary lymph nodes (pALN),
ii. or 1-3 pALN and at least one of the following criteria: tumour size >=5 cm or histological grade 3,
iii. or 1-3 pALN and Ki67 index >=20%.
3.Patients receiving a starting dose of abemaciclib of 150 mg twice per day in combination with an aromatase inhibitor or tamoxifen.

Key exclusion criteria

1. Patients who received treatment with abemaciclib as part of a clinical trial.
2. Patients who received abemaciclib as part of an early access programme.

Target sample size

500


Research contact person

Name of lead principal investigator

1st name Hitomi
Middle name
Last name Sakai

Organization

Showa University

Division name

Advanced Cancer Translational Research Institute

Zip code

142-8555

Address

1-5-8 Hatanodai, Shinagawa-ku, Tokyo

TEL

03-3781-8146

Email

sakai-h@med.showa-u.ac.jp


Public contact

Name of contact person

1st name Hitomi
Middle name
Last name Sakai

Organization

Showa University

Division name

Advanced Cancer Translational Research Institute

Zip code

142-8555

Address

1-5-8 Hatanodai, Shinagawa-ku, Tokyo

TEL

03-3781-8146

Homepage URL


Email

sakai-h@med.showa-u.ac.jp


Sponsor or person

Institute

Showa University

Institute

Department

Personal name



Funding Source

Organization

IQVIA

Organization

Division

Category of Funding Organization

Outside Japan

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Showa University Research Ethics Review Board

Address

1-5-8 Hatanodai, Shinagawa-ku, Tokyo

Tel

03-3784-8129

Email

m-rinri@ofc.showa-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2024 Year 12 Month 27 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2024 Year 10 Month 01 Day

Date of IRB

2024 Year 12 Month 17 Day

Anticipated trial start date

2025 Year 01 Month 31 Day

Last follow-up date

2026 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study is a multi-country, multi-centre, retrospective observational study comprising both chart abstraction (Japan, Brazil) and electronic medical records (EMR) data extraction, with manual data enhancement, if required (Spain, France, and UK). EMR data extraction will occur at sites within IQVIA's Oncology Evidence Network (OEN) as well as any other site with the capability to perform EMR extraction. Data will be abstracted / extracted from the date of initial breast cancer diagnosis to medical records abstraction initiation date, which will be country-specific and depend on when the first site in each country is activated. The eligibility period will start 6 months after the country-specific drug availability date to allow centers centres to gain confidence in the utilizationutilisation of abemaciclib as per label in the early breast cancer indication, and continue until 6 months prior to the medical records abstraction initiation date (other than Spain, where the eligibility period will end on 30-Apr15-Jul-2024 to avoid overlap between this study and a local initiative also enrolling patients receiving abemaciclib). The index date will be the date on which patients start abemaciclib. All patients whose index date falls within the eligibility period and who meet all inclusion / exclusion criteria will be enrolled into the study. If a site has more eligible patients available than the quota for that site, sites will be instructed to select patients consecutively from the start of the in-country eligibility period based on index date (i.e. the patient with index date closest to the start of the eligibility period will be selected first, followed by the patient with the next closest index date etc.).


Management information

Registered date

2024 Year 12 Month 26 Day

Last modified on

2024 Year 12 Month 26 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064652