Colorectal Cancer
Conditions
Brief summary
This observational study is a follow-up study of protocol ML18280. Survival data of patients who took part in and concluded study ML18280 will be collected for up to 5 years after LPLV of ML18270.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who took part in and concluded study ML18280 according to protocol
Exclusion criteria
* N/A
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Progression-free Survival | Up to 5 years | Progression free survival (PFS) was measured from the date of first administration of study medication in ML18280 study to the date of progression or death, whatever the cause. In participants with measurable disease, progression was defined according to the Response Evaluation Criteria in Solid Tumors (RECIST) criteria version 1.0. Participants with neither tumor recurrence nor death were censored at the last tumor assessment date they were known to have not progressed (last date of diagnostic procedure or diagnostic marker reported in the surveillance). PFS time in days was calculated as PFS \[days\]= date of tumor recurrence/death date of first intake + 1, if participant had tumor recurrence confirmed by diagnostic imaging or participant died, then PFS \[days\] =last diagnostic procedure/marker date- date of first intake+ 1, and if participant survived without tumor recurrence PFS time in months was calculated as PFS \[months\]= 12 \* PFS \[days\] /365.25 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Tumor Recurrence Rate (Local and Distant) | Up to 5 years | Participant with tumor recurrence were determined by the presence or absence of date of tumor recurrence detection. In case of absence of empty tumor recurrence date it was considered that the participant had not experienced tumor recurrence. Participants with local tumor recurrence ('Was it local to the primary tumor?' answered 'yes'.) compared to participants with distant tumor recurrence (specification for other tumor location given). |
| Type of Adjuvant Chemotherapy | Up to 5 years | The type of therapies administered after primary treatments (chemotherapy, surgery or radiation) was reported |
| Length of Adjuvant Chemotherapy | Up to 5 years | The length of adjuvant chemotherapy was defined as time between first start date to last stop date of adjuvant chemotherapy regimen. Length of adjuvant chemotherapy was calculated as length \[days\] = last stop date - first start date + 1, missing day of start and stop date was replaced by 1. |
| Overall Survival | Up to 5 years | Overall survival (OS) was defined as time from date of first administration of the study medication in ML18280 study to date of death from any cause. Participants without documented date of death were assumed to be alive and were censored at the latest of the following dates: last date alive on survival status pages, last date known to be alive on survival status pages, and last date of tumor assessment (diagnostic procedures or markers) on surveillance pages. OS time in days was calculated as OS \[days\] =date of death date of first intake+ 1, for participants who died, OS \[days\]= censoring date date of first intake+ 1, for participants alive, and OS time in months was calculated as OS \[months\]= 12 \*OS \[days\] /365.25 |
| Long Term Side Effects | Up to 5 years | Long term side effects for bowel and urinary function was assessed. Bowel function was assessed in terms of mean bowel frequency, regular use of constipating agents as well as fecal incontinence. Urinary function was evaluated according to the presence (YES or NO) of incontinence. Overall participant satisfaction was assessed in terms of satisfaction with bowel, stoma and urinary function on a 4-stage scale (very good, good, poor, and very poor). In case of different assessment(s) of bowel or urinary function within the same surveillance period, the assessment with worst grade was documented and reported. |
| Incidence of Adverse Event (AE) and Serious Adverse Event (SAE) | Up to 5 years | An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is a significant medical event in the investigator's judgment or requires intervention to prevent one or other of these outcomes |
| Compliance to Diagnostic Procedures in Surveillance | Up to 5 years | The surveillance compliance was calculated per participant in percent and frequencies for methods of diagnostic procedure adhered to, taking into account all expected procedures in the time span the participant participated and was based on the Swiss Society of Gastroenterology (SGG) follow-up care recommendations |
Countries
Switzerland
Participant flow
Recruitment details
All participants who were treated in ML18280 base study were followed-up two, three, four years and if necessary five years after the last surgery in Switzerland (5 centers) and data concerning to the adjuvant therapy, surveillance visit, tumor recurrence or second carcinoma and survival status were collected.
Pre-assignment details
Of the 56 participants in the ML18280 base study, 51 were included in ML21875 study. Retrospective data was documented for 14 participants and prospective data was obtained for 37 participants.
Participants by arm
| Arm | Count |
|---|---|
| Overall Participants with histologically proven local advanced T3/T4 rectal carcinoma with or without nodal involvement who had participated in study ML18280 were enrolled and no active treatment was given during this study | 51 |
| Total | 51 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Death | 11 |
| Overall Study | Lost to Follow-up | 3 |
Baseline characteristics
| Characteristic | Overall |
|---|---|
| Age, Continuous | 59.8 years STANDARD_DEVIATION 8.8 |
| Sex: Female, Male Female | 11 Participants |
| Sex: Female, Male Male | 40 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 3 / 51 |
| serious Total, serious adverse events | 1 / 51 |
Outcome results
Progression-free Survival
Progression free survival (PFS) was measured from the date of first administration of study medication in ML18280 study to the date of progression or death, whatever the cause. In participants with measurable disease, progression was defined according to the Response Evaluation Criteria in Solid Tumors (RECIST) criteria version 1.0. Participants with neither tumor recurrence nor death were censored at the last tumor assessment date they were known to have not progressed (last date of diagnostic procedure or diagnostic marker reported in the surveillance). PFS time in days was calculated as PFS \[days\]= date of tumor recurrence/death date of first intake + 1, if participant had tumor recurrence confirmed by diagnostic imaging or participant died, then PFS \[days\] =last diagnostic procedure/marker date- date of first intake+ 1, and if participant survived without tumor recurrence PFS time in months was calculated as PFS \[months\]= 12 \* PFS \[days\] /365.25
Time frame: Up to 5 years
Population: Full Analysis Set (FAS) included all the participants who fulfilled the inclusion criteria for this study. This population includes participants who gave informed consent and also those who died or were lost to follow-up before start of ML21875 study.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Overall | Progression-free Survival | 15.4 months |
Compliance to Diagnostic Procedures in Surveillance
The surveillance compliance was calculated per participant in percent and frequencies for methods of diagnostic procedure adhered to, taking into account all expected procedures in the time span the participant participated and was based on the Swiss Society of Gastroenterology (SGG) follow-up care recommendations
Time frame: Up to 5 years
Population: Full Analysis Set (FAS) included all the participants who fulfilled the inclusion criteria for this study. This population includes participants who gave informed consent and also those who died or were lost to follow-up before start of ML21875 study.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Overall | Compliance to Diagnostic Procedures in Surveillance | Video Bronchoscopy | 1 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Unknown | 1 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | PET-CT | 11 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | X-ray Chest | 32 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Colonoscopy | 40 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Computed Tomography (CT) | 61 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Endosonography | 30 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Magnetic resonance imaging | 14 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Balloon Dilatation (BD) Ileostoma | 1 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | BD Ileostoma+ Oesophagus-Gastroduodenum | 1 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Colon monocontrast | 1 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Colonoscopy Polypectomy | 1 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | CT Abdomen | 1 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | CT Thorax + Abdomen | 1 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Densitometry | 1 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Duplex Sonography | 1 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Enteroscopy | 1 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Ergometry | 1 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Oesophagus-gastroduodenoscopy | 4 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Fine Needle Puncture Lung | 1 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Gastroduodenoscopy | 3 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Gastrophinpassage | 1 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Gastroscopy | 1 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Ileocoloscopy | 2 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Ileoscopy | 1 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | X-ray Lumbar Spine | 1 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Manometry | 2 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | X-ray Pelvis | 1 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Positron emission tomography (PET) | 1 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Proctoscopy | 2 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Rectoproctoscopy | 3 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Rectoscopy | 7 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Rectosigmoidoscopy | 4 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Scintigraphy | 1 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Scintigraphy Lung | 1 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Sigmoidoscopy | 2 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Sonography | 6 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Starre Rectoscopy | 1 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Scintigraphy Bone Scan | 1 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Ultrasound | 6 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | Ultrasound Abdomen | 5 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | X-ray Abdomen | 3 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | X-ray Barium Swallow | 1 participants |
| Overall | Compliance to Diagnostic Procedures in Surveillance | X-ray Spine | 1 participants |
Incidence of Adverse Event (AE) and Serious Adverse Event (SAE)
An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is a significant medical event in the investigator's judgment or requires intervention to prevent one or other of these outcomes
Time frame: Up to 5 years
Population: Full Analysis Set (FAS) included all the participants who fulfilled the inclusion criteria for this study. This population includes participants who gave informed consent and also those who died or were lost to follow-up before start of ML21875 study.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Overall | Incidence of Adverse Event (AE) and Serious Adverse Event (SAE) | Number of participants with AE | 4 participants |
| Overall | Incidence of Adverse Event (AE) and Serious Adverse Event (SAE) | Number of participants with SAE | 1 participants |
Length of Adjuvant Chemotherapy
The length of adjuvant chemotherapy was defined as time between first start date to last stop date of adjuvant chemotherapy regimen. Length of adjuvant chemotherapy was calculated as length \[days\] = last stop date - first start date + 1, missing day of start and stop date was replaced by 1.
Time frame: Up to 5 years
Population: Full Analysis Set (FAS) included all the participants who fulfilled the inclusion criteria for this study. This population includes participants who gave informed consent and also those who died or were lost to follow-up before start of ML21875 study.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Overall | Length of Adjuvant Chemotherapy | 49.0 days |
Long Term Side Effects
Long term side effects for bowel and urinary function was assessed. Bowel function was assessed in terms of mean bowel frequency, regular use of constipating agents as well as fecal incontinence. Urinary function was evaluated according to the presence (YES or NO) of incontinence. Overall participant satisfaction was assessed in terms of satisfaction with bowel, stoma and urinary function on a 4-stage scale (very good, good, poor, and very poor). In case of different assessment(s) of bowel or urinary function within the same surveillance period, the assessment with worst grade was documented and reported.
Time frame: Up to 5 years
Population: Full Analysis Set (FAS) included all the participants who fulfilled the inclusion criteria for this study. This population includes participants who gave informed consent and also those who died or were lost to follow-up before start of ML21875 study.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Overall | Long Term Side Effects | Bowel frequency, <3 | 13 participants |
| Overall | Long Term Side Effects | Bowel frequency, 3-5 | 8 participants |
| Overall | Long Term Side Effects | Bowel frequency, 6-9 | 5 participants |
| Overall | Long Term Side Effects | Bowel frequency, >9 | 1 participants |
| Overall | Long Term Side Effects | Use of constipating agents | 16 participants |
| Overall | Long Term Side Effects | Fecal incontinence | 17 participants |
| Overall | Long Term Side Effects | Urinary incontinence | 2 participants |
| Overall | Long Term Side Effects | Overall participant satisfaction, very good | 2 participants |
| Overall | Long Term Side Effects | Overall participant satisfaction, good | 10 participants |
| Overall | Long Term Side Effects | Overall participant satisfaction, poor | 8 participants |
| Overall | Long Term Side Effects | Overall participant satisfaction, very poor | 6 participants |
Overall Survival
Overall survival (OS) was defined as time from date of first administration of the study medication in ML18280 study to date of death from any cause. Participants without documented date of death were assumed to be alive and were censored at the latest of the following dates: last date alive on survival status pages, last date known to be alive on survival status pages, and last date of tumor assessment (diagnostic procedures or markers) on surveillance pages. OS time in days was calculated as OS \[days\] =date of death date of first intake+ 1, for participants who died, OS \[days\]= censoring date date of first intake+ 1, for participants alive, and OS time in months was calculated as OS \[months\]= 12 \*OS \[days\] /365.25
Time frame: Up to 5 years
Population: Full Analysis Set (FAS) included all the participants who fulfilled the inclusion criteria for this study. This population includes participants who gave informed consent and also those who died or were lost to follow-up before start of ML21875 study.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Overall | Overall Survival | 22.51 months |
Tumor Recurrence Rate (Local and Distant)
Participant with tumor recurrence were determined by the presence or absence of date of tumor recurrence detection. In case of absence of empty tumor recurrence date it was considered that the participant had not experienced tumor recurrence. Participants with local tumor recurrence ('Was it local to the primary tumor?' answered 'yes'.) compared to participants with distant tumor recurrence (specification for other tumor location given).
Time frame: Up to 5 years
Population: Full Analysis Set (FAS) included all the participants who fulfilled the inclusion criteria for this study. This population includes participants who gave informed consent and also those who died or were lost to follow-up before start of ML21875 study.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Overall | Tumor Recurrence Rate (Local and Distant) | Participants with Tumor Recurrence | 16 participants |
| Overall | Tumor Recurrence Rate (Local and Distant) | Participants with Tumor Recurrence- Local | 4 participants |
| Overall | Tumor Recurrence Rate (Local and Distant) | Participants with Tumor Recurrence- Distant | 12 participants |
Type of Adjuvant Chemotherapy
The type of therapies administered after primary treatments (chemotherapy, surgery or radiation) was reported
Time frame: Up to 5 years
Population: Full Analysis Set (FAS) included all the participants who fulfilled the inclusion criteria for this study. This population includes participants who gave informed consent and also those who died or were lost to follow-up before start of ML21875 study.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Overall | Type of Adjuvant Chemotherapy | Folfox | 2 participants |
| Overall | Type of Adjuvant Chemotherapy | Xelox | 10 participants |
| Overall | Type of Adjuvant Chemotherapy | Xeloda mono or 5-FU mono | 14 participants |
| Overall | Type of Adjuvant Chemotherapy | Other (Biologics) | 2 participants |
| Overall | Type of Adjuvant Chemotherapy | Xeloda + Irinotecan | 2 participants |
| Overall | Type of Adjuvant Chemotherapy | No adjuvant chemotherapy | 21 participants |