Carcinoma, Renal Cell
Conditions
Keywords
adverse events, pazopanib, Torsades des Pointes, renal cell carcinoma, anti-VEGF agents, observational data, cardiac ischemia
Brief summary
This observational study is conducted as part of a systematic pharmacovigilance activity, to provide a population-based context for Pazopanib use outside of the clinical trial setting. The aims of the study are to examine the incidence of cardiovascular ischemia (including myocardial infarction, unstable angina, transient ischemic attack, and cerebrovascular accident) and cardiac arrhythmia (Torsades de Pointes) in renal cell carcinoma patients treated with marketed anti-VEGF agents \[Pazopanib (VOTRIENT), Bevacizumab (AVASTIN), Sorafenib (NEXAVAR), and Sunitinib (SUTENT)\]. Two databases will be utilized for this study: a large healthcare claims database in the U.S. and the Dutch linked medical registries (PHARMO RLS). The databases will provide large, geographically varied, non-trial populations in which to examine the incidence of the stated cardiovascular ischemic events and Torsades des Pointes.
Interventions
Patients treated with pazopanib
Patients treated with other anti-VEGFs including Bevacizumab, Sorafenib, and Sunitinib
Sponsors
Study design
Eligibility
Inclusion criteria
The anti-VEGF cohorts will include patients with the following characteristics: * Adult patients (age ≥18 years) * Prescribed or administered an anti-VEGF agent: Pazopanib, Bevacizumab, Sorafenib or Sunitinib on or after approval date of Pazopanib * Diagnosed with renal cell cancer
Exclusion criteria
* Patients with multiple primary cancer diagnoses
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cardiovascular ischemia | Over four years from approval of pazopanib | Cardiovascular ischemia including myocardial infarction, unstable angina, transient ischemic attack, and cerebrovascular accident |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Torsades de Pointes | Over four years from approval of pazopanib | Torsades de Pointes |