Non-Small-Cell Lung Cancer, Breast Cancer
Conditions
Keywords
Oral Vinorelbine, Advanced Non-Small-Cell Lung Cancer, Metastatic Breast Cancer
Brief summary
The aim of this non-interventional study is to assess oral vinorelbine dose schedules (initial dose, dose increase/maintenance/reduction) applied during the initial 8 weeks of treatment under routine conditions in Germany together with the underlying reasons for the respective chosen schedules.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Written informed consent of the patient with regard to the pseudonymized documentation and processing of his/her disease data * Legally capable male or female NSCLC patient or legally capable female MBC patient; in both situations: ≥ 18 years of age (no upper limit) * Presence of any of the following two tumor entities: * Advanced NSCLC (stage III or IV) * Anthracycline- and taxane-resistant MBC (stage IV) in women * Planned systemic chemotherapy and planned regimen with oral vinorelbine in any palliative setting (decision on treatment must have been made before inclusion in this study); included treatments: * Monotherapy or any combination therapy with oral vinorelbine * Inclusion of patients with hybrid-treatment involving i.v. and oral vinorelbine in one treatment cycle is allowed
Exclusion criteria
* Presence of any contraindication with regard to oral vinorelbine treatment (and with regard to i.v. vinorelbine in case of hybrid-treatment) according to the respective Summary of Product Characteristics (SmPC) * Oral vinorelbine based palliative treatment already ongoing or planned oral vinorelbine starting dose of \>60 mg/m2 * Presence of a Eastern Cooperative Oncology Group (ECOG) performance status (PS) \> 2 * Simultaneous participation in an interventional clinical trial
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of patients with oral vinorelbine dose increase from ≤60 to ≥80 mg/m² during the course of the study | 8 weeks of treatment | The outcome will be calculated together with its negative (i.e. the rate of patients without such dose increase). Reasons for increasing and for not increasing the dose will be analyzed. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient's treatment satisfaction | 8 weeks of treatment | Evaluation of the patient's treatment satisfaction \[Cancer Therapy Satisfaction Questionnaire (CTSQ)\] |
| Physician's treatment satisfaction | 8 weeks of treatment | Evaluation of the physician's treatment satisfaction \[5 point scale\] |
| Adverse drug reactions | 8 weeks of treatment | Evaluation of adverse drug reactions using CTCAE v4.03 |
| Body weight | Baseline and 8 weeks of treatment | Body weight \[kg\] at baseline and changes during the study |
| Body mass index | Baseline and 8 weeks of treatment | Body mass index \[kg/m\^2\] at baseline and changes during the study |
| Patient's quality of life | Baseline and 8 weeks of treatment | Evaluation of the patient's quality of life \[Short Form (SF)-12\] |
| ECOG performance status | Baseline and 8 weeks of treatment | ECOG performance status \[grades 0-5\] at baseline and changes during the study |
| Treatment regimen | Baseline | Frequency analysis of planned treatment regimens (monotherapy, combination, combination compounds) at baseline. Reasons for choosing the treatment regimen will be analyzed. |
| Treatment changes | 8 weeks of treatment | Frequency analysis of dose changes and of the underlying reasons |
| Relationships between oral vinorelbine dose increases and patient and disease characteristics | Baseline and 8 weeks of treatment | Generalized linear mixed model with the variable dose increase as binary response variable |
| Assessment of initial tumor response (based on clinical or imaging assessment) | 8 weeks of treatment | — |
| Body surface area | Baseline and 8 weeks of treatment | Body surface area \[m\^2\] at baseline and changes during the study |
Countries
Austria, Germany