Lung Cancer
Conditions
Keywords
Small Cell Lung Cancer (SCLC)
Brief summary
Non-interventional, retrospective study of advanced SCLC patients in 4 European countries (France, Germany, Italy, and United Kingdom \[UK\]) with the aim to produce evidence across different SCLC treatment lines to characterize the clinical and economic burden of the disease in Europe.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
Cohort 1 and 2: * Patients 18 years of age or older at SCLC diagnosis * Confirmed diagnosis of SCLC within the patient identification period (between October 2013 and October 2015) * Initiated on first-line treatment (radiotherapy and/or chemotherapy) for their SCLC * Full oncology medical history for the mandatory variables of the study available in the participating center from day of diagnosis until the end of follow-up or death (whichever occurs first) * Signed informed consent (where required as per local requirements) Cohort 3: * Patients 18 years of age or older at SCLC diagnosis * Confirmed diagnosis of SCLC not earlier than October 2013 * Initiated on second-line treatment due to relapse after first-line therapy not later than August 2016 * Full oncology medical history for the mandatory variables of the study available in the participating center from day of diagnosis until the end of follow-up or death (whichever occurs first) * Signed informed consent (where required as per local requirements)
Exclusion criteria
* Participants with previous malignancies (except non-melanoma skin cancers, and in situ cancers such as the following: bladder, gastric, colon, cervical/dysplasia, melanoma, or breast) are excluded unless a complete remission was achieved at least 2 years prior to first treatment and no additional therapy is required or anticipated to be required during the study period. Other Inclusion/
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Distribution of Patient Demographic Characteristics | At baseline | Characteristics include: Age/month and year of birth Gender Ethnicity Weight Height Smoking status Alcohol consumption Other relevant risk factors |
| Distribution of Patient Clinical Characteristics in Relapsed/refractory patients receiving second- or later-line treatment | At baseline | Characteristics include: Relevant comorbidities Laboratory parameters Date of initial diagnosis Staging using the VALG system Histology ECOG Performance status Tumor status Symptoms |
| Distribution of Patient Clinical Characteristics in patients with LD-SCLC | At baseline | Characteristics include: Relevant comorbidities Laboratory parameters Date of initial diagnosis Staging using the VALG system Histology ECOG Performance status Tumor status Symptoms |
| Distribution of Patient Clinical Characteristics in patients with ED-SCLC | At baseline | Characteristics include: Relevant comorbidities Laboratory parameters Date of initial diagnosis Staging using the VALG system Histology ECOG Performance status Tumor status Symptoms |
| Distribution of treatment patterns in patients with ED-SCLC | Approximately 44 months | Details on patients prior treatment Patterns will be summarized using descriptive statistics |
| Distribution of treatment patterns in patients with LD-SCLC | Approximately 44 months | Details on patients prior treatment Patterns will be summarized using descriptive statistics |
| Distribution of treatment patterns in Relapsed/refractory patients receiving second- or later-line treatment | Approximately 44 months | Details on patients prior treatment Patterns will be summarized using descriptive statistics |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of radiation therapy as cancer-directed therapy | Approximately 44 months | To describe the use of radiation therapy in the management of LD-SCLC and ED-SCLC patients having relapsed |
| Composite of SCLC-related healthcare resource utilization (HCRU) | Approximately 44 months | HCRU will include hospitalizations, emergency visits, outpatient visits, treatments received (including treatments prescribed to manage AEs), diagnostic tests and procedures, surgery, and ancillary services. |
| Incidence of palliative care | Approximately 44 months | To describe the use of palliative care in the management of LD-SCLC and ED-SCLC patients having relapsed |
| Incidence of best supportive care (BSC) | Approximately 44 months | To describe the use of best supportive care (BSC) in the management of LD-SCLC and ED-SCLC patients having relapsed |
| Overall survival (OS) | Approximately 44 months | — |
| Progression-free survival (PFS) | Approximately 44 months | — |
| Objective response rate (ORR) | Approximately 44 months | — |
| Mortality rate | Approximately 44 months | — |
| Treatment-related adverse events (AEs) leading to discontinuation | Approximately 44 months | — |
| Incidence of surgery as cancer-directed therapy | Approximately 44 months | To describe the use of surgery in the management of LD-SCLC and ED-SCLC patients having relapsed |
Countries
Spain, United Kingdom