Myeloid Diseases
Conditions
Keywords
MDS, CMML, AML, PMF, Austrian Myeloid Registry
Brief summary
The Austrian Myeloid Registry (aMYELOIDr) is a non-interventional study. It collects data from patients with the myeloid diseases, primarily myelodysplastic syndromes (MDS), chronic myelomonocytic leukemia (CMML) and acute myeloid leukemia (AML).The aMYELOIDr is multi-center database collecting data at various sites in Austria and potentially also at other centers in other countries in future. The registry has an electronic case report form (eCRF), where all data is entered by clinical trial personnel and/or physicians. It is set up to collect real-world experience in the management of patients with these diseases in Austria.
Interventions
Only routine clinical data, which has already been recorded in the patient's medical chart, will be documented. Any other data assessments (e.g. quality of life analyses such as EQ-5D and QLQ-C30 have been approved by the Ehtikkommission für das Bundesland Salzburg and are optional.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \>17 years * Diagnosis of myeloid disease according to WHO 2016 * Signed patient informed consent (IC)
Exclusion criteria
* Patient is unable or unwilling to sign IC
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To assess the treatment patterns (therapeutic landscape) of patients with myeloid diseases. | Through study completion, median expected within 100 months | Due to the non-interventional nature of the aMYELOIDr, treatment indication, the decision to offer treatment, treatment choice, dose, schedule and dose reductions/escalations shall be exclusively based on the risk/benefit estimation of the treating physician. We recommend compliance current guidelines. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| AML transformation | Through study completion, median expected within 100 months | Time to transformation to AML for patients with a non-AML initial diagnosis |
| Concomitant treatments best supportive care (BSC) | Through study completion, median expected within 100 months | Concomitant best supportive care (BSC) measures (e.g. number of transfusions, growth factors, iron chelators) |
| Quality of life assessment EQ-5D-5L (optional) | Through study completion, median expected within 100 months | EuroQol-5 Dimensions with 5 Levels. The descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. |
| EORTC Quality of life assessment QLQ-C30 (optional) | Through study completion, median expected within 100 months | European Organisation for Research and Treatment of Cancer Quality of life 30-item questionnaire of cancer patients incorporates five functional scales (physical, role, cognitive, emotional, and social), three symptom scales (fatigue, pain, and nausea and vomiting), a global health status / QoL scale, and a number of single items assessing additional symptoms commonly reported by cancer patients (dyspnoea, loss of appetite, insomnia, constipation anddiarrhoea) and perceived financial impact of the disease. It has four-point scale which are coded with Not at all, A little, Quite a bit and Very much |
| Impact of front-line treatment on overall survival (OS) | Through study completion, median expected within 100 months | — |
| Impact of number and choice of treatment lines on OS as of initial diagnosis and/or as of treatment start | Through study completion, median expected within 100 months | — |
| Overall response rate (ORR) | Through study completion, median expected within 100 months | Response will be assessed according to current guidelines for the respective disease. Due to the non-interventional nature of the aMYELOIDr, timepoints and types of response assessment shall be exclusively based on the risk/benefit estimation of the treating physician. We recommend compliance current guidelines. |
| Event free survival (EFS) | Through study completion, median expected within 100 months | Events include treatment failure, progressive disease, relapse after CR/CRi, death from any cause. Patients lost to-follow-up or still alive ans without event will be censored at last follow-up date |
| Treatment safety | Through study completion, median expected within 100 months | Investigators should report adverse reactions (for which a causal role of a medicine is suspected) to the concerned competent authorities following regulations in the current or future versions of Austrian legislation (Pharmakovigilanz-Verordnung 2013 (PhVO, Regulation on Pharmacovigilance), Österreichisches Arzneimittel Gesetz (AMG, Austrian Medicinal Products Act). Participation in this registry does not exempt the participating center from their legal reporting obligations. Documentation of causality, duration, frequency and severity of adverse events (AEs) according to Common Terminology Criteria for AE (CTCAE v.5). |
| Concomitant treatments | Through study completion, median expected within 100 months | Concomitant treatments (number of administration of e.g. prophylactic antibiotics, antivirals, antifungals) |
| Treatment characteristics | Through study completion, median expected within 100 months | Among others, the following treatment characteristics will be assessed for each treatment line: substance |
Other
| Measure | Time frame | Description |
|---|---|---|
| Prognostic and predictive markers | Through study completion, median expected within 100 months | Analyses of various factors known or thought to influence OS, ORR, EFS, PFS and time to next treatment in order to validate existing or establish novel prognostic and predictive markers |
| Minimal residual disease | Through study completion, median expected within 100 months | Assess how many and which patients in Austria have minimal residual disease (MRD) assessments, assessed by which techniques and at which timepoints. |
| MRD-negativity on OS | Through study completion, median expected within 100 months | Assess the impact of MRD-negativity on OS. MRD assessment via flow-cytometry and polymerase chain reactions according to the current ELN guidelines 2017 shall be exclusively based on the risk/benefit estimation of the treating physician. |
Countries
Austria