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AnemiaNCT01444456

Assessment of Quality of Life in Patients With Symptomatic Chemotherapy-induced Anaemia

An observational study of Anemia and Breast Cancer, run by Amgen at 117 sites in 9 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a multicenter, international, prospective, observational study of patients who are receiving systemic chemotherapy for solid tumour cancers (breast, colorectal, ovarian, prostate, lung, bladder, endometrial, renal, pancreatic, esophageal or gastric) and who are receiving darbepoetin alfa (Aranesp®) or other… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Anemia, Breast Cancer, Cancer
How many people
1,262 participants
Where
117 sitesin 9 countries
Study dates
Oct 2011to Aug 2013
Phase
Observational
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Adults with either breast, colorectal, ovarian, prostate, lung, bladder, endometrial, renal, pancreatic, esophageal or gastric cancer who will receive darbepoetin alfa (Aranesp®) or other erythropoiesis-stimulating agent (ESA) for the treatment of symptomatic chemotherapy-induced anaemia (CIA) in routine clinical practice.

Who may be able to join

  • Diagnosed with breast, colorectal, ovarian, prostate, lung, bladder, endometrial, renal, pancreatic, esophageal or gastric cancer
  • Expected to receive at least 8 additional weeks of a given regimen of myelosuppressive chemotherapy after enrolment
  • Starting treatment with either darbepoetin alfa (in Cohort 1 countries) or any ESA (in Cohort 2 countries) as per European Summary of Product Characteristics (SPC) for symptomatic anaemia.

Who cannot join

  • Received any ESA treatment or Red Blood Cell (RBC) transfusion within 28 days prior to enrolment
  • Known primary benign or malignant haematologic disorder which can cause anaemia
  • Known hypersensitivity to ESAs

Trial locations and contacts

117 sites in 9 countries.

117 sites in 9 countries

France42 sites
  • Research Site

    Aix-en-Provence, 13100

  • Research Site

    Aix-en-Provence, 13616

  • Research Site

    Amiens, 80000

  • Research Site

    Aubagne, 13675

  • Research Site

    Bayonne, 64100

  • Research Site

    Besançon, 25030

  • Research Site

    Bordeaux, 33077

  • Research Site

    Boulogne Sur Mer Cédex, 62321

  • Research Site

    Bourg-en-Bresse, 01012

  • Research Site

    Brive-la-Gaillarde, 19312

  • Research Site

    Carcassonne, 11890

  • Research Site

    Clermont-Ferrand, 63000

  • Research Site

    Clermont-Ferrand, 63011

  • Research Site

    Colmar, 68024

  • Research Site

    Dijon, 21034

  • Research Site

    Draguignan, 83007

  • Research Site

    La Seyne-sur-Mer, 83500

  • Research Site

    Le Mans, 72037

  • Research Site

    Longjumeau, 91161

  • Research Site

    Marseille, 13009

  • Research Site

    Marseille, 13331

  • Research Site

    Mont-de-Marsan, 40000

  • Research Site

    Montauban, 82013

  • Research Site

    Nancy, 54100

  • Research Site

    Orléans, 45000

  • Research Site

    Paris, 75020

  • Research Site

    Périgueux, 24004

  • Research Site

    Pontoise, 95301

  • Research Site

    Pringy, 74374

  • Research Site

    Reims, 51056

  • Research Site

    Reims, 51092

  • Research Site

    Reims, 51100

  • Research Site

    Rennes, 35033

  • Research Site

    Rouen, 76000

  • Research Site

    Saint-Grégoire, 35768

  • Research Site

    Saint-Quentin, 02321

  • Research Site

    Soissons, 02209

  • Research Site

    Soyaux, 16800

  • Research Site

    Strasbourg, 67000

  • Research Site

    Vichy, 03207

  • Research Site

    Villefranche-sur-Saône, 69400

  • Research Site

    Villejuif, 94804

Other trials in France

Germany15 sites
  • Research Site

    Augsburg, 86150

  • Research Site

    Berlin, 10317

  • Research Site

    Berlin, 13055

  • Research Site

    Berlin, 13347

  • Research Site

    Bremerhaven, 27568

  • Research Site

    Cologne, 50677

  • Research Site

    Gelsenkirchen, 45899

  • Research Site

    Goslar, 38642

  • Research Site

    Halle, 06110

  • Research Site

    Mannheim, 68165

  • Research Site

    Neunkirchen, 66538

  • Research Site

    Rotenburg (Wümme), 27356

  • Research Site

    Soest, 59494

  • Research Site

    Stralsund, 18435

  • Research Site

    Würselen, 52146

Other trials in Germany

Romania13 sites
  • Research Site

    Alba Iulia, 510077

  • Research Site

    Baia Mare, 430031

  • Research Site

    Brasov, 500366

  • Research Site

    Bucharest, 011171

  • Research Site

    Bucharest, 020947

  • Research Site

    Bucharest, 022328

  • Research Site

    Bucharest, 030442

  • Research Site

    Bucharest, 050659

  • Research Site

    Cluj-Napoca, 400058

  • Research Site

    Oradea, 410469

  • Research Site

    Râmnicu Vâlcea, 240156

  • Research Site

    Târgu Mureş, 540142

  • Research Site

    Timișoara, 300167

Other trials in Romania

Poland12 sites
  • Research Site

    Bialystok, 15-027

  • Research Site

    Gdansk, 80-402

  • Research Site

    Konin, 62-500

  • Research Site

    Koszalin, 75-581

  • Research Site

    Krakow, 31-531

  • Research Site

    Lubin, 59-300

  • Research Site

    Olsztyn, 10-228

  • Research Site

    Poznan, 61-878

  • Research Site

    Wałbrzych, 58-309

  • Research Site

    Warsaw, 04-125

  • Research Site

    Wroclaw, 50-981

  • Research Site

    Wroclaw, 51-124

Other trials in Poland

Belgium11 sites
  • Research Site

    Aalst, 9300

  • Research Site

    Bonheiden, 2820

  • Research Site

    Brasschaat, 2930

  • Research Site

    Bruges, 8000

  • Research Site

    Eupen, 4700

  • Research Site

    Gilly, 6060

  • Research Site

    Mechelen, 2800

  • Research Site

    Namur, 5000

  • Research Site

    Ostend, 8400

  • Research Site

    Sint-Niklaas, 9100

  • Research Site

    Verviers, 4800

Other trials in Belgium

Netherlands8 sites
  • Research Site

    Amstelveen, 1186 AM

  • Research Site

    Dordrecht, 3318 AT

  • Research Site

    Enschede, 7513 ER

  • Research Site

    Flushing, 4382 EE

  • Research Site

    Leiderdorp, 2353 GA

  • Research Site

    Purmerend, 1441 RN

  • Research Site

    Roosendaal, 4708 AE

  • Research Site

    Zutphen, 7207 AE

Other trials in Netherlands

Austria6 sites
  • Research Site

    Graz, 8042

  • Research Site

    Innsbruck, 6020

  • Research Site

    Sankt Pölten, 3100

  • Research Site

    Vienna, 1090

  • Research Site

    Vöcklabruck, 4840

  • Research Site

    Wels, 4600

Other trials in Austria

Greece5 sites
  • Research Site

    Athens, 11522

  • Research Site

    Athens, 18547

  • Research Site

    Chania, 73300

  • Research Site

    Marousi, 15121

  • Research Site

    Papagou, 11526

Other trials in Greece

Italy5 sites
  • Research Site

    Cefalù PA, 90015

  • Research Site

    Naples, 80131

  • Research Site

    Padova, 35128

  • Research Site

    Roma, 00128

  • Research Site

    Torino, 10100

Other trials in Italy

About this study

Official title: Electronic Assessment of Quality of Life in Patients With Symptomatic Chemotherapy-induced Anaemia: An International Prospective Observational Study (eAQUA)

This is a multicenter, international, prospective, observational study of patients who are receiving systemic chemotherapy for solid tumour cancers (breast, colorectal, ovarian, prostate, lung, bladder, endometrial, renal, pancreatic, esophageal or gastric) and who are receiving darbepoetin alfa (Aranesp®) or other erythropoiesis-stimulating agent (ESA) to treat symptomatic anaemia.

Quality of Life will be assessed electronically with the aim of estimating improvement in quality of life for those patients receiving darbepoetin alfa (Aranesp®) who also have an increase in haemoglobin (Hb) of ≥1 g/dL

Read the detailed description

Before enrolling participants, each country was assigned to either cohort 1 (patients receiving only darbepoetin alfa) or cohort 2 (patients receiving any ESA). Cohort 2 was assigned only to those countries in which local regulations did not permit observational study participation by patients receiving a specific agent in a drug class.

Keywords
Breast Cancer, Lung Cancer, Ovarian Cancer, Prostate Cancer, Colorectal Cancer, Aranesp, Chemotherapy induced anaemia, Chemotherapy, Bladder Cancer, Endometrial Cancer, Renal Cancer, Pancreatic Cancer, Esophageal Cancer, Gastric Cancer
Medical subject headings
Anemia, Breast Neoplasms, Neoplasms, Colorectal Neoplasms, Lung Neoplasms, Ovarian Neoplasms, Prostatic Neoplasms, Urinary Bladder Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT01444456
Study groupRoleWhat they receive
Cohort 1: Darbepoetin alfaParticipants receiving systemic chemotherapy for solid tumors who also received darbepoetin alfa (Aranesp®) to treat symptomatic anemia according to routine institutional practice.
Cohort 2: Any ESAParticipants receiving systemic chemotherapy for solid tumors who also received darbepoetin alfa (Aranesp®) or another erythropoiesis-stimulating agent (ESA) to treat symptomatic anemia according to routine institutional practice.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants Receiving Darbepoetin Alfa With Improvement in Patient Perceived Fatigue (PPF) and Increase in Hemoglobin ≥ 1 g/dL

    Improvement in PPF was defined as improvement at Week 9 in Functional Assessment of Cancer Therapy-Fatigue (FACT-F) score of ≥ 3.5 points from Baseline (the minimally important difference [MID]), and an increase in hemoglobin was defined as ≥ 1 g/dL increase from Baseline. The FACT-F MID was determined by the mean FACT-F change score (between Baseline and Week 9) for participants who had an improvement in the fatigue visual analog scale (VAS) score of 5 ± 3 points. The FACT-F subscale consists of 13 fatigue-related items that are a subset of the Functional Assessment of Cancer Therapy - Anaemia (FACT-An) questionnaire. Participants indicate how they feel in response to 13 statements on a scale from 0 for "Not at all" to 4 for "Very much". Total scores for the FACT-F subscale range from 0 to 52; the higher the score the better the quality of life. The fatigue-VAS is a 100-point scale, where fatigue-levels are rated from 0 (least fatigue) to 100 (worst possible fatigue).

    Measured: Baseline to Week 9 (Treatment Day 57). Due to the observational nature of the study and variation in ESA dosing schedules, assessments closest to day 57 and within Days 43 to 70 (inclusive) were used to calculate the Week 9 visit results.

Secondary outcomes (5)
  1. Percentage of Participants by Tumor Type With Improvement in Patient Perceived Fatigue (PPF) and Increase in Hemoglobin ≥ 1 g/dL

    Improvement in PPF was defined as improvement at week 9 in Functional Assessment of Cancer Therapy-Fatigue (FACT-F) score of ≥ 3.5 points from Baseline (the minimally important difference [MID]), and an increase in hemoglobin was defined as ≥ 1 g/dL increase from Baseline. The FACT-F MID was determined by the mean FACT-F change score (between Baseline and Week 9) for participants who had an improvement in the fatigue visual analog scale (VAS) score of 5 ± 3 points. The FACT-F subscale consists of 13 fatigue-related items that are a subset of the Functional Assessment of Cancer Therapy - Anaemia (FACT-An) questionnaire. Participants indicate how they feel in response to 13 statements on a scale from 0 for "Not at all" to 4 for "Very much". Total scores for the FACT-F subscale range from 0 to 52; the higher the score the better the quality of life. The fatigue-VAS is a 100-point scale, where fatigue-levels are rated from 0 (least fatigue) to 100 (worst possible fatigue).

    Measured: Baseline to Week 9

  2. Mean Change From Baseline in FACT-F Score for Participants With a VAS Improvement of 5 ± 3 Points

    The FACT-F subscale consists of 13 fatigue-related items (statements) that are a subset of the Functional Assessment of Cancer Therapy - Anaemia (FACT-An) questionnaire. Participants are asked to indicate how they feel in response to each of the 13 statements on a scale from 0 for "Not at all" to 4 for "Very much". Total scores for the FACT-F subscale can range from 0 to 52; the higher the score the better the quality of life. A positive change (>0) from baseline score constitutes an improvement in fatigue between Baseline and Week 9. The fatigue-visual analog scale (VAS) is a 100-point scale where fatigue-levels are rated from 0 (least fatigue) to 100 (worst possible fatigue).

    Measured: Baseline and Week 9

  3. Time to First Increase in Hemoglobin

    Time from Baseline to first increase in hemoglobin of ≥ 1 g/dL

    Measured: From Baseline until Week 9

  4. Percentage of Participants With Improvement in Patient-perceived Fatigue (PPF) at Any Time

    The percentage of participants with iimprovement in PPF at any time from Day 2 until the end-of-study assessment (Week 13). Improvement in PPF was defined as improvement in Functional Assessment of Cancer Therapy-Fatigue (FACT-F) score of ≥ 3.5 points from Baseline (the minimally important difference [MID]). The FACT-F MID was determined by the mean FACT-F change score (between Baseline and Week 9) for participants who had an improvement in the fatigue visual analog scale (VAS) score of 5 ± 3 points. The FACT-F subscale consists of 13 fatigue-related items that are a subset of the FACT-An questionnaire. Participants indicate how they feel in response to 13 statements on a scale from 0 for "Not at all" to 4 for "Very much". Total scores for the FACT-F subscale range from 0 to 52; the higher the score the better the quality of life. The fatigue-VAS is a 100-point scale, where fatigue-levels are rated from 0 (least fatigue) to 100 (worst possible fatigue).

    Measured: From Baseline to Week 13

  5. Percentage of Participants With Increase in Hemoglobin ≥ 1 g/dL at Any Time

    The percentage of participants with increase in hemoglobin (≥ 1 g/dL) at any time from Day 2 until the end-of-study assessment (Week 13).

    Measured: From Baseline to Week 13

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Sep 2011 (estimated)
  2. Study startOct 2011
  3. Primary completionAug 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
1,262 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01444456
Sponsor's protocol ID
20101123
Status last verified
Feb 2017
First submitted
29 Sep 2011
Last updated
20 Mar 2017
Data monitoring committee
No

Publications

  • Mouysset JL, Freier B, van den Bosch J, Levache CB, Bols A, Tessen HW, Belton L, Bohac GC, Terwey JH, Tonini G. Hemoglobin levels and quality of life in patients with symptomatic chemotherapy-induced anemia: the eAQUA study. Cancer Manag Res. 2016 Jan 21;8:1-10. doi: 10.2147/CMAR.S88110. eCollection 2016.

    PubMed 26855598

Questions about this trial

What is this clinical trial studying?

An observational study of Anemia and Breast Cancer, run by Amgen at 117 sites in 9 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 Mar 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 117 sites in France, Germany, Romania, Poland, Belgium and 4 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 15 Aug 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants Receiving Darbepoetin Alfa With Improvement in Patient Perceived Fatigue (PPF) and Increase in Hemoglobin ≥ 1 g/dL (time frame: Baseline to Week 9 (Treatment Day 57). Due to the observational nature of the study and variation in ESA dosing schedules, assessments closest to day 57 and within Days 43 to 70 (inclusive) were used to calculate the Week 9 visit results.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01444456, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Mar 2017.

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