AzTrials
AzTrials

MelanomaNCT02780089

Study in Patients With Unresectable And Metastatic Melanoma: The Optimize Study

An observational study of Melanoma, run by Bristol-Myers Squibb at 66 sites in United States.

Completed

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

Official record
Search all trials

Trial summary

This study evaluates the different patterns of care for patients who have unresectable or metastatic melanoma. The dosing, duration, regimen, indication, and treatments will be observed. The survival rate of these patients will also be observed. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Melanoma
How many people
408 participants
Where
66 sitesUnited States
Study dates
23 Oct 2015to 8 Sep 2020
Phase
Observational
Are there results?
None posted in the registry

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: Patients diagnosed with histologically-confirmed unresectable stage III or stage IV melanoma, (including mucosal, uveal, acral-lentiginous, leptomeningeal disease). Patients can be treatment-naïve or previously treated for unresectable or metastatic melanoma.

Who may be able to join

  • Prospective cohort patients:
  • Diagnosis date must occur on or after March 24, 2011 (date of ipilimumab approval in US)
  • Diagnosis of stage III (unresectable) or stage IV melanoma (includes mucosal, uveal acral-lentiginous, leptomeningeal disease)
  • Age ≥ 18 years at time of entry into study
  • Patients must be actively receiving or scheduled to receive systemic treatment (any line, eg, first, second, third line [including investigational drugs]).
  • For patients initiating new treatment, treatment must be started within 28 days after signing informed consent.
Show all 14Show fewer
  • For patients currently receiving treatment, patients must enroll within the first 21 days of starting new treatment
  • Retrospective cohort patients:
  • Patients with diagnosis of confirmed unresectable stage III or stage IV melanoma (including mucosal, uveal, acral-lentiginous, leptomeningeal disease)
  • Age ≥ 18 years at time of unresectable or metastatic melanoma diagnosis
  • Initiated therapy for unresectable or metastatic melanoma within 4 years prior to approval of ipilimumab (first immune checkpoint inhibitor therapy approved in US)
  • March 25, 2007 - March 24, 2011
  • One year of follow-up data is required from date of therapy initiation, if a patient passed away within the one year of follow-up; such patients are still eligible and the date of death will be collected.
  • If retrospective patients have at least one year of follow-up data and are then treated with immuno-oncology, immune checkpoint inhibitor therapy, or targeted therapy, these patients will be analyzed separately.

Who cannot join

  • Prospective patients:
  • Patients participating in a clinical study that does not allow enrollment into a non interventional study or clinical studies in which the investigational treatment is blinded
  • Patients who started new treatment > 21 days
  • Patients who enrolled in study but did not initiate treatment before 28 days
  • Patients with current malignancies (except non-melanoma skin cancer and the following in situ cancers: bladder, gastric, colon, endometrial, cervical/dysplasia, melanoma, or breast) that requires additional systemic therapy

Trial locations and contacts

66 sites in 1 country.

66 sites in 1 country

United States66 sites
  • Network Office of Research & Innovation / Lehigh Valley Health Network

    Allentown, Pennsylvania, 18103

  • University of Colorado

    Aurora, Colorado, 80045

  • Texas Oncology

    Austin, Texas, 78731

  • Saint Agnes Hospital

    Baltimore, Maryland, 21229

  • St. Charles Medical Center - Cancer Center

    Bend, Oregon, 97701

  • St. Luke's Hospital and Health Network

    Bethlehem, Pennsylvania, 18015

  • Central Care Cancer Center

    Bolivar, Missouri, 65613

  • Beth Israel Deaconess Medical Center

    Boston, Massachusetts, 02215

  • West Virginia University

    Bridgeport, West Virginia, 26330

  • Rosewell Park Cancer Institute

    Buffalo, New York, 14263

  • Hematolgoy and Oncology Associates, Inc.

    Canton, Ohio, 44708

  • Aultman Hospital

    Canton, Ohio, 44710

  • Center of Learning Healthcare

    Durham, North Carolina, 27705

  • Texas Oncology

    El Paso, Texas, 79902

  • The Regional Cancer Center

    Erie, Pennsylvania, 15505

  • North Shore University Health System

    Evanston, Illinois, 60201

  • Providence Regional Medical Center Everett

    Everett, Washington, 98201

  • Inova Melanoma and Skin Cancer Center

    Fairfax, Virginia, 22031

  • John Theurer Cancer Center at Hackensack University Medical Center

    Hackensack, New Jersey, 76520

  • Ingalls Cancer Research Center

    Harvey, Illinois, 60426

  • Forrest General Cancer Center

    Hattiesburg, Mississippi, 39119

  • The Queen's Medical Center

    Honolulu, Hawaii, 96813

  • Genesis Cancer Center

    Hot Springs, Arkansas, 71913

  • West Virginia University

    Huntington, West Virginia, 25702

  • 21st Century Oncology

    Jacksonville, Florida, 32204

  • Cancer Specialits, LLC D/B/A

    Jacksonville, Florida, 32256

  • Thompson Cancer Survival Center

    Knoxville, Tennessee, 37916

  • Gundersen Lutheran Medical Foundations, Inc.

    La Crosse, Wisconsin, 54601

  • Lakeland Regional Health

    Lakeland, Florida, 33805

  • Watson Clinical Center for Research, INC

    Lakeland, Florida, 33805

  • Lancaster General Health

    Lancaster, Pennsylvania, 17604

  • Nebraska Hematology-Oncology, P.C.

    Lincoln, Nebraska, 68506

  • Pacific Shores Medical Group

    Long Beach, California, 90813

  • UF Health Cancer Center at Orlando Health

    Longwood, Florida, 32750

  • West Virginia University Hematolgoy & Oncology

    Martinsburg, West Virginia, 25401

  • Tri-County Hematology and Oncology Associates, Inc

    Massillon, Ohio, 44646

  • Mount Sinai Medical Center

    Miami Beach, Florida, 33140

  • Masonic Cancer Center

    Minneapolis, Minnesota, 55455

  • West Virginia University

    Morgantown, West Virginia, 26506

  • Atlantic Health, Morristown Medical Center

    Morristown, New Jersey, 07960

  • Northwest Alabama Cancer Center

    Muscle Shoals, Alabama, 35661

  • Meridian Health

    Neptune City, New Jersey, 07753

  • Ochsner Clinic Foundation

    New Orleans, Louisiana, 70121

  • Oncology Specialits, S.C.

    Niles, Illinois, 60714

  • Oncology Hematology West P.C.

    Omaha, Nebraska, 68130

  • Mid Florida Hematology and Oncology Centers

    Orange City, Florida, 32763

  • West Ky Hematology & Oncology

    Paducah, Kentucky, 42003

  • Texas Oncology

    Paris, Texas, 75460

  • Sacred Heart Medical Oncology Group

    Pensacola, Florida, 32504

  • Jefferson Medical Oncology

    Philadelphia, Pennsylvania, 19107

  • Allegheny Health Network

    Pittsburgh, Pennsylvania, 15224

  • UPCI - UPMC Cancer Center

    Pittsburgh, Pennsylvania, 15232

  • Cancer Care Associates

    Redondo Beach, California, 90277

  • Mayo Clinic Cancer Center (MCCC)

    Rochester, Minnesota, 55905

  • Harbin Clinic

    Rome, Georgia, 30165

  • Huntsman Cancer Institute at the University of Utah

    Salt Lake City, Utah, 84112

  • Summit Cancer Care

    Savannah, Georgia, 31405

  • CHRISTUS Schumpert Cancer Treatment Center

    Shreveport, Louisiana, 71101

  • Orchard Healthcare Research Inc.

    Skokie, Illinois, 60077

  • Cancer Care Northwest

    Spokane, Washington, 99216

  • Simmons Cancer Institute at SIU School of Medicine

    Springfield, Illinois, 62702

  • Tallahassee Memorial Healthcare

    Tallahassee, Florida, 32308

  • H. Lee Moffitt Cancer Center Moffitt Cancer Center

    Tampa, Florida, 33612

  • Stormont-Vail Cancer Center

    Topeka, Kansas, 66606

  • University of Kansas Medical Center

    Westwood, Kansas, 66205

  • Genesis Cancer Care Center

    Zanesville, Ohio, 43701

Other trials in United States

About this study

Official title: A US Multi-Site Observational Study in Patients With Unresectable And Metastatic Melanoma: The OPTIMIzE Study

This study evaluates the different patterns of care for patients who have unresectable or metastatic melanoma. The dosing, duration, regimen, indication, and treatments will be observed. The survival rate of these patients will also be observed.

Read the detailed description

This is a non-interventional, observational study with the primary objective to assess and describe "real world" patterns of care in the treatment of patients with unresectable or metastatic melanoma. A sample size of 1,600 prospective patients will provide sufficient information to explore this primary objective. There will be no forced number of patients enrolled into a specific treatment cohort. Setting or controlling specific treatment enrollment cohort counts would invalidate the results of the primary objective of the study. No primary hypothesis is being tested.

Conditions
Melanoma
Keywords
Metastatic, Unresectable
Medical subject headings
Melanoma, Neoplasm Metastasis

What participants receive

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

Study groups in NCT02780089
Study groupRoleWhat they receive
Prospective PatientsThere will be 1,600 prospective patients recruited over a period of two years and followed-up for a planned minimum of three years. For the prospective cohort, patients will be recruited after the course of treatment has been decided by the physician and prior to the start of treatment.Prior advanced melanoma treatment information will be collected from patient charts for pre-treated patients. Patients will be followed for a minimum of 3 years from their study index date until death, withdrawal of consent, lost to follow-up/record, or end of study, whichever comes first. Study index date will be the date when first study therapy is initiated.
Treatment Group No. 1Immune checkpoint inhibitor patients who remain on an immune checkpoint inhibitor therapy. Defined as immune checkpoint inhibitor therapy patients who either remained on their initial (index) immune checkpoint inhibitor therapy or switched to another immune checkpoint inhibitor therapy during the study period. Patients in this group remained on an immune checkpoint inhibitor therapy and did not switch to a non-immune checkpoint inhibitor therapy anytime during the study period.
Treatment Group No. 2Immune checkpoint inhibitor patients who switched to a non-immune checkpoint inhibitor therapy. Defined as patients who switched from their index immune checkpoint inhibitor therapy to a non-immune checkpoint inhibitor therapy anytime during the study period.
Treatment Group No. 3Targeted therapy patients who remain on a targeted therapy. Defined as targeted therapy patients who either remained on their initial (index) targeted therapy or switched to another targeted therapy during the study period. Patients in this group remained on a targeted therapy and did not switch to a non-targeted therapy anytime during the study period.
Treatment Group No. 4Targeted therapy patients who switched to a non-targeted therapy. Defined as patients who switched from their index targeted therapy to a non-targeted therapy anytime during the study period.
Treatment Group No. 5Chemotherapy/other therapy patients who remain on a chemotherapy/other therapy. Defined as chemotherapy/other therapy patients who either remained on their initial (index) chemotherapy/other therapy or switched to another chemotherapy/other therapy during the study period. Patients in this group remained on a chemotherapy/other therapy and did not switch to an immune checkpoint inhibitor therapy or targeted therapy anytime during the study period.
Treatment Group No. 6Chemotherapy/other patients who switched to an immune checkpoint inhibitor therapy or targeted therapy. Defined as patients who switched from their index chemotherapy/other therapy to an immune checkpoint inhibitor therapy or targeted therapy anytime during the study period.
Retrospective PatientsRetrospective cohort of 600 patients with unresectable or metastatic melanoma, receiving therapies other than immune checkpoint inhibitor or targeted therapies during the four year period prior to the release of ipilimumab (March 25, 2007 -March 24, 2011), will be identified. The data for these 600 retrospective patients will be used as a benchmark for treatment patterns and outcomes prior to the marketed availability of immune checkpoint inhibitors or targeted therapies.

What is being measured

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

  1. Patterns of Care

    To assess the selection and sequencing of drugs and practice patterns used to treat unresectable and metastatic melanoma (e.g. immune checkpoint agents, targeted agents, or combination therapies) in a real-world setting. Reasons for initial treatment decisions across and between drug classes, changes in treatment, and discontinuation will be recorded (e.g. lack of benefit, safety, cost, or other barriers to care).

    Measured: Up to 5 years

  2. Demographics

    Baseline characteristics (age, gender, race/ethnicity)

    Measured: Up to 5 years

  3. Overall Survival

    To estimate overall survival in patients receiving therapy for unresectable or metastatic melanoma some statistical measurements and actual survival will be used.

    Measured: Up to 5 years

  4. Disease Characteristics

    Disease characteristics (date of diagnosis, disease stage, performance status)

    Measured: Up to 5 years

Secondary outcomes (5)
  1. Healthcare Resource

    To compare and describe healthcare utilization, imputed costs, and impact of initial treatment choice on lifetime or periodic costs. Due to potential differences between in patterns of care among various regions, region-specific analyses may be conducted for healthcare resource utilization.

    Measured: up to 5 years

  2. Functional Assessments of Cancer Therapy-Melanoma (FACT-M)

    Measured: Up to 12 months

  3. European Quality of Life-5 Dimensions (EQ-5D)

    Measured: Up to 12 months

  4. Work Productivity and Activity Impairment: General Health (WPAI:GH)

    Measured: Up to 12 months

  5. The Caregiver Quality of Life Index - Cancer (CQOLC)

    Measured: Up to 12 months

Timeline

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

  1. First posted23 May 2016 (estimated)
  2. Study start23 Oct 2015
  3. Primary completion8 Sep 2020
  4. Study completion8 Sep 2020

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
Other
Enrolment
408 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02780089
Sponsor's protocol ID
CA209-357
Status last verified
May 2022
First submitted
25 Apr 2016
Last updated
23 May 2022
Results posted
No
Data monitoring committee
Yes
Individual data sharing
Undecided

Publications

  • Kirkwood JM, Kottschade LA, McWilliams RR, Khushalani NI, Jang S, Hallmeyer S, McDermott DF, Tawbi H, Che M, Lee CH, Ritchings C, Le TK, Park B, Ramsey S. Real-world outcomes with immuno-oncology therapies in advanced melanoma: final results of the OPTIMIzE registry study. Immunotherapy. 2024 Jan;16(1):29-42. doi: 10.2217/imt-2022-0292. Epub 2023 Nov 8.

    PubMed 37937397

Questions about this trial

What is this clinical trial studying?

An observational study of Melanoma, run by Bristol-Myers Squibb at 66 sites in United States.

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 14 inclusion and 5 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 23 May 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 66 sites in United States. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Patterns of Care (time frame: Up to 5 years). The study lists 4 primary outcomes in all. 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 NCT02780089, 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 23 May 2022.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in