Advanced Renal Cell CarcinomaOCTOPUSNCT05444933
A Study to Collect Pre-existing Data on the Administration of Cabozantinib in Participants With Advanced Renal Cell Carcinoma (aRCC) Who Initiated Cabozantinib in 2nd Line in a Real-life Clinical Setting in France.
An observational study of Advanced Renal Cell Carcinoma, run by Ipsen at 28 sites in France.
Trial summary
Cabozantinib is an orally bioavailable tyrosine kinase inhibitor (TKI) approved in patients with aRCC previously treated with a Vascular Endothelial Growth Factor (VEGF)-targeted therapy. Cabozantinib has been increasingly used in routine care in second line and more in advanced or metastatic RCC in France. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Advanced Renal Cell Carcinoma
- How many people
- 252 participants
- Where
- 28 sitesFrance
- Study dates
- 16 Sep 2022to 12 May 2023
- 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: An estimated total of 300 participants with aRCC and who started cabozantinib in 2nd line between 1st March 2018 and 1st March 2021 is planned to be included. Participants will be enrolled from approximately 25 centers in France
Who may be able to join
- Male or female ≥ 18 age at the time of cabozantinib initiation.
- Pathologically confirmed diagnosis of Renal Cell Carcinoma (RCC) considered as advanced at the time of cabozantinib initiation.
- Cabozantinib initiated from 1st March 2018 to 1st March 2021 for an advanced RCC.
- Cabozantinib initiated in 2nd line according to local Summary of Product Characteristics (SmPC).
Who cannot join
- Participant medical file without documented follow-up visits (post-cabozantinib initiation).
- Participant alive at study initiation who is opposed to data collection.
- Participant who died before study initiation and who was opposed to data collection for research purposes when alive.
Trial locations and contacts
28 sites in 1 country.
28 sites in 1 country
France28 sites
CHU Amiens
Amiens
CHU Angers
Angers
Institut Sainte Catherine
Avignon
CHU Besançon
Besançon
CHU Bordeaux
Bordeaux
CHRU Brest
Brest
Centre Chirurgie Urinaire et d'Andrologie
Cabestany
CHU Clermont-Ferrand
Clermont-Ferrand
APHP (Créteil)
Créteil
Centre Hospitalier Annecy-Genevois
Épagny
CHU Grenoble
Grenoble
CHU Lille
Lille
CHU Limoges
Limoges
Centre Léon Bérard
Lyon
Hôpital Edouard Herriot
Lyon
Polyclinique de Gentilly
Nancy
CHU Nice
Nice
APHP
Paris, 75013
APHP
Paris, 75014
APHP (Paris Grenelle)
Paris, 75015
Institut Mutualiste Montsouris
Paris
Hospices civils de Lyon
Pierre-Bénite
CH Quimper
Quimper
CHU Reims
Reims
Hôpital Foch
Suresnes
Oncopole CHU Toulouse
Toulouse
CHRU Tours
Tours
Institut Gustave Roussy
Villejuif
About this study
Official title: OCTOPUS: An Observational, Non-interventional, Non-comparative, Retrospective, Multicentre Study in Patients With Advanced Renal Cell Carcinoma (aRCC) Who Initiated Cabozantinib in 2nd Line Under Real-life Setting in France.
Cabozantinib is an orally bioavailable tyrosine kinase inhibitor (TKI) approved in patients with aRCC previously treated with a Vascular Endothelial Growth Factor (VEGF)-targeted therapy. Cabozantinib has been increasingly used in routine care in second line and more in advanced or metastatic RCC in France.
Cabozantinib effectiveness and safety notably in a real-word setting are now well known, but too many questions that arise during the routine care of patients with aRCC remain unanswered by the current literature.
Read more
Obtaining data on cabozantinib effectiveness and treatment pattern in those participants subpopulations will allow physicians to improve patients care.
The aims of this study are to describe the effectiveness - in terms of Duration of Treatment (DOT), Best Overall Response (BOR) and Progression-Free Survival (PFS) - and the safety of second line cabozantinib a real-life setting in France and to address the unanswered questions that arise during the routine care of patients with aRCC treated with cabozantinib in order to improve the care of these participants.
Read the detailed description
Since 2018, cabozantinib has been increasingly used in routine care in second line and more in advanced or metastatic RCC in France.
Cabozantinib effectiveness and safety notably in a real-word setting are now well known, but too many questions that arise during the routine care of patients with aRCC remain unanswered by the current literature.
As an example, there is currently no real-world data on cabozantinib in elderly patients (≥ 75 years old); in patients with a systemic therapy after progression under cabozantinib (only one published monocentric retrospective study on 56 participants); or in long responder patients (with a disease controlled after > 12 months of cabozantinib). Obtaining data on cabozantinib effectiveness and treatment pattern in those patient subpopulations will allow physicians to improve patients care.
- Conditions
- Advanced Renal Cell Carcinoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Sequencing post-cabozantinib | Participants treated by cabozantinib and who received another systemic therapy post-cabozantinib. | |
| Long responders | Participants treated by cabozantinib and who had a disease controlled (CR, PR or SDi during > 12 months after cabozantinib initiation with or without additional local treatment). | |
| Non-responders | Participants treated by cabozantinib and who had a progressive disease less than 3 months after cabozantinib treatment initiation. | |
| Cabozantinib & rechallenge | Participants treated by cabozantinib who received systemic therapy and/or had prolonged treatment-free interval (≥ 12 weeks) between two cabozantinib treatment periods. Participants with at least one cabozantinib rechallenge could be included in this subgroup. | |
| Cabozantinib & therapeutic schedules | Participants treated by cabozantinib and who needed 1/ a dose increase following disease progression and/or a prior reduction, Or 2/ had any dose reduction/dose interruption of cabozantinib (schedule adaptation). | |
| Cabozantinib & local treatment | Participants treated by cabozantinib and who needed concomitant local treatment (LT) by surgery or radiotherapy | |
| Cabozantinib & elderly patients | Participants treated by cabozantinib and aged ≥ 75 years |
What is being measured
The primary outcome is the main question the study is designed to answer.
Duration of treatment (DOT) of cabozantinib
Defined as the time between first and last intake of cabozantinib treatment, regardless of the treatment discontinuation reason.
Measured: From baseline up to 18 months
Secondary outcomes (8)
Best Overall Response (BOR), until disease progression/recurrence
Defined as the proportion of participants achieving the best response among Complete Response (CR), Partial Response (PR), Stable Disease (SDi) or Disease Progression (DP), The method used for the assessment of response to treatment will be left at the discretion of the physician
Measured: From baseline up to 18 months
Progression Free Survival (PFS).
Defined as the time from the date of first cabozantinib intake to the date of first documented progression reported by the investigator or death from any cause. Disease progression will be assessed by tumour response evaluation according to investigator assessment.
Measured: From baseline up to 18 months
Incidence of all adverse events (AEs).
Whether they are serious/non-serious, related/unrelated experienced by the participants during cabozantinib treatment period(s).
Measured: From baseline up to 30 days after cabozantinib last intake
Incidence of all Special Situations.
Whether they are serious/non-serious, related/unrelated experienced by the participants
Measured: From baseline up to 30 days after cabozantinib last intake
Type of subsequent therapy
Will be described in terms of type, other TKI, Immuno-Oncology therapy (IO), mammalian Target Of Rapamycin (mTOR) inhibitors, other
Measured: From baseline up to 18 months
DOT of subsequent therapy
Measured: From baseline up to 18 months
Starting dose of subsequent therapy
Measured: From baseline up to 18 months
Reasons for cabozantinib discontinuation
Measured: From baseline up to 18 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Jul 2022
- Study start16 Sep 2022
- Primary completion12 May 2023
- Study completion12 May 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Advanced Renal Cell CarcinomaStudies of the same condition, open and under way.
- More trials run by IpsenThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Retrospective
- Enrolment
- 252 participants (actual)
Sponsor and investigators
- Lead sponsor
- Ipsen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Ipsen Medical Director, Study director, Ipsen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05444933
- Sponsor's protocol ID
- CLIN-60000-454
- Acronym
- OCTOPUS
- Status last verified
- Jul 2023
- First submitted
- 30 Jun 2022
- Last updated
- 18 Jul 2023
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, annotated case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of study participants. Any requests should be submitted to www.vivli.org for assessment by an independent scientific review board.
Study at a glance
From the registry record, last updated by the sponsor on 18 Jul 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- OCTOPUS: An Observational, Non-interventional, Non-comparative, Retrospective, Multicentre Study in Patients With Advanced Renal Cell Carcinoma (aRCC) Who Initiated Cabozantinib in 2nd Line Under Real-life Setting in France.
- ClinicalTrials.gov ID
- NCT05444933
- Acronym / sponsor ID
- OCTOPUS / CLIN-60000-454
- Conditions
- Advanced Renal Cell Carcinoma
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 252 participants (actual)
- Lead sponsor
- IpsenIndustry (pharma, biotech, devices)
- Study start
- 16 Sep 2022 (actual)
- Primary completion
- 12 May 2023 (actual)
- Study completion
- 12 May 2023 (actual)
- First posted
- 6 Jul 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Cabozantinib is an orally bioavailable tyrosine kinase inhibitor (TKI) approved in patients with aRCC previously treated with a Vascular Endothelial Growth Factor (VEGF)-targeted therapy. Cabozantinib has been increasingly used in routine care in second line and more in advanced or metastatic RCC in France.
Cabozantinib effectiveness and safety notably in a real-word setting are now well known, but too many questions that arise during the routine care of patients with aRCC remain unanswered by the current literature.
Obtaining data on cabozantinib effectiveness and treatment pattern in those participants subpopulations will allow physicians to improve patients care.
The aims of this study are to describe the effectiveness - in terms of Duration of Treatment (DOT), Best Overall Response (BOR) and Progression-Free Survival (PFS) - and the safety of second line cabozantinib a real-life setting in France and to address the unanswered questions that arise during the routine care of patients with aRCC treated with cabozantinib in order to improve the care of these participants.
Detailed description
Since 2018, cabozantinib has been increasingly used in routine care in second line and more in advanced or metastatic RCC in France.
Cabozantinib effectiveness and safety notably in a real-word setting are now well known, but too many questions that arise during the routine care of patients with aRCC remain unanswered by the current literature.
As an example, there is currently no real-world data on cabozantinib in elderly patients (≥ 75 years old); in patients with a systemic therapy after progression under cabozantinib (only one published monocentric retrospective study on 56 participants); or in long responder patients (with a disease controlled after > 12 months of cabozantinib). Obtaining data on cabozantinib effectiveness and treatment pattern in those patient subpopulations will allow physicians to improve patients care.
Study design
- Observational model
- Cohort
- Time perspective
- Retrospective
- Number of arms
- 7
| Arm | Type | Receives |
|---|---|---|
| Sequencing post-cabozantinib | – | –Participants treated by cabozantinib and who received another systemic therapy post-cabozantinib. |
| Long responders | – | –Participants treated by cabozantinib and who had a disease controlled (CR, PR or SDi during > 12 months after cabozantinib initiation with or without additional local treatment). |
| Non-responders | – | –Participants treated by cabozantinib and who had a progressive disease less than 3 months after cabozantinib treatment initiation. |
| Cabozantinib & rechallenge | – | –Participants treated by cabozantinib who received systemic therapy and/or had prolonged treatment-free interval (≥ 12 weeks) between two cabozantinib treatment periods. Participants with at least one cabozantinib rechallenge could be included in this subgroup. |
| Cabozantinib & therapeutic schedules | – | –Participants treated by cabozantinib and who needed 1/ a dose increase following disease progression and/or a prior reduction, Or 2/ had any dose reduction/dose interruption of cabozantinib (schedule adaptation). |
| Cabozantinib & local treatment | – | –Participants treated by cabozantinib and who needed concomitant local treatment (LT) by surgery or radiotherapy |
| Cabozantinib & elderly patients | – | –Participants treated by cabozantinib and aged ≥ 75 years |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- An estimated total of 300 participants with aRCC and who started cabozantinib in 2nd line between 1st March 2018 and 1st March 2021 is planned to be included. Participants will be enrolled from approximately 25 centers in France
Key inclusion criteria (4 listed)
- Male or female ≥ 18 age at the time of cabozantinib initiation.
- Pathologically confirmed diagnosis of Renal Cell Carcinoma (RCC) considered as advanced at the time of cabozantinib initiation.
- Cabozantinib initiated from 1st March 2018 to 1st March 2021 for an advanced RCC.
- Cabozantinib initiated in 2nd line according to local Summary of Product Characteristics (SmPC).
Key exclusion criteria (3 listed)
- Participant medical file without documented follow-up visits (post-cabozantinib initiation).
- Participant alive at study initiation who is opposed to data collection.
- Participant who died before study initiation and who was opposed to data collection for research purposes when alive.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Duration of treatment (DOT) of cabozantinib
Time frame: From baseline up to 18 months
Defined as the time between first and last intake of cabozantinib treatment, regardless of the treatment discontinuation reason.
8 secondary outcomes
Best Overall Response (BOR), until disease progression/recurrence
Time frame: From baseline up to 18 months
Progression Free Survival (PFS).
Time frame: From baseline up to 18 months
Incidence of all adverse events (AEs).
Time frame: From baseline up to 30 days after cabozantinib last intake
Incidence of all Special Situations.
Time frame: From baseline up to 30 days after cabozantinib last intake
Type of subsequent therapy
Time frame: From baseline up to 18 months
DOT of subsequent therapy
Time frame: From baseline up to 18 months
Starting dose of subsequent therapy
Time frame: From baseline up to 18 months
Reasons for cabozantinib discontinuation
Time frame: From baseline up to 18 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Jul 2023.
- Individual participant dataSharing planned: Yes. Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, annotated case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of study participants. Any requests should be submitted to www.vivli.org for assessment by an independent scientific review board.
Related trials for Advanced Renal Cell Carcinoma
RecruitingPhase 3
Study of Casdatifan and Cabozantinib Versus Placebo and Cabozantinib in Patients With Advanced Clear Cell Renal Cell Carcinoma
Metastatic Clear Cell Renal Cell Carcinoma, Advanced Clear Cell Renal Cell Carcinoma
Not yet recruitingPhase 2
Neoadjuvant Belzutifan Plus Pembrolizumab in High-Risk, Locally Advanced Clear Cell Renal Cell Carcinoma
Locally Advanced Clear Cell Renal Cell Carcinoma
RecruitingPhase 2
Testing of Bevacizumab, Erlotinib, and Atezolizumab in Combination for Advanced-Stage Kidney Cancer
Hereditary Leiomyomatosis and Renal Cell Carcinoma, Papillary Renal Cell Carcinoma
RecruitingPhase 2
Phase II Trial of Combination Anti-PD-1 and Aldesleukin for Metastatic Melanoma and Renal Cell Carcinoma
Metastatic Melanoma, Advanced Locoregional Melanoma
Active, not recruitingPhase 3
Immunotherapy With Nivolumab and Ipilimumab Followed by Nivolumab or Nivolumab With Cabozantinib for Patients With Advanced Kidney Cancer, The PDIGREE Study
Clear Cell Renal Cell Carcinoma, Metastatic Malignant Neoplasm in the Bone
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Ipsen Medical Director study director
Ipsen
28 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Advanced Renal Cell Carcinoma, run by Ipsen at 28 sites in France.
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 4 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 18 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 28 sites in France. 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?
Duration of treatment (DOT) of cabozantinib (time frame: From baseline up to 18 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 18 Jul 2023.