Malignant Solid TumorsROCURSNCT05594147
An Observational Study, Called ROCURS, to Learn About COVID-19 Related Outcomes in People With Cancer Who Are Treated With Tyrosine Kinase Inhibitors (TKIs) Including Regorafenib or Sorafenib
An observational study of Malignant Solid Tumors and Coronavirus Disease 2019 (COVID-19), run by Bayer at 1 site in United States.
Trial summary
This is an observational study in which data from people with cancer who had the Coronavirus disease 2019 (COVID-19) are collected and studied. In observational studies, only observations are made without specified advice or interventions. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Malignant Solid Tumors, Coronavirus Disease 2019 (COVID-19), SARS-CoV-2 Infection
- What is being tested?
- Non-TKIs, Other TKIs and Regorafenib (Stivarga, BAY73- 4506)
- How many people
- 4,103 participants
- Where
- 1 siteUnited States
- Study dates
- 31 Oct 2022to 21 Apr 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: Adult cancer patients with newly diagnosed COVID-19 (the first incidence of COVID-19) who were under TKIs therapy or within 30 days after the last TKIs therapy at the first incidence of COVID-19 from October 1, 2019 to June 30, 2021 or the latest data cut in the databases, will be included in the TKIs treated group. Similarly, newly diagnosed COVID-19 patients who did not receive any TKIs during the same study period will be selected in the non-TKIs treated group.
Who may be able to join
- TKIs Treated Group
- Patients ≥18 years old at index date
- Patients who had any healthcare encounter with a primary or secondary diagnosis of Coronavirus disease 2019 (COVID-19) or positive results from Polymerase Chain Reaction (PCR) lab test for Severe acute respiratory syndrome coronavirus 2 (SARs-CoV-2) during the patient identification period (January 1, 2020 to May 31, 2021 or one month before the latest data cut)
- Patient who was under TKIs on index date or the last episode of TKIs treatment ended within 30 days before index date
- Patient who had any diagnosis of solid tumors at any time before index date (identified using ICD-9 or ICD-10 diagnosis codes, Supplementary Table 5)
- Continuous insurance enrollment for at least 90 days before index date
Show all 12Show fewer
- Non-TKIs Treated Group
- Patients ≥18 years old at index date
- Patients who had any healthcare encounter with a primary or secondary diagnosis of COVID-19 or positive results from PCR lab test for SARs-CoV-2 during the patient identification period
- Patient who had any diagnosis of solid tumors any time before the index
- Patient who was under anti-neoplastic medications on index date or the last episode of the anti-neoplastic treatment ended within 30 days before index date
- Continuous insurance enrollment for at least 90 days before index date
Who cannot join
- TKIs treated Group
- Patients who had secondary cancer without site specification (only had ICD-10 codes C79.9 or C80 for metastasis) from 90 days before index
- Non-TKIs Treated Group
- Patients who had any claims of TKIs treatment during the study period
- Patients who had secondary cancer without site specification (only had ICD-10 codes C79.9 or C80 for metastasis) from 90 days before index
Trial locations and contacts
1 site in 1 country.
About this study
Official title: COVID-19 Related Outcomes Among Cancer Patients Treated With TKIs, Including RegorafeNib or SorAfenib
This is an observational study in which data from people with cancer who had the Coronavirus disease 2019 (COVID-19) are collected and studied. In observational studies, only observations are made without specified advice or interventions.
The most recently discovered coronavirus (SARS-CoV-2) may cause illness in humans ranging from the common cold to serious illness, also known as COVID-19.
Read more
People with cancer are particularly at risk of becoming very sick with COVID-19, especially during or shortly after a cancer treatment. Several treatments for COVID-19 have been tested in clinical studies. However, people with cancer or with recent cancer treatments were usually excluded.
Tyrosine kinase inhibitors (TKIs) are used to treat several cancer types. TKIs including regorafenib and sorafenib block certain proteins, which are involved in the growth of cancer. They also have an anti-inflammatory effect and may be able to block the entry of the coronavirus into the cell. This could possibly prevent infection. However, data on COVID-19 from people with cancer receiving TKIs are missing.
The main purpose of this study is to find out whether COVID-19 outcomes were different in people with cancer receiving TKIs compared to those receiving other anti-cancer drugs. To do this, researchers will compare COVID-19 outcomes within 30 days of COVID-19 diagnosis between both groups.
The data for the comparison will come from databases called Optum and MarketScan.
Besides this data collection, no further tests or examinations are planned in this study.
There are no required visits or tests in this study. Data will be from October 2019 to June 2021 or the latest available data.
- Being tested
- Non-TKIs, Other TKIs, Regorafenib (Stivarga, BAY73- 4506), Sorafenib (Nexavar, BAY43-9006)
- Medical subject headings
- COVID-19
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Non-TKIsDrug
Retrospective cohort analysis, using IBM MarketScan and Optum Clinformatics database in the US.
Other TKIsDrug
Retrospective cohort analysis, using IBM MarketScan and Optum Clinformatics database in the US.
Regorafenib (Stivarga, BAY73- 4506)Drug
Retrospective cohort analysis, using IBM MarketScan and Optum Clinformatics database in the US.
Sorafenib (Nexavar, BAY43-9006)Drug
Retrospective cohort analysis, using IBM MarketScan and Optum Clinformatics database in the US.
| Study group | Role | What they receive |
|---|---|---|
| TKIs treated group | Adult cancer patients with newly diagnosed COVID-19 who used Tyrosine kinase inhibitors (TKIs) within 30 days before COVID-19 diagnosis. Receives: Drug: Other TKIs; Drug: Regorafenib (Stivarga, BAY73- 4506); Drug: Sorafenib (Nexavar, BAY43-9006) | |
| Non-TKIs treated group | Adult cancer patients with newly diagnosed COVID-19 who used other anti-cancer therapies 30 days before COVID-19 diagnosis Receives: Drug: Non-TKIs |
What is being measured
The primary outcome is the main question the study is designed to answer.
All-cause mortality for TKI-treated group and non-TKI-treated group
This analysis will use subjects from Optum only.
Measured: Retrospective data analysis from October 2019 to June 2021
COVID-19 related hospitalizations for TKI-treated group and non-TKI-treated group
Any inpatient visit with a diagnosis of COVID-19
Measured: Retrospective data analysis from October 2019 to June 2021
Intensive Care Unit (ICU) admission during COVID-19 related hospitalization for TKI-treated group and non-TKI-treated group
Measured: Retrospective data analysis from October 2019 to June 2021
Use of mechanical ventilator during COVID-19 related hospitalization for TKI-treated group and non-TKI-treated group
Measured: Retrospective data analysis from October 2019 to June 2021
Emergency room visit with a diagnosis of COVID-19 for TKI-treated group and non-TKI-treated group
Measured: Retrospective data analysis from October 2019 to June 2021
Newly diagnosed COVID-19 related complications (not present at baseline) for TKI-treated group and non-TKI-treated group
Complications Including:
- Pneumonia
- Multisystem inflammatory syndrome
- Acute hepatic failure
- Acute kidney failure
- Acute myocarditis
- Acute respiratory distress syndrome
- Cardia arrhythmia
- Sepsis
- Viral cardiomyopathy
- Viral pericarditis
Measured: Retrospective data analysis from October 2019 to June 2021
Secondary outcomes (6)
All-cause mortality for Regorafenib or Sorafenib treated group and non-TKI-treated group
Measured: Retrospective data analysis from October 2019 to June 2021
COVID-19 related hospitalizations for Regorafenib or Sorafenib treated group and non-TKI-treated group
Measured: Retrospective data analysis from October 2019 to June 2021
Intensive Care Unit (ICU) admission during COVID-19 related hospitalization Regorafenib or Sorafenib treated group and non-TKI-treated group
Measured: Retrospective data analysis from October 2019 to June 2021
Use of mechanical ventilator during COVID-19 related hospitalization Regorafenib or Sorafenib treated group and non-TKI-treated group
Measured: Retrospective data analysis from October 2019 to June 2021
Emergency room visit with a diagnosis of COVID-19 Regorafenib or Sorafenib treated group and non-TKI-treated group
Measured: Retrospective data analysis from October 2019 to June 2021
Newly diagnosed COVID-19 related complications (not present at baseline) Regorafenib or Sorafenib treated group and non-TKI-treated group
Measured: Retrospective data analysis from October 2019 to June 2021
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Oct 2022
- Study start31 Oct 2022
- Primary completion21 Apr 2023
- Study completion21 Apr 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Malignant Solid TumorsStudies of the same condition, open and under way.
- More trials run by BayerThe 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
- 4,103 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bayer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05594147
- Sponsor's protocol ID
- 22294
- Acronym
- ROCURS
- Status last verified
- Nov 2023
- First submitted
- 21 Oct 2022
- Last updated
- 7 Nov 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.vivli.org to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the member section of the portal.
Study at a glance
From the registry record, last updated by the sponsor on 7 Nov 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- COVID-19 Related Outcomes Among Cancer Patients Treated With TKIs, Including RegorafeNib or SorAfenib
- ClinicalTrials.gov ID
- NCT05594147
- Acronym / sponsor ID
- ROCURS / 22294
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 4,103 participants (actual)
- Lead sponsor
- BayerIndustry (pharma, biotech, devices)
- Study start
- 31 Oct 2022 (actual)
- Primary completion
- 21 Apr 2023 (actual)
- Study completion
- 21 Apr 2023 (actual)
- First posted
- 26 Oct 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.
This is an observational study in which data from people with cancer who had the Coronavirus disease 2019 (COVID-19) are collected and studied. In observational studies, only observations are made without specified advice or interventions.
The most recently discovered coronavirus (SARS-CoV-2) may cause illness in humans ranging from the common cold to serious illness, also known as COVID-19.
People with cancer are particularly at risk of becoming very sick with COVID-19, especially during or shortly after a cancer treatment. Several treatments for COVID-19 have been tested in clinical studies. However, people with cancer or with recent cancer treatments were usually excluded.
Tyrosine kinase inhibitors (TKIs) are used to treat several cancer types. TKIs including regorafenib and sorafenib block certain proteins, which are involved in the growth of cancer. They also have an anti-inflammatory effect and may be able to block the entry of the coronavirus into the cell. This could possibly prevent infection. However, data on COVID-19 from people with cancer receiving TKIs are missing.
The main purpose of this study is to find out whether COVID-19 outcomes were different in people with cancer receiving TKIs compared to those receiving other anti-cancer drugs. To do this, researchers will compare COVID-19 outcomes within 30 days of COVID-19 diagnosis between both groups.
The data for the comparison will come from databases called Optum and MarketScan.
Besides this data collection, no further tests or examinations are planned in this study.
There are no required visits or tests in this study. Data will be from October 2019 to June 2021 or the latest available data.
Study design
- Observational model
- Cohort
- Time perspective
- Retrospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| TKIs treated group | – | Drug: Other TKIs, Drug: Regorafenib (Stivarga, BAY73- 4506), Drug: Sorafenib (Nexavar, BAY43-9006)Adult cancer patients with newly diagnosed COVID-19 who used Tyrosine kinase inhibitors (TKIs) within 30 days before COVID-19 diagnosis. |
| Non-TKIs treated group | – | Drug: Non-TKIsAdult cancer patients with newly diagnosed COVID-19 who used other anti-cancer therapies 30 days before COVID-19 diagnosis |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Adult cancer patients with newly diagnosed COVID-19 (the first incidence of COVID-19) who were under TKIs therapy or within 30 days after the last TKIs therapy at the first incidence of COVID-19 from October 1, 2019 to June 30, 2021 or the latest data cut in the databases, will be included in the TKIs treated group. Similarly, newly diagnosed COVID-19 patients who did not receive any TKIs during the same study period will be selected in the non-TKIs treated group.
Key inclusion criteria (12 listed)
- TKIs Treated Group
- Patients ≥18 years old at index date
- Patients who had any healthcare encounter with a primary or secondary diagnosis of Coronavirus disease 2019 (COVID-19) or positive results from Polymerase Chain Reaction (PCR) lab test for Severe acute respiratory syndrome coronavirus 2 (SARs-CoV-2) during the patient identification period (January 1, 2020 to May 31, 2021 or one month before the latest data cut)
- Patient who was under TKIs on index date or the last episode of TKIs treatment ended within 30 days before index date
- Patient who had any diagnosis of solid tumors at any time before index date (identified using ICD-9 or ICD-10 diagnosis codes, Supplementary Table 5)
Key exclusion criteria (5 listed)
- TKIs treated Group
- Patients who had secondary cancer without site specification (only had ICD-10 codes C79.9 or C80 for metastasis) from 90 days before index
- Non-TKIs Treated Group
- Patients who had any claims of TKIs treatment during the study period
- Patients who had secondary cancer without site specification (only had ICD-10 codes C79.9 or C80 for metastasis) from 90 days before index
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Non-TKIsRetrospective cohort analysis, using IBM MarketScan and Optum Clinformatics database in the US. | Drug | Non-TKIs treated group |
| Other TKIsRetrospective cohort analysis, using IBM MarketScan and Optum Clinformatics database in the US. | Drug | TKIs treated group |
| Regorafenib (Stivarga, BAY73- 4506)Retrospective cohort analysis, using IBM MarketScan and Optum Clinformatics database in the US. | Drug | TKIs treated group |
| Sorafenib (Nexavar, BAY43-9006)Retrospective cohort analysis, using IBM MarketScan and Optum Clinformatics database in the US. | Drug | TKIs treated group |
Primary outcome
All-cause mortality for TKI-treated group and non-TKI-treated group
Time frame: Retrospective data analysis from October 2019 to June 2021
This analysis will use subjects from Optum only.
COVID-19 related hospitalizations for TKI-treated group and non-TKI-treated group
Time frame: Retrospective data analysis from October 2019 to June 2021
Any inpatient visit with a diagnosis of COVID-19
Intensive Care Unit (ICU) admission during COVID-19 related hospitalization for TKI-treated group and non-TKI-treated group
Time frame: Retrospective data analysis from October 2019 to June 2021
Use of mechanical ventilator during COVID-19 related hospitalization for TKI-treated group and non-TKI-treated group
Time frame: Retrospective data analysis from October 2019 to June 2021
Emergency room visit with a diagnosis of COVID-19 for TKI-treated group and non-TKI-treated group
Time frame: Retrospective data analysis from October 2019 to June 2021
Newly diagnosed COVID-19 related complications (not present at baseline) for TKI-treated group and non-TKI-treated group
Time frame: Retrospective data analysis from October 2019 to June 2021
Complications Including: 1. Pneumonia 2. Multisystem inflammatory syndrome 3. Acute hepatic failure 4. Acute kidney failure 5. Acute myocarditis 6. Acute respiratory distress syndrome 7. Cardia arrhythmia 8. Sepsis 9. Viral cardiomyopathy 10. Viral pericarditis
6 secondary outcomes
All-cause mortality for Regorafenib or Sorafenib treated group and non-TKI-treated group
Time frame: Retrospective data analysis from October 2019 to June 2021
COVID-19 related hospitalizations for Regorafenib or Sorafenib treated group and non-TKI-treated group
Time frame: Retrospective data analysis from October 2019 to June 2021
Intensive Care Unit (ICU) admission during COVID-19 related hospitalization Regorafenib or Sorafenib treated group and non-TKI-treated group
Time frame: Retrospective data analysis from October 2019 to June 2021
Use of mechanical ventilator during COVID-19 related hospitalization Regorafenib or Sorafenib treated group and non-TKI-treated group
Time frame: Retrospective data analysis from October 2019 to June 2021
Emergency room visit with a diagnosis of COVID-19 Regorafenib or Sorafenib treated group and non-TKI-treated group
Time frame: Retrospective data analysis from October 2019 to June 2021
Newly diagnosed COVID-19 related complications (not present at baseline) Regorafenib or Sorafenib treated group and non-TKI-treated group
Time frame: Retrospective data analysis from October 2019 to June 2021
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 7 Nov 2023.
- Individual participant dataSharing planned: No. Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.vivli.org to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the member section of the portal.
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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.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Malignant Solid Tumors and Coronavirus Disease 2019 (COVID-19), run by Bayer at 1 site 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 12 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 7 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site 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?
All-cause mortality for TKI-treated group and non-TKI-treated group (time frame: Retrospective data analysis from October 2019 to June 2021). The study lists 6 primary outcomes in all. 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 7 Nov 2023.