Signal Detection in Monoclonal and New Agents in Lymphoma
关键词
抽象
描述
The French public healthcare system perspective developed a unique SNIIR-AM (interregimens National Information Health Insurance system.) data base that contains up to 18 TeraOctet of medical consumption data (consultations, exams and drug prescriptions and hospitalization, yes/no). Its main limitation to detect disproportionate consumption after cancer care is the lack of data available on socio-demographic, pre-diagnostic patient and disease characteristics.
The LYSA (Lymphoma Study Association) is a national cooperative group which is world pioneer in NHL treatment with novel agents. Patient's bio clinical and demographic characteristics (n=10.000) are fully monitored and stocked in a data base registered in 2006 by the French National Cancer Institute (INCA). The cooperative network of 100 LYSA centre allows following all the patients on long term (up to 20 years after diagnosis).
Then, the mixture of these two sources of data will offer a unique material at the nation scale to detect signal of late onset disease, possibly linked to the initial cancer treatment.
Statistical Methods Disproportionate reporting of drugs consumption in fields of neuro-psychiatric troubles, cardio-vascular diseases, anti-cancer agents, antibiotics and antiviral agents will be extract from the French public healthcare database (external analysis). An economical study is embedded.
As the LYSA data contained all fully monitored patients' bio clinical and demographic characteristics, special attention will be paid to the addition of new agents, in particular anti-CD20 antibody, to the cytotoxic chemotherapy regimens in conjunction with other well-known risk factors (e.g. tobacco, obesity, comorbidities; internal analysis).
Data will be reported according to the initial NHL treatment strategy and cross-validated by long-term medical consultations. Multivariate analysis will be computed to account for competing risks.
Results No studies have yet been published in France on the use of care issues in long remission or cure of cancer. There are very few international publications on this subject and they lacked of statistical power or follow up.
The present project follows the recommendation from the French Medicine Academy which in its March 15, 2011 decision call for more rigorous follow up of new agents in Oncology. In addition, this project is in concordance with the so named "plan cancer 2" from the INCA which aimed to focus on sequels in cancer survivors. If the results of this study are relevant, the investigators should have to run through the consumption of care, a good objective (unbiased) indicator of healing and Health-related quality of life (HRQL) in cancer survivors.
Such an indicator could help to learn about survivors recovery after their cancer, with or without differences according to the patient characteristics, initial location of the cancer, its treatment and possible iatrogenic complications.
日期
最后验证: | 06/30/2016 |
首次提交: | 07/21/2016 |
提交的预估入学人数: | 07/25/2016 |
首次发布: | 07/28/2016 |
上次提交的更新: | 07/25/2016 |
最近更新发布: | 07/28/2016 |
实际学习开始日期: | 03/31/2015 |
预计主要完成日期: | 03/31/2015 |
预计完成日期: | 08/31/2015 |
状况或疾病
干预/治疗
Other: questionnaire
相
资格标准
有资格学习的年龄 | 18 Years 至 18 Years |
有资格学习的性别 | All |
取样方式 | Non-Probability Sample |
接受健康志愿者 | 是 |
标准 | Inclusion Criteria: - Initial diagnosis of histologically confirmed CD20+ diffuse large B-cell Lymphoma, De novo transformed follicular lymphoma (FL) is allowed - Follicular lymphoma - Mantle cell lymphoma - Previously untreated with chemo- or radiotherapy - Include in LYSA trial - Age 18-90 years Exclusion Criteria: - Any other type of lymphoma. - Previous treatment with chemotherapy or radiation therapy - Contraindication to any drug contained in the chemotherapy regimen - Previously known HIV positive serology - Active hepatitis B or C - Prior history of malignancies other than lymphoma within 3 years |
结果
主要结果指标
1. Health problems [Day 0]
2. health care use [Day 0]