The goal of this prospective, observational study VIOLETA is to collect real-world data on vorasidenib treatment in a broad patient population. Though vorasidenib can be administered from 12 years old, VIOLETA focuses on adult patients with IDH1- or IDH2-mutant WHO grade 2 glioma who receive vorasidenib following surgery according to the current SmPC. Thus, VIOLETA will evaluate for the first-time treatment with vorasidenib in German clinical routine. To gain knowledge about how vorasidenib treatment affects patients' well-being, the primary objective of the study is to assess patients' quality of life. Further patient-relevant endpoints addressed by this study will include seizure burden, PFS, Objective Response Rate (ORR), TTNI, safety as well as factors affecting treatment decision making.
Study Type
OBSERVATIONAL
Enrollment
150
oral, first-in-class, dual inhibitor of mIDH 1 and 2
Nationales Centrum für Tumorerkrankungen (NCT) Heidelberg
Heidelberg, Germany
RECRUITINGEvaluate Quality of Life (QoL) by the Functional Assessment of Cancer Therapy - Brain (FACT-Br) questionnaire over the course of treatment
Evaluate QoL by the FACT-Br questionnaire over the course of treatment. Change from baseline in the FACT-Br total score over time. The FACT-Br total score ranges from 0 to 200, with higher scores indicating better quality of life.
Time frame: baseline, up to 72 months
Evaluate Quality of Life (QoL) by using the Functional Assessment of Cancer Therapy - Brain (FACT-Br) questionnaire at start and during course of vorasidenib treatment
Evaluate QoL by using the FACT-Br questionnaire at start and during course of vorasidenib treatment. Change from baseline over time for all other scales of the FACT-Br. For all scales, the higher the score the better quality of life.
Time frame: baseline, up to 72 months
Assess seizure activity and severity at baseline and during treatment: Proportion of patients with baseline seizure activity
Proportion of patients with baseline seizure activity is defined as at least 1 seizure in the previous 30 days prior to vorasidenib treatment start
Time frame: baseline, up to 72 months
Assess seizure activity and severity at baseline and during treatment: event rate of seizures
Exposure adjusted event rate of seizures according to patient-reported outcome (patient diary)
Time frame: baseline, up to 72 months
Assess seizure activity and severity at baseline and during treatment: event rate of seizures with loss of consciousness
Exposure adjusted event rate of seizures with loss of consciousness according to PRO (patient diary)
Time frame: baseline, up to 72 months
Assess seizure activity and severity at baseline and during treatment: incidence rate of seizures
Exposure adjusted incidence rate of seizures according to patient-recorded outcome
Time frame: baseline, up to 72 months
Assess seizure activity and severity at baseline and during treatment: incidence rate of seizures with loss of consciousness
Exposure adjusted incidence rate of seizures according to patient-reported outcome
Time frame: baseline, up to 72 months
Assess seizure activity and severity at baseline and during treatment: Change from baseline of seizures
Change from baseline of seizures reported by the patients during course of treatment
Time frame: max. 72 months; from patient-specific study start to end of study (during vorasidenib treatment and follow-up)
Assess seizure activity and severity at baseline and during treatment: Change from baseline of seizures with loss of consciousness
Change from baseline of seizures with loss of consciousness reported by the patients during course of treatment
Time frame: baseline, up to 72 months
Assess effectiveness in routine treatment: Progression-free survival
PFS ist defined as time interval measured from the day of first vorasidenib administration to first progression or death, whichever comes first. Patients without tumor progression or death at the time of analysis will be censored at their date of last contact.
Time frame: baseline, up to 72 months
Assess effectiveness in routine treatment: Overall Survival (OS)
OS is defined as the time interval measured form the day of first vorasidenib administration to time of death from any cause. Time to last contact will be used if a patient has no documented date of death and OS for the patient will be considered censored.
Time frame: baseline, up to 72 months
Assess effectiveness in routine treatment: Objective response rate (ORR)
ORR is defined as the proportion of patients achieving Complete Response (CR), Partial Response (PR), or Minor Response (MR) as best response.
Time frame: max. 72 months; from patient-specific study start to end of study (during vorasidenib treatment and follow-up)
Assess effectiveness in routine treatment: Disease Control Rate (DCR)
DCR is defined as proportion of patients with Complete Response, Partial Response, Minor Response or Stable Disease as best response.
Time frame: baseline, up to 72 months
Assess effectiveness in routine treatment: Best response
Best response is defined as Complete Response (CR), Partial Response (PR), Minor Response (MR), Stable Disease (SD), or Progressive Disease (PD))
Time frame: baseline, up to 72 months
Assess effectiveness in routine treatment: Time to next intervention (TTNI)
Time to next intervention is defined as time from first administration of vorasidenib until initiation of next intervention (i.e., subsequent antineoplastic treatment, surgery, chemotherapy or radiotherapy) or death, whichever comes first.
Time frame: baseline, up to 72 months
Assess drug safety: Incidence of (serious) adverse events ((S)AEs)
Incidence of (serious) AEs ((S)AEs) as characterized by type, frequency, severity and seriousness.
Time frame: Baseline up to 30 days after vorasidenib treatment
Assess drug safety: Incidence of (serious) adverse drug reactions ((S)ADRs)
Incidence of (serious) adverse drug reactions ((S)ADRs) as characterized by type, frequency, severity and seriousness.
Time frame: Baseline up to 30 days after vorasidenib treatment
Assess drug safety: Incidence of seizures reported as treatment-emergent adverse events (TEAEs)
Treatment-emergent adverse events (TEAE) are adverse events that were not present before medical treatment, or a pre-existing event that worsens in intensity or frequency during vorasidenib treatment and the following 30 days.
Time frame: Baseline up to 30 days after vorasidenib treatment
Assess parameters of physicians' treatment decision making using a questionnaire
Frequency of distinct parameters affecting therapy choice; questionnaire completed by treating physician.
Time frame: Baseline
Duration of treatment with vorasidenib
Describe treatment reality in detail: Duration of treatment with vorasidenib
Time frame: baseline, up to 72 months
Frequency of treatment modifications with reasons
Describe treatment reality in detail: Frequency of treatment modifications with reasons
Time frame: baseline, up to 72 months
Time to start of vorasidenib treatment after initial diagnosis
Describe treatment reality in detail: Time to start of vorasidenib treatment after initial diagnosis
Time frame: Baseline
Time to start of vorasidenib treatment after surgery
Describe treatment reality in detail: Time to start of vorasidenib treatment after surgery
Time frame: Baseline
Frequency of distinct subsequent antineoplastic therapies (systemic therapies including substances, surgeries, radiotherapies)
Describe treatment reality in detail: Frequency of distinct subsequent antineoplastic therapies (systemic therapies including substances, surgeries, radiotherapies)
Time frame: baseline, up to 72 months
Anti-epileptic medication: Proportion of patients with anti-epileptic drug (AED) treatment at baseline
Proportion of patients with anti-epileptic drug treatment at baseline (i.e. 30 days prior treatment)
Time frame: baseline, up to 72 months
Anti-epileptic medication: Proportion of patients with AED treatment during treatment
Proportion of patients with anti-epileptic drug treatment during treatment
Time frame: baseline, up to 72 months
Anti-epileptic medication: Type of AED
Anti-epileptic medication during course of treatment
Time frame: baseline, up to 72 months
Anti-epileptic medication: Doses of AED
Doses of anti-epileptic medication over the course of time
Time frame: baseline, up to 72 months
Anti-epileptic medication: AED modifications
Type of anti-epileptic medication modifications
Time frame: baseline, up to 72 months
Anti-epileptic medication: Reasons for AED modifications
Anti-epileptic medication modifications with reasons thereof
Time frame: baseline, up to 72 months
Anti-epileptic medication: Frequency of patients under AED treatment after End of Treatment (EOT) of vorasidenib
Frequency of patients under AED treatment after EOT of vorasidenib (incl. dose)
Time frame: from end of treatment to end of study, up to 72 months
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