Status: Ongoing
First registered on:
20/06/2017
Last updated on:
17/01/2020
1. Study identification
EU PAS Register NumberEUPAS19582
Official titleAn Observational Cohort Study on Multiple Myeloma Patients in Finland
Study title acronym-
Study typeObservational study
Brief description of the studyMultiple myeloma (MM) is a progressive clonal haematologic malignancy of plasma cells. In Finland, approximately 400 new MM cases are diagnosed each year, primarily amongst the elderly. The average survival time following diagnosis is 5-6 years, but prognosis varies greatly and the recent introduction of novel therapies has improved overall survival. However, in Finland, it is not completely known how MM patients are treated in real-life clinical settings. Also, the prevalence of various risk factors, and the effect of a patient’s risk status on treatment, e.g. on type, duration, and outcomes such as overall survival and time to next treatment, have not been sufficiently reported. To evaluate the effectiveness of new MM treatments in real-life clinical practice it may not be possible to find suitable comparators shortly after a new treatment has entered the market.
To better understand treatment and outcomes of MM in Finland, Takeda Finland will conduct a descriptive retrospective study using nationwide data from the Finnish Hematology Register (FHR). The “whole study cohort” will include patients diagnosed for MM and aged 18 years or older at diagnosis during the period 1 Jan 2010 – 31 Dec 2015. The “actual study cohort” will include patients treated for MM during the period 1 Jan 2010 – 31 Dec 2014, who have at least one year of potential follow-up time following start of treatment (to 31 Dec 2015). Characteristics of all MM patients recorded in the FHR will be described on an overall level.
This study aims to provide a representative description of MM patient characteristics and treatment and outcomes in Finland. The results can then be used as a historical reference for evaluating the changing MM treatment landscape. This study also aims to identify subgroups of patients who may not be able to receive or must discontinue/modify certain conventional therapies due to their unsuitable nature, and to evaluate the outcomes under current and past treatment options.
Was this study requested by a regulator?No
Is the study required by a Risk Management Plan (RMP)?
Not applicable
Regulatory procedure number (RMP Category 1 and 2 studies only)
Other study registration identification numbers and URLs as applicable
2. Research centres and Investigator details
Coordinating study entity
Department/Research group
Organisation/affiliationEPID Research Oy
Details of (Primary) lead investigator
Title Dr
Last name Korhonen
First name Pasi
Is this study being carried out with the collaboration of a research network?
No
Other centres where this study is being conducted
Not applicable (single centre)
Countries in which this study is being conducted
National study
Finland
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed03/12/201603/12/2016
Start date of data collection03/09/201812/09/2017
Start date of data analysis02/10/201721/09/2018
Date of interim report, if expected
Date of final study report28/02/2019
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesTakeda100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Korhonen
First name Pasi
Address line 1EPID Research Oy
Address line 2Metsänneidonkuja 12
Address line 3
CityEspoo
Postcode02130
CountryFinland
Phone number (incl. country code)358-50-3652990
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name Korhonen
First name Pasi
Address line 1EPID Research Oy
Address line 2Metsänneidonkuja 12
Address line 3
CityEspoo
Postcode02130
CountryFinland
Phone number (incl. country code)358-50-3652990
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Not applicable (disease/epidemiology study)
7. Medical conditions to be studied
Medical condition(s)Yes
Plasma cell myeloma
8. Population under study
Age
Adults (18 - 44 years)
Adults (45 - 64 years)
Adults (65 - 74 years)
Adults (75 years and over)
Sex
Male
Female
9. Number of subjects
Estimated total number of subjects1600
Additional information
The “whole study cohort” will include approximately 1600 MM patients (for which whole cohort entry date is defined as date of MM diagnosis), while the “actual study cohort” will include approximately 300-400 MM patients (for which the actual cohort entry date is defined as the first MM treatment initiation in the FHR).
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources not registered with ENCePP
Finnish Hematology Registry, Finland
Sources of data
Disease/case registry
11. Scope of the study
What is the scope of the study?
Drug utilisation study
Primary scope : Drug utilisation study
12. Main objective(s)
What is the main objective of the study?
The main objectives of the study are to describe the demographics, disease characteristics, and treatment patterns of Finnish MM patients, to identify patient, disease, and treatment-related factors associated with study outcomes, and to identify subpopulations of Finnish MM patients.
Are there primary outcomes?Yes
The primary outcomes are patient demographics, disease characteristics, and treatment patterns e.g. types of treatments and treatment lines.
Are there secondary outcomes?Yes
The secondary outcomes are patient, disease, and treatment-related factors associated with treatment selection, overall survival, treatment duration, and time to next treatment.
13. Study design
What is the design of the study?
Drug utilisation study
14. Follow-up of patients
Will patients be followed up?Yes
Please describe duration of follow up
Patients in the actual study cohort will be followed-up starting from the first treatment initiation date recorded in the FHR from 1 Jan 2010 to 31 Dec 2014, until death, loss to follow-up, or end of the study period (31 Dec 2015).
15. Data analysis plan
Please provide a brief summary of the analysis method
Patient demographics and disease characteristics will be described for the whole study cohort by mean, standard deviation, median, 25th and 75th percentiles, minimum and maximum (continuous variables) and by proportion and frequency per category (categorical variables). Study outcomes will be described with the Kaplan-Meier estimator in the actual study cohort and in identified subpopulations, and stratified by demographics, disease characteristics, and types and lines of treatment. Factors associated with study outcomes will be identified using a multivariate Cox regression model, with additional demographic variables, disease characteristics and treatment patterns added as variables of interest. Factors associated with treatment selection will be identified using a multivariate logistic model. Sensitivity analyses will be performed to test robustness of the models based on representativeness of the actual study cohort, treatment line definitions, and missingness of certain variables.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
18. Study Results
Not submitted
Please list the 5 most relevant publications using data from your study
ReferenceLink to web-publication
None
19. Other relevant documents
Conflict(s) of interest of
investigator(s)Not submitted
Composition of Steering Group and
ObserversNot submitted
Other documentsNot
submitted
Signed Code of
Conduct Checklist
Not submitted
Signed Code of Conduct Declaration
Not submitted
Signed Checklist for Study
Protocols
Not submitted
