Status: Finalised
First registered on:
10/04/2018
Last updated on:
12/09/2022
1. Study identification
EU PAS Register NumberEUPAS21285
Official titleTherapeutic strategy in metastatic castration-resistant prostate cancer: target population and changes between 2012 and 2014. Two sequential cohorts within the French nation-wide claims and hospital database
Study title acronymCAMERRA
Study typeObservational study
Brief description of the studyProstate cancer is the most common cancer in men and represents more than 57,000 new cases each year in France. Several therapeutic options are available at metastatic stage. Since 2004, docetaxel has been the first-line treatment of metastatic castration-resistant prostate cancer (mCRPC). Since 2011, several drugs (cabazitaxel, abiraterone, enzalutamide) successively received European market authorisation as second-line treatment and then as a first-line treatment for the last two. Changes in therapeutic strategies have a major impact on care for mCRPC patients. The research question is to assess the therapeutic strategy changes for mCRPC between 2012 and 2014, as well as the size of the population and healthcare use over three years. Two cohorts of mCRPC patients with a first treatment for mCRPC will be identified from the French nationwide claims and hospital database, and all patients will have a 5-year database history and will be followed during three years. The index date will be the date of the mCRPC first-line treatment initiation during the inclusion period (Cohort 2012: from 1 January 2012 to 31 December 2012, and − Cohort 2014: from 1 January 2014 to 31 December 2014). The main objective is to describe first-line treatment for patients with mCRPC in 2012 and 2014 and then subsequent-line treatments during a 3-year follow-up. Secondary objectives are to estimate the number of patients treated for a mCRPC in 2012 and 2014; to describe characteristics of patients treated for a mCRPC: demographic, comorbidities, and prostate cancer history; to estimate overall survival for all patients and according to the first-line treatment; to describe the complications that could be related to mCRPC treatment; and to describe 3-year healthcare resource use and costs for all patients and according to first-line treatment.
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 grouppharmacoepidemiology
Organisation/affiliationUniversity of Bordeaux
Details of (Primary) lead investigator
Title Dr
Last name Blin
First name Patrick
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
France
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed16/03/2016
Start date of data collection16/04/201814/05/2018
Start date of data analysis01/10/2018
Date of interim report, if expected31/07/2019
Date of final study report31/12/201920/12/2019
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesJanssen-Cilag100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Blin
First name Patrick
Address line 1146 Rue Leo Saignat
Address line 2Service de Pharmacologie
Address line 3Université de Bordeaux - case 41
CityBordeaux
Postcode33076
CountryFrance
Phone number (incl. country code)33557579563
Alternative phone number
Fax number (incl. country code)33557574740
Public Enquiries
Title Dr
Last name Blin
First name Patrick
Address line 1146 Rue Leo Saignat
Address line 2Service de Pharmacologie
Address line 3Université de Bordeaux - case 41
CityBordeaux
Postcode33076
CountryFrance
Phone number (incl. country code)33557579563
Alternative phone number
Fax number (incl. country code)33557574740
6. Study drug(s) information
Not applicable (disease/epidemiology study)
7. Medical conditions to be studied
Medical condition(s)Yes
Prostate cancer
8. Population under study
Age
Adults (18 - 44 years)
Adults (45 - 64 years)
Adults (65 - 74 years)
Adults (75 years and over)
Sex
Male
9. Number of subjects
Estimated total number of subjects10000
Additional information
5000 patients per cohort.
A 1st preliminary analysis from EGB database allowed identifying 3,192 prevalent cases with prostate cancer in 2014. Among them, 137 mCRPC were identified including 29 initiating a mCRPC specific treatment. By extrapolation (stratified on age/sex), 20,137 prevalent mCRPC cases in 2014 are expected in SNDS database including 4,262 patients initiating a mCRPC treatment.
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources not registered with ENCePP
SNDS, France
Sources of data
Administrative database, e.g. claims database
11. Scope of the study
What is the scope of the study?
Disease epidemiology
Drug utilisation study
Primary scope : Drug utilisation study
12. Main objective(s)
What is the main objective of the study?
To describe first-line treatment for patients with incident mCRPC in 2012 and 2014 and then subsequent-line treatments during a 3-year follow-up.
Are there primary outcomes?Yes
mCRPC 1st-line therapy. mCRPC is defined as patients with prostate cancer and:
-metastatic, based on hospitalisation for metastases, or specific treatment for metastases (e.g. radiofrequency), or metastases specific drug dispensing (e.g. denosumab)
-castration-resistant, based on specific drug for prostate cancer (androgen deprivation), CRPC (estramustine), mCRPC (hormonotherapy, cabazitaxel)
Are there secondary outcomes?Yes
Overall survival: death at 3-year of follow-up.
Complication: hospitalisation with main diagnosis of sepsis, cardiovascular events, adrenal insufficiency, hepatitis fulminant, acute hepatic failure, acute renal failure, rhabdomyolysis, fractures, etc.
13. Study design
What is the design of the study?
Cohort study
14. Follow-up of patients
Will patients be followed up?Yes
Please describe duration of follow up
3 years of follow-up for both cohorts
15. Data analysis plan
Please provide a brief summary of the analysis method
The following analyses will be performed for each cohort using the total population and according to mCRPC first-line treatment:
- Definition of mCRPC stage using preliminary EGB analyses;
- A flow chart depicting the number of patients and sequences of treatment available in the database satisfying the cohort criteria and follow-up duration;
- Description of baseline characteristics, comorbidities and prostate cancer history;
- Description of first-line treatment for mCRPC patients in 2012 and 2014 and then subsequent-line treatments during a 3-year follow-up;
- Estimation of overall survival using time to events methods;
- Description of complications that could be related to mCRPC treatment;
- Description of the 3-year healthcare resources use and costs.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
Yes
17. Full protocol
18. Study Results
Please list the 5 most relevant publications using data from your study
ReferenceLink to web-publication
Thurin NH, Rouyer M, Gross-Goupil M, Rebillard X, Soulié M, Haaser T, et al. Epidemiology of metastatic castration-resistant prostate cancer: A first estimate of incidence and prevalence using the French nationwide healthcare database. Cancer Epidemiology. 2020 Dec;69:101833.https://doi.org/10.1016/j.canep.2020.101833
Thurin NH, Rouyer M, Jové J, Gross-Goupil M, Haaser T, Rébillard X, Soulié M, de Pouvourville G, Capone C, Bazil ML, Messaoudi F, Lamarque S, Bignon E, Droz-Perroteau C, Moore N, Blin P.
Abiraterone acetate versus docetaxel for metastatic castration-resitant prostate cancer: a cohort study within the French nationwide claims database.
Expert Review of Clinical Pharmacology. Published online: 25 Aug 2022https://doi.org/10.1080/17512433.2022.2115356
19. Other relevant documents
Other documents
DescriptionDocumentLatest version
Signed Code of
Conduct Checklist
Submitted
Signed Code of Conduct Declaration
Submitted
Signed Checklist for Study
Protocols
Submitted
