1. Study identification
EU PAS Register NumberEUPAS41584
Official titleMulticentre, multi-country, prospective, observational, post-authorisation safety study to describe the incidence of discontinuation due to diarrhoea within the first 3 months of treatment with neratinib, in adult breast cancer patients treated in extended adjuvant in a real world setting: the NERLYFE study
Study title acronymNERLYFE
Study typeObservational study
Brief description of the studyThe study is a European multi-country, multicentre, prospective, observational, PASS with the primary objective of monitoring the incidence of permanent discontinuations due to diarrhea in the first 3 months of treatment with neratinib in the approved indication.
It will be conducted as follows:
-Core phase: covering the first 3 months of neratinib treatment and evaluating the incidence of permanent discontinuations due to neratinib-related diarrhoea, diarrhoea patterns and diarrhoea management. The accessibility and understanding of information provided in the Educational Materials (EM), adherence to recommendations described in the EM and impact of the EM on diarrhoea patterns will also be assessed.
-Extended phase: continuing patient monitoring until neratinib treatment completion up to 12 months and evaluating the cumulative incidence of permanent discontinuations due to neratinib-related diarrhoea, diarrhoea patterns and diarrhoea management at 6 and 12 months as well as treatment maintenance and impact of treatment-related diarrhoea on quality of life over 12 months.
The study will address treating physicians (i.e. investigators) experienced in the administration of anti-cancer medicinal products and prescribing neratinib to their patients, and patients for whom the investigator has decided to begin treatment with neratinib in extended adjuvant in accordance with the approved SmPC and local clinical practice.
Was this study requested by a regulator?No
Is the study required by a Risk Management Plan (RMP)?
EU RMP category 3 (required)
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
Centre nameCOVANCE, Clinical Development Sarl
Centre location92500 Rueil-Malmaison, France
Details of (Primary) lead investigator
Title Dr
Last name VALENTI
First name Roberta
Is this study being carried out with the collaboration of a research network?
No
Other centres where this study is being conducted
Multiple centres
In total how many centres are involved in this Study?57
Countries in which this study is being conducted
International study
Austria
Czechia
Germany
United Kingdom
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed17/12/2020
Start date of data collection16/05/202209/05/2022
Start date of data analysis
Date of interim report, if expected
Date of final study report30/06/2026
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesPierre Fabre Médicament100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name VALENTI
First name Roberta
Address line 133, av Emile Zola
Address line 2
Address line 3
CityBoulogne-Billancourt
Postcode92100
CountryFrance
Phone number (incl. country code)33633699549
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name VALENTI
First name Roberta
Address line 133, av Emile Zola
Address line 2
Address line 3
CityBoulogne-Billancourt
Postcode92100
CountryFrance
Phone number (incl. country code)33633699549
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Substance class (ATC Code)L01EH02 (neratinib)
7. Medical conditions to be studied
Medical condition(s)Yes
Diarrhoea
Additional Medical Condition(s)
Early Breast 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
Female
9. Number of subjects
Estimated total number of subjects368
10. Source of data
Is this study being carried out with an established data source?No
Sources of data
Prospective patient-based data collection
11. Scope of the study
What is the scope of the study?
Risk assessment
Effectiveness evaluation
Primary scope : Risk assessment
12. Main objective(s)
What is the main objective of the study?
To describe the incidence of discontinuation due to diarrhoea within the first 3 months of treatment with neratinib, in adult breast cancer patients treated in extended adjuvant in a real-world setting.
Are there primary outcomes?Yes
Incidence of permanent discontinuation due to diarrhoea within the first 3 months of treatment with neratinib in the approved indication in Europe.
Are there secondary outcomes?Yes
Description of diarrhoea patterns.
Assessment of educational material effectiveness (accessibility, knowledge and adherence).
Impact of treatment-related diarrhoea on quality of life as assessed by the Systemic therapy-induced diarrhoea assessment tool (STIDAT) questionnaire
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
12 months
15. Data analysis plan
Please provide a brief summary of the analysis method
Analysis will be inherently descriptive and information will be reported in summary tables. Summary data will be provided for all variables collected and the data will be reported overall and by country (if relevant).
Continuous variables will be summarized using descriptive statistics. The 95% two-sided Confidence Interval (CIs) of means will be calculated when appropriate using the standard method (Standard normal distribution). Categorical variables will be summarized by numbers and proportions. The 95% two-sided CIs of proportions will be calculated when appropriate using the Wald method. Missing data will not be imputed. Time-to-event endpoints will be expressed in months. For the description, Kaplan-Meier estimates (product-limit estimates) will be presented with a summary of associated statistics including the corresponding two-sided 95% confidence intervals. The Kaplan-Meier curve will also be presented. Individual patient listings will also be provided.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
Not submitted
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