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Brief Title: Acalabrutinib Real World Italian obSErvational Study -ARISE
Official Title: Acalabrutinib Real World Italian obSErvational Secondary Data Collection Study of Acalabrutinib in the Treatment of Patients With Chronic Lymphocytic Leukemia.
Study ID: NCT06205498
Brief Summary: Chronic lymphocytic leukemia (CLL) is the most common form of leukemia in the adults in the Western world, with an annual incidence of approximately 5 cases per 100,000 inhabitants in Italy. Acalabrutinib (CalquenceTM), a selective second-generation Bruton Tyrosine Kinase (BTK) inhibitor developed by AstraZeneca, has been assessed for the treatment of CLL in three phase III clinical trials, ELEVATE-TN (treatment-naïve CLL), ASCEND and ELEVATE R/R (relapsed and refractory CLL). These pivotal randomized clinical trials established the efficacy and safety of acalabrutinib in patients with CLL and based on these data CalquenceTM received EMA approval in November 2020 for the treatment of CLL in adult patients and received AIFA (Agenzia Italiana del Farmaco) reimbursement as monotherapy in December 2021. However, further data are still required to evaluate the use of acalabrutinib in the real-life conditions of post-marketing authorization. The primary aim of ARISE study is to evaluate the time to treatment discontinuation and reasons for discontinuation for acalabrutinib in a real world setting of patients with CLL. This study will provide the first real-world data on the use of acalabrutinib in the treatment of CLL in Italy.
Detailed Description: Study design: This is an Italian non-interventional / observational, multicenter, longitudinal secondary data usage study based on a retrospective cohort of patients with CLL, who initiated treatment with acalabrutinib between 1st May 2021 and 30th April 2022 (index date), regardless of the treatment status at the time of inclusion. Each patient will be followed-up up to 5 years since the last enrolled patient index date (therefore for a maximum of 72 months). Five data extraction timepoints are planned for the investigators to proceed with secondary data extraction from patients' medical records and data entry into the electronic case report form (eCRFs). Data Source(s): Source documents (paper or electronic) are those in which patient data are recorded and documented for the first time as part of patients' path of care (e.g., patient's hospital records, pharmacy dispensing records). A standardized, validated eCRF will be developed to capture data extracted from source documents at each participating site. Study Population: All consecutive adult patients with CLL who initiated treatment with acalabrutinib over the period between 1st May 2021 and 30th April 2022, according to Italian legislation dlg 219/2006 art.125. Outcome(s): The primary outcome is the time to acalabrutinib discontinuation (defined as time in days from start date of acalabrutinib treatment to end date of acalabrutinib treatment). Secondary outcomes include: Time from diagnosis to start of acalabrutinib, immunophenotype, CLL clinical stage (Binet), FISH profile, mutations, karyotype, CLL treatments before acalabrutinib, socio-demographic characteristics at baseline, medical history, concomitant treatments, COVID-19 prophylaxis and treatments, constitutional symptoms, patient clinical status, ECG/TTE, complete blood count with differential, serum chemistry, HIV and Hepatitis serology, active haemolysis, time to acalabrutinib discontinuation, acalabrutinib treatment (dosage, relative changes, temporary interruption/permanent discontinuation). Exploratory outcomes include: Time to progression, Time to death, CLL status (according to iwCLL), Time to Next Treatment, Time to progression on next line treatment, reasons for ending of CLL treatments following acalabrutinib discontinuation, visits and hospitalizations due to CLL or suspected ADR during acalabrutinib treatment.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Research Site, Alessandria, , Italy
Research Site, Ancona, , Italy
Research Site, Bari, , Italy
Research Site, Barletta, , Italy
Research Site, Brescia, , Italy
Research Site, Brindisi, , Italy
Research Site, Cagliari, , Italy
Research Site, Campobasso, , Italy
Research Site, Campobasso, , Italy
Research Site, Catania, , Italy
Research Site, Catanzaro, , Italy
Research Site, Cosenza, , Italy
Research Site, Crema (Cremona), , Italy
Research Site, Cuneo, , Italy
Research Site, Foggia, , Italy
Research Site, Frosinone, , Italy
Research Site, Genova, , Italy
Research Site, Lecce, , Italy
Research Site, Messina, , Italy
Research Site, Milano, , Italy
Research Site, Milano, , Italy
Research Site, Monza, , Italy
Research Site, Napoli, , Italy
Research Site, Padova, , Italy
Research Site, Pagani (Salerno), , Italy
Research Site, Perugia, , Italy
Research Site, Pescara, , Italy
Research Site, Ravenna, , Italy
Research Site, Reggio Calabria, , Italy
Research Site, Roma, , Italy
Research Site, Roma, , Italy
Research Site, Roma, , Italy
Research Site, Roma, , Italy
Research Site, Roma, , Italy
Research Site, Rozzano (MI), , Italy
Research Site, Salerno, , Italy
Research Site, San Giovanni Rotondo(FG), , Italy
Research Site, Torino, , Italy
Research Site, Torino, , Italy
Research Site, Torino, , Italy
Research Site, Torino, , Italy
Research Site, Tricase(LE), , Italy
Research Site, Varese, , Italy
Research Site, Viterbo, , Italy
Name: Carola Boccomini
Affiliation: AOU Città della salute e della scienza di Torino - Presidio Molinette
Role: PRINCIPAL_INVESTIGATOR
Name: Chiara Borrella
Affiliation: IRCCS San Gerardo Monza
Role: PRINCIPAL_INVESTIGATOR
Name: Catello Califano
Affiliation: PO A. TORTORA
Role: PRINCIPAL_INVESTIGATOR
Name: Daniele Caracciolo
Affiliation: AOU Mater Domini / Università Magna Grecia
Role: PRINCIPAL_INVESTIGATOR
Name: Gioacchino Catania
Affiliation: AO SS Antonio e Biagio e Cesare Arrigo
Role: PRINCIPAL_INVESTIGATOR
Name: Marta Coscia
Affiliation: AOU Città della Salute e della Scienza
Role: PRINCIPAL_INVESTIGATOR
Name: Luigi Curreli
Affiliation: PO San Martino
Role: PRINCIPAL_INVESTIGATOR
Name: Giovanni D'Arena
Affiliation: PO S.Luca - DEA I livello
Role: PRINCIPAL_INVESTIGATOR
Name: Federica De Marco
Affiliation: Ospedale San Giovanni Bosco, ASL Città di Torino
Role: PRINCIPAL_INVESTIGATOR
Name: Gaetano De Santis
Affiliation: Ospedale "Mon. Dimiccoli" Barletta
Role: PRINCIPAL_INVESTIGATOR
Name: Nicola Di Renzo
Affiliation: PO Vito Fazzi ASL di Lecce
Role: PRINCIPAL_INVESTIGATOR
Name: Ambra Di Veroli
Affiliation: ASL Viterbo
Role: PRINCIPAL_INVESTIGATOR
Name: Amalia Stefania Figuera
Affiliation: AOU Policlinico G.Rodolico - San Marco
Role: PRINCIPAL_INVESTIGATOR
Name: Myriam Foglietta
Affiliation: AO S. Croce e Carle
Role: PRINCIPAL_INVESTIGATOR
Name: Vincenzo Fraticelli
Affiliation: Responsible Research Hospital
Role: PRINCIPAL_INVESTIGATOR
Name: Susanna Gallo
Affiliation: ASLTO4 Sedi di Ciriè - Chivasso ed Ivrea
Role: PRINCIPAL_INVESTIGATOR
Name: Massimo Gentile
Affiliation: AO Cosenza
Role: PRINCIPAL_INVESTIGATOR
Name: Giulio Giordano
Affiliation: Ospedale di riferimento regionale "A. Cardarelli" - Campobasso
Role: PRINCIPAL_INVESTIGATOR
Name: Adalberto Ibatici
Affiliation: Ospedale Policlinico San Martino, Genova
Role: PRINCIPAL_INVESTIGATOR
Name: Luca Laurenti
Affiliation: Policlinico Universitario Gemelli IRCCS
Role: PRINCIPAL_INVESTIGATOR
Name: Massimo Magagnoli
Affiliation: Istituto Clinico Humanitas
Role: PRINCIPAL_INVESTIGATOR
Name: Luigi Malandruccolo
Affiliation: Ospedale Spaziani - ASL Frosinone
Role: PRINCIPAL_INVESTIGATOR
Name: Alessandro Noto
Affiliation: Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico
Role: PRINCIPAL_INVESTIGATOR
Name: Francesca Romana Mauro
Affiliation: Università Sapienza di Roma
Role: PRINCIPAL_INVESTIGATOR
Name: Carla Minoia
Affiliation: IRCCS Giovanni Paolo II
Role: PRINCIPAL_INVESTIGATOR
Name: Roberta Murru
Affiliation: Ospedale Oncologico" A. Businco" - ARNAS "G. Brotzu"
Role: PRINCIPAL_INVESTIGATOR
Name: Marina Motta
Affiliation: ASST Spedali Civili, Brescia
Role: PRINCIPAL_INVESTIGATOR
Name: Pellegrino Musto
Affiliation: AOU Policlinico Consorziale di Bari
Role: PRINCIPAL_INVESTIGATOR
Name: Marco De Gobbi
Affiliation: AOU San Luigi Gonzaga
Role: PRINCIPAL_INVESTIGATOR
Name: Getano Palumbo
Affiliation: Ospedali Riuniti di Foggia
Role: PRINCIPAL_INVESTIGATOR
Name: Fabrizio Pane
Affiliation: Federico II University
Role: PRINCIPAL_INVESTIGATOR
Name: Maria Cristina Pasquini
Affiliation: Ospedale Maggiore Crema
Role: PRINCIPAL_INVESTIGATOR
Name: Domenico Pastore
Affiliation: PO "A.Perrino" di Brindisi
Role: PRINCIPAL_INVESTIGATOR
Name: Elsa Pennese
Affiliation: ASL Pescara
Role: PRINCIPAL_INVESTIGATOR
Name: Rosario Potito Scalzulli
Affiliation: IRCCS Casa Sollievo della Sofferenza
Role: PRINCIPAL_INVESTIGATOR
Name: Lydia Scarfò
Affiliation: IRCCS Ospedale San Raffaele
Role: PRINCIPAL_INVESTIGATOR
Name: Ilaria Scortechini
Affiliation: AOU delle Marche
Role: PRINCIPAL_INVESTIGATOR
Name: Paolo Sportoletti
Affiliation: Università degli Studi di Perugia - Azienda Ospedaliera S.M. Perugia
Role: PRINCIPAL_INVESTIGATOR
Name: Caterina Cecilia Stelitano
Affiliation: Grande Ospedale Metropolitano Bianchi-Melacrino-Morelli
Role: PRINCIPAL_INVESTIGATOR
Name: Agostino Tafuri
Affiliation: AOU Sant'Andrea
Role: PRINCIPAL_INVESTIGATOR
Name: Anna Tamburini
Affiliation: Azienda Ospedaliera S. Giovanni Addolorata
Role: PRINCIPAL_INVESTIGATOR
Name: Monica Tani
Affiliation: Ospedale Santa Maria delle Croci - Ravenna
Role: PRINCIPAL_INVESTIGATOR
Name: Vincenzo Pavone
Affiliation: Azienda Ospedaliera Cardinale G. Panico
Role: PRINCIPAL_INVESTIGATOR
Name: Andrea Visentin
Affiliation: Azienda Ospedale Università Padova
Role: PRINCIPAL_INVESTIGATOR
Name: Massimiliano Postorino
Affiliation: Ospedale Policlinico Tor Vergata
Role: PRINCIPAL_INVESTIGATOR
Name: Laura Nocilli
Affiliation: Ospedale Papardo
Role: PRINCIPAL_INVESTIGATOR