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Brief Title: SOGUG-AVELUMAB_RWD
Official Title: Multicentric, Observational Study to Evaluate Real World Data of Avelumab in First Line Maintenance Therapy for Advanced or Metastatic Urothelial Carcinoma, a SOGUG Study
Study ID: NCT05700344
Brief Summary: The study goal is to evaluate the effectiveness in clinical practice of Avelumab as first line maintenance therapy in patients with locally advanced or metastatic Urothelial Carcinoma, who have not progressed after first line platinum-based treatment. Study is performed at national hospitals from approximately 22 different sites and expecting to recruit 120 patients. Patients understanding the nature of the study by providing their informed consent prior to participation. * Patients of both sexes diagnosed with locally advanced or metastatic Urothelial Carcinoma, stage IV disease before first line with carboplatin/cisplatin-based chemotherapy. No disease progression after four-six cycles of ChT according to the Response Evaluation Criteria in Solid Tumor with a treatment free interval of 4-10 weeks before Avelumab initiation date. * Patients who started Avelumab as maintenance therapy in first line after 21/Jan./2021 and before 27/Apr./2022 (both dates included).
Detailed Description: Multicentre, observational, ambispective (retrospective and prospective) study to evaluate the real-world evidence of Avelumab as maintenance therapy in patients diagnosed with Urothelial Carcinoma (WHO classification) and previously treated with platinum-based treatment in first line. Study is performed at national hospitals from approximately 22 different sites and expecting to recruit 120 patients. Patients are selected based on the existing medical record of have been treated with Avelumab as maintenance therapy in first line before initiating the study (retrospective data); patients who continues receiving Avelumab after inclusion will also contribute to data collection until the end of treatment or end of study (prospective data). According to mUC incidence and the selective inclusion criteria from this study of having initiated Avelumab as maintenance therapy in 1L between EMA approval date (Jan. 2021) and date of national reimbursement prize (Apr.2022), which is a narrow period of time to recruit the necessary number of candidates, therefore, prospective data from each participant patient will be a key to ensure the assessment of the study objective eventually. Investigators will review the medical history of patients treated or under treatment of Avelumab and select chronologically those who matches the inclusion criteria. Patients will be informed during a regular follow up visit about the nature of the study and requested to sign the patient consent form once the decision of participating is made. At this point, the retrospective data from patients is collected (such as demographics, toxicity, anthropometrics, vital signs, comorbidities, hemogram, dosage modification etc.) previous adverse reactions (ARs) and serious adverse reaction (SARs) related to Avelumab. Included patients, that continues under Avelumab treatment will be monitored by investigators and prospective data from them will be collected during follow up visits and/or from electronic medical records (eMR). Deceased patient who fulfils the inclusion criteria can be also included, being able to access to its clinical data at the beginning of the study according to Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation) and the Spanish Organic Law 3/2018 of 5th December, on the protection of personal data and digital rights. Additionally, the investigator team will consult in the eMR of deceased patients to ensure that they did not express in life opposition to the use of their data for investigational purposes.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Complexo Hospitalario Universitario de Vigo, Vigo, Pontevedra, Spain
Complexo Hospitalario Universitario A Coruña, A Coruña, , Spain
Complejo Hospitalario Universitario Albacete, Albacete, , Spain
Complejo Hospitalario Torrecárdenas, Almería, , Spain
Hospital Universitario Basurto, Bilbao, , Spain
Hospital Universitario de Burgos, Burgos, , Spain
Hospital Provincial de Castellón, Castellón De La Plana, , Spain
Hospital Universitario Vinalopó, Elche, , Spain
Hospital General Universitario de Elda, Elda, , Spain
Hospital Universitario de Guadalajara, Guadalajara, , Spain
Hospital Clínico Universitario San Carlos, Madrid, , Spain
Hospital Universitario Ramón y Cajal, Madrid, , Spain
Hospital Universitario Virgen de la Arrixaca, Murcia, , Spain
Complexo Hospitalario Universitario Ourense, Ourense, , Spain
Hospital Universitario Central de Asturias, Oviedo, , Spain
Hospital Río Carrión, Palencia, , Spain
Hospital Sagunto, Sagunto, , Spain
Hospital Universitario de Salamanca, Salamanca, , Spain
Complexo Hospitalario Universitario Santiago, Santiago De Compostela, , Spain
Fundación Instituto Valenciano de Oncología, Valencia, , Spain
Hospital Universitario Politècnic La Fe, Valencia, , Spain
Hospital Marina Baixa Villajosyosa, Villajoyosa, , Spain
Name: Áurea Molina
Affiliation: Complejo Hospitalario Universitario A Coruña (CHUAC)
Role: PRINCIPAL_INVESTIGATOR
Name: Ovidio Fernández
Affiliation: Complejo Hospitalario Universitario Ourense (CHOU)
Role: PRINCIPAL_INVESTIGATOR