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Trial registered on ANZCTR
Registration number
ACTRN12624000671561p
Ethics application status
Submitted, not yet approved
Date submitted
19/04/2024
Date registered
27/05/2024
Date last updated
27/05/2024
Date data sharing statement initially provided
27/05/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
KATRINA: Pembrolizumab (KeytrudA) in early Triple Negative breast cancer in Australia
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Scientific title
KATRINA: Pembrolizumab (KeytrudA) in early Triple Negative breast cancer in routine clinical practice patient population in Australia
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Secondary ID [1]
312000
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
early breast cancer
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triple negative breast cancer
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Condition category
Condition code
Cancer
330297
330297
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0
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Breast
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
KATRINA is a multicentre, retrospective cohort study aiming to collect data related to patient and disease characteristics, treatment patterns and outcomes of early triple negative breast cancer in a routine clinical practice patient population, who have received pembrolizumab in the neoadjuvant setting via a medicine access program or reimbursed supply in Australia.
There is no direct involvement of patients in this study. The study is collecting data retrospectively from medical records. Patients will not be asked to complete any assessments for the study that is outside routine clinical practice. The total duration of the study is 5 years (June 2024 to June 2028), allowing for a median follow up period of 3.5 years
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Intervention code [1]
328455
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Rates of pathological complete response (pCR)
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Assessment method [1]
338039
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Defined as the absence of residual invasive cancer on hematoxylin and eosin evaluation of the complete resected breast specimen and all sampled regional lymph nodes following completion of neoadjuvant systemic therapy (i.e., ypT0/Tis ypN0 in the current AJCC staging system). The data will be from patient's medical records.
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Timepoint [1]
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At time of definitive surgery after completion of neoadjuvant therapy
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Primary outcome [2]
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3-year event-free survival (EFS)
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Assessment method [2]
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Calculated as time from commencement of neoadjuvant therapy to the first occurrence of any of the following events: disease progression or recurrence (local or distant), a new primary breast cancer (either ipsilateral or contralateral) or death due to any cause
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Timepoint [2]
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At 3 years post commencement of neoadjuvant therapy
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Secondary outcome [1]
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Treatment patterns including variations in neo(adjuvant) chemotherapy regimens
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Assessment method [1]
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We will collect data on chemotherapy regimen, pembrolizumab regimen (3 weekly, 6 weekly or mixed), duration of chemotherapy and pembrolizumab, reasons for early treatment discontinuation, and adjuvant systemic therapies administered. The data will be from patient's medical records.
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Timepoint [1]
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At any time during follow-up as per treating clinician's discretion, up to a maximum of 5 years post commencement of neoadjuvant therapy
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Secondary outcome [2]
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Rates of prescription and completion of adjuvant pembrolizumab
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Assessment method [2]
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We will collect data on the proportion of patients who were prescribed adjuvant pembrolizumab in our cohort, and the rate of completion. The data will be collected from medical records.
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Timepoint [2]
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At 7 months post surgery.
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Secondary outcome [3]
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Incidence and reasons for early discontinuation of pembrolizumab
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Assessment method [3]
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We will collect data on the proportion of patients who discontinued their planned pembrolizumab early and the reasons, including lack of response, disease progression, death, adverse event, patient preference, complete pathological response, clinician decision. The data will be collected from medical records.
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Timepoint [3]
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At 7 months post surgery.
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Secondary outcome [4]
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Treatment patterns in patients who relapse following previous treatment with pembrolizumab in the early setting
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Assessment method [4]
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We will collect data on the date of recurrence of metastatic disease, sites of metastases, lines of treatment given in the advanced setting (including re-treatment with pembrolizumab or other immunotherapy agents), PDL1 testing, and re-biopsy histopathology. The data will be collected from medical records.
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Timepoint [4]
434287
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At any time during follow-up as per treating clinician's discretion, up to a maximum of 5 years post commencement of neoadjuvant therapy
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Secondary outcome [5]
434288
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Progression-free survival (PFS) for patients who develop advanced TNBC
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Assessment method [5]
434288
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Time from diagnosis of metastatic disease to disease progression, date of last follow-up or death, whichever is earlier. The data will be from medical records.
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Timepoint [5]
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At any time during follow-up as per treating clinician's discretion, up to a maximum of 5 years post commencement of neoadjuvant therapy
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Secondary outcome [6]
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Overall survival
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Assessment method [6]
434290
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Time from diagnosis of metastatic disease to death or date of last follow-up, whichever is earlier. The data will be from medical records.
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Timepoint [6]
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At any time during follow-up as per treating clinician's discretion, up to a maximum of 5 years post commencement of neoadjuvant therapy
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Eligibility
Key inclusion criteria
• Patients of any age, gender and ECOG performance status with high risk, early stage TNBC who are enrolled in the pembrolizumab access program or accessed pembrolizumab via the PBS are eligible for enrolment to the study.
• Patients must receive at least one dose of neoadjuvant pembrolizumab
• Note patients who have a non-active 2nd primary malignancy not currently receiving active treatment can be included.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
• Patients who have not received any pembrolizumab or only received pembrolizumab in the adjuvant setting are not eligible for this study.
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Defined population
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Timing
Retrospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
30/05/2024
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Actual
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Date of last participant enrolment
Anticipated
30/05/2026
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Actual
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Date of last data collection
Anticipated
30/05/2026
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Actual
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Sample size
Target
180
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA,VIC
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Merck Sharp & Dohme
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Address [1]
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Walter and Eliza Hall Institute
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Address
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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None
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Address [1]
318533
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Country [1]
318533
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
315155
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The Royal Melbourne Hospital Human Research Ethics Committee
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Ethics committee address [1]
315155
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https://www.thermh.org.au/research/researchers/ethics
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Ethics committee country [1]
315155
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Australia
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Date submitted for ethics approval [1]
315155
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02/04/2024
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Approval date [1]
315155
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Ethics approval number [1]
315155
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Summary
Brief summary
This study aims to collect data related to patient and disease characteristics, treatment patterns and outcomes of early triple negative breast cancer (TNBC) patients, who have received pembrolizumab in the neoadjuvant setting via a medicine access program or reimbursed supply in Australia. Who is it for? You may be eligible for this study if you a patient of any age, gender with high risk, early stage TNBC who are enrolled in the pembrolizumab access program or accessed pembrolizumab via the PBS are eligible for enrolment to the study. You will not be required to undergo any additional tests or assessments for this study. We will be collecting your data captured as part of routine care from medical records. The study will enable collection of comprehensive, real-world data of patients with early triple negative breast cancer receiving pembrolizumab to improve understanding of the disease presentation, treatment patterns and patient outcomes in routine clinical practice in Australia. The protocol and relevant supporting information will be submitted to Human Research Ethics Committees (HREC) and/or the respective Research Governance Officer (RGO; if required) and approved by the HREC and/or the respective RGO before the study is initiated.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Sheau Wen Lok
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Address
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1G, Walter and Eliza Hall Institute/1G Royal Parade, Parkville VIC 3052
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Country
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Australia
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Phone
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+61 3 9345 2555
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Sheau Wen Lok
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Address
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1G, Walter and Eliza Hall Institute/1G Royal Parade, Parkville VIC 3052
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Country
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Australia
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Phone
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+61 3 9345 2555
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Fax
133847
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Email
133847
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[email protected]
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Contact person for scientific queries
Name
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Sheau Wen Lok
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Address
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1G, Walter and Eliza Hall Institute/1G Royal Parade, Parkville VIC 3052
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Country
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Australia
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Phone
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+61 3 9345 2555
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Fax
133848
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Email
133848
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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