Outcomes Database to prospectivelY aSSEss the Changing TherapY Landscape in Renal Cell Carcinoma

Study Overview
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Brief Summary
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ODYSSEY RCC is a prospective, observational Phase IV study is to understand the cancer management and health-related quality of life in patients with mRCC in routine real-world clinical practice in the United States, including both community and academic treatment settings.

Detailed Description
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This trial is a prospective, observational Phase IV study is to understand the cancer management and health-related quality of life in patients with mRCC in routine real-world clinical practice in the United States, including both community and academic treatment settings. Primarily, the study will evaluate patient experience through collection of patient reported outcomes (PROs). The study will also collect and assess information on the therapies used such as first-line treatment selection, treatment sequence and duration, the drivers of physician selection of particular agents, and discontinuation of therapies. The primary objective is to determine distinct patterns of change in the quality of life and symptom burden in mRCC patients receiving therapy. Patients will be identified and undergo consent and baseline assessments, including research blood collection and processing, by the study site team, this baseline visit will be their only clinic visits per protocol. All other visits are standard of care visits and outside the scope of the study. Subsequent follow up with be coordinated centrally by DCRI. Additional clinic data will be obtained via PCORnet data pull and Medicare claims. Patient reported outcomes, quality of life and medications data will be obtained via the DCRI Call Center through follow-up phone interviews.

Official Title
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Outcomes Database to prospectivelY aSSEss the Changing TherapY Landscape in Renal Cell Carcinoma (ODYSSEY RCC)

Conditions
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Metastatic Renal Cell Carcinoma

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 19 or over at time of informed consent. Diagnosis of metastatic renal cell cancer (mRCC) with less than 6 weeks of first-line systemic therapy for mRCC. Prior surgery and radiation therapy are permitted. Prior neoadjuvant and adjuvant therapy for non-metastatic renal cell carcinoma are permitted. Patients currently not on therapy and being observed are permitted. Evidence of signed and dated informed consent document indicating that the patient has been informed of all pertinent aspects of the study. Ability to comply with completion of PROs Exclusion Criteria: Patients being treated for metastatic solid tumors other than mRCC are excluded. Non-cytotoxic oral agents for adjuvant or maintenance therapy of other cancers are permitted. Patients who are not intending to undergo follow up care at a study site within PCORnet

Ages Eligible for Study
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Minimum Age: 19 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Patients with metastatic renal cell cancer (mRCC) with no prior systemic therapy for mRCC<br>This is an observational cohort. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in medication adherence as measured by patient report. | Patient's report their medication at each study visit. | baseline, every 3 months for 2 years, every 6 months for up to 36 months | 
| Change in quality of life in mRCC patients receiving therapy as measured by FKSI-19 | The FKSI-19 is a questionnaire about the disease-related symptoms - physical, disease-related symptoms - emotional, treatment side-effects, and function/well-being. | baseline, every 3 months for 2 years, every 6 months for up to 36 months | 
| Change in symptom burden in mRCC patients receiving therapy as measured by FKSI-19 | The FKSI-19 is a questionnaire about the disease-related symptoms - physical, disease-related symptoms - emotional, treatment side-effects, and function/well-being. | baseline, every 3 months for 2 years, every 6 months for up to 36 months | 
| Change in quality of life in mRCC patients receiving therapy as measured by FACT-G | The FACT-G is a questionnaire about the physical well-being, social/family well-being, emotional well-being, and functional well-being. | baseline, every 3 months for 2 years, every 6 months for up to 36 months | 
| Change in symptom burden in mRCC patients receiving therapy as measured by FACT-G | The FACT-G is a questionnaire about the physical well-being, social/family well-being, emotional well-being, and functional well-being. | baseline, every 3 months for 2 years, every 6 months for up to 36 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| First line management choice(s) | A composite of REDCap data entry by sites, PCORnet data pull, Medicare data pull, Physician questionnaire and patient follow-up interviews will be used to get data on line management choice(s). | Up to 36 months | 
| Subsequent line management choice(s) | A composite of REDCap data entry by sites, PCORnet data pull, Medicare data pull, Physician questionnaire and patient follow-up interviews will be used to get data on line management choice(s). | Up to 36 months | 
| Dosing (starting dose, dose intensity, ending dose) | A composite of REDCap data entry by sites, PCORnet data pull, Medicare data pull, Physician questionnaire and patient follow-up interviews will be used to get data on dosing. | Up to 36 months | 
| Dose holds and dose interruptions | A composite of PCORnet data pull, Medicare data pull, Physician questionnaire and patient follow-up interviews will be used to get data on dosing holds and interruptions. | Up to 36 months | 
| Time on treatment | A composite of REDCap data entry by sites, PCORnet data pull, Medicare data pull, Physician questionnaire and patient follow-up interviews will be used to get data on time on treatment. | Up to 36 months | 
| Time to next treatment | A composite of PCORnet data pull, Medicare data pull, Physician questionnaire and patient follow-up interviews will be used to get data on time to next treatment. | Up to 36 months | 
| Early discontinuation of one agent of a combination | A composite of PCORnet data pull, Medicare data pull, Physician questionnaire and patient follow-up interviews will be used to get data on early discontinuation of one agent of a combination. | Up to 36 months | 
| Concomitant glucocorticoid use | A composite of PCORnet data pull, Medicare data pull, Physician questionnaire and patient follow-up interviews will be used to get data on concomitant glucocorticoid use. | Up to 36 months | 
| Work Productivity and Activity Impairment (WAPI) questionnaire | A composite of REDCap data entry by sites, PCORnet data pull, Medicare data pull, Physician questionnaire and patient follow-up interviews will be used to get data on the WAPI questionnaire. | Up to 36 months | 
| Health care resource utilization (including hospitalizations) | A composite of PCORnet data pull, Medicare data pull, Physician questionnaire and patient follow-up interviews will be used to get data on health care resource utilization. | Up to 36 months | 
| Overall survival (OS) of mRCC patients | A composite of various starting points (time of diagnosis of metastatic disease, time of study entry and time of starting systemic therapy) to avoid lead-time bias. | Up to 36 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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ODYSSEY, mRCC, Metastatic Renal Cell Carcinoma, RCC, PRO