Observational Study to Assess Adherence Oral Anticancer Therapies

Study Overview
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Brief Summary
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Oral anticancer treatments are increasingly numerous. They represent an additional alternative in the therapeutic arsenal of the clinician, and appear to satisfy patients who prefer this route of administration over intravenous treatment. The objective of oral therapies is twofold: to remove the constraints and risks associated with infusions and to allow the patient to follow his treatment at home. However, they have significant adverse effects that may affect patients, who are sometimes at a disadvantage compared to how they are treated, and potentially lead to non-compliance with the consequences. This study will identify the factors associated with non-adherence and determine the impact of this non-adherence in terms of treatment efficacy and tolerance. The aim of this routine care study is to evaluate the adherence to oral anticancer therapies during 3 months.

Detailed Description
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Primary objective - To evaluate adherence to oral anti-cancer therapies at 3 months Secondary objectives To evaluate the adherence to 3 months according to the age of the patients (less than 75 years versus 75 years and more) Evaluate compliance at 1 and 2 months Evaluate toxicity at 1, 2 and 3 months according to compliance according to criteria CTCAE 4.03. Evaluate response to treatment at 3 months based on adherence Evaluate the factors associated with adherence and describe the reasons for non-adherence.

Official Title
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Observational Study to Assess Adherence of Oral Anticancer Therapies

Conditions
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Adherence, Patient

Intervention / Treatment
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* Other: Drug diary filling


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age> 18 years Cancer proved histologically. Patient receiving an initial prescription for oral anticancer therapy, excluding hormone therapy Illness measurable or assessable by imaging Patient affiliated to a social security scheme Patient having been informed of the study Non-opposition of the patient Exclusion Criteria: Contraindication to oral treatment Patient's refusal Patient under tutelage, curatorship or safeguard of justice Psychiatric illness and / or condition of the patient compromising understanding of information or conduct of the study

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Drug diary filling|patient will fill every day a drug diary|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Compliance with treatment | Treatment adherence will be assessed by the number of treatment units taken in relation to the prescribed amount. A patient will be considered as observing if he has received at least 80% of the dose initially prescribed. | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Toxicity | The toxicity of the treatment will be assessed and graded, at each medical consultation, according to the classification NCI-CTCAE V4.03, in observing and non-observing patients. | 3 months | 
| Response to treatment | Treatment response will be assessed according to clinical status and radiological criteria RECIST 1.1. | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Adherence, Patient, oncology, oral therapy