Registry For Temsirolimus, Sunitinib, And Axitinib Treated Patients With Metastatic Renal Cell Carcinoma (mRCC), Mantle Cell Lymphoma (MCL), And Gastro-Intestinal Stroma Tumor (GIST) [STAR-TOR]

Study Overview
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Brief Summary
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The purpose of this registry is to obtain a general view as regards efficacy, tolerability and safety issues of the Torisel®, Sutent®, and/or Inlyta® therapies in patients with advanced renal cell carcinoma, recurrent / refractory mantle cell lymphoma (MCL) and gastro-intestinal stroma tumors (GIST) under the conditions of routine use

Detailed Description
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Treatment of the metastatic renal cell carcinoma (mRCC) has experienced fundamental changes within a very short period of time. In the past few years, introduction of various new substances for the treatment of mRCC has therefore resulted in new scientific research questions. Temsirolimus and sunitinib are current standard therapies in the first-line treatment of mRCC. Inlyta® is a new substance that was developed for the treatment of mRCC after failure of sunitinib or cytokines. Since August 2009, Torisel® is available as another treatment option for patients with mantle cell lymphoma (MCL). In addition, Sutent® is used for patients with non-resectable / metastatic gastro-intestinal stroma tumors (GIST) after failure or intolerability of imatinib. The routine use of drugs in the usual clinical setting faces additional challenges that generally cannot be completely reflected by clinical trials. Therefore, the purpose of this registry is to obtain a general view as regards efficacy, tolerability and safety issues of the Torisel®, Sutent®, and/or Inlyta® therapies in patients with advanced renal cell carcinoma, recurrent / refractory mantle cell lymphoma (MCL) and gastro-intestinal stroma tumors (GIST) under the conditions of routine use. Therefore, the following information is of particular interest in the course of the investigation: Efficacy (best response, overall survival, progression-free survival) Tolerability of the therapy (assessed by the physician) Safety profile (overall incidence of adverse events as well as side-effect rate) of subjects with mRCC, rMCL, and GIST under treatment with Torisel®, Sutent®, and/or Inlyta® Profile, comorbidities, and characteristics of subjects treated with Torisel® Sutent®, and/or Inlyta® The sequence of using the systemic therapies for RCC, MCL, and GIST Patient survey on the quality of life of mRCC patients

Official Title
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STAR-TOR- REGISTRY FOR THE EVALUATION OF THE SAFETY, TOLERABILITY AND EFFICACY OF TEMSIROLIMUS (TORISEL), SUNITINIB (SUTENT) AND AXITINIB (INLYTA) FOR THE TREATMENT OF SUBJECTS WITH ADVANCED RENAL CELL CARCINOMA (MRCC), MANTLE CELL LYMPHOMA (MCL) AND GASTRO-INTESTINAL STROMA TUMOR (GIST).

Conditions
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Carcinoma, Renal Cell, Advanced, Lymphoma, Mantle-Cell, Gastrointestinal Stroma Tumors

Intervention / Treatment
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* Drug: Temsirolimus
* Drug: Temsirolimus
* Drug: Sunitinib
* Drug: Sunitinib
* Drug: Axitinib


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with proven tumor of RCC, MCL or GIST by histology. Informed consent signed by patient. Exclusion Criteria: Pregnancy

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 99 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 |
| --- | --- |
| 1<br>Patients treated with Temsirolimus for metastatic renal cell carcinoma (mRCC) under usual care settings. | Drug: Temsirolimus<br>* Non-interventional study. Treatment decision already made before inclusion into the registry.<br>|
| 2<br>Patients treated with Temsirolimus for mantle cell lymphoma (MCL) under usual care setting | Drug: Temsirolimus<br>* Non-interventional study. Treatment decision already made before inclusion into the registry.<br>|
| 3<br>Patients treated with Sunitinib for metastatic renal cell carcinoma (mRCC) under usual care setting | Drug: Sunitinib<br>* Non-interventional study. Treatment decision already made before inclusion into the registry.<br>|
| 4<br>Patients treated with Sunitinib for gastro-intestinal stroma tumor (GIST) under usual care setting | Drug: Sunitinib<br>* Non-interventional study. Treatment decision already made before inclusion into the registry.<br>|
| 5<br>Patients treated with Axitinib after treatment with Sunitinib or Cytokine for metastatic renal cell carcinoma (mRCC) | Drug: Axitinib<br>* Non-interventional study. Treatment decision already made before inclusion into the registry.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Safety: absolute and relative incidence of adverse events |  | entire study | 
| Efficacy: best response, progression-free survival, overall survival |  | entire study | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Safety: absolute and relative incidence of therapy interruption |  | entire study |