Evaluation of the digital health application medidux™ in patients with HER2-positive breast cancer during chemotherapy in combination with HER2-targeted therapy (including tyrosine kinase inhibitors [TKI]) or therapy with an antibody-drug conjugate: A multicenter, randomized, controlled study
Zusammenfassung der Studie
The PRO2 study is conducted by palleos healthcare GmbH, the study sponsor, involving approximately 585 patients at 40 study centers in Germany and 10 study centers in the German-speaking part of Switzerland, aiming to investigate the medical benefit of the smartphone application medidux™ (App) regarding the occurrence of side effects in breast cancer therapy. Furthermore, the possible impacts on therapy effectiveness, the number of unplanned doctor visits, as well as hospitalizations are examined and how often the app is used. The app was developed by mobile Health AG and is intended to be used as a treatment companion. It is a CE-marked medical device, used in the study for the purpose for which it was developed. Study participants can document symptoms and well-being, as well as vital signs (e.g., blood pressure) and complete a test to assess cognitive performance. The inputs can be viewed by the study physician through the medidux™ web application. Study participants can refer to the inputs during the treatment visit to explain the course of therapy and the symptoms perceived. As part of the study, the use of the app is compared with the normal treatment routine (without app). Whether study participants receive the app is determined by a randomization process. The probability of receiving the app is 50%. If study participants receive the app, it can be used on their personal smartphone after installation. The observation period of approximately 12 to a maximum of 16 weeks begins with the regular breast cancer therapy. The specific treatment of breast cancer will not be interfered with during the study, meaning that the administration of therapy will occur in the same manner as it would without the app.
(BASEC)
Untersuchte Intervention
Use of the medidux™ application for 12 (maximum 16) weeks
(BASEC)
Untersuchte Krankheit(en)
HER2-positive breast cancer, with positive or negative hormone receptor status.
(BASEC)
-Patients with HER2-positive breast cancer* -Patients prior to the start of neoadjuvant, adjuvant, or palliative chemotherapy** in combination with HER2-targeted therapy (including tyrosine kinase inhibitors [TKI]) or therapy with an antibody-drug conjugate. -Presence of a personal smartphone with iOS or Android system. The operating system must be updated to the latest, second, or third latest major version. * HER2-positive in the context of the study defined as "suitable for an approved HER2-targeted therapy," i.e., in addition to immunohistochemistry (IHC) scores of 3+ and 2+ with a positive result in in situ hybridization (ISH+), also according to the new standard HER2 low (IHC 1+ and 2+ with a simultaneous negative result in in situ hybridization (ISH−)). ** Patients receiving chemotherapy in combination with HER2-targeted therapy as part of a (neo)adjuvant sequence therapy (e.g., as the second sequence part after prior EC therapy) may be included. The start of the PRO2 study will only occur when patients begin the combination therapy of chemotherapy and HER2-targeted therapy. (BASEC)
Ausschlusskriterien
-Patients who have already used the medidux app or its predecessor consilium care before enrollment in the study. -Concurrent participation in a clinical study where planned and targeted measures are being implemented (so-called interventional clinical studies). (BASEC)
Studienstandort
Bern, Zürich, Andere
(BASEC)
Liestal, Horgen
(BASEC)
Sponsor
palleos healthcare GmbH
(BASEC)
Kontakt für weitere Auskünfte zur Studie
Kontaktperson Schweiz
Trojan Andreas
+41 (0)44 728 15 37
trojan@clutter1st.chmobile Health AG
(BASEC)
Allgemeine Auskünfte
Seespital Horgen-Onkologie,Universit?tsklinikum Erlangen, Frauenklinik,
+49(0)61195019;
trojan@clutter1st.ch(ICTRP)
Allgemeine Auskünfte
Seespital Horgen-OnkologieUniversittsklinikum Erlangen Frauenklinik
(ICTRP)
Wissenschaftliche Auskünfte
Seespital Horgen-Onkologie,Universit?tsklinikum Erlangen, Frauenklinik,
+49(0)61195019;
trojan@clutter1st.ch(ICTRP)
Name der bewilligenden Ethikkommission (bei multizentrischen Studien nur die Leitkommission)
Ethikkommission Zürich
(BASEC)
Datum der Bewilligung durch die Ethikkommission
14.06.2022
(BASEC)
ICTRP Studien-ID
NCT05425550 (ICTRP)
Offizieller Titel (Genehmigt von der Ethikkommission)
Evaluation der digitalen Gesundheitsanwendung medidux™ bei PatientInnen mit HER2-positivem Brustkrebs während einer Chemotherapie in Kombination mit einer HER2-zielgerichteten Therapie (in-klusive Tyrosinkinase-Inhibitoren [TKI]) oder einer Therapie mit einem Antikörper-Wirkstoff-Konjugat: Eine multizentrische, randomisierte, kontrollierte Studie (BASEC)
Wissenschaftlicher Titel
Evaluation of the Medidux Digital Health Application in Patients With HER2-positive Breast Cancer During Chemotherapy in Combination With HER2-targeted Therapy (Including Tyrosine Kinase Inhibitors [TKI]) or an Antibody-drug Conjugate Therapy: a Multicenter Randomized Controlled Trial. (ICTRP)
Öffentlicher Titel
Evaluation of the Medidux Digital Health Application in Patients With HER2-positive Breast Cancer During Chemotherapy in Combination With HER2-targeted Therapy or Antibody-drug Conjugate Therapy. (ICTRP)
Untersuchte Krankheit(en)
Breast Cancer (ICTRP)
Untersuchte Intervention
Device: medidux app (ICTRP)
Studientyp
Interventional (ICTRP)
Studiendesign
Allocation: Randomized. Intervention model: Parallel Assignment. Primary purpose: Supportive Care. Masking: None (Open Label). (ICTRP)
Ein-/Ausschlusskriterien
Inclusion Criteria:
1. Patients with signed informed consent.
2. Female and male patients, age at diagnosis 18 years and older.
3. Patients with HER2-positive breast carcinoma* (confirmed by a local pathologist).
4. Patients with breast carcinoma with positive or negative hormone receptor status.
5. Patients prior to initiation of neoadjuvant, adjuvant or palliative chemotherapy**
in combination with HER2-targeted therapy (including tyrosine kinase inhibitors
[TKI]) or an antibody-drug conjugate therapy.
6. ECOG performance Status = 1.
7. Sufficient command of the German language as assessed by the investigator.
8. Presence of a personal smartphone with iOS or Android system. The operating system
must be updated to the latest, second or third most recent major version and the
medidux app must be installed prior to the start of the first treatment cycle.
- * HER2-positive in the context of the study defined as "eligible for an
approved HER2-targeted therapy," i.e., in addition to immunohistochemistry
(IHC) scores of 3+ and 2+ with positive results of in-situ hybridization
(ISH+), also according to new standard HER2 low (IHC 1+ and 2+ with
simultaneous negative result of in-situ-hybridization (ISH-))
- ** Patients receiving chemotherapy in combination with HER2-targeted therapy as
part of a (neo)adjuvant sequence therapy (e.g. as second part after previous EC
therapy) may be included. Accordingly, the PRO2 study will not start until
patients begin combination of chemotherapy and HER2-targeted therapy.
Exclusion Criteria:
1. Patients for whom it is questionable whether they will follow the study protocol,
e.g., due to psychological problems or their private life situation.
2. Patients with insufficient knowledge about the use of smartphones.
3. Patients at the start of therapy with an ECOG performance status = 2.
4. Patients who have already used the medidux app or its predecessor consilium care
before admission to the study.
5. Patients with breast carcinoma who are to be treated exclusively with HER2-targeted
antibody monotherapy or TKI-therapy without simultaneous chemotherapy. The sole
administration of antibody-drug conjugates alone is permitted/prescribed by the
SmPC.
6. Simultaneous participation in an interventional clinical trial. (ICTRP)
nicht verfügbar
Primäre und sekundäre Endpunkte
Number of Adverse events (AEs) (CTCAE severity >2) and serious AEs (SAE) within the observation period. (ICTRP)
Adverse events (AE) occurring in the observation period recorded and assessed by the investigator during the scheduled study visits.;Serious adverse events (SAEs);Number of patients with at least one documented chemotherapy (CTX) respectively antibody-drug conjugate dose reduction.;CTX respectively antibody-drug conjugate adherence;Number of treatment-associated unplanned emergency consultations;Number of hospitalisations;Number and severity of symptoms recorded by medidux� in the experimental arm.;Adherence (ICTRP)
Registrierungsdatum
nicht verfügbar
Einschluss des ersten Teilnehmers
nicht verfügbar
Sekundäre Sponsoren
Mobile Health AG (ICTRP)
Weitere Kontakte
Andreas Trojan, Prof. Dr. med.;Peter Fasching, Prof. Dr. med.;Palleos Healthcare GmbH;Andreas Trojan, Prof. Dr. med., info@palleos.com, +49(0)61195019;, Seespital Horgen-Onkologie,Universit?tsklinikum Erlangen, Frauenklinik, (ICTRP)
Sekundäre IDs
PRO2 (ICTRP)
Angaben zur Verfügbarkeit von individuellen Teilnehmerdaten
nicht verfügbar
Weitere Informationen zur Studie
https://clinicaltrials.gov/ct2/show/NCT05425550 (ICTRP)
Ergebnisse der Studie
Zusammenfassung der Ergebnisse
nicht verfügbar
Link zu den Ergebnissen im Primärregister
nicht verfügbar