Study to Learn More About the Safety and Effectiveness of the Drug VITRAKVI During Routine Use in Patients With TRK Fusion Cancer Which is Locally Advanced or Spread From the Place Where it Started to Other Places in the Body
ON-TRK
PrOspective Non-interventional Study in Patients With Locally Advanced or Metastatic TRK Fusion Cancer Treated With Larotrectinib
1 other identifier
observational
150
25 countries
75
Brief Summary
In this observational study researcher want to learn more about the effectiveness of drug VITRAKVI (generic name: larotrectinib) and how well the drug is tolerated during routine use in patients with TRK fusion cancer which is locally advanced or spread from the place where it started to other places in the body. TRK fusion cancer is a term used to describe a variety of common and rare cancers that are caused by a change to the NTRK (Neurotrophic Tyrosine Kinase) gene called a fusion. During this fusion, an NTRK gene joins together, or fuses, with a different gene. This joining results in the activation of certain proteins (TRK fusion proteins), which can cause cancer cells to multiply and form a tumor. VITRAKVI is an approved drug that blocks the action of the NTRK gene fusion. This study will enroll adult and paediatric patients suffering from a solid tumor with NTRK gene fusion for whom the decision to treat their disease with VITRAKVI has been made by their treating physicians. During the study, patients' medical information such as treatment information with VITRAKVI, other medication or treatments, changes in disease status and other health signs and symptoms will be collected within the normal medical care by the treating doctor. Participants will be observed over a period from 24 to 60 months.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Apr 2020
Longer than P75 for all trials
75 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 17, 2019
CompletedFirst Posted
Study publicly available on registry
October 29, 2019
CompletedStudy Start
First participant enrolled
April 3, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 30, 2029
ExpectedStudy Completion
Last participant's last visit for all outcomes
March 31, 2030
April 14, 2026
April 1, 2026
9.7 years
October 17, 2019
April 13, 2026
Conditions
Outcome Measures
Primary Outcomes (6)
Number of participants with treatment-emergent adverse events (TEAEs)
Up to 30 days after last dose
Severity of TEAEs
Up to 30 days after last dose
Seriousness of TEAEs
Up to 30 days after last dose
Reasonable causal relationship between larotrectinib and an AE
Up to 30 days after last dose
Causality of TEAEs
Up to 30 days after last dose
Action taken related to larotrectinib treatment
Up to 30 days after last dose
Secondary Outcomes (19)
Objective response rate (ORR)
Up to 8 years
Disease control rate (DCR)
Up to 8 years
Duration of response (DOR)
Up to 8 years
Time to response (TTR)
Up to 8 years
Progression-free survival (PFS)
Up to 8 years
- +14 more secondary outcomes
Study Arms (8)
GI
adult patients with gastrointestinal (GI) cancer
H&N
adult patients with head and neck (H\&N) cancer
STS
adult patients with soft tissue sarcoma (STS)
CNS
adult patients with primary central nervous system (CNS) cancer
Lung
adult patients with lung cancer
Melanoma
adult patients with melanoma
Pediatric
all pediatric patients regardless of tumor type will be enrolled under this cohort
other
patients with other tumor types
Interventions
In the study, patients treated under local standard of care clinical practice; all decisions in terms of diagnostic procedures, treatments, management of the disease, and resource utilization are fully dependent on mutual agreement between the patient and the attending physician, without interference by the study initiator or study protocol
Eligibility Criteria
Adult and pediatric (from birth to 18-year-old) patients with a locally advanced or metastatic solid tumor harboring an NTRK gene fusion (detected by NGS (Next-Generation Sequencing), FISH (Fluorescent In Situ Hybridization), rt-PCR (Reverse Transcription Polymerase Chain Reaction) or other genomic testing able to detect NTRK gene fusion) assessed locally for whom a decision to treat with larotrectinib has been made before enrollment
You may qualify if:
- Adult and pediatric (from birth to 18-year-old) patients
- Patients with locally advanced or metastatic solid tumor harboring an NTRK gene fusion. NTRK (NTRK1, NTRK2, and NTRK3) gene fusions will be identified locally. Acceptable methods of detection of NTRK gene fusion include NGS, fluorescence in situ hybridization (FISH), reverse-transcription polymerase chain reaction (rt-PCR) or any other genomic testing able to detect NTRK gene fusion. If a pan-TRK IHC method is used, this result needs to be accompanied with the results using one of the other methods noted above.
- Life expectancy of at least 3 months based on clinical judgement
- Decision to treat with larotrectinib made by the treating physician prior to study enrollment
- Patients can also be enrolled if the initial visit (larotrectinib start date) occurred within 2 months ±3 days prior to informed consent signed date
- Signed informed consent form
- For patients under legal age, signed assent by the patient (where applicable) and parental/legal guardian signed informed consent is required
You may not qualify if:
- Any contraindications as listed in the local approved product information
- Pregnancy
- Participation in an investigational program with interventions outside of routine clinical practice
- Prior treatment with larotrectinib or other kinase inhibitor with TRK inhibition
- Patients with NTRK gene amplification or NTRK point mutation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Bayerlead
Study Sites (76)
Banner Desert Medical Center
Mesa, Arizona, 85202, United States
California Research Inst.
Los Angeles, California, 90027, United States
USC / Norris Comprehensive Cancer Center
Los Angeles, California, 90089, United States
UCLA - Mattel Children's Hospital
Los Angeles, California, 90095, United States
Hoag Memorial Hospital Presbyterian
Newport Beach, California, 82663, United States
UCSF Benioff Children's Hospital Oakland
Oakland, California, 94609, United States
Stanford Univ Med Ctr. / Lucile Packard Children's Hosp
Palo Alto, California, 94304, United States
Providence Health System - Southern California
Santa Monica, California, 90404, United States
Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
Torrance, California, 90502, United States
SCL Health
Grand Junction, Colorado, 81501, United States
Yale University
New Haven, Connecticut, 06520, United States
Mayo Clinic
Jacksonville, Florida, 32224, United States
University of Miami
Miami, Florida, 33146, United States
Nicklaus Children's Hospital
Miami, Florida, 33155, United States
Nemours Children's Hospital
Orlando, Florida, 32827, United States
Fort Wayne Medical Oncology Hematology
Fort Wayne, Indiana, 46804, United States
Regional Health Hope Center
Terre Haute, Indiana, 47802, United States
Cancer Center of Kansas
Wichita, Kansas, 67214, United States
Maine Health
South Portland, Maine, 04106, United States
Univ. of Maryland / Greenebaum Comp. Cancer Ctr.
Baltimore, Maryland, 21201, United States
Johns Hopkins / Sidney Kimmel Cancer Center
Baltimore, Maryland, 21205, United States
Frederick Health-James M Stockman Cancer Institute
Frederick, Maryland, 21702, United States
Tufts / Neely Cancer Center
Boston, Massachusetts, 02111, United States
Boston Children's / Dana Farber
Boston, Massachusetts, 02215, United States
Detroit Clinical Research Center
Farmington Hills, Michigan, 48334, United States
Sparrow Cancer Center
Lansing, Michigan, 48912, United States
Nevada Cancer Research Foundation
Las Vegas, Nevada, 89169, United States
Atlantic Hem Onc / Morristown Medical Center
Morristown, New Jersey, 07960, United States
Rutgers Cancer Institute of New Jersey
New Brunswick, New Jersey, 08901, United States
Great Lakes Cancer Center
Buffalo, New York, 14210, United States
Memorial Sloan Kettering Children's Cancer Center
New York, New York, 10065, United States
Staten Island Univ. Hospital (Northwell Health)
Staten Island, New York, 10305, United States
Levine Cancer Center
Charlotte, North Carolina, 28204, United States
East Carolina University / Vidant Health
Greenville, North Carolina, 27834, United States
Ohio State Comp. Cancer Ctr. / James Cancer Hospital
Columbus, Ohio, 43210, United States
Mercy Health Youngstown
Youngstown, Ohio, 44501, United States
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
University of Pennsylvania (Penn Med)
Philadelphia, Pennsylvania, 19104, United States
Allegheny Health Network
Pittsburgh, Pennsylvania, 15212, United States
Medical Univ. of South Carolina
Charleston, South Carolina, 29425, United States
St. Jude Children's Research Hospital
Memphis, Tennessee, 38105, United States
Vanderbilt University Medical Center
Nashville, Tennessee, 37232, United States
UT Southwestern Medical Center / Children's Health
Dallas, Texas, 75390, United States
MD Anderson Cancer Center
Houston, Texas, 77030, United States
Intermountain Healthcare - Intermountain Medical Center
Murray, Utah, 84107, United States
Univ. of Utah / Huntsman Cancer Center
Salt Lake City, Utah, 84112, United States
Intermountain Healthcare - Dixie Regional Medical Center
St. George, Utah, 84790, United States
Seattle Children's
Seattle, Washington, 98105, United States
West Virginia University
Morgantown, West Virginia, 26506, United States
Gundersen Health System
La Crosse, Wisconsin, 54601, United States
SSM Health Cancer Center - Dean Medical Group
Madison, Wisconsin, 53717, United States
Many Locations
Multiple Locations, Argentina
Many Locations
Multiple Locations, Australia
Many Locations
Multiple Locations, Austria
Many Locations
Multiple Locations, Belgium
Many Locations
Multiple Locations, Brazil
Many Locations
Multiple Locations, Canada
Many Locations
Multiple Locations, China
Many Locations
Multiple Locations, Denmark
Many Locations
Multiple Locations, Finland
Many Locations
Multiple Locations, France
Many Locations
Multiple Locations, Germany
Many Locations
Multiple Locations, Greece
Many Locations
Multiple Locations, Ireland
Many Locations
Multiple Locations, Italy
Many Locations
Multiple Locations, Japan
Many Locations
Multiple Locations, Luxembourg
Many Locations
Multiple Locations, Norway
Many Locations
Multiple Locations, Russia
Many Locations
Multiple Locations, Singapore
Many Locations
Multiple Locations, South Korea
Many Locations
Multiple Locations, Spain
Many Locations
Multiple Locations, Sweden
Many Locations
Multiple Locations, Switzerland
Many Locations
Multiple Locations, Taiwan
Many Locations
Multiple Locations, United Kingdom
Related Publications (1)
Yang JCH, Brose MS, Castro G, Kim ES, Lassen UN, Leyvraz S, Pappo A, Lopez-Rios F, Reeves JA, Fellous M, Penault-Llorca F, Rudzinski ER, Tabatabai G, Vassal G, Drilon A, Trent J. Rationale and design of ON-TRK: a novel prospective non-interventional study in patients with TRK fusion cancer treated with larotrectinib. BMC Cancer. 2022 Jun 7;22(1):625. doi: 10.1186/s12885-022-09687-x.
PMID: 35672677DERIVED
MeSH Terms
Interventions
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 17, 2019
First Posted
October 29, 2019
Study Start
April 3, 2020
Primary Completion (Estimated)
November 30, 2029
Study Completion (Estimated)
March 31, 2030
Last Updated
April 14, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share
Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.vivli.org to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the member section of the portal.