Study type

Study topic

Human medicinal product

Study type

Non-interventional study

Scope of the study

Drug utilisation
Effectiveness study (incl. comparative)
Non-interventional study

Non-interventional study design

Cohort
Other

Non-interventional study design, other

Prospective German and Austrian multicenter non-interventional study (NIS)
Study drug and medical condition

Name of medicine

CABOMETYX
OPDIVO

Study drug International non-proprietary name (INN) or common name

CABOZANTINIB
NIVOLUMAB

Anatomical Therapeutic Chemical (ATC) code

(L01EX07) cabozantinib
cabozantinib
(L01FF01) nivolumab
nivolumab

Medical condition to be studied

Renal cell carcinoma
Metastatic renal cell carcinoma
Population studied

Age groups

Adults (18 to < 46 years)
Adults (46 to < 65 years)
Adults (65 to < 75 years)
Adults (75 to < 85 years)
Adults (85 years and over)

Estimated number of subjects

210
Study design details

Main study objective

Describe the use of CabometyxTM (cabozantinib) tablets as monotherapy and the use of CabometyxTM and OpdivoTM combination including the number of dose reductions, dose interruptions and terminations due to SAEs/AEs in subjects with advanced or metastatic renal cell carcinoma treated in real-life clinical setting in 1st line treatment overall and split by risk score.

Outcomes

- The proportion of subjects with dose reduction of cabozantinib due to Serious Adverse Events/Adverse Events (SAEs/AEs).
- The proportion of subjects with dose interruption of cabozantinib and/or nivolumab due to SAEs/AEs.
- The proportion of subjects with termination of cabozantinib /cabozantinib-nivolumab combination due to SAEs/AEs.
- Number of injection delayed of nivolumab due to SAE/AE.
- Progression free survival.
- Best overall response.
- Overall Response Rate Best overall response.
- Disease Control Rate All non-serious and serious adverse events (SAEs/AEs) and fatal outcomes.
- Impact of the activity level at baseline on the occurrence of adverse events.
- Proportion of subjects with termination due to SAEs/AEs.
- Proportion of subjects with dose reduction due to SAEs/AEs.

Data analysis plan

As this is a non-interventional study, no formal statistical testing will be performed, and all the analyses will be primarily descriptive in nature.