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Trial registered on ANZCTR
Registration number
ACTRN12619001248156
Ethics application status
Approved
Date submitted
13/08/2019
Date registered
10/09/2019
Date last updated
30/03/2022
Date data sharing statement initially provided
10/09/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
Improving national immunoglobulin stewardship and clinical outcomes for patients with myeloma
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Scientific title
IMPROVE (Immunoglobulins in Myeloma Patients: Research into Outcomes, Variation in practice, and Epidemiology) – Improving immunoglobulin stewardship and clinical outcomes for patients with myeloma, using the Australian and New Zealand Myeloma and Related Diseases Registry.
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Secondary ID [1]
299006
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None
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Universal Trial Number (UTN)
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Trial acronym
IMPROVE
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Multiple myeloma
314015
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Condition category
Condition code
Cancer
312404
312404
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0
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Myeloma
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Intervention/exposure
Study type
Observational
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Patient registry
True
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Target follow-up duration
2
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Target follow-up type
Years
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Description of intervention(s) / exposure
Myeloma is a malignant tumour of the plasma cells that develops in the bone marrow and in solid bone. It is associated with anaemia, renal failure, bone lesions and disturbed immune function and is diagnosed in over 1500 people in Australia each year. It is more common in
males and the median age at diagnosis is 71. The incidence rate of myeloma has increased, and its prevalence is expected to further increase due to an ageing population and recent improvements in the overall survival of patients with the disease. Whilst myeloma accounts for 1.3% of all cancers, it was one of the ten most common cancers diagnosed in women in Australia in 2012/13 and is associated with a high disease burden.
The IMPROVE Study requires observational data to be entered into the MRDR Registry at specific time points after the patient’s date of diagnosis. Clinicians will review patients at any time that they feel is necessary, however, it is useful for the registries to have data collected and entered at fixed time points after diagnosis to allow for comparable statistical analysis across all sites. The time points are baseline, at 4-months, 8-months, 12-months, and 16-months. There is no pre-determined “schedule of assessments” given the variability of clinical progression of this disease.
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Intervention code [1]
315274
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Composite Primary outcome: Number and type of infection episodes (viral, bacterial, fungal, not categorised), Data will be collected via study-specific case report forms.
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Assessment method [1]
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Timepoint [1]
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Baseline, 4, 8, 12, and 16-months
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Primary outcome [2]
321051
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The number of microbiologically documented infections. Data will be collected via study-specific case report forms.
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Assessment method [2]
321051
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Timepoint [2]
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Baseline, 4, 8, 12, and 16-months
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Secondary outcome [1]
374374
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Number of Hospitalisations due to infection. Data will be collected via study-specific case report forms.
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Assessment method [1]
374374
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Timepoint [1]
374374
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Baseline, 4, 8, 12, and 16-months
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Eligibility
Key inclusion criteria
Newly diagnosed with multiple myeloma
A participant in the MRDR Registry
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients who decline to participate
Patients who do not have a diagnosis of multiple myeloma
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Defined population
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Timing
Both
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
10/10/2018
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Date of last participant enrolment
Anticipated
31/12/2019
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Actual
30/10/2020
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Date of last data collection
Anticipated
31/07/2021
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Actual
30/10/2020
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Sample size
Target
300
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Accrual to date
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Final
328
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,TAS,VIC
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Recruitment hospital [1]
14524
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The Alfred - Melbourne
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Recruitment hospital [2]
14525
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Peter MacCallum Cancer Centre - Melbourne
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Recruitment hospital [3]
14528
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St Vincent's Private Hospital - Fitzroy
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Recruitment hospital [4]
14529
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Princess Alexandra Hospital - Woolloongabba
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Recruitment hospital [5]
14535
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Nepean Hospital - Kingswood
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Recruitment hospital [6]
14536
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The Northern Hospital - Epping
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Recruitment hospital [7]
14537
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Royal North Shore Hospital - St Leonards
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Recruitment hospital [8]
22091
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Austin Health - Austin Hospital - Heidelberg
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Recruitment hospital [9]
22092
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Royal Hobart Hospital - Hobart
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Recruitment hospital [10]
22093
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Concord Repatriation Hospital - Concord
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Recruitment postcode(s) [1]
27539
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3004 - Melbourne
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Recruitment postcode(s) [2]
27542
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3065 - Fitzroy
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Recruitment postcode(s) [3]
27543
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4102 - Woolloongabba
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Recruitment postcode(s) [4]
27547
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2747 - Kingswood
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Recruitment postcode(s) [5]
27548
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3076 - Epping
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Recruitment postcode(s) [6]
27549
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2065 - St Leonards
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Recruitment postcode(s) [7]
37214
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3084 - Heidelberg
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Recruitment postcode(s) [8]
37215
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7000 - Hobart
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Recruitment postcode(s) [9]
37216
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2139 - Concord
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Funding & Sponsors
Funding source category [1]
303541
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Government body
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Name [1]
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National Blood Authority
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Address [1]
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Level 2, 243 Northbourne Avenue
Lyneham ACT 2602
Australia
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Country [1]
303541
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Australia
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Primary sponsor type
University
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Name
Monash University
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Address
553 St Kilda Road
Melbourne VIC 3004
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Country
Australia
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Secondary sponsor category [1]
303610
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None
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Name [1]
303610
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Address [1]
303610
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Country [1]
303610
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
304069
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Alfred Hospital Ethics Committee
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Ethics committee address [1]
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55 Commercial Rd, Melbourne VIC 3004
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Ethics committee country [1]
304069
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Australia
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Date submitted for ethics approval [1]
304069
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12/06/2018
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Approval date [1]
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07/08/2018
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Ethics approval number [1]
304069
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Summary
Brief summary
This study will investigate the real-world use of immunoglobulin therapy on clinical outcomes for patients with myeloma using the Australian and New Zealand Myeloma and Related Diseases Registry. Patients with the blood cancer myeloma are at risk of serious infection because of low levels of protective antibodies due to their condition and its treatment. Immunoglobulin therapy (made from plasma) is used to replace missing antibodies to prevent or treat infections in patients with blood cancers. Who is it for? You may be eligible to join this study if you are aged 18 and above, have been diagnosed with multiple myeloma and participated in the Myeloma and Related Diseases Registry Study details This observational study will collect ‘real world’, up-to date Australian clinical and laboratory information on immunoglobulin use. Information on participants’ disease, progression, infections and immunoglobulin use will be documented in the registry at fixed time points after diagnosis. The results of this study will be important to provide better care for patients with myeloma and other blood cancers and to improve stewardship of the national blood supply. The study will also provide a new and lower cost framework for conducting future large clinical trials of immunoglobulin therapy in Australia in myeloma and in other similar conditions.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Erica Wood
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Address
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Public Health and Preventive Medicine
Monash University
553 St Kilda rd, Melbourne VIC, 3004
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Country
95714
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Australia
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Phone
95714
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+613 99030051
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Fax
95714
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Email
95714
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[email protected]
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Contact person for public queries
Name
95715
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Laura Sellick
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Address
95715
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Public Health and Preventive Medicine
Monash University
553 St Kilda rd, Melbourne VIC, 3004
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Country
95715
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Australia
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Phone
95715
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+61 3 99030251
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Fax
95715
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Email
95715
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[email protected]
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Contact person for scientific queries
Name
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Erica Wood
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Address
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Public Health and Preventive Medicine
Monash University
553 St Kilda rd, Melbourne VIC, 3004
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Country
95716
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Australia
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Phone
95716
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+613 99030051
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Fax
95716
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Email
95716
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
No, only aggregate participant data will be published
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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