Protocol for the ASTRO study (SSOP-01): a multicentre prospective cohort study investigating adverse events based on electronic patient-reported outcomes in patients with breast cancer after adjuvant chemotherapy

Introduction Symptom-related adverse events associated with perioperative chemotherapy in patients with breast cancer include short-term adverse events such as nausea and vomiting. However, changes in the severity and duration of prolonged symptom-related adverse events have not been fully investiga...

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Main Authors: Takuhiro Yamaguchi, Tempei Miyaji, Tomoe Mashiko, Takashi Kawaguchi, Yusuke Inada, Yasuhiro Nakano, Miyuki Kurosaki, Ouki Kuniyoshi, Motohiko Sano, Tomoki Hatakeyama, Yusuke Tsuchiya, Tomohiko Harada
Format: Article
Language:English
Published: BMJ Publishing Group 2023-09-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/9/e071500.full
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author Takuhiro Yamaguchi
Tempei Miyaji
Tomoe Mashiko
Takashi Kawaguchi
Yusuke Inada
Yasuhiro Nakano
Miyuki Kurosaki
Ouki Kuniyoshi
Motohiko Sano
Tomoki Hatakeyama
Yusuke Tsuchiya
Tomohiko Harada
author_facet Takuhiro Yamaguchi
Tempei Miyaji
Tomoe Mashiko
Takashi Kawaguchi
Yusuke Inada
Yasuhiro Nakano
Miyuki Kurosaki
Ouki Kuniyoshi
Motohiko Sano
Tomoki Hatakeyama
Yusuke Tsuchiya
Tomohiko Harada
author_sort Takuhiro Yamaguchi
collection DOAJ
description Introduction Symptom-related adverse events associated with perioperative chemotherapy in patients with breast cancer include short-term adverse events such as nausea and vomiting. However, changes in the severity and duration of prolonged symptom-related adverse events have not been fully investigated. We present a protocol of a study that aims to clarify the prevalence of symptom-related adverse events in patients with breast cancer 1 year after neoadjuvant or adjuvant chemotherapy using an electronic patient-reported outcomes (ePRO) system.Methods and analysis This multicentre prospective observational cohort study will include patients with breast cancer who have received preoperative or postoperative adjuvant chemotherapy. The final injection date of the cytotoxic agent will be the study initiation date. Patients will report every 2 weeks from the initiation date to 12 weeks and every 4 weeks from 12 weeks to 1 year, and they can enter this information into the ePRO system from anywhere. The primary outcome will be the prevalence of symptom-related adverse events according to the ePRO system 1 year after the date of the last injection of the cytotoxic drug used in neoadjuvant or adjuvant chemotherapy for breast cancer. To increase multi-institutional enrolment, two cohorts will be included. Cohort 1 will comprise patients with acquisition of baseline patient information regarding preoperative chemotherapy and presurgery characteristics. Cohort 2 will comprise patients without acquisition of baseline patient information. The target sample size is ≥250 per year.Ethics and dissemination The study protocol has been approved by the ethics committee at each participating institution. The results will be presented at major national and international conferences and submitted to peer-reviewed journals.Trial status Registration was started in October 2021. By August 2022, a total of 132 participants were enrolled. Follow-up will be continued through December 2024.Trial registration number UMIN000045422.
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spelling doaj.art-b096416facfd48d789c9661a5ef18b182023-10-02T02:55:07ZengBMJ Publishing GroupBMJ Open2044-60552023-09-0113910.1136/bmjopen-2022-071500Protocol for the ASTRO study (SSOP-01): a multicentre prospective cohort study investigating adverse events based on electronic patient-reported outcomes in patients with breast cancer after adjuvant chemotherapyTakuhiro Yamaguchi0Tempei Miyaji1Tomoe Mashiko2Takashi Kawaguchi3Yusuke Inada4Yasuhiro Nakano5Miyuki Kurosaki6Ouki Kuniyoshi7Motohiko Sano8Tomoki Hatakeyama9Yusuke Tsuchiya10Tomohiko Harada11Division of Biostatistics, Tohoku University Graduate School of Medicine, Sendai, Miyagi, JapanDivision of Biostatistics, Tohoku University Graduate School of Medicine, Sendai, Miyagi, JapanDivision of Biostatistics, Tohoku University Graduate School of Medicine, Sendai, Miyagi, JapanDepartment of Practical Pharmacy, School of Pharmacy, Tokyo University of Pharmacy and Life Sciences, Tokyo, JapanPharmaceutical Department, Yokohama Rosai Hospital, Yokohama, JapanPharmaceutical Department, Cancer Institute Hospital, Koto-ku, JapanDivision of Biostatistics, Tohoku University Graduate School of Medicine, Sendai, Miyagi, JapanPharmaceutical Department, Ageo Central General Hospital, Ageo, JapanDivision of Applied Pharmaceutical Education and Research, Hoshi University, Shinagawa-ku, JapanPharmaceutical Department, Todachuo General Hospital, Toda, JapanPharmaceutical Department, Ageo Central General Hospital, Ageo, JapanPharmaceutical Department, Kanagawa Cancer Center, Yokohama, JapanIntroduction Symptom-related adverse events associated with perioperative chemotherapy in patients with breast cancer include short-term adverse events such as nausea and vomiting. However, changes in the severity and duration of prolonged symptom-related adverse events have not been fully investigated. We present a protocol of a study that aims to clarify the prevalence of symptom-related adverse events in patients with breast cancer 1 year after neoadjuvant or adjuvant chemotherapy using an electronic patient-reported outcomes (ePRO) system.Methods and analysis This multicentre prospective observational cohort study will include patients with breast cancer who have received preoperative or postoperative adjuvant chemotherapy. The final injection date of the cytotoxic agent will be the study initiation date. Patients will report every 2 weeks from the initiation date to 12 weeks and every 4 weeks from 12 weeks to 1 year, and they can enter this information into the ePRO system from anywhere. The primary outcome will be the prevalence of symptom-related adverse events according to the ePRO system 1 year after the date of the last injection of the cytotoxic drug used in neoadjuvant or adjuvant chemotherapy for breast cancer. To increase multi-institutional enrolment, two cohorts will be included. Cohort 1 will comprise patients with acquisition of baseline patient information regarding preoperative chemotherapy and presurgery characteristics. Cohort 2 will comprise patients without acquisition of baseline patient information. The target sample size is ≥250 per year.Ethics and dissemination The study protocol has been approved by the ethics committee at each participating institution. The results will be presented at major national and international conferences and submitted to peer-reviewed journals.Trial status Registration was started in October 2021. By August 2022, a total of 132 participants were enrolled. Follow-up will be continued through December 2024.Trial registration number UMIN000045422.https://bmjopen.bmj.com/content/13/9/e071500.full
spellingShingle Takuhiro Yamaguchi
Tempei Miyaji
Tomoe Mashiko
Takashi Kawaguchi
Yusuke Inada
Yasuhiro Nakano
Miyuki Kurosaki
Ouki Kuniyoshi
Motohiko Sano
Tomoki Hatakeyama
Yusuke Tsuchiya
Tomohiko Harada
Protocol for the ASTRO study (SSOP-01): a multicentre prospective cohort study investigating adverse events based on electronic patient-reported outcomes in patients with breast cancer after adjuvant chemotherapy
BMJ Open
title Protocol for the ASTRO study (SSOP-01): a multicentre prospective cohort study investigating adverse events based on electronic patient-reported outcomes in patients with breast cancer after adjuvant chemotherapy
title_full Protocol for the ASTRO study (SSOP-01): a multicentre prospective cohort study investigating adverse events based on electronic patient-reported outcomes in patients with breast cancer after adjuvant chemotherapy
title_fullStr Protocol for the ASTRO study (SSOP-01): a multicentre prospective cohort study investigating adverse events based on electronic patient-reported outcomes in patients with breast cancer after adjuvant chemotherapy
title_full_unstemmed Protocol for the ASTRO study (SSOP-01): a multicentre prospective cohort study investigating adverse events based on electronic patient-reported outcomes in patients with breast cancer after adjuvant chemotherapy
title_short Protocol for the ASTRO study (SSOP-01): a multicentre prospective cohort study investigating adverse events based on electronic patient-reported outcomes in patients with breast cancer after adjuvant chemotherapy
title_sort protocol for the astro study ssop 01 a multicentre prospective cohort study investigating adverse events based on electronic patient reported outcomes in patients with breast cancer after adjuvant chemotherapy
url https://bmjopen.bmj.com/content/13/9/e071500.full
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