The study looks at older adults (age 70 and above) who have been diagnosed with cancer and are taking medicines that are swallowed as pills. In the breast group the oral medicines are Abemaciclib, Ribociclib, Palbociclib and Everolimus. The lung group uses Alectinib, Brigatinib and Osimertinib. The prostate group receives Abiraterone, Enzalutamide and Olaparib. For colon cancer the pills are Trifluridine together with Tipiracil, and also Capecitabine. Kidney‑related cancers are treated with Axitinib, Cabozantinib or Lenvatinib. Finally, the sarcoma/GIST group takes Sunitinib, Regorafenib or Pazopanib. All of these drugs are taken orally at home.
The purpose of the study is to see whether a coordinated care team made up of an oncologist, a geriatric doctor, a pharmacist and a pharmacologist can lower the number of serious side effects compared with usual care. Participants will start their oral medication and then have regular visits with the care team for up to two years. At each visit doctors will look for side effects, do blood tests, and ask about any problems that affect the blood (hematologic) or other parts of the body (non‑hematologic). A “grade ≥ 3” side effect means it is strong enough to need medical help, and a “grade ≥ 4” blood problem is very serious. The study also records any hospital stays, overall health, and quality‑of‑life questionnaires, while the pharmacist reviews all medicines to avoid unsafe combinations.



France