Status: Finalised
First registered on:
30/10/2012
Last updated on:
29/07/2016
1. Study identification
EU PAS Register NumberEUPAS3099
Official titleAssessment of the safety of LABAs in asthma in routine care by combining healthcare databases and direct patient follow-up
Study title acronymASTRO-LAB
Study typeObservational study
Brief description of the studyFunded by the European Commission (FP7 Research Program), ASTRO-LAB is a prospective cohort study of persistent asthma patients. ASTRO-LAB aims to provide new information about the safety of inhaled therapy in Asthma, more specifically Long-Acting β2 agonists (LABAs). To reach this objective, 3000 patients aged from 6 to 40 years, will be followed during 2 years in the UK and in France. Three sets of data will be collected : medical data (in the UK: using the THIN data, in France, using data from GPs affiliated to Academia), claims data (for France) and Patient-Reported data. The study will measure the incidence of asthma exacerbations in four different groups: LABAs only, Inhaled Corticosteroids (ICs) only, LABA and ICs in fixed-dose combinations and in distinct inhalers. The study will be also focused on adherence to therapy, to develop new measurement tools and to identify determinants.”
Was this study requested by a regulator?Yes: EMA
Is the study required by a Risk Management Plan (RMP)?
Not applicable
Regulatory procedure number (RMP Category 1 and 2 studies only)
Other study registration identification numbers and URLs as applicable
2. Research centres and Investigator details
Coordinating study entity
Centre to which the investigator belongsPELyon
Department/Research groupUnité de Pharmacoépidémiologie
Organisation/affiliationUniversité Claude Bernard Lyon 1
Details of (Primary) lead investigator
Title Dr
Last name VAN GANSE
First name Eric
Is this study being carried out with the collaboration of a research network?
No
Other centres where this study is being conducted
Multiple centres
In total how many centres are involved in this Study?7
PSMAR, Barcelona, SP
University of Amsterdam, Amsterdam, NL
University of Nottingham, Nottingham, UK
Lyon Ingenierie Projet (LIP), Lyon, FR
Countries in which this study is being conducted
International study
France
United Kingdom
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed01/12/201101/12/2011
Start date of data collection31/05/201329/05/2013
Start date of data analysis02/11/201501/01/2016
Date of interim report, if expected
Date of final study report31/05/201629/07/2016
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companies
Charities
Government body
Research councils
EU funding schemeFP7 programm65
OtherPrivate partners10
Public and SME partners25
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name VAN GANSE
First name Eric
Address line 1Unité de Pharmacoépidémiologie
Address line 2Faculte d'Odontologie Universite Lyon 1
Address line 311 rue Guillaume Paradin
CityLyon cedex 08
PostcodeF-69372
CountryFrance
Phone number (incl. country code)33-478778610
Alternative phone number
Fax number (incl. country code)33-478778660
Public Enquiries
Title Mrs
Last name Herbage
First name Sandrine
Address line 1Unité de Pharmacoépidémiologie
Address line 2Faculte d'Odontologie Universite Lyon 1
Address line 311 rue Guillaume Paradin
CityLyon cedex 08
PostcodeF-69372
CountryFrance
Phone number (incl. country code)33-478778610
Alternative phone number
Fax number (incl. country code)33-478778660
6. Study drug(s) information
Substance class (ATC Code)R03 (DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES)
7. Medical conditions to be studied
Medical condition(s)Yes
Asthma
8. Population under study
Age
Children (2 - 11 years)
Adolescents (12 - 17 years)
Adults (18 - 44 years)
Sex
Male
Female
9. Number of subjects
Estimated total number of subjects3000
Additional information
1500 children (6 up to 17 years) and 1500 adults (18-40 years).
Approxmatively expected as below :
- 300 patients in the LABA group (without IC)
- 900 patients in the IC group (Without LABA)
- 900 patients in the LABA- IC group (fixed combination)
- 900 patients in the LABA-IC group (separate inhalers)
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources registered with ENCePP
Data sources not registered with ENCePP
SNIIRAM, France
Astro-lab Patient reported outcomes, France
Astro-lab Patient reported outcomes, United Kingdom
Astrolab : GP CNGE medical data, France
Sources of data
Prospective patient-based data collection
Prescription event monitoring
Administrative database, e.g. claims database
Routine primary care electronic patient registry
Pharmacy dispensing records
11. Scope of the study
What is the scope of the study?
Risk assessment
Drug utilisation study
Primary scope : Risk assessment
12. Main objective(s)
What is the main objective of the study?
The overall objective of the project is to compare the rate of severe asthma exacerbation in children and adults treated by LABAs without ICs and with concomitant ICs with the rate amongst those treated by ICs without LABAs under the conditions of routine clinical care, after adjusting for baseline differences in severity.
Are there primary outcomes?Yes
Severe Asthma exacerbation. In the Astro-lab study, the definition of severe asthma exacerbation will be the combination of patient-reported courses of oral corticosteroids for asthma, asthma-related urgent medical visits, asthma-related hospital contacts or death.
Are there secondary outcomes?Yes
Adherence, Asthma control and quality of life.
13. Study design
What is the design of the study?
Cohort study
Drug utilisation study
14. Follow-up of patients
Will patients be followed up?Yes
Please describe duration of follow up
2 years
15. Data analysis plan
Please provide a brief summary of the analysis method
Descriptive statistics will be provided for each exposure group. In addition different types of analysis are planned :
- analysis based on the 4 initial exposure groups "intention to treat"
- Cohort analysis with time-dependent variables analysis
- Case -crossover study approach (if applicable)
- Nested case control study (if applicable)
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
18. Study Results
Please list the 5 most relevant publications using data from your study
ReferenceLink to web-publication
19. Other relevant documents
Conflict(s) of interest of
investigator(s)Not submitted
Other documentsNot
submitted
Signed Code of
Conduct Checklist
Not submitted
Signed Code of Conduct Declaration
Not submitted
Signed Checklist for Study
Protocols
Not submitted
