Status: Finalised
First registered on:
26/08/2015
Last updated on:
19/08/2016
1. Study identification
EU PAS Register NumberEUPAS10786
Official titleStrattera patient exposures and adherence in the United Kingdom, Germany, the Netherlands, and Sweden: 2016 Bi-annual assessment report.
Study title acronymB4Z-MC-B025
Study typeOther: Drug utilisation study
Brief description of the studyThe objective of this study is to describe atomoxetine utilisation patterns for patients treated in the United Kingdom, Germany, the Netherlands, and Sweden from the time period of 2008 through 2014. This will be done by:
-Estimating number of patients exposed, stratified by age
-Estimating duration of exposure, medication possession ratio, and dose over the most recent 24 months
-Estimating number of patients restarting, gap between, and duration of additional exposures over most recent 24 months, for those who stopped taking Strattera
-Describing common comorbidity and concomitant medications
Was this study requested by a regulator?Yes: United Kingdom
Is the study required by a Risk Management Plan (RMP)?
EU RMP category 3 (required)
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 belongsIMS Health
Department/Research groupReal World Evidence Solutions
Organisation/affiliationIMS Health
Details of (Primary) lead investigator
Title Dr
Last name Kristin
First name Meyers
Is this study being carried out with the collaboration of a research network?
Yes
IMS Health
Other centres where this study is being conducted
Not applicable (single centre)
Countries in which this study is being conducted
International study
Germany
Netherlands
Sweden
United Kingdom
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed26/08/201326/08/2013
Start date of data collection01/10/201501/10/2015
Start date of data analysis01/02/2016
Date of interim report, if expected
Date of final study report31/03/201621/03/2016
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesEli Lilly and Company100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Kristin
First name Meyers
Address line 1Lilly Corporate Center
Address line 2Drop code 2638
Address line 3MC/32/03
CityIndianapolis
Postcode46285
CountryUnited States
Phone number (incl. country code)13172777831
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name Kristin
First name Meyers
Address line 1Lilly Corporate Center
Address line 2Drop code 2638
Address line 3MC/32/03
CityIndianapolis
Postcode46285
CountryUnited States
Phone number (incl. country code)13172777831
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Substance class (ATC Code)N06BA09 (atomoxetine)
7. Medical conditions to be studied
Medical condition(s)No
8. Population under study
Age
Preterm newborns
Term newborns (0-27 days)
Infants and toddlers (28 days - 23 months)
Children (2 - 11 years)
Adolescents (12 - 17 years)
Adults (18 - 44 years)
Adults (45 - 64 years)
Adults (65 - 74 years)
Adults (75 years and over)
Sex
Male
Female
Other population
Renal impaired
Hepatic impaired
Immunocompromised
Pregnant women
9. Number of subjects
Estimated total number of subjects38152
Additional information
The above estimated number represents the # of prevalent users in 2012 from the last iteration of this study (B4Z-MC-B022). The current study is an update of that drug utilisation study and sample size is determined by usage as outlined in Analysis Plan (usage between 2008 and 2014), not statistical power.
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
Disease Analyzer, United Kingdom
Longitudinal Prescription Data (IMS), Germany
Sources of data
Administrative database, e.g. claims database
Routine primary care electronic patient registry
Exposure registry
Pharmacy dispensing records
11. Scope of the study
What is the scope of the study?
Drug utilisation study
Primary scope : Drug utilisation study
12. Main objective(s)
What is the main objective of the study?
The objective is to describe atomoxetine (Strattera) utilization patterns for patients treated in Germany, United Kingdom, Sweden, and the Netherlands.
Are there primary outcomes?Yes
Patient exposures, patient discontinuation and adherence, and descriptive statistics
Are there secondary outcomes?No
13. Study design
What is the design of the study?
Drug utilisation study
14. Follow-up of patients
Will patients be followed up?Not applicable/no follow-up
15. Data analysis plan
Please provide a brief summary of the analysis method
For each country, patient counts will be provided for the most recent 7 full calendar years. Counts and proportions will be tabulated by country, year, age group, and gender.
Patient exposures, including treatment duration, duration of exposure, daily average dose, and frequent comorbid diagnoses will be presented (where available).
Measures of drug utilisation will be described for new users within the most recent 24 month follow-up period. This includes: 1) percentage of patient discontinuation, reinitiation, and adherence, 2) mean and median length of therapy, as well as daily dose, and 3) the distribution of the percentage of patients having undergone one or more treatment episodes over the 24 month observation period.
Descriptive statistics including frequencies and proportions of patient count and demographics such as age and gender will be provided, as well as for population characteristics such as common comorbidities and concomitant medications.
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
None
19. Other relevant documents
Composition of Steering Group and
ObserversNot 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
