Status: Finalised
First registered on:
16/12/2014
Last updated on:
19/09/2016
1. Study identification
EU PAS Register NumberEUPAS8241
Official titleA population-based cohort study using an existing database to evaluate the association between latanoprost use and primary malignant ocular melanoma and facial cutaneous melanoma
Study title acronym
Study typeObservational study
Brief description of the studyThe primary research aim of this study is to examine the potential association between latanoprost and primary malignant ocular melanoma (OM) and facial cutaneous melanoma (CM), respectively. The secondary research aim is to examine the potential association between prostaglandin analogues (PGAs) and primary malignant OM and facial CM, respectively. A population-based cohort study will be conducted based on secondary use of existing data. The study population will include patients with recorded glaucoma or ocular hypertension (OH) in the Swedish national health care registers from July 1st, 2005 to December 31st, 2011 and with no previous malignant melanoma. Exposure groups (latanoprost, other topical PGAs and topical non-PGAs) will be categorized based on drug exposure data collected from the Swedish Prescription Drug Register (SPDR). Primary malignant OM and facial CM of each patient will be identified from the Swedish Cancer Register (SCR). Cox regression models will be developed to evaluate independent effects of having OM and facial CM, respectively, in association with use of latanoprost and topical PGAs, adjusting for potential confounding variables.
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
Department/Research groupDepartment of medicine/Clinical epidemiology unit
Organisation/affiliationKarolinska Institutet
Details of (Primary) lead investigator
Title Dr
Last name George
First name Prethibha
Is this study being carried out with the collaboration of a research network?
No
Other centres where this study is being conducted
Not applicable (single centre)
Countries in which this study is being conducted
National study
Sweden
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed15/05/201310/06/2013
Start date of data collection15/02/201505/01/2015
Start date of data analysis15/04/201512/05/2015
Date of interim report, if expected
Date of final study report30/09/201609/09/2016
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesPfizer Inc.100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name George
First name Prethibha
Address line 1235 East 42nd Street
Address line 2MS 219-9-1
Address line 3
CityNew York
Postcode10017
CountryUnited States
Phone number (incl. country code)1-212-7335422
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name George
First name Prethibha
Address line 1235 East 42nd Street
Address line 2MS 219-9-1
Address line 3
CityNew York
Postcode10017
CountryUnited States
Phone number (incl. country code)1-212-7335422
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Product NameXalatan® (Latanoprost)
CountryUnited States
Substance INN(s)LATANOPROST
7. Medical conditions to be studied
Medical condition(s)Yes
Glaucoma
Intraocular pressure increased
8. Population under study
Age
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
9. Number of subjects
Estimated total number of subjects116172
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
Swedish Cancer Register, Sweden
National Patient Register, Sweden
Causes of Death Register, Sweden
Longitudinal Population Register on Education, Income and Work, Sweden
Sources of data
Administrative database, e.g. claims database
11. Scope of the study
What is the scope of the study?
Risk assessment
Primary scope : Risk assessment
12. Main objective(s)
What is the main objective of the study?
To examine the potential association between latanoprost and primary malignant ocular melanoma and facial cutaneous melanoma, respectively, using an existing database
Are there primary outcomes?Yes
Ocular melanoma and facial cutaneous melanoma
Are there secondary outcomes?No
13. Study design
What is the design of the study?
Cohort 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
Descriptive statistics will be presented to describe patient characteristics of the latanoprost, other topical Prostaglandin (PGA) and topical non-PGA groups. Incidence rates of primary malignant ocular melanoma (OM) and facial cutaneous melanoma (CM) will be calculated by dividing the number of incident cases of melanoma by the person-time at risk for the appropriate exposure group. Incidence rates of OM and facial CM will be estimated in the latanoprost, other topical PGAs and topical non-PGAs groups. For primary objectives, a change-in-estimate procedure using Cox regression including only exposure and one potential confounder at a time will be conducted to assess the association between latanoprost and covariates and the development of OM and facial CM. Based on these results, a multivariable Cox regression model will be developed to evaluate the independent effect of latanoprost on the risk of primary malignant OM and facial CM while controlling for potential confounding.
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
Conflict(s) of interest of
investigator(s)Not submitted
Composition of Steering Group and
ObserversNot submitted
Other documents
DescriptionDocumentLatest version
Signed Code of
Conduct Checklist
Not submitted
Signed Code of Conduct Declaration
Not submitted
Signed Checklist for Study
Protocols
Not submitted
