Status: Finalised
First registered on:
25/11/2013
Last updated on:
21/09/2016
1. Study identification
EU PAS Register NumberEUPAS5275
Official titleComparison of care use between cohorts differentiated by the patients adherence to statins in France between 2005 and 2008
Study title acronymC2STAT
Study typeObservational study
Brief description of the studyCardiovascular disease is the leading cause of death worldwide, with about 30 % of deaths. Statins (or HMG -CoA reductase inhibitors) form a class of lipid-lowering drugs, drugs used to lower cholesterol levels in people at risk for cardiovascular disease. Statins are now considered as the most effective therapeutic class for the treatment of hypercholesterolemia. They also demonstrated their beneficial effect on all-cause mortality decrease and on the occurrence of cardiovascular events.
Statins are one of the main expenditure for the French health insurance since the early 2000s (1.28 billion euros in 2008). The financial burden associated with statins should remain a major concern in the coming years, particularly because of the aging population and the increased prevalence of risk factors such as diabetes or obesity, often associated with abnormal lipids.
The objective of this study is to compare the use of health care, and the costs associated, with each patient cohorts differentiated by adherence to statin therapy, between 2005 and 2008, based on the French health national insurance database (EGB) which contains healthcare reimbursement data of 1/97 of the French population.
The study mainly describes the annualized costs of care use in patients who have had an introduction to statin therapy and compares these costs between three cohorts defined by the level of adherence to statin therapy. It also describes the study population (socio-demographic characteristics, therapeutic profile of patients, characteristics associated with the initiation of statin therapy, level of adherence), identifies factors associated with annualized costs and poor adherence to statins and compare cardiovascular events between the three cohorts defined by level of adherence to statins.
Was this study requested by a regulator?No
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
Not applicable (single centre)
Countries in which this study is being conducted
National study
France
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed01/07/200901/07/2009
Start date of data collection15/07/200915/07/2009
Start date of data analysis15/07/201002/08/2010
Date of interim report, if expected
Date of final study report16/09/201116/09/2011
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesPfizer100
Charities
Government body
Research councils
EU funding scheme
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 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
6. Study drug(s) information
Substance class (ATC Code)C10 (LIPID MODIFYING AGENTS)
Substance class (ATC Code)C02 (ANTIHYPERTENSIVES)
Substance class (ATC Code)B01 (ANTITHROMBOTIC AGENTS)
Substance class (ATC Code)C01D (VASODILATORS USED IN CARDIAC DISEASES)
7. Medical conditions to be studied
Medical condition(s)No
8. Population under study
Age
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 subjects5000
Additional information
A first determination will be made with the current criteria. The number of patients will be potentially modulated by adjusting the inclusion criteria and / or thresholds of coverage, so that each cohort includes a minimum of 1,000 patients.
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources not registered with ENCePP
EGB, France
Sources of data
Administrative database, e.g. claims database
11. Scope of the study
What is the scope of the study?
Drug utilisation study
Healthcare cost
Primary scope : Healthcare cost
12. Main objective(s)
What is the main objective of the study?
The study describes the annualized costs of care use in patients who have had an introduction to statin therapy and compares these costs between three cohorts defined by the level of adherence to statin therapy.
Are there primary outcomes?Yes
To describe annualized costs of care use in patients who have had an introduction to statin therapy and to compare these costs between three cohorts defined by the level of adherence to statin therapy.
Are there secondary outcomes?Yes
To identify the study population, factors associated with annualized costs and poor adherence to statins and compare cardiovascular events between the three cohorts.
13. Study design
What is the design of the study?
Cohort study
Drug utilisation study
Healthcare cost
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
A / General description of the study population
B / Description of the level of adherence to statins
C / Description and comparison of annualized costs generated by patients
D / Identification of factors associated with annualized costs
E / Identification of factors associated with poor adherence to statin therapy
F / Comparison of cardiovascular events between the three cohorts defined according to their level of adherence to statins
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
Not submitted
18. Study Results
Not submitted
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 documentsNot
submitted
Signed Code of
Conduct Checklist
Not submitted
Signed Code of Conduct Declaration
Not submitted
Signed Checklist for Study
Protocols
Not submitted
