Status: Finalised
First registered on:
05/12/2013
Last updated on:
20/12/2016
1. Study identification
EU PAS Register NumberEUPAS5359
Official titleSafety of influenza AH1N1 pandemic vaccination during pregnancy: a comparative study using the EFEMERIS database
Study title acronym
Study typeObservational study
Brief description of the studyPregnant women are at increased risk of severe disease and death due to influenza infection. During the influenza AH1N1 pandemic in 2009–2010, recommendations in France were to vaccinate pregnant women during the second and third trimester preferably with a non-adjuvant vaccine. However, few data are available concerning this drug in pregnant women. The aim of the study was to compare birth outcomes between exposed and unexposed women to influenza AH1N1 vaccine during pregnancy. This observational cohort study compared 2 groups of exposed and unexposed pregnant women in EFEMERIS. EFEMERIS is a database including prescribed and dispensed reimbursed drugs during pregnancy (data from Caisse Primaire d'Assurance Maladie of Haute-Garonne) and outcomes (data from Maternal and Infant Protection Service and from Antenatal diagnosis Centre). Women who delivered from October 21th 2009 to November 30th 2010 in Haute-Garonne and were registered in the French Health Insurance Service have been included.
Was this study requested by a regulator?Yes: France
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
Department/Research groupPharmacoepidemiology research team
Organisation/affiliationUniversity of Toulouse 3 and INSERM 1027
Details of (Primary) lead investigator
Title Dr
Last name Damase-Michel
First name Christine
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 signed01/04/2012
Start date of data collection01/05/2012
Start date of data analysis01/05/2012
Date of interim report, if expected
Date of final study report01/06/2013
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 bodyAgence Nationale de Sécurité du Médicament et des produits de santé (ANSM), CNAMTS, the Clinical Research Hospital Program100
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Damase-Michel
First name Christine
Address line 137 Allees Jules Guesde
Address line 2Faculté de médecine, Service de pharmacologie clinique
Address line 3
CityToulouse
Postcode31000
CountryFrance
Phone number (incl. country code)33-561145904
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name Damase-Michel
First name Christine
Address line 137 Allees Jules Guesde
Address line 2Faculté de médecine, Service de pharmacologie clinique
Address line 3
CityToulouse
Postcode31000
CountryFrance
Phone number (incl. country code)33-561145904
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Single-Constituent (Substance INN)INFLUENZA A (H1N1) 2009 MONOVALENT VACCINE
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)
Sex
Male
Female
Other population
Pregnant women
9. Number of subjects
Estimated total number of subjects5000
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources registered with ENCePP
Sources of data
Prospective patient-based data collection
Administrative database, e.g. claims database
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 main objective was to evaluate the risk of adverse pregnancy outcomes following A/H1N1 vaccination in pregnant women.
Are there primary outcomes?Yes
all-cause pregnancy loss, preterm delivery, small for gestational age (SGA) and neonatal pathology
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
The study compared vaccinated and non-vaccinated pregnant women. Two non-vaccinated women were individually matched to each vaccinated women by month and year of pregnancy onset. Multivariable conditional logistic regression and multivariable cox proportional hazards regression were used to evaluate associations between each outcome (all-cause pregnancy loss, preterm delivery, small for gestational age (SGA) and neonatal pathology) and A/H1N1 vaccination during pregnancy.
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
Beau AB, Hurault-Delarue C, Vidal S, Guitard C, Vayssière C, Petiot D, Montastruc JL, Damase-Michel C, Lacroix I. Pandemic A/H1N1 influenza vaccination during pregnancy: A comparative study using the EFEMERIS database. Vaccine, 2014.http://www.ncbi.nlm.nih.gov/pubmed/24486369
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
