Status: Ongoing
First registered on:
04/03/2016
Last updated on:
14/02/2017
1. Study identification
EU PAS Register NumberEUPAS12669
Official titleAn Observational Post-Authorization Safety Study (PASS) of MOVENTIG® (Naloxegol) Among Patients Aged 18 Years and Older Diagnosed with Non Cancer Pain and Treated with Opioids Chronically
Study title acronym
Study typeObservational study
Brief description of the studyThis study is designed to provide additional data to characterize the safety of naloxegol in the indicated population and within at risk vulnerable populations identified in the naloxegol RMP by describing type and frequency of identified and potential risks (including bowel perforation, acute myocardial infarction, stroke, cardiovascular-specific mortality, all-cause mortality, hypertension, opioid withdrawal, abdominal pain, diarrhea, syncope, and change in pain severity) in patients ≥18 years of age diagnosed with non cancer pain who were treated with opioids chronically and subsequently treated with naloxegol in routine post-authorization use.
Was this study requested by a regulator?Yes: EMA
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 belongsEvidera
Department/Research groupReal-World Evidence
Organisation/affiliationEvidera
Details of (Primary) lead investigator
Title Dr
Last name Cid
First name Javier
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?3
Countries in which this study is being conducted
International study
Netherlands
United Kingdom
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed13/10/2015
Start date of data collection01/12/2015
Start date of data analysis
Date of interim report, if expected
Date of final study report15/12/2023
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesKyowa Kirin100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Cid
First name Javier
Address line 1Metro Building 6th Floor
Address line 21 Butterwick
Address line 3
CityLondon
PostcodeW6 8DL
CountryUnited Kingdom
Phone number (incl. country code)34932213441
Alternative phone number447769275683
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name Cid
First name Javier
Address line 1Metro Building 6th Floor
Address line 21 Butterwick
Address line 3
CityLondon
PostcodeW6 8DL
CountryUnited Kingdom
Phone number (incl. country code)34932213441
Alternative phone number4407769275683
Fax number (incl. country code)
6. Study drug(s) information
Single-Constituent (Substance INN)NALOXEGOL
7. Medical conditions to be studied
Medical condition(s)Yes
Large intestine perforation
Small intestinal perforation
Acute myocardial infarction
Cerebral infarction
Cerebellar infarction
Cerebrovascular accident
Cerebral haemorrhage
Cerebellar haemorrhage
Death
Hypertension
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 subjects10000
Additional information
The study will continue to accrue patients until both 5000 patients and 5000 patient-years of exposure with naloxegol in non-cancer pain are accumulated across all countries participating in this protocol. Given the 1:1 matching, the concurrent reference cohort sample size will be at least 5000 patients and at least 5000 patient-years of exposure.
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources registered with ENCePP
Sources of data
Routine primary care electronic patient registry
Pharmacy dispensing records
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 assess the incidence of bowel perforation, acute MI, stroke, all-cause mortality, and hypertension in patients treated with naloxegol, a concurrent reference cohort, and by subpopulations (patients aged ≥65 years, or pregnant, or with prior cardiovascular risk, or with prior renal or hepatic impairment, or with concurrent methadone use or use of CYP3A inhibitors/inducers or PgP modulators)
Are there primary outcomes?Yes
Bowel perforation, acute MI, stroke, all-cause mortality, and hypertension.
Are there secondary outcomes?Yes
CV-specific mortality, opioid withdrawal, abdominal pain, diarrhea, syncope, and change in pain severity
13. Study design
What is the design of the study?
Cohort study
14. Follow-up of patients
Will patients be followed up?Yes
Please describe duration of follow up
Follow-up will begin on index date and continue until the first occurrence of either the exposure has ended (plus pre-specified risk window of 30 days), patient disenrolls/transfers out of the research partner’s data source, death, or end of study period.
15. Data analysis plan
Please provide a brief summary of the analysis method
Demographic, clinical, and treatment characteristics in the patients’ medical history for both naloxegol inception cohort and concurrent reference cohort overall and within sub-populations of interest will be described.
Event rates and 95% CIs for pre-specified health outcomes of interest will be reported as both incidence risks and exposure-adjusted incidence rates.
Incidence will be the number of patients with the outcome of interest divided by the total number of patients. The 95% confidence intervals will be calculated based on the Wilson Score method.
Exposure-adjusted incidence rate will be the number of first occurrences of each type of health outcome of interest divided by the total aggregate person-time accrued by all patients in that exposure group.
Sensitivity analyses will be conducted to account for different definitions of exposure window or censoring.
The time to an onset of a given outcome of interest will also be described using the Kaplan-Meier method.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
Available when the study ends
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
