Status: Finalised
First registered on:
23/02/2017
Last updated on:
11/04/2017
1. Study identification
EU PAS Register NumberEUPAS17954
Official titleA cohort study with a nested case control analysis on the association between acid-suppressing drugs and seizures using THIN database in the UK
Study title acronymAcid suppressing Drug Seizure Epidemiology Study
Study typeObservational study
Brief description of the studyIn this observational study (NCT01744301), patients aged 20–84 years in 2005–2011 were identified from The Health Improvement Network. The relative risk of seizure associated with use of proton pump inhibitors (PPIs) and histamine-2 receptor antagonists (H2RAs) in a general population was quantified, overall and stratified by epilepsy status, and the effects of demographics and comorbidities were determined. In a nested case–control analysis, seizure cases were matched to controls. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using unconditional logistic regression. Estimates were adjusted for potential confounders.
Was this study requested by a regulator?No
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 applicableD9612N00017
2. Research centres and Investigator details
Coordinating study entity
Centre to which the investigator belongsCEIFE
Department/Research groupFundación Centro Español de Investigación Farmacoepidemiológica
Organisation/affiliationFundación CEIFE
Details of (Primary) lead investigator
Title Dr
Last name García Rodríguez
First name Luis Alberto
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
Spain
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed13/12/2011
Start date of data collection22/03/2013
Start date of data analysis21/12/2014
Date of interim report, if expected
Date of final study report15/05/2015
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesAstraZeneca100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name García Rodríguez
First name Luis Alberto
Address line 11800 Concord Pike
Address line 2PO Box 15437
Address line 3
CityWilmington
Postcode19850
CountryUnited States
Phone number (incl. country code)0018772409479
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name AstraZeneca
First name Clinical Study Information Center
Address line 11800 Concord Pike
Address line 2PO Box 15437
Address line 3
CityWilmington
Postcode19850
CountryUnited States
Phone number (incl. country code)0018772409479
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Substance class (ATC Code)A02BC (Proton pump inhibitors)
Substance class (ATC Code)A02BA (H2-receptor antagonists)
7. Medical conditions to be studied
Medical condition(s)Yes
Seizure
Clonic convulsion
Convulsion in childhood
Tonic convulsion
Convulsion neonatal
Febrile convulsion
Convulsions local
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 subjects48605
Additional information
8605 cases, 40000 controls
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
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 quantify the relative risk of seizure associated with the use of proton pump inhibitors (PPIs) and histamine-2 receptor antagonists (H2RAs) in a general population, overall and stratified by epilepsy status
Are there primary outcomes?Yes
To assess whether the use of acid-suppressive drugs in a general population is associated with increased risk of seizure, both overall and stratified by epilepsy status.
A further aim was to determine the effects of demographic and lifestyle factors, comorbidities, and other medications on the risk of seizures
Are there secondary outcomes?No
13. Study design
What is the design of the study?
Cohort study with nested case-control analysis
14. Follow-up of patients
Will patients be followed up?Yes
Please describe duration of follow up
All members of the study cohort were followed up from their start date to the earliest of the following endpoints: diagnosis of seizure, meeting an exclusion criterion (cancer, alcohol abuse, alcohol-related disease, or drug abuse or reaching 85 years of age), death, or end of study period (31 December 2011).
15. Data analysis plan
Please provide a brief summary of the analysis method
The incidence of seizure was calculated in the entire study cohort and also separately for men and women and for those with epilepsy and without. Odds ratios (ORs) and their 95% confidence intervals (CIs) were calculated using unconditional logistic regression models in order to determine the association between the use of PPIs, H2RA and other medications, comorbidities and lifestyle factors, and the occurrence of seizure. Estimates were adjusted for demographic characteristics, lifestyle factors, the most relevant comorbidity, and determinants of acute seizure.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
18. Study Results
Not submitted
Please list the 5 most relevant publications using data from your study
ReferenceLink to web-publication
Sáez ME, González-Pérez A, Gaist D, Johansson S, Nagy P, García Rodríguez LA. Risk of seizure associated with use of acid-suppressive drugs: An observational cohort study. Epilepsy Behav. 2016 Jul 20;62:72-80.https://doi.org/10.1016/j.yebeh.2016.06.039
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
