1. Study identification
EU PAS Register NumberEUPAS13721
Official titleObservational study to quantify in real life the contribution of SINGULAIR ® 4mg in children aged from 6 to 24 months
Study title acronymNA
Study typeObservational study
Brief description of the studySINGULAIR® 4mg is an additive treatment to inhaled corticosteroids in 6 month to 5 year children with mild to moderate persistent asthma, inadequately controlled by inhaled corticosteroids and in whom immediate and short-term beta 2 agonists, administered at the request, does not provide sufficient clinical asthma control.
The French Economic Committee for Health Products (CEPS) asked MSD France laboratory "to establish an epidemiological study of children under 2 years old, with the primary objective to determine whether the introduction of SINGULAIR® in the therapeutic arsenal provides better control of mild to moderate persistent asthma, poorly controlled when real prescribing practice is in relation to existing recommendations".
Based on the French national health insurance database (SNII-RAM) which contains healthcare reimbursement data of the French population, the objective of this study is to compare the support, following an exacerbation, of children aged from 6 to 24 months with persistent asthma, between the addition of SINGULAIR® 4mg and a reinforcement of inhaled corticosteroids, according to existing guidelines.
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
Centre to which the investigator belongsPELyon
Department/Research groupPharmacoEpidemiology Unit
Organisation/affiliationClaude Bernard Lyon 1 University
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 signed03/10/201103/10/2011
Start date of data collection21/12/201221/12/2012
Start date of data analysis02/05/201302/05/2013
Date of interim report, if expected
Date of final study report30/09/201330/09/2013
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesMSD France100
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, Université Claude Bernard Lyon 1
Address line 211 rue Guillaume Paradin
Address line 3
CityLyon
Postcode69008
CountryFrance
Phone number (incl. country code)33-478778609
Alternative phone number
Fax number (incl. country code)
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
Product NameSingulair
CountryFrance
Substance INN(s)MONTELUKAST SODIUM
7. Medical conditions to be studied
Medical condition(s)Yes
Asthma
8. Population under study
Age
Infants and toddlers (28 days - 23 months)
Sex
Male
Female
9. Number of subjects
Estimated total number of subjects115500
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources not registered with ENCePP
SNIIRAM, France
Sources of data
Administrative database, e.g. claims database
11. Scope of the study
What is the scope of the study?
Effectiveness evaluation
Primary scope : Effectiveness evaluation
12. Main objective(s)
What is the main objective of the study?
The objective was to assess the characteristics, medical management, and
Medical Resources Utilization of recurrent wheezing infants identified from national claims data.
Are there primary outcomes?Yes
Number of exacerbations during follow-up period
Time to the 1st exacerbation
Are there secondary outcomes?Yes
number of visits to GP
number of visits to pneumologist
other MRU associated to asthma
number of dispensations of antibiotics
number of dispensations other dispensations
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
6 months
15. Data analysis plan
Please provide a brief summary of the analysis method
1. Descriptive analysis of quantitative and ordinal variables (number and frequency of each therapeutic scheme, with 95% IC).
Descriptive analysis of qualitative variables (average, standard deviation, median, percentiles and lower and higher limits). Outliers identified by boxplots.
2. Comparative analysis after matching (infants under Singulair vs. infants under IC)
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
Belhassen M, De Blic J, Laforest L, Laigle V, Chanut-Vogel C, Lamezec L, Brouard J, Fauroux B, de Pouvourville G, Ginoux M, Van Ganse E. Recurrent Wheezing in Infants: A Population-Based Study. Medicine. 2016 Apr;95(15):e3404.
Belhassen M, de Pouvourville G, Laforest L, Brouard J, de Blic J, Fauroux B, Laigle V, Chanut-Vogel C, Lamezec L, Van Ganse E.
Effectiveness of Montelukast on asthma control in infants: methodology of a French claims data study.
BMC Pulm Med. 2015 May 2;15:51. doi: 10.1186/s12890-015-0047-6.http://www.pelyon.fr/wp-content/uploads/2016/04/Belhassen-Medicine-Baltimore-2016-Singulair.pdf
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
Submitted
Signed Code of Conduct Declaration
Submitted
Signed Checklist for Study
Protocols
Submitted