Status: Finalised
First registered on:
16/12/2013
Last updated on:
22/08/2017
1. Study identification
EU PAS Register NumberEUPAS5411
Official titleA COHORT STUDY TO MONITOR THE SAFETY AND USE OF PROLONGED-RELEASE QUETIAPINE
Study title acronymOASIS
Study typeObservational study
Brief description of the studyThe study is designed to examine the short-term (up to 12 weeks) safety and use of quetiapine fumarate in an prolonged-release (XL) formulation (Seroquel XL™) prescribed by psychiatrists to patients with a clinical diagnosis of schizophrenia and the manic episodes associated with bipolar disorder in a mental health care trust setting in England. This observational study will enable the systematic collection and reporting of safety data on patients newly initiated on treatment with quetiapine XL. Its purpose will be to provide information on a large number of such patients and the treatment they received in a mental health care trust clinical practice setting. Data on patients with a clinical diagnosis of schizophrenia and the manic episodes associated with bipolar disorder newly initiated on treatment with quetiapine IR will also be collected for comparison.
Patients will be identified by psychiatrists in England. At start of treatment psychiatrists will recruit appropriate patients into the study and collect baseline details of indication, drug exposure, co-morbidities and other factors. Twelve weeks later, the prescribing psychiatrist will be sent a data-collection end of observation questionnaire about quetiapine treatment.
The data collected will be used to examine and compare the safety and prescribing patterns of quetiapine XL and IR, used in the mental health trust setting in England.
Was this study requested by a regulator?Yes: United Kingdom
Is the study required by a Risk Management Plan (RMP)?
EU RMP category 1 (imposed as condition of marketing authorisation)
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 belongsDSRU
Department/Research group
Organisation/affiliationDrug Safety Research Unit
Details of (Primary) lead investigator
Title Professor
Last name Shakir
First name Saad
Is this study being carried out with the collaboration of a research network?
Yes
Primary Care Research Network
Other centres where this study is being conducted
Not applicable (single centre)
Countries in which this study is being conducted
National study
United Kingdom
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed16/10/2009
Start date of data collection25/02/2010
Start date of data analysis
Date of interim report, if expected
Date of final study report18/09/2013
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesAstra Zeneca100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Professor
Last name Shakir
First name Saad
Address line 1DSRU
Address line 2Bursledon Hall
Address line 3Blundell Lane
CitySouthampton
PostcodeSO31 1AA
CountryUnited Kingdom
Phone number (incl. country code)44-2380-408600
Alternative phone number
Fax number (incl. country code)44-2380-408609
Public Enquiries
Title Professor
Last name Shakir
First name Saad
Address line 1DSRU
Address line 2Bursledon Hall
Address line 3Blundell Lane
CitySouthampton
PostcodeSO31 1AA
CountryUnited Kingdom
Phone number (incl. country code)44-2380-408600
Alternative phone number
Fax number (incl. country code)44-2380-408609
6. Study drug(s) information
Product NameSeroquel XL
CountryUnited Kingdom
Substance INN(s)QUETIAPINE FUMARATE
7. Medical conditions to be studied
Medical condition(s)Yes
Schizophrenia
Mania
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 subjects900
10. Source of data
Is this study being carried out with an established data source?No
Sources of data
Prospective patient-based data collection
11. Scope of the study
What is the scope of the study?
Risk assessment
Drug utilisation study
Primary scope : Drug utilisation study
12. Main objective(s)
What is the main objective of the study?
The study was requested by the MHRA for further clarification of safety at higher doses in the Seroquel XL (extended
release) formulation in the Mental Health Trust setting. The regulatory commitment is to conduct a study to monitor
events in the >600mg XL group and compare them to <600mg XL, with seroquel IR (immediate release preparation) as a
comparator.
Are there primary outcomes?No
Are there secondary outcomes?No
13. Study design
What is the design of the study?
Case-control study
Drug utilisation study
14. Follow-up of patients
Will patients be followed up?Yes
Please describe duration of follow up
If a patient is reported to have experienced an adverse event during the 12 weeks of observation, a follow-up questionnaire was sent to the patient's care team for completion. This questionnaire requested further details of the suspected adverse event.
15. Data analysis plan
Please provide a brief summary of the analysis method
Drug utilisation characteristics will be described using summary statistics. Incidence Densities (IDs)will be calculated for the whole 12 week period, for all events reported in patients from the time they start high dose quetiapine (defined as receiving a dose > 600mg) until dose is reduced below 600mg, the patient stops treatment, leaves the care of the psychiatrist, or end of study period, which ever is the soonest. This will be repeated for the XL and IR cohort separately.
For each four week period during the 12 week observational period IDs will be calculated for all events reported in patients receiving high dose quetiapine XL (excluding indication related events, which will be listed at analysis stage). Similarly, IDs will be calculated for patients receiving low dose XL.
A time to event analysis will be performed in order to investigate the relationship between selected event(s) of interest and potential confounding factors for which information has been requested.
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
