Status: Ongoing
First registered on:
19/08/2016
Last updated on:
08/12/2017
1. Study identification
EU PAS Register NumberEUPAS14852
Official titleLong-Term Post-Marketing Observational Study of the Safety of Roflumilast
Study title acronym
Study typeOther: Postmarketing Safety Study
Brief description of the studyChronic obstructive pulmonary disease (COPD) is a leading cause of death. Takeda Development Centre (Europe) Ltd (formerly Nycomed) received central marketing authorization in the EU in July 2010 and regulatory approval in Canada in November 2010 for its selective phosphodiesterase-4 (PDE4) inhibitor roflumilast (DAXAS®), which is available as 500µg tablets (once daily) for maintenance treatment of severe COPD associated with chronic bronchitis in adults with a history of frequent exacerbations as add on to bronchodilator treatment. Roflumilast is contraindicated in patients with hypersensitivity to the tablet ingredients and in patients with moderate to severe liver impairment. Since roflumilast is used for maintenance treatment, a long-term safety assessment exceeding 12 months was requested as a condition of approval for marketing in the EU. During the approval process, Takeda as the Marketing Authorisation Holder (MAH) for roflumilast, committed to the European Medicines Agency (EMA) to perform a database study, and proposed that the study be conducted in large, unselected COPD populations, reflecting the use of roflumilast in a real-life setting. Established electronic health care databases in countries where roflumilast is on the market and data on a meaningful number of roflumilast treated patients is captured will be the source on which to base this Post-Authorisation Safety Study (PASS). Due to the sponsorship transfer that occurred in 2015, study is now sponsored by AstraZeneca. The study is conducted by independent investigators qualified in epidemiology. The patient data will remain the properties of the respective database owners, and AstraZeneca will not have direct access to the data but will be co-owner of the results derived from these data, together with the respective investigators. The Lead Investigator will lead the team of investigators, each of whom is responsible for the conduct of the study.
Was this study requested by a regulator?Yes: EMA
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 applicableD7120R00003
2. Research centres and Investigator details
Coordinating study entity
Centre to which the investigator belongsBIPS GmbH
Department/Research groupClinical Epidemiology
Organisation/affiliationLeibniz Inst. for Prevention Research and Epidem.
Details of (Primary) lead investigator
Title Professor
Last name Garbe
First name Edeltraud
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
Epi Research Oy, Finland
Quintiles Real World and Late Phase Research (RWLPR), EMR Data and Analytics, USA
Countries in which this study is being conducted
International study
Germany
Sweden
United States
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed01/07/2010
Start date of data collection30/03/2013
Start date of data analysis31/01/2020
Date of interim report, if expected31/10/201731/10/2017
Date of final study report31/03/2021
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 Professor
Last name Garbe
First name Edeltraud
Address line 11800 Concord Pike, PO Box 15437
Address line 2
Address line 3
CityWilmington, De
Postcode19850
CountryUnited States
Phone number (incl. country code)0018772409479
Alternative phone number
Fax number (incl. country code)0018772409479
Public Enquiries
Title Dr
Last name AstraZeneca
First name Clinical Study Information Center
Address line 11800 Concord Pike, PO Box 15437
Address line 2
Address line 3
CityWilmington, De
Postcode19850
CountryUnited States
Phone number (incl. country code)0018772409479
Alternative phone number
Fax number (incl. country code)0018772409479
6. Study drug(s) information
Not applicable (disease/epidemiology study)
7. Medical conditions to be studied
Medical condition(s)Yes
Chronic obstructive pulmonary disease
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 subjects2000
Additional information
The expectation of data availability will be based on roflumilast sales figures providing an estimate on the number of patients treated since launch/granting of reimbursement
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources registered with ENCePP
Data sources not registered with ENCePP
US Department of Defense (DoD) Military Health System database, United States
Swedish National Board of Health and Welfare, Sweden
Sources of data
Disease/case registry
Administrative database, e.g. claims database
Routine primary care electronic patient registry
Pharmacy dispensing records
Discharge registry, death registry, cancer registry, and registries holding socio-demographic data
11. Scope of the study
What is the scope of the study?
Post Authorization Safety Study
Primary scope : Post Authorization Safety Study
12. Main objective(s)
What is the main objective of the study?
The objective of this study is to evaluate the long-term safety of roflumilast in the treatment of COPD, with focus primarily on all-cause mortality.
Are there primary outcomes?Yes
The primary outcome for this study is all-cause 5 year mortality
Are there secondary outcomes?Yes
Death by suicide or hospitalization due to suicide attempt, hospitalization for any cause, major cardiovascular events leading to hospitalization, hospitalization related to respiratory disease, new diagnosis of depression, new diagnosis of cancer, hospitalization due to diarrhea of non-infectious origin, abnormal unexplained weight loss, new diagnosis of tuberculosis or hepatitis B or C.
13. Study design
What is the design of the study?
Non Interventional study
14. Follow-up of patients
Will patients be followed up?Yes
Please describe duration of follow up
Minimum of five years and up to 9 years.
15. Data analysis plan
Please provide a brief summary of the analysis method
The primary outcome (5-year all cause mortality) will be evaluated by a Cox proportional hazards regression model for counting processes, which allow the follow-up time to be divided into several periods and therefore control for baseline and time-dependent covariates, using the full observational period of available data, i.e. up to 9 years of follow up. The Cox proportional hazards regression will take into account the fact that individual matching was performed (based on age, sex and propensity score) by considering the exposed patient and his/her matched controls as one stratum and including this as a stratum in the Cox proportional hazards model. Additional variables will be included in the model if available.
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
