Status: Ongoing
First registered on:
11/10/2011
Last updated on:
29/01/2012
1. Study identification
EU PAS Register NumberEUPAS2221
Official titleEUROmediCAT: Safety of Medication Use in Pregnancy in Relation to Risk of Congenital Malformations
Study title acronymEUROmediCAT
Study typeActive surveillance
Brief description of the studyA variety of complementary approaches are needed to evaluate safety of medicine use in pregnancy. To evaluate safety in relation to teratogenicity (capacity to cause malformations), population-based congenital anomalies registers, which are already networked across Europe (EUROCAT) with a common database, can provide a cost-effective mechanism which is as yet underexploited. The enormous population coverage of registers when combined gives sufficient statistical power for the identification of associations between specific drugs and specific malformations. This project will develop and test an efficient pharmaco-vigilance system for safety of drugs during pregnancy in relation to teratogenicity by (i) enhancing the information regarding drug exposure in the EUROCAT database, covering a total population of 6 million births 1995-2010, through linkage to electronic databases containing prescription information, and by linkage to chronic disease cohorts (ii) analysing the enhanced EUROCAT database in relation to four drug groups of public health concern – new antiepileptics, insulin analogs, SSRI antidepressants, and antiasthmatics – exposure to all of which is increasing in the pregnancy population (iii) interrogating health care databases to monitor the effectiveness of drug safety recommendations and pregnancy prevention programmes through drug utilisation studies, and to provide an exposure profile for pregnant women (iv) conducting a scoping study of the implications for drug safety of growing internet use by pregnant women, in terms of access to safety information about teratogenicity, and access to drugs with teratogenic potential.
Was this study requested by a regulator?No
Is the study required by a Risk Management Plan (RMP)?
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
Department/Research groupCentre for Maternal, Fetal and Infant Research
Organisation/affiliationUniversity of Ulster
Details of (Primary) lead investigator
Title Professor
Last name Dolk
First name Helen
Is this study being carried out with the collaboration of a research network?
Yes
Other centres where this study is being conducted
Multiple centres
In total how many centres are involved in this Study?17
University of Groningen (RUG), Netherlands
The Academisch Ziekenhuis Groningen/University Medical Center Groningen, Netherlands
Paediatric Department, Hospital Lillebaelt - Kolding, Denmark
The Poznan University of Medical Sciences (PUMS), Poland
Institute of Clinical Physiology - National Research Council (IFC-CNR), Italy
Swansea University /Abertawe Bromorgannwg University Health Board, UK
Queen Mary University of London, UK
Provinciaal Instituut voor Hygiene, Antwerp, Belgium
Department of Public Health, Cork, Ireland
Department of Health Information, Malta
Countries in which this study is being conducted
International study
Belgium
Denmark
France
Ireland
Italy
Malta
Netherlands
Norway
Poland
Switzerland
United Kingdom
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed21/02/2011
Start date of data collection01/03/2011
Start date of data analysis01/09/2011
Date of interim report, if expected31/10/2012
Date of final study report29/05/2015
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companies
Charities
Government body
Research councils
EU funding schemeFP775
OtherUniversities25
5. Contact details for enquiries
Scientific Enquiries
Title Professor
Last name Dolk
First name Helen
Address line 1University of Ulster
Address line 2Shore Rd
Address line 3
CityNewtownabbey
PostcodeBT370QB
CountryUnited Kingdom
Phone number (incl. country code)442890368540
Alternative phone number
Fax number (incl. country code)442890368341
Public Enquiries
Title Professor
Last name Dolk
First name Helen
Address line 1University of Ulster
Address line 2Shore Rd
Address line 3
CityNewtownabbey
PostcodeBT370QB
CountryUnited Kingdom
Phone number (incl. country code)442890368540
Alternative phone number
Fax number (incl. country code)442890368341
6. Study drug(s) information
Substance class (ATC Code)N06A (ANTIDEPRESSANTS)
Substance class (ATC Code)N03 (ANTIEPILEPTICS)
Substance class (ATC Code)A10 (DRUGS USED IN DIABETES)
Substance class (ATC Code)R03 (DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES)
Substance class (ATC Code)D10AD04 (isotretinoin)
7. Medical conditions to be studied
Medical condition(s)Yes
Congenital cardiovascular anomaly
Neural tube defect
Cleft lip and palate
Cleft palate
Hypospadias
Hydrocephalus
Microcephaly
Gastroschisis
Renal aplasia
Trisomy 21
8. Population under study
Age
Preterm newborns
Term newborns (0-27 days)
Sex
Male
Female
Other population
Pregnant women
9. Number of subjects
Estimated total number of subjects120000
Additional information
Covering a total population of approx 6 million births in Europe, of which approx 2% with congenital anomalies.
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
EUROCAT database, United Kingdom
SAIL & CARIS database, United Kingdom
Statistik Denmark, Denmark
MBR & Prescription Database, Norway
Sources of data
Prospective patient-based data collection
Disease/case registry
Administrative database, e.g. claims database
Routine primary care electronic patient registry
Exposure registry
Pharmacy dispensing records
Case-control surveillance database
11. Scope of the study
What is the scope of the study?
Risk assessment
Drug utilisation study
Primary scope : Risk assessment
12. Main objective(s)
What is the main objective of the study?
The central aim is to build a European system for reproductive safety evaluation, which enables us to identify systematically and comprehensively the possible adverse effects in pregnancy of a drug in humans at the earliest stage post marketing, and enables us to monitor and evaluate safety measures undertaken in Europe.
Are there primary outcomes?Yes
An efficient system for methodical safety evaluation of drugs during pregnancy, based on an existing network of congenital anomalies registers in Europe and healthcare databases.
A quantified risk of congenital anomaly related to new antiepileptics, insulin analogues, anti-asthmatics and SSRIs.
A framework to evaluate the efficacy of pregnancy-related drug safety measures.
Are there secondary outcomes?No
13. Study design
What is the design of the study?
Cohort study
Case-control study
Drug utilisation study
14. Follow-up of patients
Will patients be followed up?Not applicable/no follow-up
15. Data analysis plan
Please provide a brief summary of the analysis method
Workpackages 4,5: For three classes of medication (antiepileptics, antidepressants, antiashtmatics) we will analyse the specificity of association between specific medications and specific malformation types, using odds ratios, from a case-malformed control design.
Workpackage 4: For insulin analogs, we will use a cohort design and relative risk of malformation.
For Workpackage 6, a drug utilisation study, we will use prevalence of medication use during pregnancy.
For Workpackage 7 concerning internet use by pregnant women, qualitative and survey methods.
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 documents
DescriptionDocumentLatest version
Signed Code of
Conduct Checklist
Not submitted
Signed Code of Conduct Declaration
Not submitted
Signed Checklist for Study
Protocols
Not submitted
