Status: Finalised
First registered on:
04/11/2016
Last updated on:
25/01/2018
1. Study identification
EU PAS Register NumberEUPAS16062
Official titleA Drug Utilisation Study of Domperidone in Europe Using Databases
Study title acronym
Study typeObservational study
Brief description of the studyThe objective of the study is to investigate the effectiveness of risk minimisation measures and describe prescribing patterns of domperidone, including those pertaining to the off-label use of domperidone, in routine clinical practice in 5 European Union countries.
Primary Objectives: To describe the prescribing patterns before and after the changes to the domperidone label and estimate and compare the overall proportion of domperidone prescriptions before and after implementation of the risk minimisation measures regarding the following measures:
- Composite endpoint consisting of the following components:
- Maximum daily dose;
- Duration of use (>7 days)
- Concomitant medications that prolong the QT-interval or are potent CYP3A4 inhibitors;
- Prescribing to patients with contraindicated conditions, e.g., moderate or severe liver disease, underlying cardiac diseases; and
- Prescribing for off-label indications
Secondary Objectives: To estimate the overall proportion of domperidone prescriptions before and after implementation of the risk minimisation measures for domperidone for each of the components of the composite endpoint individually, the time trend of apparent indication, and days supplied (≤7 days vs. >7 days), and the age and sex of the people receiving prescriptions.
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 applicable
2. Research centres and Investigator details
Coordinating study entity
Centre to which the investigator belongsIMS Health
Department/Research groupReal World Evidence Solutions
Organisation/affiliationIMS Health
Details of (Primary) lead investigator
Title Ms
Last name Susan
First name Oliveria
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
International study
Belgium
France
Germany
Spain
United Kingdom
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed20/10/2016
Start date of data collection09/02/201727/02/2017
Start date of data analysis16/03/201707/06/2017
Date of interim report, if expected
Date of final study report21/08/201715/12/2017
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesDomperidone Collaboration Study Group100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Fife
First name Daniel
Address line 1Janssen R&D US
Address line 21125 Trenton Harbourton Road
Address line 3
CityTitusville
Postcode08560 NJ
CountryUnited States
Phone number (incl. country code)16097303419
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name Theuwissen
First name Maarten
Address line 1Janssen R&D BE
Address line 2Turnhoutseweg, 30
Address line 3
CityBeerse
Postcode2340
CountryBelgium
Phone number (incl. country code)3214641516
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Single-Constituent (Substance INN)DOMPERIDONE
7. Medical conditions to be studied
Medical condition(s)No
8. Population under study
Age
Preterm newborns
Term newborns (0-27 days)
Infants and toddlers (28 days - 23 months)
Children (2 - 11 years)
Adolescents (12 - 17 years)
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 subjects110000
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
Disease Analyser - German DA, Germany
IMS Heath EMR - database Belgium, Belgium
IMS Health EMR - database France, France
IMS Health EMR - database Spain, Spain
Sources of data
Prescription event monitoring
11. Scope of the study
What is the scope of the study?
Drug utilisation study
Primary scope : Drug utilisation study
12. Main objective(s)
What is the main objective of the study?
To describe the prescription patterns before and after the changes to the domperidone label and distribution of a DHPC and estimate and compare the overall proportion of domperidone prescriptions before and after implementation of the risk minimisation measures.
Are there primary outcomes?Yes
Composite endpoint consisting of the following components:
- maximum daily dose;
- duration of use (> 7 days);
- concomitant medications that prolong the QT-interval or are potent or strong CYP3A4 inhibitors;
- prescribing to patients with contraindicated conditions
- prescribing for off-label indications
Are there secondary outcomes?Yes
To estimate the overall proportion of domperidone prescriptions before and after the implementation of the risk minimisation measures for domperidone for each of the components of the composite endpoint individually, the time trend of apparent indication, and days supplied (< 7 days vs > 7 days), and the age and sex of the people receiving prescriptions
13. Study design
What is the design of the 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
Data analysis in the study will be descriptive. Continuous variables will be presented using appropriate descriptive statistics, such as mean, median, standard deviation and range. Categorical variables will be presented using percent and frequency tables. The rates and 95% CI of all study endpoints (i.e., risk minimisation indicators) will be calculated for the 2011-2015 period, using quarterly time blocks for the pre- and post- risk minimisation implementation periods. The rates will be calculated per 1000 domperidone-treated patients or as percentage of domperidone prescriptions, as appropriate.
Paediatric data will be described separately from adult patients and rate of paediatric use will be calculated as fraction of overall domperidone utilisation. All data analysis will be done in SAS using the version that is current when the analyses are done.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
18. Study Results
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
