Status: Finalised
First registered on:
03/12/2015
Last updated on:
09/03/2018
1. Study identification
EU PAS Register NumberEUPAS11765
Official titleEvaluation of the Effectiveness of Risk Minimisation Measures: A Joint PASS Survey among Health Care Professionals to Assess their Knowledge and Attitudes on Prescribing Conditions of Thiocolchicoside containing Medicinal Products for Systemic Use in France, Greece, Italy and Portugal
Study title acronym
Study typeObservational study
Brief description of the studyThiocolchicoside (TCC) is a semi-synthetic sulfurated colchicoside derivative with a muscle relaxant pharmacological activity, used in the management of non-specific low back pain. TCC is indicated as adjuvant treatment of painful muscular contractures in acute spinal pathology, in adults and adolescents from 16 years onwards. The benefits of TCC containing medicinal products are recognised in clinical practice, and they are widely used by prescribers in the concerned Member States (see Annex 3).
An Article 31 referral on thiocolchicoside-containing medicinal products for systemic use was initiated in February 2013. The CHMP has concerns with regard to the potential genotoxicity of thiocolchicoside-containing medicinal products for systemic use. Within the context of minimization measures as per European Commission decision dated 17 January 2014, including a Dear Healthcare Professional Communication, changes to the SmPC, Labelling and Package Leaflet. As per EMA request the present survey will be conducted in complement to a Joint Drug Utilization 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 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 Dr
Last name Massoud
First name Toussi
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
France
Greece
Italy
Portugal
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed02/11/201520/11/2015
Start date of data collection01/04/201601/02/2017
Start date of data analysis
Date of interim report, if expected
Date of final study report31/01/201701/06/2017
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesAcarpia services farmaceuticos Lda, Alter laboratoire, Angelini, Angenerico SpA, Arrow Generiques, Biogaran, Cristers, Daiichi Sankyo, Doc Generici, Dompe Farmaceutici SpA, EG labo, EG SpA, Epifarma Srl, Farmaceutici Caber SpA, Generis Farmaceutica,100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Massoud
First name Toussi
Address line 15-7 place des Pyramides
Address line 2
Address line 3
CityParis La Défense
Postcode92088
CountryFrance
Phone number (incl. country code)33-1413-51335
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name Massoud
First name Toussi
Address line 15-7 place des Pyramides
Address line 2
Address line 3
CityParis La Défense
Postcode92088
CountryFrance
Phone number (incl. country code)33-1413-51335
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Single-Constituent (Substance INN)THIOCOLCHICOSIDE
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
Other population
Pregnant women
9. Number of subjects
Estimated total number of subjects600
Additional information
600 physicians will be surveyed and they are requested to submit up to 3 prescription cases each
10. Source of data
Is this study being carried out with an established data source?No
Sources of data
Survey among healthcare professionals
11. Scope of the study
What is the scope of the study?
Drug utilisation study
Effectiveness evaluation
Primary scope : Effectiveness evaluation
12. Main objective(s)
What is the main objective of the study?
Whether the dear healthcare professionals communication (DHPC) and educational materials (EM), implemented as risk minimisation measures (RMM), were effective to ensure:
- correct knowledge of physicians about prescribing conditions and safe use when prescribing systemic thiocolchicoside
- appropriate attitude when prescribing systemic thiocolchicoside
Are there primary outcomes?Yes
to measure the effectiveness of the DHPC and EM, implemented as part of RMM, by ascertaining the proportion of targeted physicians who understood and implemented the latest prescribing conditions and safety information about systemic thiocolchicoside provided in the DHPC and EM.
Are there secondary outcomes?Yes
Specific objectives were to evaluate the proportion of physicians who:
• prescribe systemic colchicoside only as adjuvant treatment of painful muscle contractures associated with acute spinal pathology in adults and in adolescents from 16 years onwards.
• do not prescribe systemic thiocolchicoside for long-term treatment of chronic conditions.
• follow the recommendations regarding doses
13. Study design
What is the design of the study?
Cross-sectional 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
The statistical analysis will be conducted using the SAS® softwareV9.3 on Windows™ (SAS Institute, North Carolina, USA).
Results will be presented, overall and at country level per specialty.
Continuous variables will be described by the number of valid cases and missing data, mean, standard deviation, median, Q1, Q3, minimum, and maximum. No missing data will be replaced. Categorical variables will be described as the total number and relative percentage per category. Confidence intervals of 95% will be calculated when relevant.
Calculations will first be performed on raw data per specialty, and weighted according to the real proportion of targeted physicians in each country to accurately reflect the population the survey seeks to measure.
Possible selection bias will be assessed by comparing the distributions of available characteristics (e.g. region, age, gender, type of practice and specialty) between respondent and non-respondent physicians.
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
