1. Study identification
EU PAS Register NumberEUPAS20081
Official titleAn observational cohort study to evaluate the risk of adverse pregnancy outcomes in patients treated with etanercept compared to those not treated with etanercept or other biologics using merged data from Sweden, Denmark and Finland
Study title acronym
Study typeObservational study
Brief description of the studyThis is a population-based study of data from the national health registers of Sweden, Denmark and Finland. The study will compare the rate of adverse outcomes, including birth defects, preterm birth, small for gestational age and infections in infancy among infats to women exposed to etanercept with infants to women not exposed.
Was this study requested by a regulator?Yes: EMA
Is the study required by a Risk Management Plan (RMP)?
Not applicable
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 groupDepartment of medicine/Clinical epidemiology unit
Organisation/affiliationKarolinska Institutet
Details of (Primary) lead investigator
Title Dr
Last name Kieler
First name Helle
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
Department of Clinical Epidemiology, Aarhus University, Aarhus, Denmark
National Institute for Health and Welfare, Helsinki, Finland
Countries in which this study is being conducted
International study
Denmark
Finland
Sweden
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed01/07/201701/07/2017
Start date of data collection01/07/200601/07/2006
Start date of data analysis01/07/201701/07/2017
Date of interim report, if expected
Date of final study report31/12/201802/07/2018
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesPfizer100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Kieler
First name Helle
Address line 1Department of medicine
Address line 2Centre for Pharmacoepidemiology, T2
Address line 3Karolinska University Hospital Solna
CityStockholm
Postcode171 76
CountrySweden
Phone number (incl. country code)46851770629
Alternative phone number46736334492
Fax number (incl. country code)46851779304
Public Enquiries
Title Dr
Last name Kieler
First name Helle
Address line 1Department of medicine
Address line 2Centre for Pharmacoepidemiology, T2
Address line 3Karolinska University Hospital Solna
CityStockholm
Postcode171 76
CountrySweden
Phone number (incl. country code)46851770629
Alternative phone number46736334492
Fax number (incl. country code)46851779304
6. Study drug(s) information
Not applicable (disease/epidemiology study)
7. Medical conditions to be studied
Medical condition(s)Yes
Rheumatoid arthritis
Psoriasis
Ankylosing spondylitis
8. Population under study
Age
Preterm newborns
Term newborns (0-27 days)
Infants and toddlers (28 days - 23 months)
Sex
Male
Female
9. Number of subjects
Estimated total number of subjects1300000
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources registered with ENCePP
Sources of data
Prospective patient-based data collection
Pharmacy dispensing records
11. Scope of the study
What is the scope of the study?
Risk assessment
Primary scope : Risk assessment
12. Main objective(s)
What is the main objective of the study?
To compare the risk of adverse birth outcomes in women exposed to etanercept during pregnancy to those not exposed.
Are there primary outcomes?Yes
Major congenital malformations
Are there secondary outcomes?Yes
Any congenital malformation, preterm birth, small for gestational age, infant infections
13. Study design
What is the design of the study?
Cohort 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
All birth in Sweden, Denmark and Finland between July 2006 and 2013 will be included. Birth outcomes for infants born to women with etanercept treatment will be compared to those without.