Status: Ongoing
First registered on:
16/03/2017
Last updated on:
11/10/2018
1. Study identification
EU PAS Register NumberEUPAS18201
Official titleUnited States Post-Marketing Observational Cardiovascular Safety Study in Patients taking Naloxegol
Study title acronymNaloxegol US Post-Market Requirement CV Safety
Study typeObservational study
Brief description of the studyThe overall research goal for this study is to provide additional data to characterize the safety of naloxegol in patients aged 18 years and older who do not have a diagnosis of cancer and who are treated with opioids chronically.
Was this study requested by a regulator?Yes: United States
Is the study required by a Risk Management Plan (RMP)?
EU RMP category 3 (required)
Regulatory procedure number (RMP Category 1 and 2 studies only)
Other study registration identification numbers and URLs as applicableD3820R00008
2. Research centres and Investigator details
Coordinating study entity
Centre to which the investigator belongsEvidera
Department/Research group
Organisation/affiliationEvidera
Details of (Primary) lead investigator
Title Dr
Last name Wittbrodt
First name Eric
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?2
HealthCore, United States
Edward Hines Jr. VA Hospital, United States
Chicago Association for Research and Education in Science, United States
Scott & White Memorial Hospital, United States
Countries in which this study is being conducted
National study
United States
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed13/10/201513/10/2015
Start date of data collection01/12/201501/12/2015
Start date of data analysis01/06/201601/06/2016
Date of interim report, if expected30/06/201823/05/2018
Date of final study report31/12/2023
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 Dr
Last name Wittbrodt
First name Eric
Address line 11800 Concord Pike
Address line 2PO Box 15437
Address line 3
CityWilmington, De
Postcode19850
CountryUnited States
Phone number (incl. country code)0018772409479
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name AstraZeneca
First name Clinical Study Information Center
Address line 11800 Concord Pike
Address line 2PO Box 15437
Address line 3
CityWilmington, De
Postcode19850
CountryUnited States
Phone number (incl. country code)0018772409479
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Product NameMoventik
CountryUnited States
Substance INN(s)NALOXEGOL
7. Medical conditions to be studied
Medical condition(s)Yes
Constipation
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 subjects4400
Additional information
4400 person-years of naloxegol treatment and similarly 4400 person-years of comparator drug group treatment
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources not registered with ENCePP
HealthCore, United States
Veterans Administration, United States
Sources of data
Administrative database, e.g. claims database
Electronic medical records and National Death Index
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 assess the relative risk of MACE among naloxegol-treated patients compared with that among patients on prescription non-PAMORA OIC treatment.
Are there primary outcomes?Yes
MACE defined as a composite of myocardial infarction, stroke and cardiovascular death
Are there secondary outcomes?Yes
Individual components of MACE
13. Study design
What is the design of the study?
Case-control study
Self controlled case-series
Cohort study
14. Follow-up of patients
Will patients be followed up?Yes
Please describe duration of follow up
For cohort study, follow-up continues first occurrence of either end of continuous time-on-treatment, MACE, or last date of available data (end of study window or patient exits health system). For self-controlled analysis, observation continues for as long as data are available.
15. Data analysis plan
Please provide a brief summary of the analysis method
The primary effect estimate is the relative incidence of MACE during naloxegol exposure as compared to during comparison drug treatment. The analysis of MACE is based on the Cox proportional hazards model with an indicator for naloxegol versus comparison drug treatment as a predictor, a non-specified baseline hazard with stratification by calendar year of cohort entry, and decile of propensity score. In addition to treatment status, the predictors will include covariates that are not balanced by the propensity scores.
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
