Status: Ongoing
First registered on:
15/06/2018
Last updated on:
31/01/2019
1. Study identification
EU PAS Register NumberEUPAS24458
Official titleEMIF Use Case 17 - Investigating the relationship in paediatric population between dosing of antibiotics (prescribed, dispensed or administered) and patient’s weight.
Study title acronymEMIF UC17
Study typeObservational study
Brief description of the studyDosing errors are one of the most common types of medication issues and contribute to the
mortality and morbidity within the paediatric population. Paediatric patients are at a higher risk
than adults of experiencing such problems because of the need for a dose calculation based on
the patient’s age, weight (mg/kg), body surface area (mg/m 2 ), and clinical condition.
Antibiotics are the medications most widely prescribed in the paediatric population and one of the
drug classes most commonly reported to be involved in paediatric dosing errors.
Despite a number of studies conducted about antibiotics usage in different European countries,
the appropriateness of antibiotic dosing (prescribed by doctors in primary or secondary care,
dispensed by community or hospital pharmacies, or administered in hospital settings) according to
the child’s age, weight and height (and other related parameters, as Body Mass Index - BMI, Body
Surface Area - BSA) has not yet been investigated.
In this study, we would like to assess in European Medical Information Framework (EMIF)
Electronic Healthcare Records (EHR) databases (DBs) the relationship between dosing of
antibiotics prescribed, administered or dispensed (either for outpatients or inpatient settings) to
children (age 0-18 yr), and their weight, age and height.
Was this study requested by a regulator?No
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
Centre nameSo.Se.Te srl
Centre locationItaly
Details of (Primary) lead investigator
Title Dr
Last name Cantarutti
First name Luigi
Is this study being carried out with the collaboration of a research network?
Yes
EMIF
Other centres where this study is being conducted
Multiple centres
In total how many centres are involved in this Study?5
PHARMO, Netherlands
Pedianet, Italy
SIDIAP, Spain
IPCI, Netherlands
Countries in which this study is being conducted
International study
Italy
Netherlands
Spain
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed11/12/201211/12/2012
Start date of data collection15/06/201828/06/2018
Start date of data analysis03/12/201803/12/2018
Date of interim report, if expected
Date of final study report31/07/2019
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 scheme
OtherEU/EFPIA100
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Tramontan
First name Lara
Address line 1Viale Oberdan 5
Address line 2
Address line 3
CityTreviso
Postcode
CountryItaly
Phone number (incl. country code)39-3346588058
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name Giaquinto
First name Carlo
Address line 1Corso Stati Uniti 4
Address line 2
Address line 3
CityPadova
Postcode
CountryItaly
Phone number (incl. country code)39-0498215447
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Substance class (ATC Code)J01CA04
Substance class (ATC Code)J01CR02
Substance class (ATC Code)J01CE02
Substance class (ATC Code)J01CE05
Substance class (ATC Code)J01CF05
Substance class (ATC Code)J01DC04
Substance class (ATC Code)J01FA01
Substance class (ATC Code)J01FA10
Substance class (ATC Code)J01FA09
Substance class (ATC Code)J01CA01
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)
Sex
Male
Female
9. Number of subjects
Estimated total number of subjects3000000
Additional information
The number provided above is just an estimation: we'll analyze only on a subset of subjects of the population registered in the different DBs, because we'll focus only on patients with prescriptions.
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources registered with ENCePP
Sources of data
Administrative database, e.g. claims database
Routine primary care electronic patient registry
Pharmacy dispensing records
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?
The primary objective is to investigate for each DB, the relationship,
among the Drug Events, between the antibiotic dosing and the patient’s weight, stratified by:
• type of antibiotic (ATC code),
• care setting (Hospitalisation/No-Hospitalisation)
Are there primary outcomes?Yes
The primary objective is to investigate, for each DB, the relationship
among the Drug Events, between the antibiotic dosing and the patient’s weight, stratified by:
• type of antibiotic (ATC code),
• care setting (Hospitalisation/No-Hospitalisation)
Are there secondary outcomes?Yes
The first secondary objective is to evaluate the frequency distribution of the different types of antibiotics in all DEs, stratified, for each DB, by:
• care setting (Hospitalisation/No-Hospitalisation),
• calendar year,
• age group.
The second secondary objective is to investigate, for each DB, the relationship
among the Drug Events, between the antibiotic dosing and the patient’s BSA
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 extraction, transformation, derivation of specific variables will be done locally at each site by data custodians, using purpose-build software called Jerboa Reloaded. The results are transmitted to a central secured environment, namely, a Private Remote Research Environment (PRRE), for further processing and analyses. Since we expect a linear correlation, among the DEs, between the antibiotic dosing (expressed as mg/day) and the patient’s weight (expressed in kilos), this relationship will be investigated scatter-plotting the antibiotic dosing against the patient's weight and computing Pearson's correlation coefficient r.
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
