Status: Finalised
First registered on:
25/10/2016
Last updated on:
27/02/2019
1. Study identification
EU PAS Register NumberEUPAS15961
Official titleAn observational post-authorization Modified Prescription-Event Monitoring safety study to monitor the safety and utilization of rivaroxaban (XARELTO®) for the prevention of stroke in patients with AF, treatment of DVT and PE, and prevention of recurrent DVT and PE following an acute DVT in the primary care setting in England, extended to include Acute Coronary Syndrome Patients
Study title acronymRivaroxaban MPEM
Study typeObservational study
Brief description of the studyRivaroxaban is a highly selective direct factor Xa inhibitor which inhibits thrombin formation and the development of thrombi. This M-PEM study will enable the systematic collection and reporting of drug utilisation and safety data on patients newly initiated on treatment with rivaroxaban in the primary care setting. The study aims to collect exposure and outcome data for a cohort of approximately 10,000 evaluable patients.
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 belongsDSRU
Department/Research group
Organisation/affiliationDrug Safety Research Unit
Details of (Primary) lead investigator
Title Professor
Last name Shakir
First name Saad
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
National study
United Kingdom
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed19/01/201219/01/2012
Start date of data collection01/12/201131/01/2012
Start date of data analysis01/06/201701/06/2017
Date of interim report, if expected29/11/201303/12/2013
Date of final study report28/02/201827/10/2017
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesBayer100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Lynn
First name Elizabeth
Address line 1Drug Safety Research Unit
Address line 2Bursledon Hall
Address line 3Blundell Lane
CitySouthampton
PostcodeSO31 1AA
CountryUnited Kingdom
Phone number (incl. country code)442380408600
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name Lynn
First name Elizabeth
Address line 1Drug Safety Research Unit
Address line 2Bursledon Hall
Address line 3Blundell Lane
CitySouthampton
PostcodeSO31 1AA
CountryUnited Kingdom
Phone number (incl. country code)442380408600
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Product NameXarelto
CountryUnited Kingdom
Substance INN(s)RIVAROXABAN
7. Medical conditions to be studied
Medical condition(s)No
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 subjects10000
Additional information
The intention is to recruit a cohort prescribed rivaroxaban, irrespective of indication. Thus, since this is an observational cohort study conducted in a naturalistic setting, open patient entry criteria apply to maximize external validity. Randomisation will not be required.
10. Source of data
Is this study being carried out with an established data source?No
Sources of data
Prescription event monitoring
11. Scope of the study
What is the scope of the study?
Drug utilisation study
Long term safety
Primary scope : Drug utilisation study
12. Main objective(s)
What is the main objective of the study?
Estimation of the cumulative incident risk (separately) of the following important identified risk for rivaroxaban users which is:
• Haemorrhage within gastrointestinal and urogenital organ sites (which meets the criteria for a major bleed) and all intracranial sites.
Are there primary outcomes?Yes
The incidence risk of:
(a) all major bleeding specified in primary objective for rivaroxaban (as composite)
(b) (separately) haemorrhage within critical organ sites other than specified in primary objective for rivaroxaban
(d) all major and clinically relevant non-major bleeds (as a composite outcome)
(e) thromboembolic complications (incident and recurrent)
Are there secondary outcomes?No
13. Study design
What is the design of the study?
Prescription event monitoring
14. Follow-up of patients
Will patients be followed up?Yes
Please describe duration of follow up
Patients will be followed up at at least 3 months and 12 months after the first prescription for rivaroxaban is issued, by means of a bespoke MPEM questionnaire sent to the prescribing GP.
15. Data analysis plan
Please provide a brief summary of the analysis method
PEM methodology provides a numerator (the number of reports of an event) and a denominator (the number of patient-months at risk), both collected within a known time frame. This allows for the calculation of risk (percent of total valid cohort exposed) and incidence densities (ID; person-time incidence rates) for each event. Such analyses will be performed using ‘Higher-level’ event terms from the MedDRA dictionary.
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
