Status: Ongoing
First registered on:
05/04/2016
Last updated on:
07/08/2019
1. Study identification
EU PAS Register NumberEUPAS13040
Official titlePost Authorisation Safety Study (PASS) to Evaluate the Risks of Hepatotoxicity and Nephrotoxicity from Administration of Methoxyflurane (Penthrox®) for Pain Relief in Hospital Accident & Emergency Departments in the United Kingdom
Study title acronymPenthrox-PASS
Study typeObservational study
Brief description of the studyMedical Developments UK Ltd (MDI) has applied for marketing authorisation of a liquid oral inhalation preparation of methoxyflurane (Penthrox®), for emergency relief of moderate to severe pain in conscious adult patients with trauma and associated pain, via the decentralised procedure with the Medicines and Healthcare products Regulatory Agency (MHRA). Certain safety issues (hepatotoxicity and nephrotoxicity) have been identified by the MHRA medical assessor as potential public health risks. A PASS (and risk minimisation measures which are being evaluated separately from this study) has been recommended with the primary purpose of confirming the absence of a significant risk of hepatotoxicity with use of methoxyflurane in Accident and Emergency (A&E) during routine pre-hospital clinical practice, and in hospital A&E departments.
Was this study requested by a regulator?Yes: United Kingdom
Is the study required by a Risk Management Plan (RMP)?
Non-EU RMP only
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 belongsOXON
Department/Research group
Organisation/affiliationOxon Epidemiology Ltd.
Details of (Primary) lead investigator
Title Professor
Last name Qizilbash
First name Nawab
Is this study being carried out with the collaboration of a research network?
Yes
National Institue for Health Research (UK)
Other centres where this study is being conducted
Multiple centres
In total how many centres are involved in this Study?10
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 signed05/01/2016
Start date of data collection14/08/201615/12/2016
Start date of data analysis01/12/2019
Date of interim report, if expected15/02/2019
Date of final study report31/01/2020
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesMedical Developments International100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Professor
Last name Qizilbash
First name Nawab
Address line 116 Upper Woburn Place
Address line 2
Address line 3
CityLondon
PostcodeWC1H 0AF
CountryUnited Kingdom
Phone number (incl. country code)442037418054
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Professor
Last name Qizilbash
First name Nawab
Address line 116 Upper Woburn Place
Address line 2
Address line 3
CityLondon
PostcodeWC1H 0AF
CountryUnited Kingdom
Phone number (incl. country code)442037418054
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Product NamePenthox
CountryUnited Kingdom
Substance INN(s)METHOXYFLURANE
7. Medical conditions to be studied
Medical condition(s)Yes
Pain management
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 subjects250
Additional information
250 patients for the patient survey and
250 HCPs for the HCP survey
10. Source of data
Is this study being carried out with an established data source?No
Sources of data
Survey questionnaire
11. Scope of the study
What is the scope of the study?
Effectiveness of risk minimisation
Primary scope : Effectiveness of risk minimisation
12. Main objective(s)
What is the main objective of the study?
The main objective is to measure awareness, usage, readability, knowledge and understanding of the messages, and impact on behavioural implementation of key safety information contained in the HCP administration guide and checklist, and in the patient alert card among HCPs and patients.
Are there primary outcomes?Yes
To measure awareness, usage, readability, knowledge and understanding of the messages, and impact on behavioural implementation of key safety information contained in the HCP administration guide and checklist, and in the patient alert card among HCPs and patients.
Are there secondary outcomes?Yes
- Major determinants of HCP and patient understanding and implementation regarding key messages.
- Measures of awareness, usage, readability, knowledge, understanding and behaviour reported by HCPs and patients in the survey will be correlated with clinical data collected in the context of the twin PASS.
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
Analyses will be mainly descriptive in nature. Categorical data will be summarized by counts and percentages. Continuous data will be summarized using number, mean, standard deviation (SD), median, quartiles, minimum and maximum and in the case of non-normally distributed data, median, range and interquartile range. All statistical tests will be 2-sided and conducted at the 0.05 alpha level. P-values will be presented to three decimal places. A detailed statistical analysis plan (SAP) will be developed and approved before final database lock and will include methods of analysis and presentation and table shells.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
Not submitted
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
