Status: Finalised
First registered on:
08/02/2016
Last updated on:
10/10/2019
1. Study identification
EU PAS Register NumberEUPAS12330
Official titleAn observational evaluation of prescribing of fixed-dose combination inhaled corticosteroid / long-acting beta2-agonist (ICS/LABA): fluticasone propionate / formoterol (FP/FOR) and adverse events in routine primary care at 18-months and 36-months post launch
Study title acronym
Study typeObservational study
Brief description of the studyThis study aims to evaluate adverse events, prescribing prevalence and patient characteristics for patients initiating on FP/FOR or other FDC ICS/LABA therapies prescribed in the 18 and 36 months post launch of FP/FOR in the UK. It will be a historical cohort study within which four subgroups will be evaluated (adult patients (≥ 12 years) with asthma, patients with COPD (and no asthma), paediatric asthma patients 4–11 years, patients prescribed ICS/LABA as the “MART” regimen). Patients included have ≥1 prescriptions for any ICS/LABA fixed-dose combination from 2012. The number and percentage of patients prescribed FP/FOR and other FDC ICS/LABAs and the frequency and percentage of adverse events and patient characteristics including demographic characteristics, comorbidities, medication and disease-severity measures will be evaluated for patients prescribed FP/FOR and other FDC ICS/LABA therapies, and for each of the subgroups.
Was this study requested by a regulator?Yes: United Kingdom
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
Department/Research groupResearch in Real Life Ltd
Organisation/affiliationOPRI Pte Ltd
Details of (Primary) lead investigator
Title Miss
Last name Martin
First name Jessica
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 signed21/08/2014
Start date of data collection19/02/201624/06/2016
Start date of data analysis
Date of interim report, if expected
Date of final study report12/09/201629/08/2016
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesMundipharma Research Ltd100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Professor
Last name Price
First name David
Address line 12 Changi Business Park Avenue 1
Address line 2Level 2
Address line 3
CitySingapore
Postcode486015
CountrySingapore
Phone number (incl. country code)6568097251
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Professor
Last name Price
First name David
Address line 12 Changi Business Park Avenue 1
Address line 2Level 2
Address line 3
CitySingapore
Postcode486015
CountrySingapore
Phone number (incl. country code)6568097251
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Product NameFlutiform
CountryUnited Kingdom
Substance INN(s)FLUTICASONE PROPIONATE
FORMOTEROL FUMARATE
Product NameSeretide
CountryUnited Kingdom
Substance INN(s)FLUTICASONE PROPIONATE
SALMETEROL XINAFOATE
Product NameSymbicort
CountryUnited Kingdom
Substance INN(s)BUDESONIDE
FORMOTEROL FUMARATE
Product NameFostair
CountryUnited Kingdom
Substance INN(s)BECLOMETASONE DIPROPIONATE
FORMOTEROL FUMARATE
7. Medical conditions to be studied
Medical condition(s)Yes
Asthma
Chronic obstructive pulmonary disease
8. Population under study
Age
Children (2 - 11 years)
Adolescents (12 - 17 years)
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 subjects3500
Additional information
3,500 Flutiform
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources registered with ENCePP
Sources of data
Routine primary care electronic patient registry
11. Scope of the study
What is the scope of the study?
Risk assessment
Drug utilisation study
Primary scope : Risk assessment
12. Main objective(s)
What is the main objective of the study?
To quantify the prevalence of on and off-label prescribing of FP/FOR and other FDC ICS/LABA therapies.
To evaluate adverse events in patients prescribed FP/FOR versus other FDC ICS/LABA therapies for both licensed and off-label groups.
Are there primary outcomes?Yes
Prevalence of on and off-label prescribing of FP/FOR and other FDC ICS/LABA therapies.
Adverse events in patients prescribed FP/FOR versus other FDC ICS/LABA therapies for both licensed and off-label groups.
Are there secondary outcomes?Yes
Demographic, medication and disease-related characteristics for patients prescribed FP/FOR and other FDC ICS/LABA therapies.
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
Number of patients prescribed FP/FOR and each FDC ICS/LABA will be tabulated and detailed as a percentage of (a) all patients captured in CPRD during the time period 18/36-months post UK launch of FP/FOR and (b) each of the licensed/off-label subgroups.
First occurrence of an adverse event per patient analysed: Annualised rate of each adverse event per 100 patients and time to each adverse event will be compared across FDC ICS/LABA therapies using Kaplan-Meier survival curves and, if appropriate, hazard ratios.
Multiple occurrences of an adverse event per patient: Mean/median (as appropriate) number of each adverse event per patient.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
Not submitted
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
