Status: Finalised
First registered on:
03/05/2019
Last updated on:
31/10/2019
1. Study identification
EU PAS Register NumberEUPAS29618
Official titleIncidence, prevalence and burden of Dry Eye diseAse in France
Study title acronymIDEA
Study typeOther: Cohort study using the EGB (Echantillon Généraliste de Bénéficiaires), a permanent 1/97th random sample of the French healthcare claims database (SNDS)
Brief description of the studyDry Eye Disease (DED) is a multifactorial disorder due to excessive tear evaporation and/or insufficient tear production. The multiplicity of criteria (signs, symptoms, feelings) potentially used to define DED makes the assessment of DED prevalence complex (5 to 50% according to the Dry Eye Workshop II (DEWS II) of the Tear Film and Ocular Surface (TFOS) Society).
Treatment of DED mainly relies on artificial tears and lifestyle advice for mild and medium stage. In some severe cases pharmacological therapy such as cyclosporine or lacrimal punctual plugs can be necessary. In France, most of the tears substitutes are reimbursed (11.3 millions of packs in 2015). All healthcare consumption regardless physician specialities would be very helpful to fully assess DED burden in France.
In the context of the European Marketing Authorization Application for a new treatment for DED, Shire wants to better understand the burden of DED, through healthcare consumption regardless physician. This project is designed to estimate the prevalence and the incidence of the disease in France, as well as assess baseline characteristics of patients, treatment pattern, disease evolution, healthcare resource use and costs using EGB, a 1/97 permanent representative sample of the French nationwide claims database (SNDS).
Patients with at least 3 dispensing of artificial tears over a 6-month period or one dispensing of ocular cyclosporine in 2014-2015 will be included and followed for 2 years. The French health technology assessment agency (Haute Autorité de Santé - HAS) estimates the population with DED between 3.5 and 4.7 millions of subjects in France, including 1 million with moderate or severe disease, that represents approximately 10 000 subjects expected in this EGB study.
The study was cancelled at the request of the sponsor, SHIRE. The drug of interest was transferred to another pharmaceutical company which decided not to continue the associated study. Study final date: 2019/10/21
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
Department/Research grouppharmacoepidemiology
Organisation/affiliationUniversity of Bordeaux
Details of (Primary) lead investigator
Title Dr
Last name Blin
First name Patrick
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
France
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed14/05/2018
Start date of data collection30/05/201921/10/2019
Start date of data analysis30/05/2019
Date of interim report, if expected
Date of final study report30/09/201921/10/2019
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesShire100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Blin
First name Patrick
Address line 1University of Bordeaux
Address line 2Bordeaux PharmacoEpi CIC Bordeaux CIC1401
Address line 3Bâtiment du Tondu, case 41, 146 rue Leo Saignat
CityBordeaux
Postcode33076
CountryFrance
Phone number (incl. country code)33557574675
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name Blin
First name Patrick
Address line 1University of Bordeaux
Address line 2Bordeaux PharmacoEpi CIC Bordeaux CIC1401
Address line 3Bâtiment du Tondu, case 41, 146 rue Leo Saignat
CityBordeaux
Postcode33076
CountryFrance
Phone number (incl. country code)33557574675
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Not applicable (disease/epidemiology study)
7. Medical conditions to be studied
Medical condition(s)Yes
Dry eye
8. Population under study
Age
Term newborns (0-27 days)
Infants and toddlers (28 days - 23 months)
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 subjects10000
Additional information
The estimation of the number of patients with DED in France in 2014 and 2015 is an objective of the study (10 000 in the EGB database).
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources not registered with ENCePP
EGB: permanent 1/97th random sample of the SNDS national claims database, France
Sources of data
Administrative database, e.g. claims database
11. Scope of the study
What is the scope of the study?
Disease epidemiology
Drug utilisation study
Healthcare resource cost study
Primary scope : Disease epidemiology
12. Main objective(s)
What is the main objective of the study?
The main objective is to estimate the DED prevalence and incidence in France in 2014 and 2015.
Are there primary outcomes?No
Are there secondary outcomes?No
13. Study design
What is the design of the study?
Cohort study in a claims database
14. Follow-up of patients
Will patients be followed up?Yes
Please describe duration of follow up
The patients will be followed 2 years from the index date, or until the date of death, or the 31/12/2017.
The index date will be the date of the first specific DED treatment dispensed and reimbursed over the inclusion period (01/01/2014 to 31/12/2015).
15. Data analysis plan
Please provide a brief summary of the analysis method
The following analyses will be performed:
- A flow chart and an attrition table depicting the number of patients identified in the database
- Description of patient baseline demographics and clinical characteristics, according to prevalent/incident status and DED severity level
- Estimation of the annual prevalence and incidence of DED in 2014 and 2015 in the French population. Prevalence by DED severity level will also be computed
- Description of treatment pattern at the index date (stratified on incident/prevalent status and DED severity level), and during the follow-up period (stratified on DED severity only)
- Description of the disease evolution (switch between DED severity levels over the follow-up period and duration of severity stages)
- Description of healthcare resource use and costs for one and two years from the National Health Insurance perspective and for the collective perspective stratified by DED severity level
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
