Status: Planned
First registered on:
08/12/2017
Last updated on:
17/01/2020
1. Study identification
EU PAS Register NumberEUPAS21945
Official titlePatient characteristics and cardiovascular and mortality outcomes in patients with type 2 diabetes mellitus initiating treatment with sodium-glucose co-transporter-2 inhibitors and other antidiabetic medications in Finland
Study title acronym
Study typeObservational study
Brief description of the studyThis observational study will describe patient characteristics and rate of cardiovascular (CV) and mortality outcomes in patients with type 2 diabetes mellitus (T2DM) who are initiating use or treatment with sodium-glucose co-transporter-2 (SGLT-2) inhibitors and other diabetes medications (other glucose lowering drugs). The study will analyze the risk of hospitalization for heart failure (HF), other CV outcomes, severe hypoglycemia, kidney disease (KD), and all-cause mortality in T2DM patients who initiate use or treatment with SGLT-2s compared to patients initiating other glucose lowering drugs (GLD) in Finland.
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 group
Organisation/affiliationEPID Research Oy
Details of (Primary) lead investigator
Title Dr
Last name Hoti
First name Fabian
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
Finland
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed18/10/2017
Start date of data collection31/01/2018
Start date of data analysis
Date of interim report, if expected
Date of final study report31/12/2018
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesAstraZeneca Nordic Baltic100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Hoti
First name Fabian
Address line 1EPID Research Oy
Address line 2Metsänneidonkuja 12
Address line 3
CityEspoo
Postcode02130
CountryFinland
Phone number (incl. country code)358-40-5391919
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name Hoti
First name Fabian
Address line 1EPID Research Oy
Address line 2Metsänneidonkuja 12
Address line 3
CityEspoo
Postcode02130
CountryFinland
Phone number (incl. country code)358-40-5391919
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Substance class (ATC Code)A10 (Sodium-glucose co-transporter 2 (SGLT2) inhibitors)
Single-Constituent (Substance INN)DAPAGLIFLOZIN
7. Medical conditions to be studied
Medical condition(s)Yes
Type 2 diabetes mellitus
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 subjects400000
10. Source of data
Is this study being carried out with an established data source?No
Sources of data
Routine primary care electronic patient registry
Pharmacy dispensing records
Causes of Death Registry, National Prescription Register including drug purchases and reimbursement decisions, National Hospital Care Register, National Primary Care Register, National register for institutionalizations (other than hospitalizations)
11. Scope of the study
What is the scope of the study?
Effectiveness evaluation
Primary scope : Effectiveness evaluation
12. Main objective(s)
What is the main objective of the study?
The primary objective of this study is to compare the risk for hospitalization for heart failure, in patients with T2DM who are new users of SGLT-2s as a class or dapagliflozin separately, versus an active comparison group including patients with T2DM who are new users of other GLD.
Are there primary outcomes?Yes
Hospitalization for heart failure
Are there secondary outcomes?Yes
Other CV outcomes, severe hypoglycemia, KD, all-cause mortality and health care resource utilization
13. Study design
What is the design of the study?
Cohort study
14. Follow-up of patients
Will patients be followed up?Yes
Please describe duration of follow up
Participants will be followed from the index date until year of emigration, end of 2015, death date, or date of outcome.
15. Data analysis plan
Please provide a brief summary of the analysis method
The event rates and baseline characteristics for each treatment group will be summarized descriptively. Propensity scores (PS) will be calculated to assess comparability between SGLT-2 users, dapagliflozin users, and the groups of matched comparators (DPP-4 and other GLD users). The primary objective is to provide a formal statistical comparison between the treatment and comparator group with respect to hospitalizations for HF using a hazard ratio (HR) (or other appropriate measure).
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
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 documents
DescriptionDocumentLatest version
Signed Code of
Conduct Checklist
Not submitted
Signed Code of Conduct Declaration
Not submitted
Signed Checklist for Study
Protocols
Not submitted
