Status: Planned
First registered on:
29/10/2018
Last updated on:
28/01/2020
1. Study identification
EU PAS Register NumberEUPAS26319
Official titleDomperidone Use and Misuse in Parkinson Disease
Study title acronymDUMP
Study typeObservational study
Brief description of the studyParkinson disease (PD) is the second neurodegenerative disease affecting 1% of the population over 60 years (160000 patients in France), with treatment based on dopamine replacement therapies. Nausea is the most frequent adverse event, occurring in 30-40% of patients at the treatment initiation whatever the drug. Because it does not cross the blood-brain barrier, domperidone, an antiemetic D2 receptor antagonist, is widely used in PD. Increasing risk of arrhythmia, sudden death and cardiac arrest reported with prolonged use and high doses, led the PRAC to recommend restricting domperidone use to patients younger than 60 years at doses below 30 mg/day and for 7 days maximum.
The aim of this project is to conduct a pharmacoepidemiological study to determine the use and misuse of domperidone in PD in France based on complementary approaches:
- A retrospective analysis of the French health insurance database (SNDS);
- A cross sectional observational study performed in consecutive patients followed by the 24 PD expert centers of the NS Park network, general hospitals and private practice neurologists;
- A qualitative approach to investigate the practices and beliefs of French neurologists regarding use and misuse of domperidone in PD.
The first study will provide national patterns of domperidone dispensing to PD patients, the second will provide data on the actual use of domperidone by French neurologists and survey on regular practices of domperidone prescribing will provide information on the current opinions about the drug, the indications for which it is prescribed and how contra-indications are evaluated. This information will help Regulatory Authorities to communicate about the safety profile of the drug. Finally, our results obtained in the French population will be compared to those from the European Union countries using domperidone and from which data has been published.
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 applicablehttp://recap-inserm.fr/dump-fr.html
2. Research centres and Investigator details
Coordinating study entity
Department/Research groupPharmacoepidemiology research team
Organisation/affiliationUniversity of Toulouse 3 and INSERM 1027
Details of (Primary) lead investigator
Title Dr
Last name Lapeyre-Mestre
First name Maryse
Is this study being carried out with the collaboration of a research network?
Yes
RECAP
Other centres where this study is being conducted
Multiple centres
In total how many centres are involved in this Study?2
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 signed02/01/201702/01/2017
Start date of data collection01/01/2018
Start date of data analysis04/06/2018
Date of interim report, if expected
Date of final study report06/01/2020
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companies
Charities
Government body
Research councils
EU funding scheme
OtherAppel d'offres ANSM 2016100
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Lapeyre-Mestre
First name Maryse
Address line 137 Allees Jules
Address line 2
Address line 3
CityToulouse
Postcode31000
CountryFrance
Phone number (incl. country code)33-561145960
Alternative phone number33-561145606
Fax number (incl. country code)33-561145928
Public Enquiries
Title Dr
Last name Lapeyre-Mestre
First name Maryse
Address line 137 Allees Jules
Address line 2
Address line 3
CityToulouse
Postcode31000
CountryFrance
Phone number (incl. country code)33-561145960
Alternative phone number33-561145606
Fax number (incl. country code)33-561145928
6. Study drug(s) information
Single-Constituent (Substance INN)DOMPERIDONE
7. Medical conditions to be studied
Medical condition(s)Yes
Parkinson's disease
8. Population under study
Age
Adults (45 - 64 years)
Adults (65 - 74 years)
Adults (75 years and over)
Sex
Male
Female
9. Number of subjects
Estimated total number of subjects150000
10. Source of data
Is this study being carried out with an established data source?No
Sources of data
Prospective patient-based data collection
Administrative database, e.g. claims database
Survey among French neurologists about knowledge and beliefs regarding use, misuse and safety of domperidone in Parkinson disease
11. Scope of the study
What is the scope of the study?
Drug utilisation study
impact of safety recommendations
Primary scope : Drug utilisation study
12. Main objective(s)
What is the main objective of the study?
The overall objective of this project will be to evaluate the conditions of domperidone use and misuse in PD patients in France.
Are there primary outcomes?Yes
Misuse of domperidone defined as
- Maximum daily dose > 30 mg
- Maximum duration of prescription > 7 days
- Age of patient > 60 years old
- Contraindicated drug-drug interactions
Are there secondary outcomes?No
13. Study design
What is the design of the study?
Cross-sectional study
Drug utilisation study
3 studies : repeated cross-sectional studies, prospective cohort, practice survey
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
A description of the main characteristics of the PD population will be done: age, gender, comorbidities (using categories of the Charlson’s score), duration of follow-up, deaths during the follow-up. Characteristics of PD treatment (type of drugs, mono or poly therapy) and other drugs (main ATC Classes) will be investigated. Co-medications, specifically those potentially interacting with domperidone (pharmacodynamics or pharmacokinetic interaction) will be displayed, as well as drugs with similar indications than domperidone (other dopamine antagonists, setrons, apepritant…).
Prevalence of misuse will be assessed as a whole in the PD population stratified on age, and for each category of misuse
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
Yes
17. Full protocol
Available when the study ends
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
Other documents
DescriptionDocumentLatest version
Signed Code of
Conduct Checklist
Submitted
Signed Code of Conduct Declaration
Submitted
Signed Checklist for Study
Protocols
Submitted
