Status: Ongoing
First registered on:
31/01/2020
Last updated on:
03/02/2020
1. Study identification
EU PAS Register NumberEUPAS33397
Official titleRANITIDINE AND OTHER HISTAMINE-H2-RECEPTOR ANTAGONISTS – A DRUG UTILISATION STUDY
Study title acronym
Study typeObservational study
Brief description of the studyResults of a preliminary laboratory analysis have shown the presence of N-Nitrosodimethylamine (NDMA), a human carcinogen, in ranitidine. At the request of the European Commission, the EMA’s Committee for Medicinal Products for Human Use (CHMP) is evaluating all available data to assess whether patients using ranitidine are at any risk from NDMA and whether regulatory action is warranted at EU level to protect patients and public health.
Data about prescribing and use patterns of ranitidine-containing medicines in EU Member States will inform on the population at risk of exposure to NDMA (or other nitrosamines) through use of ranitidine. It will also provide information on usage patterns for different substances of the class informing on usage of substances alternative to ranitidine.
By means of a retrospective cohort study we aim to: i) study the prevalence and incidence of exposure to H2-receptor antagonists as a class and by individual ingredient, ii) explore the characteristics of H2-receptor antagonist use in terms of observation time, cumulative duration, cumulative dose and cumulative annual dose for the class as a whole and by individual ingredient with regard to age, sex, formulation, daily dose iii) explore the indication of use of H2-receptor antagonist by class level, individual ingredient and by formulation, iv) explore the proportion of patients treated with H2-receptor antagonists suffering from renal impairment.
For this study, we will include Electronic Healthcare Record data from six primary care databases throughout Europe: IPCI (the Netherlands), SIDIAP (Spain), IMRD (UK), LPD (Belgium), DA Germany and DA France. All these databases have their data mapped to the OMOP Common Data Model.
Was this study requested by a regulator?Yes: EMA
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 groupDepartment of Medical Informatics - Health Data Science
Organisation/affiliationErasmusMC
Details of (Primary) lead investigator
Title Dr
Last name Verhamme
First name Katia
Is this study being carried out with the collaboration of a research network?
No
Other centres where this study is being conducted
Multiple centres
In total how many centres are involved in this Study?6
Countries in which this study is being conducted
International study
Belgium
France
Germany
Netherlands
Spain
United Kingdom
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed25/11/201925/11/2019
Start date of data collection20/01/202020/01/2020
Start date of data analysis15/02/2020
Date of interim report, if expected13/03/2020
Date of final study report27/03/2020
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 bodyEMA100
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Verhamme
First name Katia
Address line 1Dr. Molewaterplein 40
Address line 2
Address line 3
CityRotterdam
Postcode3015 GD
CountryNetherlands
Phone number (incl. country code)31107044152
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name Verhamme
First name Katia
Address line 1Dr. Molewaterplein 40
Address line 2
Address line 3
CityRotterdam
Postcode3015 GD
CountryNetherlands
Phone number (incl. country code)31107044152
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Substance class (ATC Code)A02B (H2-receptor antagonists)
7. Medical conditions to be studied
Medical condition(s)No
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
Other population
Renal impaired
9. Number of subjects
Estimated total number of subjects1300000
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources registered with ENCePP
Data sources not registered with ENCePP
DA France, France
DA Germany, Germany
Sources of data
Administrative database, e.g. claims database
Routine primary care electronic patient registry
11. Scope of the study
What is the scope of the study?
Drug utilisation study
Primary scope : Drug utilisation study
12. Main objective(s)
What is the main objective of the study?
1/ To study the prevalence and incidence of exposure to H2-receptor antagonists (H2RA) as a class and by individual ingredient
2/ To explore the characteristics of H2RA use
3/ To explore the indication of use of H2RA by class level, individual ingredient and by formulationRA
4/ To explore the proportion of patients treated with H2RA suffering from renal impairment
Are there primary outcomes?No
Are there secondary outcomes?No
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
All results will be presented by database. Results pooled over the different databases will be provided for the indication of use and history of renal impairment.
Drug use both for prevalent and incident users will be expressed as the number of users per 1,000 persons presented by calendar year, age category (10 years), formulation and sex.
Per patient, the cumulative duration will be calculated which is the sum of the duration of the Drug Eras per H2RA ingredient. Results on cumulative duration will be presented as median (and corresponding Q1, Q3, P5, P95, min, max) by class and type of H2RA ingredient, stratified by age category at start, gender and also by formulation (oral or parenteral).
Results on PDD/DDD ratio and cumulative exposure (=cumulative number of DDDs) will be presented as median (and corresponding Q1, Q3, P5, P95, min, max) by type of H2RA and stratified by age category, gender, and formulation
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
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
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
Submitted
