1. Study identification
EU PAS Register NumberEUPAS3057
Official titleVenlafaxine exposure in pregnancy, a multicenter ENTIS study
Study title acronym
Study typeObservational study
Brief description of the studyIntroduction
Venlafaxine (Efexor®) is a serotonin and noradrenaline reuptake inhibitor (SNRI) used for the treatment of depression and anxiety disorders. The limited data on the use of venlafaxine in human pregnancy do not indicate an increased risk of congenital malformations. The main purpose of the study is to assess the rate of major malformations after first trimester exposure to venlafaxine.
Methods
This multicenter, prospective cohort study was performed using data from eight centers who are member of the European Network of Teratology Information Services (ENTIS). Data on pregnancy and pregnancy outcome of women who used venlafaxine in pregnancy were collected during individual risk counseling. Standardized procedures for data collection and follow-up were used by each center.
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 groupTIS
Organisation/affiliationNetherlands Pharmacovigilance Centre Lareb
Details of (Primary) lead investigator
Title Miss
Last name te Winkel
First name Bernke
Is this study being carried out with the collaboration of a research network?
Yes
Other centres where this study is being conducted
Multiple centres
In total how many centres are involved in this Study?9
Centre de Référence sur les Agents Tératogènes (CRAT), Paris, France
Florence Teratology Information Service, Careggi university hospital, Florence, Italy
CEPIG, Genetica Clinica, Azienda Ospedaliera Padov, Padova, Italy
Poison Control Centre and Teratology Information Service, Ospedali, Bergamo, Italy
Swiss Teratogen Information Service and Division of clinical Pharmacology and Toxicology, University Hospital, Lausanne, Lausanne, Switserland
BELTIS Rabin. Medical. Center Petah-Tikva Affiliated with the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
Telefono Rosso, Catholic University of Sacred Heart, Rome, Italy
Countries in which this study is being conducted
International study
Finland
France
Israel
Italy
Netherlands
Switzerland
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed30/09/2008
Start date of data collection27/10/2008
Start date of data analysis
Date of interim report, if expected
Date of final study report28/12/2020
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 bodyMinistery of Health, The Netherlands100
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Miss
Last name te Winkel
First name Bernke
Address line 1Goudsbloemvallei 7
Address line 2
Address line 3
City's-Hertogenbosch
Postcode5237MH
CountryNetherlands
Phone number (incl. country code)31-73-6469700
Alternative phone number
Fax number (incl. country code)31-73-6426136
Public Enquiries
Title Miss
Last name te Winkel
First name Bernke
Address line 1Goudsbloemvallei 7
Address line 2
Address line 3
City's-Hertogenbosch
Postcode5237MH
CountryNetherlands
Phone number (incl. country code)31-73-6469700
Alternative phone number
Fax number (incl. country code)31-73-6426136
6. Study drug(s) information
Single-Constituent (Substance INN)VENLAFAXINE
7. Medical conditions to be studied
Medical condition(s)No
8. Population under study
Age
Preterm newborns
Term newborns (0-27 days)
Adults (18 - 44 years)
Sex
Male
Female
Other population
Pregnant women
9. Number of subjects
Estimated total number of subjects1300
Additional information
Study group
600-700 women have used venlafaxine during pregnancy.
First trimester exposure is is needed for specific analysis
Comparison group
600-700 women not exposed to any known teratogen during pregnancy
10. Source of data
Is this study being carried out with an established data source?No
Sources of data
ENTIS provides drug risk assessment for pregnant patients and/or physicians. Exposed pregnancies are documented and after the expected date of delivery, follow-up is conducted both using a structured questionaire or phone interview.
See Schaefer C et al; Reproductive Toxicology 2008;26;36-41
11. Scope of the study
What is the scope of the study?
Risk assessment
Primary scope : Risk assessment
12. Main objective(s)
What is the main objective of the study?
To assess the risk of venlafaxine exposure in early pregancy
Are there primary outcomes?Yes
Rate of major birth defects after first trimester exposure
Are there secondary outcomes?Yes
rate of spontaneous abortion
rate of prematurity
birth weight
postnatal disorders
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
Follow-up untill pregnancy outcome: elective termination, abortion, or delivery.
follow up is conducted approximately 8 weeks after the estimated date of birth
15. Data analysis plan
Please provide a brief summary of the analysis method
Birth defect rates include live births and anomalies in elective terminations of pregnancies (ETOPs) and miscarriages. For calculating rates of major birth defects possibly associated with a teratogen, welldefined genetic syndromes are excluded. See: Schaefer C, Ornoy A, Clementi M, Meister R, Weber-Schoendorfer C. Using observational cohort data for studying drug effects on pregnancy outcome--methodological considerations. Reprod Toxicol. 2008;26:36-41. For calculation spontaneous abortion rate see Meister R, Schaefer C. Statistical methods for estimating the probability of spontaneous abortion in observational studies--analyzing pregnancies exposed to coumarin derivatives. Reprod Toxicol. 2008;26:31-5