Status: Finalised
First registered on:
21/10/2019
Last updated on:
20/02/2020
1. Study identification
EU PAS Register NumberEUPAS31879
Official titleAbility of primary care health databases to assess medicinal products discussed by the European Union Pharmacovigilance Risk Assessment Committee
Study title acronymCAPs and NAPs in primary EHDs
Study typeObservational study
Brief description of the studyElectronic primary care health databases are used by to assess the need for and the impact of post-licensing regulatory interventions. This study aims to measure the extent to which exposure to different categories of medicines, including centrally authorised products (CAPs) and nationally authorised products (NAPs), discussed by the Pharmacovigilance Risk Assessment Committee (PRAC) in a 3-month period (September-November 2019) was adequately covered in four electronic primary care health databases in their entire lifespan until 31 August 2018.
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
Centre nameEuropean Medicines Agency
Centre locationAmsterdam
Details of (Primary) lead investigator
Title Mr
Last name Flynn
First name Robert
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?2
European Medicines Agency, Amsterdam
Countries in which this study is being conducted
International study
France
Germany
United Kingdom
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed02/08/201902/08/2019
Start date of data collection02/08/201902/08/2019
Start date of data analysis
Date of interim report, if expected
Date of final study report17/10/201917/10/2019
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 bodyEMA and CPRD100
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Mr
Last name Flynn
First name Robert
Address line 1European Medicines Agency
Address line 2Domenico Scarlattilaan 6
Address line 3
CityAmsterdam
Postcode1083 HS
CountryNetherlands
Phone number (incl. country code)31887818439
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Mr
Last name Kurz
First name Xavier
Address line 1European Medicines Agency
Address line 2Domenico Scarlattilaan 6
Address line 3
CityAmsterdam
Postcode1083 HS
CountryNetherlands
Phone number (incl. country code)31887817269
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)No
8. Population under study
Age
Preterm newborns
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 subjects819175
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
IMRD, France
IMRD, Germany
Sources of data
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?
To measure the extent to which exposure to different categories of medicines, including centrally authorised products (CAPs) and nationally authorised products (NAPs), discussed by the Pharmacovigilance Risk Assessment Committee (PRAC) in a 3-month period (September-November 2019) was adequately covered in four electronic primary care health databases in their entire lifespan until 31 August 2018
Are there primary outcomes?Yes
Number of prescriptions
Number of patients exposed
Are there secondary outcomes?No
13. Study design
What is the design of the study?
Cross-sectional study
Drug utilisation 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
Descriptive analyses include the number of substances without any prescription per database, authorisation type and duration of authorisation in 3 categories (<2 years, 2-5 years, >5 years), and the median (with range) number of prescriptions and patients available per database, authorisation type and duration of authorisation. To estimate the number of substances for which each database could meaningfully assess adverse events, we calculated the numbers of patient exposures required to detect a statistically significant adverse event associated with a range of theoretical relative risks (RR) for CAPs and NAPs in different frequency categories. This was based on a hypothetical comparison of two proportions using a 2-sided Fisher exact test with α = 0.05, power = 0.90 and equal numbers of patients exposed to the drug of interest and a comparator. Effect sizes of a doubling and a four-times increase in events rate against a hypothetical comparator were used
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
Flynn R, Hedenmalm K, Murray-Thomas T, Pacurariu A, Arlett P, Shepherd H, Myles P, Kurz X. Ability of Primary Care Health Databases to Assess Medicinal Products Discussed by the European Union Pharmacovigilance Risk Assessment Committee. Clin Pharmacol Ther. 2020 Jan 18. doi: 10.1002/cpt.1775. [Epub ahead of print]https://doi.org/10.1002/cpt.1775
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
