Status: Planned
First registered on:
07/10/2016
Last updated on:
18/03/2020
1. Study identification
EU PAS Register NumberEUPAS15741
Official titleAssessment of Health Care Professionals’ Knowledge and Behaviour Regarding Prescribing Conditions of Cholib® (fenofibrate and simvastatin fixed combination): A European PASS conducted in Austria, Portugal, Slovenia, Croatia, Greece and Bulgaria
Study title acronym
Study typeObservational study
Brief description of the studyCholib® is a fixed combination tablet, composed of fenofibrate (145 mg) and simvastatin (20 mg or 40 mg) and indicated as adjunctive therapy to diet and exercise in high cardiovascular risk adult patients with mixed dyslipidaemia to reduce triglycerides and increase HDL-C levels when LDL-C levels are adequately controlled with the corresponding dose of simvastatin monotherapy. As a part of the Risk Management Plan (RMP), a drug utilization study (DUS) using available data was planned to estimate the proportion of Cholib® initiators without prior simvastatin monotherapy was not feasible due to inadequate number of patients treated. An alternative approach in the form of a prescriber survey questionnaire in countries where found feasible (Austria, Portugal, Slovenia, Croatia, and Bulgaria) was proposed as per discussion with EMA. The primary objective is to estimate the proportion of first Cholib® prescriptions without prior prescription of simvastatin of the corresponding daily dose (off-label use). The Secondary objectives are to estimate the proportion of first prescriptions of fenofibrate/simvastatin free combination (FSFC) without prior prescription of simvastatin monotherapy of the corresponding daily dose in patients with mixed dyslipidaemia; to describe and categorize the indications for the fenofibrate/simvastatin initiation, differentiating between Cholib® and FSFC to describe demographic and clinical characteristics of patients receiving these drugs.
This multi-national, cross-sectional and anonymous web-based survey will be conducted in both public and private settings about physician´s practice and a maximum of 4 recent consecutive anonymous prescriptions of Cholib® and/or FSFC made during the preceding year. Results will be presented, overall and at country level per specialty.
Was this study requested by a regulator?Yes: EMA
Is the study required by a Risk Management Plan (RMP)?
EU RMP category 3 (required)
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 to which the investigator belongsIMS Health
Department/Research groupReal World Evidence Solutions
Organisation/affiliationIMS Health
Details of (Primary) lead investigator
Title Dr
Last name Massoud
First name Toussi
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
International study
Austria
Bulgaria
Croatia
Portugal
Slovenia
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed31/10/2016
Start date of data collection01/01/2017
Start date of data analysis01/03/2017
Date of interim report, if expected
Date of final study report30/06/2017
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesMylan100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Khan
First name Farhad Ali
Address line 1IMS Health AB
Address line 2Pyramidvägen 7
Address line 3
CitySolna
Postcode169 56
CountrySweden
Phone number (incl. country code)46850884246
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name Khan
First name Farhad Ali
Address line 1IMS Health AB
Address line 2Pyramidvägen 7
Address line 3
CitySolna
Postcode16956
CountrySweden
Phone number (incl. country code)46850884246
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Multi-Constituent (Substance INN(s))FENOFIBRATE
SIMVASTATIN
7. Medical conditions to be studied
Medical condition(s)No
8. Population under study
Age
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 subjects401
10. Source of data
Is this study being carried out with an established data source?No
Sources of data
IMS will conduct the survey using HCPs lists from the MAH. In case of incomplete information for each HCP in the MAH lists, IMS will complete the information using its own data sources and lists (OneKey lists). The survey is a primary data collection conducted through a web questionnaire.
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 estimate the proportion of first Cholib® prescriptions without prior prescription of simvastatin of the corresponding daily dose ("off-label use").
Are there primary outcomes?No
Are there secondary outcomes?Yes
-to estimate the proportion of first prescriptions of FSFC without prior prescription of simvastatin monotherapy of the corresponding daily dose in patients with mixed dyslipidemia,
-to describe and categorize the indications for the fenofibrate/simvastatin initiation, differentiating between Cholib® and FSFC to describe demographic and clinical characteristics of patients receiving these drugs.
13. Study design
What is the design of the study?
Cross-sectional 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
The statistical analysis will be conducted using the SAS® softwareV9.3 on Windows™ (SAS Institute, North Carolina, USA).
Results will be presented, overall and at country level per specialty.
Continuous variables will be described by the number of valid cases and missing data, mean, standard deviation, median, Q1, Q3, minimum, and maximum. No missing data will be replaced. Categorical variables will be described as the total number and relative percentage per category. Confidence intervals of 95% will be calculated when relevant.
Calculations will first be performed on raw data per specialty, and weighted according to the real proportion of targeted physicians in each country to accurately reflect the population the survey seeks to measure.
Possible selection bias will be assessed by comparing the distributions of available characteristics (e.g. region, age, gender, type of practice and specialty) between respondent and non-respondent physicians.
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
None
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
