Status: Planned
First registered on:
03/04/2020
Last updated on:
28/04/2020
1. Study identification
EU PAS Register NumberEUPAS34519
Official titleA Drug Utilisation Study extension (DUS ext.) of valproate and related substances, in Europe, using databases
Study title acronymVALNAC09343
Study typeObservational study
Brief description of the studyThe aim of this study is to describe the prescribing practices before and after the dissemination of the new risk minimization measures (RMMs) (planned over Q2 2018 – Q4 2018, depending on approval by National Competent Authorities) in Europe and to assess the effectiveness of these measures. Primary objectives: • To describe and compare the prescribing practices in women of child bearing potential (WCBP) receiving valproate during the pre- and/or post-implementation period with respect to elements of the PPP (where available in each of the data sources) separately: o Use of contraceptives without interruption during treatment o Laboratory pregnancy tests before treatment o Treatment reviews by a specialist at least once per year (using a proxy of consultation by a specialist as a marker for treatment review) o Specialty of prescribing physician at initiation • To describe and compare proportion of patients for which all elements of the PPP measurable with this DUS are fulfilled, during the pre- and/or post-implementation period • To describe and compare the incidence of valproate exposed pregnancies, and characteristics of exposed pregnancies during the pre and post implementation period This is a non-interventional longitudinal retrospective cohort study of WCBP exposed to valproate, conducted with secondary data obtained from electronic medical records or administrative healthcare databases in different European countries (i.e. France, Germany, the Netherlands, Spain, Sweden, and the UK). The study population will include all WCBP receiving valproate prescriptions during the pre-defined periods (pre- and post-implementation periods). The analyses will be mainly descriptive and will be conducted by country, database, and study time periods.
Was this study requested by a regulator?Yes: EMA
Is the study required by a Risk Management Plan (RMP)?
EU RMP category 1 (imposed as condition of marketing authorisation)
Regulatory procedure number (RMP Category 1 and 2 studies only)EMEA/H/A-31/1454
Other study registration identification numbers and URLs as applicable
2. Research centres and Investigator details
Coordinating study entity
Centre to which the investigator belongsIQVIA
Department/Research group
Organisation/affiliationIQVIA
Details of (Primary) lead investigator
Title Dr
Last name Toussi
First name Massoud
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
France
Germany
Netherlands
Spain
Sweden
United Kingdom
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed16/10/2018
Start date of data collection01/08/2020
Start date of data analysis
Date of interim report, if expected
Date of final study report28/02/2024
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesA Consortium of Marketing Authorization Holders for valproate and related substances100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Toussi
First name Massoud
Address line 1Tour D2
Address line 217 bis Place des Reflets
Address line 3
CityCourbevoie
Postcode92090
CountryFrance
Phone number (incl. country code)33607966650
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name Toussi
First name Massoud
Address line 1Tour D2
Address line 217 bis Place des Reflets
Address line 3
CityCourbevoie
Postcode92090
CountryFrance
Phone number (incl. country code)33607966650
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Substance class (ATC Code)N03AG01 (valproic acid)
Substance class (ATC Code)N03AG02 (valpromide)
7. Medical conditions to be studied
Medical condition(s)Yes
Epilepsy
Bipolar disorder
Pregnancy
8. Population under study
Age
Adolescents (12 - 17 years)
Adults (18 - 44 years)
Adults (45 - 64 years)
Sex
Female
Other population
Pregnant women
9. Number of subjects
Estimated total number of subjects2304
Additional information
The final study sample size is driven by the patient numbers available in the data sources in the target countries.To achieve a sufficient accuracy, i.e. within a marge of accuracy +/- 5%, of the estimation by a two-sided 95% confidence interval for a proportion 50 %, a sample size of 384 patients is required per country.
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
SNDS, France
Swedish national registries, Sweden
Sources of data
Disease/case registry
Administrative database, e.g. claims database
Routine primary care electronic patient registry
Exposure registry
11. Scope of the study
What is the scope of the study?
Drug utilisation study
Effectiveness evaluation
Primary scope : Drug utilisation study
12. Main objective(s)
What is the main objective of the study?
The primary objective is mentioned in study summary due to lack of space here. The aim of this study is to describe the prescribing practices before and after the dissemination of the new risk minimization measures (RMMs) (planned over Q2 2018 - Q4 2018, depending on approval by National Competent Authorities) in Europe and to assess the effectiveness of these measures.
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?Yes
Please describe duration of follow up
At least 12 months
15. Data analysis plan
Please provide a brief summary of the analysis method
Given the study objectives the analyses will be mainly descriptive and will be conducted by country, database, and study time periods (both pre-implementation periods and post-implementation period). Categorical variables will be presented as counts (n), proportions (%) with confidence interval (CI) where relevant. Continuous variables will be presented as means with standard deviation (SD) and as medians with interquartile range (IQR), where appropriate. The main analyses will compare the prescribing practices in WCBP receiving valproate during the pre- and post-implementation periods with respect to key elements of the PPP and will compare the incidence of valproate exposed pregnancies, and characteristics of exposed pregnancies during the same periods to meet the primary study objective.
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
