Status: Ongoing
First registered on:
15/04/2020
Last updated on:
21/04/2020
1. Study identification
EU PAS Register NumberEUPAS34734
Official titleUse of non-steroidal anti-inflammatory drugs and clinical outcome of COVID-19: a Danish nationwide cohort study
Study title acronymNSAID COVID-19
Study typeObservational study
Brief description of the studyIn the early stages of the COVID-19 pandemic in Europe, case reports from southern France described young patients without comorbidities who developed severe COVID-19 after exposure to ibuprofen. This led to warnings against use of ibuprofen and other NSAIDs in patients with COVID-19 by multiple parties, including the French health ministry. However, no data has been published regarding the safety of NSAIDs in COVID-19. We aim to study the association between NSAID use and risk of death in patients with COVID-19. In secondary analyses, associations between NSAIDs and hospitalisation, ICU admission and mechanical ventilation will be investigated. This is a Danish nationwide registry-based cohort study. All individuals tested positive for severe acute respiratory syndrome coronavirus 2 will be followed from the date of positive test and 30 days onward for occurrence of death, and from the date of positive test and 14 days onward for occurrence of hospital admission, ICU admission, and mechanical ventilation. Use of NSAIDs will be compared to non-use using an exposure assessment window of 30 days prior to the positive test. Risks, risk difference and relative risk will be estimated for each outcome.
Was this study requested by a regulator?Yes:
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 groupOdense University Pharrnacoepidemiological Database
Organisation/affiliationUniversity of Southern Denmark
Details of (Primary) lead investigator
Title Professor
Last name Pottegård
First name Anton
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
National study
Denmark
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed27/02/202027/02/2020
Start date of data collection27/02/202027/02/2020
Start date of data analysis01/06/2020
Date of interim report, if expected
Date of final study report15/06/2020
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 body
Research councils
EU funding scheme
OtherUniversity of Southern Denmark100
5. Contact details for enquiries
Scientific Enquiries
Title Professor
Last name Pottegård
First name Anton
Address line 1J.B. Winsløwsvej 19, 2
Address line 2
Address line 3
CityOdense C
Postcode5000
CountryDenmark
Phone number (incl. country code)45-65503024
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Professor
Last name Pottegård
First name Anton
Address line 1JB Winsløwsvej 19,2
Address line 2
Address line 3
CityOdense C
PostcodeDK-5000
CountryDenmark
Phone number (incl. country code)45-65503024
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Substance class (ATC Code)M01AE01 (ibuprofen)
7. Medical conditions to be studied
Medical condition(s)Yes
Severe acute respiratory syndrome
Corona virus infection
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
Other population
Renal impaired
Hepatic impaired
Immunocompromised
Pregnant women
9. Number of subjects
Estimated total number of subjects7695
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources registered with ENCePP
Sources of data
Administrative database, e.g. claims database
Pharmacy dispensing records
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 study the association between NSAID use and risk of death in patients with COVID-19.
Are there primary outcomes?Yes
30-day mortality after positive RT-PCR for SARS-CoV-2 as identified using the Danish Register of Causes of Deaths
Are there secondary outcomes?Yes
Hospital admission, intensive care unit admission, mechanical ventilation and renal replacement therapy in the 14 days after a positive RT-PCR for SARS-CoV-2.
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
Individuals will be followed for 30 days from the date of the first positive RT-PCR for SARS-CoV-2. The outcome assessment window for death is 30 days, while the outcome assessment window for hospital admission, ICU admission, mechanical ventilation, and dialysis is 14 days from the date of the first positive RT-PCR for SARS-CoV-2.
15. Data analysis plan
Please provide a brief summary of the analysis method
Risk, risk difference, risk ratio estimated using generalized linear models (binomial distribution).
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
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
Submitted
