Status: Finalised
First registered on:
07/04/2017
Last updated on:
16/04/2020
1. Study identification
EU PAS Register NumberEUPAS18521
Official titlePattern of use of Direct Oral Anticoagulants in Non-valvular Atrial Fibrillation patients in UK general practices
Study title acronym
Study typeObservational study
Brief description of the studyMany people who suffer from irregular heartbeats (atrial fibrillation) which might cause stroke, need to take blood thinners to prevent it. It is important to prescribe the correct dose of blood thinners to the right patients to ensure the treatment works however avoiding complications. In the recent years, new blood thinners have been available; they require less laboratory tests and fewer visits to a doctor compared to older therapies. This study will look at how the general practitioners in the UK prescribe blood thinners according to the instructions given by the product manufacturer. We will use primary care data that is routinely collected by the general practitioners about their patients but without any possibility to identify individual patients. The results will help us to understand the magnitude of deviation from instructions in order to ensure that the patients benefit from the treatment.
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 to which the investigator belongsCEIFE
Department/Research groupFundación Centro Español de Investigación Farmacoepidemiológica
Organisation/affiliationFundación CEIFE
Details of (Primary) lead investigator
Title Dr
Last name García Rodríguez
First name Luis Alberto
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
Spain
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed30/01/201730/01/2017
Start date of data collection15/05/201715/05/2017
Start date of data analysis15/05/201715/05/2017
Date of interim report, if expected
Date of final study report31/01/201921/05/2019
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesBayer AG100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name García Rodríguez
First name Luis Alberto
Address line 1Almirante 28
Address line 2
Address line 3
CityMadrid
Postcode28004
CountrySpain
Phone number (incl. country code)34915313404
Alternative phone number
Fax number (incl. country code)34915312871
Public Enquiries
Title Dr
Last name BAYER AG
First name Bayer Clinical Trials
Address line 1Muellerstrasse 178
Address line 2
Address line 3
CityBerlin
Postcode13342
CountryGermany
Phone number (incl. country code)49-30300139005
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Substance class (ATC Code)B01AF01 (rivaroxaban)
Substance class (ATC Code)B01AE07 (dabigatran etexilate)
Substance class (ATC Code)B01AF02 (apixaban)
7. Medical conditions to be studied
Medical condition(s)Yes
Thrombotic stroke
8. Population under study
Age
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 subjects30000
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources registered with ENCePP
Sources of data
Routine primary care electronic patient registry
Pharmacy dispensing records
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?
The objective of the study is to characterize first-time users of three DOACs in NVAF patients for stroke prevention including those renal impaired and to assess patterns of drug utilization in routine general practice in the UK
Are there primary outcomes?Yes
1.Demographic Characteristics
2.Risk factor categories
3.Previous medical history
4.Previous medication history
5.Previous use of VKA
6.Concurrent co-medication
7.Daily dose
8.Dose posology
9.Naive status and Non-naive status
10.Treatment Duration
Are there secondary outcomes?Yes
Time-trends
13. Study design
What is the design of the study?
Cohort 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 analysis will be based on descriptive statistics: frequencies and percentages will be calculated to the variables of interests, continuous and count variables will be described using mean (±standard deviation), proportions, median (quartiles) and minimum and maximum values. 95% confidence intercals will be computed for descriptive varaibles.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
18. Study Results
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 documents
DescriptionDocumentLatest version
Signed Code of
Conduct Checklist
Not submitted
Signed Code of Conduct Declaration
Not submitted
Signed Checklist for Study
Protocols
Not submitted
