Status: Ongoing
First registered on:
18/01/2019
Last updated on:
17/06/2020
1. Study identification
EU PAS Register NumberEUPAS27606
Official titleMulti-country non-interventional study on the effectiveness and safety of Empagliflozin in adult patients with type 2 diabetes in Europe and Asia
Study title acronym
Study typeObservational study
Brief description of the studyThe overall objective of this study is to examine effectiveness, safety, health care resource utilization, and cost of care outcomes associated with the use of empagliflozin or any SGLT-2 inhibitors, compared with use of dipeptidyl peptidase-4 (DPP-4) inhibitors, among patients with T2DM. This study will utilize nationwide healthcare registers, regional quality registers, regional high-quality medical health records, and other health claims data available in Denmark, Finland, Germany, Israel, Japan, Norway, South Korea, Spain, Sweden, Taiwan, and United Kingdom.
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
Department/Research groupHelsinki, Finland
Organisation/affiliationEPID Research Oy
Details of (Primary) lead investigator
Title Dr
Last name Hoti
First name Fabian
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?9
University of Ulm, Germany
Maccabi, Israel
Syneos Health, Japan
TFS / Quantify, Denmark, Finland, Norway, Sweden
Ajou University Hospital, South Korea
Institut d'Investigació en Atenció Primària, Spain
Institute of Clinic Hospital of Valencia, Spain
TaSPOR, Taiwan
University of Leicester, UK
Countries in which this study is being conducted
International study
Denmark
Finland
Germany
Israel
Japan
Korea, Republic of
Norway
Spain
Sweden
Taiwan
United Kingdom
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed29/08/201829/08/2018
Start date of data collection31/03/201922/04/2019
Start date of data analysis13/05/2019
Date of interim report, if expected30/09/2019
Date of final study report31/03/2021
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesBoehringer Ingelheim100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Hoti
First name Fabian
Address line 1Metsänneidonkuja 6
Address line 2
Address line 3
CityEspoo
Postcode02130
CountryFinland
Phone number (incl. country code)358-405391919
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Mr
Last name Tamminen
First name Ilkka
Address line 1EPID REsearch
Address line 2Metsänneidonkuja 6
Address line 3
CityEspoo
Postcode02130
CountryFinland
Phone number (incl. country code)358-503102848
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Single-Constituent (Substance INN)EMPAGLIFLOZIN
Single-Constituent (Substance INN)DAPAGLIFLOZIN
Single-Constituent (Substance INN)CANAGLIFLOZIN
Single-Constituent (Substance INN)ERTUGLIFLOZIN
Single-Constituent (Substance INN)SITAGLIPTIN
Single-Constituent (Substance INN)VILDAGLIPTIN
Single-Constituent (Substance INN)SAXAGLIPTIN
Single-Constituent (Substance INN)ALOGLIPTIN
Single-Constituent (Substance INN)LINAGLIPTIN
Single-Constituent (Substance INN)METFORMIN
7. Medical conditions to be studied
Medical condition(s)Yes
Type 2 diabetes mellitus
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 subjects150000
Additional information
The anticipated number of patients varies per country and in total is expected to be over 150,000.
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
DPV, Germany
MACCABI, Israel
Medical Data Vision (MDV) database, Japan
Public data providers, Finland
INCLIVA, Spain
Sources of data
Prospective patient-based data collection
Disease/case registry
Administrative database, e.g. claims database
Routine primary care electronic patient registry
Pharmacy dispensing records
11. Scope of the study
What is the scope of the study?
Effectiveness evaluation
Primary scope : Effectiveness evaluation
12. Main objective(s)
What is the main objective of the study?
The overall objective of this study is to examine effectiveness, safety, health care resource utilization, and cost of care outcomes associated with the use of empagliflozin or any SGLT-2 inhibitors, compared with use of dipeptidyl peptidase-4 (DPP-4) inhibitors, among patients with T2DM.
Are there primary outcomes?Yes
Secondary objectives are related to cardiovascular and renal effectiveness, safety, healthcare resource utilization and cost of care.
Are there secondary outcomes?Yes
Secondary objectives related to effectiveness are to examine the risk of coronary revascularization procedures, end-stage renal disease, cardiovascular mortality, and two composite outcomes: one including hospitalization for heart failure and cardiovascular mortality and another including MI, stroke, and cardiovascular mortality (MACE) and examine healthcare resource utilization and cost of care.
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
The duration of the study period depends on the dates of the marketing authorizations of the study drugs and data availability in each country’s data sources, and will be detailed in each localized protocol. The follow-up for the included patients will begin on the index date and continue for all as long as data are available in the used data sources, up to December 2018
15. Data analysis plan
Please provide a brief summary of the analysis method
Individual level data will be analyzed in countries. To meet the objectives of the multi-country study, aggregate-level results obtained from the countries will be combined: effectiveness and safety results will be pooled in a meta-analysis, while HCRU and cost of care results will be combined descriptively. In each country, patients initiating treatment with empagliflozin or any other SGLT- 2 inhibitor will be compared with PS-matched patients initiating treatment with any DPP-4 inhibitor. Pairwise PS models will be estimated using logistic regression including appropriate covariates. The primary and secondary effectiveness outcomes and safety outcomes will be analyzed and compared across subcohorts by incidence rates, cumulative-incidence plots, and Cox proportional hazards models. For secondary outcomes on healthcare resource utilization and cost of care, number of visits, inpatient days, dispensations and amount of costs will be determined during follow-up.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
Available when the study ends
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
