Status: Ongoing
First registered on:
29/06/2020
Last updated on:
20/08/2020
1. Study identification
EU PAS Register NumberEUPAS36056
Official titleThe prognosis of coronavirus disease (COVID-19) in patients recently treated with immunosuppressant medications.
Study title acronym
Study typeObservational study
Brief description of the studyImmunosuppressant medications are effective treatments for several immune-mediated inflammatory diseases, as well as vasculitides, chronic lung diseases and certain malignancies. These medications have a strong effect on the immune system decreasing inflammation, but this has prompted concerns regarding the body’s defence against infection. This is particularly pertinent during the current epidemic of coronavirus (COVID-19), as a weakened immune system may be vulnerable to severe coronavirus disease.
We aim to evaluate the prognosis of severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) infection in patients treated with immunomodulating medications, including immunosuppressants and systemic glucocorticoids. We will leverage unique Danish health registers to conduct a nationwide cohort study of the outcome of SARS-COV-2 infection, i.e. admission to hospital, admission to intensive care unit (intensive care observation/intensive care therapy) or death, in this patient population, with adjustment for the severity of patients’ underlying indication for immunosuppression, as well as other factors that may affect the course of coronavirus disease.
Was this study requested by a regulator?Yes: Denmark
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 Hallas
First name Jesper
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 analysis30/06/2020
Date of interim report, if expected
Date of final study report30/07/2020
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesLundbeck Foundation50
Charities
Government body
Research councils
EU funding scheme
OtherUniversity of Southern Denmark50
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)4565503024
Alternative phone number
Fax number (incl. country code)
Public 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)4565503024
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Substance class (ATC Code)L04AA (Selective immunosuppressants)
Substance class (ATC Code)L04AB (Tumor necrosis factor alpha (TNF-α) inhibitors)
Substance class (ATC Code)L04AC (Interleukin inhibitors)
Substance class (ATC Code)L04AD (Calcineurin inhibitors)
Substance class (ATC Code)L01XC02 (rituximab)
Substance class (ATC Code)L04AX (Other immunosuppressants)
Substance class (ATC Code)H02AB (Glucocorticoids)
Substance class (ATC Code)P01BA (chloroquine)
Substance class (ATC Code)P01BA (hydroxychloroquine)
7. Medical conditions to be studied
Medical condition(s)Yes
SARS-CoV-2 test positive
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
Other population
Renal impaired
Hepatic impaired
Immunocompromised
Pregnant women
9. Number of subjects
Estimated total number of subjects12675
Additional information
Approximately 450 exposed to immunosuppressants or glucocorticoids.
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 risk of severe outcomes in patients with SARS-COV-2 infection, comparing those with a recent history of exposure to immunosuppressant medications to patients without a recent history of exposure.
Are there primary outcomes?Yes
Death registered in the Danish register of Causes of Death within 30 days following a the first positive SARS-CoV-2 test registered in the Danish Microbiology Database.
Are there secondary outcomes?Yes
Hospital admission and intensive are unit admission (each event separately) registered in the Danish National Patient Register within 30 days following a the first positive SARS-CoV-2 test.
13. Study design
What is the design of the study?
Cohort study
Case-control study
14. Follow-up of patients
Will patients be followed up?Yes
Please describe duration of follow up
Individuals will be followed from the date of their first positive SARS-CoV-2 test in the Danish Microbiology Database, wiht events of death in the Danish Register of causes of death and the National Patient Register.
15. Data analysis plan
Please provide a brief summary of the analysis method
Risk ratio estimated by log-linear binomial regression.
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
