Status: Ongoing
First registered on:
25/03/2020
Last updated on:
07/10/2020
1. Study identification
EU PAS Register NumberEUPAS34255
Official titleNon-Interventional Post-Authorisation Safety Study (NI-PASS) as an effectiveness check of an additional Risk Minimisation Measure (aRMM) (Direct Healthcare Professional Communication [DHPC]) for Bendamustine
Study title acronym
Study typeObservational study
Brief description of the studyThis study will be carried out to evaluate the effectiveness of an additional risk minimization measure (aRMM) (a Direct Healthcare Professional Communication [DHPC] letter) for bendamustine. The purpose of this study is to evaluate all-cause mortality and serious and fatal infections occurring in pre- and post-DHPC dissemination periods for new users of bendamustine during these periods, as well as for new users of other alkylating drugs similar to bendamustine (i.e. cyclophosphamide for indolent non-Hodgkin’s lymphoma (iNHL), chlorambucil for chronic lymphocytic leukemia (CLL), melphalan for multiple myeloma (MM)) in populations in four European countries. Additionally, the other purpose of this study is to quantify and characterise approved and off-label use of bendamustine and other alkylating drugs similar to bendamustine (alternative treatments) in new users in pre- and post-DHPC dissemination periods in populations from four European countries.
Was this study requested by a regulator?Yes: Germany, Bundesinstitut für Arzneimittel und Medizinprodukte (BfArM)
Is the study required by a Risk Management Plan (RMP)?
EU RMP category 3 (required)
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 belongsIQVIA
Department/Research groupPharmacoepidemiology and Drug Safety
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
Not applicable (single centre)
Countries in which this study is being conducted
International study
France
Germany
Sweden
United Kingdom
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed09/12/201909/12/2019
Start date of data collection30/06/202006/08/2020
Start date of data analysis
Date of interim report, if expected
Date of final study report31/12/2022
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesAstellas Pharma Europe B.V.100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Mr
Last name Registration Department
First name Clinical Trial
Address line 1Astellas, One Astellas Way
Address line 2
Address line 3
CityNorthbrook, IL
Postcode60062
CountryUnited States
Phone number (incl. country code)18008887704
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Mr
Last name Registration Department
First name Clinical Trial
Address line 1Astellas, One Astellas Way
Address line 2
Address line 3
CityNorthbrook, IL
Postcode60062
CountryUnited States
Phone number (incl. country code)18008887704
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Not applicable (disease/epidemiology study)
7. Medical conditions to be studied
Medical condition(s)No
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 subjects57000
Additional information
Total patient records to be accessed and analyzed (electronic medical records (EMR), claims, registries).
10. Source of data
Is this study being carried out with an established data source?No
Sources of data
French National Board of Health & Welfare; [SNIIRAM] linked with the National Hospital Discharge [PMSI]); Germany (Statutory Health Insurance [SHI]); Sweden (National Board of Health & Welfare [NBHW]; England (Cancer Analysis System [CAS]; Hospital Episode Statistics [HES]) & electronic healthcare databases, electronic medical records (EMR), claims, registries from selected hospitals.
11. Scope of the study
What is the scope of the study?
Disease epidemiology
Drug utilisation study
Effectiveness evaluation
Primary scope : Effectiveness evaluation
12. Main objective(s)
What is the main objective of the study?
To evaluate all-cause mortality and serious and fatal infections occurring in pre- and post-DHPC dissemination periods for new users of bendamustine and new users of other alkylating drugs similar to bendamustine, and to quantify and characterise approved- and off-label use of bendamustine and other alkylating drugs similar to bendamustine in new users in pre- and post-DHPC dissemination periods.
Are there primary outcomes?Yes
-Study A: All-cause mortality, serious and fatal infections
-Study B: Approved- and off-label use of bendamustine and alkylating drugs similar to
bendamustine
Are there secondary outcomes?Yes
-Study A: Hepatitis B reactivation, myelosuppression, use of anti-infective drugs, use of anti-infective drugs used for prophylaxis of opportunistic infections (PJP, VZV, CMV), frequency of laboratory testing for CD-4 positive T-cell levels in outpatient settings.
-Study B: Concurrent use of bendamustine with rituximab, obinutuzumab, or idelalisib
13. Study design
What is the design of the study?
Cross-sectional 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
Study A: The incidence rates and corresponding 95% CIs of safety event outcomes will be calculated by dividing the number of observed events by person-time exposure. Results for the pre- and post- DHPC dissemination periods will be presented separately. The main study results will be stratified by country.
Study B: The proportion of new users of bendamustine or alkylating drugs similar to bendamustine with any observed off-label use during the study period (pre- and post-DHPC dissemination separately) will be calculated by dividing the number of new users with any off-label use by the total number of new users, and 95% CI will be calculated. The proportion of new users of bendamustine or alkylating drugs similar to bendamustine with off-label use at the time of new use will be calculated together with 95% CIs. Results for the pre- and post-DHPC dissemination periods will be presented separately. The main study results will be stratified by country.
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
