Status: Ongoing
First registered on:
20/10/2020
Last updated on:
20/10/2020
1. Study identification
EU PAS Register NumberEUPAS37675
Official titleAssessing exposure to cardiovascular therapy, anxiety depressive syndrome treatment and anti-infectives during pregnancy and breastfeeding
Study title acronymDrug exposure in pregnancy and breastfeeding
Study typeObservational study
Brief description of the studyPharmacotherapy during pregnancy and breastfeeding implies the possible risk of congenital disorders and other diseases in the offspring, so it is necessary to assess the benefit-risk balance of all drug treatments before prescribing them in pregnant or breastfeeding women.
The drug use in pregnancy and breastfeeding has been assessed through different studies and, lately, through database studies, which offer advantages such as linked information mother-offspring, long-term follow-up periods for mothers and infants, information on maternal and birth outcomes, and information on confounding factors.
The use of drugs during pregnancy and breastfeeding has not been assessed through electronic health records in our setting and we plan to assess it through a population based study conducted with SIDIAP data in all women with pregnancy and breastfeeding registered in this database throughout 2011-2020.
We plan to analyse drug use during pregnancy and breastfeeding, focalising in cardiovascular, neurologic and psychiatric disorders; to analyse vaccines use during these periods; and to detect possible congenital disorders and other diseases during childhood which may be caused by drug exposures of the mothers during pregnancy and breastfeeding.
Due to the actual pandemic situation of COVID19 we would like to explore pregnancy and perinatal outcomes of SARS-Co-V2 infections occurring during pregnancy in Catalonia (2020). Even few publications have been made, they would probably have to be updated as there is still a lot to know regarding SARS-Co-V2 infection.
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 belongsIDIAPJGol
Department/Research groupInstitut Universitari d'Investigació en Atenció Primària Jordi Gol
Organisation/affiliationIDIAPJGol
Details of (Primary) lead investigator
Title Dr
Last name Gomez-Lumbreras
First name Ainhoa
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 signed02/09/201901/09/2020
Start date of data collection01/10/201920/07/2020
Start date of data analysis02/11/2020
Date of interim report, if expected
Date of final study report30/12/2022
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
OtherIDIAPJGol100
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Giner-Soriano
First name Maria
Address line 1Gran Via de les Corts Catalanes 587, àtic
Address line 2
Address line 3
CityBarcelona
Postcode08007
CountrySpain
Phone number (incl. country code)34934824110
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name Giner-Soriano
First name Maria
Address line 1Gran Via de les Corts Catalanes 587, àtic
Address line 2
Address line 3
CityBarcelona
Postcode08007
CountrySpain
Phone number (incl. country code)34934824110
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Substance class (ATC Code)C01B (Antiarrhythmics, class Ia)
Substance class (ATC Code)C07 (Beta blocking agents and calcium channel blockers)
Substance class (ATC Code)C08 (NON-SELECTIVE CALCIUM CHANNEL BLOCKERS)
Substance class (ATC Code)N06A (ANTIDEPRESSANTS)
Substance class (ATC Code)N05 (ANXIOLYTICS)
7. Medical conditions to be studied
Medical condition(s)No
8. Population under study
Age
Adolescents (12 - 17 years)
Adults (18 - 44 years)
Adults (45 - 64 years)
Sex
Female
Other population
Pregnant women
9. Number of subjects
Estimated total number of subjects50000
Additional information
Approximately 50000 pregnancies per year
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?
a) To analyse drug use during pregnancy
b) To analyse drug use during breastfeeding
c) To analyse diagnoses in the offspring of mothers with drug exposure during pregnancy and breastfeeding
d) To analyse SARS-Co-V2 infection in pregnant women
Are there primary outcomes?No
Are there secondary outcomes?No
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
All processes of data management and statistical analysis will be carried out using statistical package R 3.3 (2016). At the exploratory level, the demographic data and baseline characteristics of the study population will be described using relative and absolute frequencies for the categorical and mean variables, standard or median deviation and interquartile range for the continuous variables.
In the bivariate analysis, we will consider the Chi-square test or the Fischer exact test for categorical variables and the Student t test or Mann-Whitney U test for continuous variables according to their distribution.
The evaluation of mothers’ drugs exposures and the risk of diseases and congenital outcomes in their offspring will be carried out by means of multiple logistic regression models or proportional risk models (Cox). The adjustment for risk factors will be determined based on the characteristics of the study population.
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
