Status: Planned
First registered on:
21/09/2020
Last updated on:
24/11/2020
1. Study identification
EU PAS Register NumberEUPAS37258
Official titleNN9535-4447 Epidemiological assessment of the risk for pancreatic cancer associated with the use of Ozempic® (semaglutide s.c.) in patients with type 2 diabetes- A cohort study based on Nordic registry data
Study title acronym
Study typeObservational study
Brief description of the studyThe aim of this study is to evaluate whether exposure to Ozempic® increases the risk of pancreatic cancer in patients with type 2 diabetes. This is achieved by estimating the risk of pancreatic cancer associated with Ozempic® use as compared to use of other antidiabetic drugs used at a similar stage as Ozempic® in the treatment cascade in the type 2 diabetes population. A multi-national, non-interventional study based on health care data from Denmark, Sweden, and Norway is conducted during the period 2018-2023. A cohort study design is used comparing new users of Ozempic® with new users of other antidiabetic drugs used at a similar stage as Ozempic® in the treatment cascade in the type 2 diabetes population (active comparators). Active comparators will include the following antidiabetic agents: sulphonylureas, sodium-glucose co-transporter 2 inhibitors, and insulin. Propensity scores are used to match new users of Ozempic® with new users of active comparators. National prescription-, cancer- and patient registries are used to identify exposure to antidiabetic agents, pancreatic cancer cases, and covariates to be used in propensity score matching. This study is a post-authorisation safety study (PASS).
Was this study requested by a regulator?Yes: EMA
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 applicableUTN- U1111-1214-6228
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 Pottegård
First name Anton
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?1
Countries in which this study is being conducted
International study
Denmark
Norway
Sweden
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed01/11/201801/11/2018
Start date of data collection01/12/2020
Start date of data analysis
Date of interim report, if expected
Date of final study report01/08/2025
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesNovo Nordisk A/S100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Professor
Last name Pottegård
First name Anton
Address line 1Clinical Pharmacology and Pharmacy
Address line 2JB Winsløws Vej 19, 2nd
Address line 3
CityOdense C
Postcode5000
CountryDenmark
Phone number (incl. country code)45-65503024
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Ms
Last name Novo Nordisk A/S
First name Clinical Transparency (dept. 1452)
Address line 1Novo Allé
Address line 2
Address line 3
CityBagsvaerd
Postcode2880
CountryDenmark
Phone number (incl. country code)45-44448888
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Single-Constituent (Substance INN)SEMAGLUTIDE
7. Medical conditions to be studied
Medical condition(s)Yes
Diabetes mellitus non-insulin-dependent
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 subjects200000
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
Swedish registries, Sweden
Norwegian registries, Norway
Sources of data
Disease/case registry
Administrative database, e.g. claims database
Exposure registry
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 estimate the risk of pancreatic cancer associated with Ozempic® use as compared to use of other non-incretin antidiabetic drugs used at a similar stage as Ozempic® in the treatment cascade in the T2DM population.
Are there primary outcomes?Yes
The endpoint used to address the primary objective is the occurrence of first time (i.e. incident) malignant neoplasm of pancreas as defined by relevant diagnostic codes.
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?Yes
Please describe duration of follow up
Due to the long induction time and latency period for pancreatic cancer as well as the possibility of reverse causation, a one-year lag-time period is used. Patients are followed from one year after treatment initiation until they are censored due to a first occurrence of pancreatic cancer, conditions serving as exclusion criteria, death, migration, or end of study period, whichever comes first.
15. Data analysis plan
Please provide a brief summary of the analysis method
The propensity for initiating treatment with Ozempic® as opposed to active comparators is estimated using logistic regression with Ozempic® initiation as the outcome and adjustment for potential confounders and covariates. The propensity score is used to match new users of Ozempic® to new users of active comparators. Additionally, patients who are treated/not treated with Ozempic® as opposed to active comparators against prediction are removed by asymmetric trimming of the tails of the propensity score. In the final study sample, the hazard ratios with 95% confidence intervals for pancreatic cancer comparing Ozempic® users to users of active comparators is estimated by using a Cox proportional hazards model. Several supplementary analyses are planned as well as sensitivity analyses to check the influence from the analytical/design choices on the study findings.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
Yes
17. Full protocol
Not submitted
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
Other documentsNot
submitted
Signed Code of
Conduct Checklist
Not submitted
Signed Code of Conduct Declaration
Not submitted
Signed Checklist for Study
Protocols
Not submitted
