Status: Ongoing
First registered on:
03/02/2012
Last updated on:
31/03/2014
1. Study identification
EU PAS Register NumberEUPAS2385
Official titleUse of benzodiazepines and risk of hip/femur fracture. A methodological comparison across data sources and epidemiological design.
Study title acronym
Study typeObservational study
Brief description of the studyThe studies described in this protocol are all performed within the framework of PROTECT (Pharmacoepidemiological Research on Outcomes of Therapeutics by a European ConsorTium) Work Package 2 and Working Group 1. The primary aim of these studies is to develop, test and disseminate methodological standards for the design, conduct and analysis of Pharmacoepidemiological (PE) studies applicable to different safety issues and using different data sources. To achieve this, results from PE studies on 5 key Drug / adverse events (D-AEs) pairs performed in different databases will be evaluated. The use of benzodiazepines associated to the risk of hip/femur fracture is one of the D-AEs pairs of interest. Therefore, emphasis will be on the methodological aspects of the studies in this protocol and not on the clinical consequences of studying the association under investigation.
Was this study requested by a regulator?No
Is the study required by a Risk Management Plan (RMP)?
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 nameAgencia Española de Medicamentos y Productos Sanitarios (AEMPS)
Centre locationSpain
Details of (Primary) lead investigator
Title Dr
Last name De Abajo
First name Francisco
Is this study being carried out with the collaboration of a research network?
Yes
Other centres where this study is being conducted
Multiple centres
In total how many centres are involved in this Study?7
Agencia Española de Medicamentos y Productos Sanitarios (AEMPS), Spain
European Medicines Agency, United Kingdom
Lægemiddelstyrelsen (Danish Medicines Agency) (DKMA), Denmark
Ludwig-Maximilians-Universität-München (LMU MUENCHEN), Germany
MerckSerono, Switzerland
Glaxo Smith Kline, United Kingdom
Countries in which this study is being conducted
International study
Denmark
Germany
Netherlands
Spain
United Kingdom
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed19/08/200919/08/2009
Start date of data collection03/10/201103/10/2011
Start date of data analysis
Date of interim report, if expected
Date of final study report01/02/2014
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesAmgen, AstraZeneca, Genzyme, GlaxoSmithKline, MerckSerono, Novartis, Roche, Pfizer50
Charities
Government body
Research councils
EU funding schemeInnovative Medicines Initiative (IMI)50
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name De Abajo
First name Francisco
Address line 1Agencia Española de Medicamentos y Productos Sanitarios (AEMPS)
Address line 2c/ Campezo 1
Address line 3
CityMadrid
Postcode28022
CountrySpain
Phone number (incl. country code)34918225335
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name Kurz
First name Xavier
Address line 1European Medicines Agency
Address line 27 Westferry Circus
Address line 3Canary Wharf
CityLondon
PostcodeE14 4HB
CountryUnited Kingdom
Phone number (incl. country code)442074188400
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Substance class (ATC Code)N05BA (Benzodiazepine derivatives)
Substance class (ATC Code)N05CD (Benzodiazepine derivatives)
Substance class (ATC Code)N05CF (Benzodiazepine related drugs)
Substance class (ATC Code)N05CM (Other hypnotics and sedatives)
7. Medical conditions to be studied
Medical condition(s)Yes
Hip fracture
Femur fracture
8. Population under study
Age
Preterm newborns
Term newborns (0-27 days)
Infants and toddlers (28 days - 23 months)
Children (2 - 11 years)
Adolescents (12 - 17 years)
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 subjects55700000
Additional information
Estimated total number of people with historial data sum of all databases approx: 55,7 Millions
Per database (in millions):
DKMA: Total=6
Mondriaan: Total= 1.4 (GP), 13.5 (pharmacy) 1.2 (claims)
GPRD: total=11.2
BIFAP: total=3.2
Bavaria Claims: total=10.5
THIN: total=8.7
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
BIFAP, Spain
Bavaria Claims, Germany
Mondriaan, Netherlands
Sources of data
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?
Disease epidemiology
Risk assessment
Analysis of discrepancies in results between different databases
Primary scope : Analysis of discrepancies in results between different databases
12. Main objective(s)
What is the main objective of the study?
To assess the association between the use of benzodiazepines and the risk of hip/femur fracture with different study designs across different primary care databases and to compare the results between databases, across designs to evaluate the impact of design/database/population differences on the outcome of the studied association.
Are there primary outcomes?No
Are there secondary outcomes?No
13. Study design
What is the design of the study?
Cohort study
Case-control study
Case-crossover
Self controlled case-series
Descriptive study = description of exposure and/or outcome in the whole database during a defined period of time
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
Descriptive study of use of BZD and incidence/prevalence of hip/femur fractures.
Cohort: Incidence rates of hip/femur fractures (IR), Poisson regression analysis will be used to estimate age and gender adjusted Incidence Rate Ratio (IRR) and Time-dependent Cox proportional hazards models.
Case-Control: Conditional logistic regression analysis to estimate the odd ratio (OR) and 95% CI of hip/femur fracture associated with the current use of benzodiazepines as compared to past use and adjusting for confounding variables.
Case-crossover:Conditional logistic regression. It is analogous to a matched case-control study design, where one compares a ‘case’ person-moment with a series of ‘control’ person-moments from different subjects.
Self Control Case Series: IR will be calculated for each risk window and data will be analyzed with conditional Poisson regression adjusted by gender and age to calculate incidence rate ratios
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 documents
DescriptionDocumentLatest version
Signed Code of
Conduct Checklist
Not submitted
Signed Code of Conduct Declaration
Not submitted
Signed Checklist for Study
Protocols
Not submitted
