Status: Finalised
First registered on:
27/03/2015
Last updated on:
22/03/2018
1. Study identification
EU PAS Register NumberEUPAS9117
Official titleEuropean Program of Post-Authorization Safety Studies for ProtelosĀ®/OsseorĀ® through EU-ADR Alliance
Study title acronym
Study typeOther: Post-Authorization Safety Study (PASS)
Brief description of the studyPASS with a multi-national multi-database approach (population-based cohort study and nested case control analysis in a cohort of new users of strontium ranelate (SR) or oral bisphosphonates) and with the following objectives:
1. To study the effectiveness of the newly established risk minimization measures by characterizing utilization patterns of SR and estimating the prevalence of contraindications (CI) and restrictions of indication amongst incident and prevalent SR users.
2. To estimate and compare the incidence rates of cardiac and thromboembolic events in new users of SR and new users of bisphosphonates.
Was this study requested by a regulator?Yes: EMA
Is the study required by a Risk Management Plan (RMP)?
EU RMP category 1 (imposed as condition of marketing authorisation)
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 group
Organisation/affiliationPrimary Care Research Institute Jordi Gol
Details of (Primary) lead investigator
Title Dr
Last name Prieto-Alhambra
First name Daniel
Is this study being carried out with the collaboration of a research network?
Yes
EU-ADR Alliance
Other centres where this study is being conducted
Multiple centres
In total how many centres are involved in this Study?4
Countries in which this study is being conducted
International study
Denmark
Italy
Netherlands
Spain
United Kingdom
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed01/04/201501/04/2015
Start date of data collection01/04/201501/06/2015
Start date of data analysis15/07/2015
Date of interim report, if expected24/11/2015
Date of final study report30/11/201723/11/2017
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesLes Laboratoires Servier100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Mrs
Last name Bouillant
First name Christine
Address line 150 rue Carnot
Address line 2
Address line 3
CitySuresnes
Postcode
CountryFrance
Phone number (incl. country code)33155723785
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Mrs
Last name Bouillant
First name Christine
Address line 150 rue Carnot
Address line 2
Address line 3
CitySuresnes
Postcode
CountryFrance
Phone number (incl. country code)33155723785
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Substance class (ATC Code)M05BX03
Single-Constituent (Substance INN)STRONTIUM RANELATE
7. Medical conditions to be studied
Medical condition(s)Yes
Osteoporosis
8. Population under study
Age
Adults (45 - 64 years)
Adults (65 - 74 years)
Adults (75 years and over)
Sex
Male
Female
9. Number of subjects
Estimated total number of subjects100000
Additional information
100000 prevalent patients and 30000 incident patients
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
Routine primary care electronic patient registry
Pharmacy dispensing records
Hospital admission data
11. Scope of the study
What is the scope of the study?
Risk assessment
Drug utilisation study
Primary scope : Drug utilisation study
12. Main objective(s)
What is the main objective of the study?
Effectiveness of RMM:
Characterize utilization patterns of SR
Estimate the prevalence of CI in SR users
Calculate the prevalence of SR users who fulfill the new indications
Safety:
Estimate incidence rates of cardiac and thromboembolic events in SR users with and without CI
Compare the risk of cardiac and thromboembolic events between new users of SR and of oral bisphosphonates without CI
Are there primary outcomes?Yes
Contraindications, new indication/prescribing conditions and safety endpoints
Are there secondary outcomes?No
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?Not applicable/no follow-up
15. Data analysis plan
Please provide a brief summary of the analysis method
Effectiveness of RMM:
-Incidence/prevalence of SR use, characteristics of users and patterns of use, with stratification by period (before/after implementation of RMM), age and sex.
-Prevalence of CI and new indication/restrictions of use, by period, age and sex. Interrupted time series analyses will be used to assess the impact of RMM on these criteria.
Safety:
-Crude, as well as age and sex-specific incidence rates of the safety endpoints will be estimated separately in new users of SR and bisphosphonates (BP), stratified by period and history of CI.
-Conditional logistic regression will be used in nested case-control analyses to compare the risk of the safety endpoints between current use of SR and past use and current use of BP, in persons without CI. Analyses will be stratified by period.
All estimates will be calculated by databases and pooled according to a meta-analysis approach. A mega-pooled analysis will estimate the effects putting all individual data together.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
18. Study Results
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
