Status: Finalised
First registered on:
24/01/2017
Last updated on:
21/01/2020
1. Study identification
EU PAS Register NumberEUPAS17386
Official titleDrug Utilisation Study for Olodaterol
Study title acronym
Study typeObservational study
Brief description of the studyBoehringer Ingelheim GmbH (BI) developed olodaterol, an inhaled long-acting beta2-agonist (LABA), for the indication of chronic obstructive pulmonary disease (COPD). Because the use of LABAs has been associated with increased morbidity and mortality in patients with asthma, the health authorities requested the conduct of a post-approval drug utilisation study to assess potential off-label use of olodaterol in asthma and to characterise the use of olodaterol in clinical practice. The single agent indacaterol, the only other marketed LABA authorised in clinical practice for COPD but not for asthma, will also be assessed. Study objectives include the following: (1) Quantify the frequency of off-label use of olodaterol and indacaterol among new users of these medications; and (2) Describe the baseline characteristics of new users of olodaterol and indacaterol. This cross-sectional study will use information among new users of olodaterol or indacaterol collected in the following healthcare databases: the PHARMO Database Network in the Netherlands, the National Registers in Denmark, and the IMS Health Information Solutions (IMS) Real-World Evidence (RWE) Longitudinal Patient Database (LPD) in France. The source population is all subjects enrolled in the selected study databases at the date olodaterol became available in each database’s country. The study groups are those subjects from the source population who receive a first dispensing for single-agent formulations of olodaterol for the primary objective or indacaterol for the secondary objective and have at least 12 months of continuous enrolment in the study databases. The study will describe the number and proportion of new users by indication and potential off-label use and according to medical history and use of co-medications.
Was this study requested by a regulator?Yes: EMA
Is the study required by a Risk Management Plan (RMP)?
EU RMP category 2 (specific obligation 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 belongsRTI-HS
Department/Research groupPharmacoepidemiology & Risk Management
Organisation/affiliationRTI Health Solutions
Details of (Primary) lead investigator
Title Dr
Last name Gilsenan
First name Alicia
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?4
Countries in which this study is being conducted
International study
Denmark
France
Netherlands
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed18/08/201518/08/2015
Start date of data collection01/02/201712/01/2017
Start date of data analysis08/02/2017
Date of interim report, if expected01/09/201723/08/2017
Date of final study report30/09/201803/09/2018
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesBoehringer Ingelheim International GmbH100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Gilsenan
First name Alicia
Address line 1200 Park Offices Dr
Address line 2
Address line 3
CityResearch Triangle Park
Postcode27709
CountryUnited States
Phone number (incl. country code)19195418745
Alternative phone number
Fax number (incl. country code)19195416630
Public Enquiries
Title Dr
Last name Gilsenan
First name Alicia
Address line 1200 Park Offices Dr
Address line 2
Address line 3
CityResearch Triangle Park
Postcode27709
CountryUnited States
Phone number (incl. country code)19195418745
Alternative phone number
Fax number (incl. country code)19195416630
6. Study drug(s) information
Substance class (ATC Code)R03AC19 (olodaterol)
Substance class (ATC Code)R03AC18 (indacaterol)
7. Medical conditions to be studied
Medical condition(s)Yes
Chronic obstructive pulmonary disease
8. Population under study
Age
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 subjects20000
Additional information
The number of users of olodaterol obtained in publicly available resources or directly from the data source custodians was 1,355 for Denmark (Mar2014 - Dec2015); 1,082 for the Netherlands (Feb2014 - Aug2016); and 915 for France (Nov2015 - Sep2016). It is expected that by the end of 2017, approximately 5,000 users of olodaterol will accumulate in the study data sources.
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
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?
To quantify the frequency of off-label use of olodaterol among new users of these olodaterol and indacaterol (i.e., the proportion of new users who do not have COPD) and to describe the baseline characteristics of new users of olodaterol.
Are there primary outcomes?Yes
The primary outcome is the prevalence of off-label prescribing among new users of olodaterol.
Are there secondary outcomes?Yes
The secondary outcome is the prevalence of off-label prescribing among new users of indacaterol.
13. Study design
What is the design of the study?
Cross-sectional study
Drug utilisation 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
Statistical analyses will be descriptive in nature. Descriptive statistics will include the absolute and relative number of subjects, mean, median, standard deviation, and range for continuous variables. Statistical inference will not be performed (e.g., no P values will be generated). Where appropriate, two-sided 95% confidence intervals will be presented. All analyses will be conducted separately in each study database and will be further analysed separately by new users of olodaterol and by new users of indacaterol, further stratified by treatment-naïve subjects and switchers. In the French IMS RWE LPD, data will be analysed separately for the panel of general practitioners and for the panel of pulmonologists. Analysis for each report (i.e., interim and final) will include data on all patients starting treatment with olodaterol or indacaterol from the start of such treatment up to the latest available data.
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
Rebordosa, C., Houben, E., Laugesen, K. et al. No Evidence of Off-label Use of Olodaterol and Indacaterol in Denmark, France, and the Netherlands: A Drug Utilization Study. Sci Rep 10, 586 (2020) doi:10.1038/s41598-019-57397-5https://www.nature.com/articles/s41598-019-57397-5
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
