Status: Finalised
First registered on:
28/10/2014
Last updated on:
23/09/2020
1. Study identification
EU PAS Register NumberEUPAS7674
Official titleMultinational database cohort study to assess RMP-specified safety outcomes in association with indacaterol/glycopyrronium bromide in Europe
Study title acronym
Study typeObservational study
Brief description of the studyMultinational database cohort study to assess RMP-specified safety outcomes in association with indacaterol/glycopyrronium bromide in Europe
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 applicableCQVA149A2402
2. Research centres and Investigator details
Coordinating study entity
Centre nameNovartis Pharmaceuticals
Centre locationEast Hanover, NJ
Details of (Primary) lead investigator
Title Ms
Last name Novartis
First name Clinical Disclosure Officer
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
SIDIAP Jordi Gol, Spain
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 signed17/12/2013
Start date of data collection01/11/2013
Start date of data analysis03/11/2014
Date of interim report, if expected20/02/2015
Date of final study report28/12/201803/12/2018
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesNovartis Pharma AG100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Ms
Last name Novartis
First name Clinical Disclosure Office
Address line 1Novartis Pharma AG
Address line 2
Address line 3
CityBasel
PostcodeCH-4002
CountrySwitzerland
Phone number (incl. country code)41613241111
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Ms
Last name Novartis
First name Clinical Disclosure Office
Address line 1Novartis Pharma AG
Address line 2
Address line 3
CityBasel
PostcodeCH-4002
CountrySwitzerland
Phone number (incl. country code)41613241111
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Substance class (ATC Code)R03AL04 (indacaterol and glycopyrronium bromide)
Multi-Constituent (Substance INN(s))INDACATEROL
GLYCOPYRRONIUM BROMIDE
Product NameUltibro® Breezhaler
CountryUnited Kingdom
Substance INN(s)INDACATEROL
GLYCOPYRRONIUM BROMIDE
Product NameUltibro® Breezhaler
CountryNetherlands
Substance INN(s)INDACATEROL
GLYCOPYRRONIUM BROMIDE
Product NameUltibro® Breezhaler
CountrySpain
Substance INN(s)INDACATEROL
GLYCOPYRRONIUM BROMIDE
Product NameUltibro® Breezhaler
CountryDenmark
Substance INN(s)INDACATEROL
GLYCOPYRRONIUM BROMIDE
Product NameUltibro® Breezhaler
CountryItaly
Substance INN(s)INDACATEROL
GLYCOPYRRONIUM BROMIDE
7. Medical conditions to be studied
Medical condition(s)Yes
Chronic Obstructive Pulmonary Disease (COPD)
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 subjects6000
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?
Risk assessment
Primary scope : Risk assessment
12. Main objective(s)
What is the main objective of the study?
To assess the incidence rates and relative risks of selected endpoints in association with QVA149 exposure in a broader, real-world COPD population.
Are there primary outcomes?Yes
Primary endpoints of interest are 1) Major cardiovascular events (myocardial
infarction (MI) stroke, hospitalizations due to acute coronary syndrome or
heart failure), 2) Ischemic heart disease including MI and angina pectoris, 3) cerebrovascular events (ischemic stroke, hemorrhagic stroke and (TIA)), 4) Cardiac arrhythmias (atrial fibrillation/flutter and ventricular arrhythmia
Are there secondary outcomes?Yes
The secondary endpoints of interest are 1) (Narrow-angle) Glaucoma; 2) Bladder
obstruction/urinary retention/incident BPH; 3) Diabetes Mellitus; 4) Bronchospasm
and 5) all-cause mortality
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
For the primary analysis, patients initiating QVA149 or comparator drugs will be followed from the time of first prescription (index date) until the earliest of (i) end of treatment episode +30 days, (ii) end of study or disenrollment from the database, (iii) any study endpoint or (iv) death.
15. Data analysis plan
Please provide a brief summary of the analysis method
Cox regression will be used to estimate both crude and adjusted relative risks (expressed as hazard ratios [HRs] with 95% CIs), allowing for time-varying exposures.
All analyses will be performed for each database separately. Effect estimates will be pooled across the databases, using a random effects approach. In addition, a pooled mega-analysis will be done by combining the data sources on a patient-level and adjusting for the database.
As secondary analysis, subsequent episodes, with or without treatment, will be taken into account. The anchor drug will be used as reference category; HRs of the events will be estimated for all other treatment categories compared to this reference. In addition, a sensitivity analysis will be conducted only considering the first treatment episode during follow-up in patients naïve to both QVA149 and all comparator drugs.
Specific patient groups will be studied via stratified analysis on age, gender,
underlying CV co-morbidity and COPD severi
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 documents
DescriptionDocumentLatest version
Signed Code of
Conduct Checklist
Not submitted
Signed Code of Conduct Declaration
Not submitted
Signed Checklist for Study
Protocols
Submitted
