1. Study identification
EU PAS Register NumberEUPAS31001
Official titleImpact of EU label changes and revised pregnancy prevention programme for medicinal products containing valproate: utilisation and prescribing trends
Study title acronym
Study typeObservational study
Brief description of the studyThis study will address the research question, “What was the effect of the EU label changes and the revised pregnancy prevention programme (2018) on utilization of valproate containing medicinal products and to what extent did prescribers and patients comply with recommendations?”.
Was this study requested by a regulator?Yes: EMA
Is the study required by a Risk Management Plan (RMP)?
Not applicable
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
Department/Research groupDivision of Pharmacoepidemiology & Clinical Pharmacology
Organisation/affiliationUtrecht Institute for Pharmaceutical Sciences
Details of (Primary) lead investigator
Title Professor
Last name Klungel
First name Olaf
Is this study being carried out with the collaboration of a research network?
Yes
EU PE&PV research network
Other centres where this study is being conducted
Multiple centres
In total how many centres are involved in this Study?6
University of Copenhagen, Denmark
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 signed25/02/201925/02/2019
Start date of data collection01/10/202001/10/2020
Start date of data analysis01/11/2020
Date of interim report, if expected
Date of final study report25/02/202215/08/2022
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companies
Charities
Government body
Research councils
EU funding scheme
OtherEMA100
5. Contact details for enquiries
Scientific Enquiries
Title Professor
Last name Klungel
First name Olaf
Address line 1Universiteitsweg 99
Address line 2PO Box 80082
Address line 3
CityUtrecht
Postcode3508 TB
CountryNetherlands
Phone number (incl. country code)31-6-28831313
Alternative phone number
Fax number (incl. country code)31-30-2539166
Public Enquiries
Title Professor
Last name Klungel
First name Olaf
Address line 1Universiteitsweg 99
Address line 2PO Box 80082
Address line 3
CityUtrecht
Postcode3508 TB
CountryNetherlands
Phone number (incl. country code)31-6-28831313
Alternative phone number
Fax number (incl. country code)31-30-2539166
6. Study drug(s) information
Substance class (ATC Code)N03AG01 (valproic acid)
Substance class (ATC Code)N03AG02 (valpromide)
7. Medical conditions to be studied
Medical condition(s)No
8. Population under study
Age
Adolescents (12 - 17 years)
Adults (18 - 44 years)
Adults (45 - 64 years)
Sex
Female
Other population
Pregnant women
9. Number of subjects
Estimated total number of subjects8000000
Additional information
All eligible subjects will be included in the study. Source population includes approximately 8 million women of childbearing age over the 11 year study period, divided across the contributing centres as follows:
PHARMO: >0.5 million
CPRD: ~2 million
Denmark (2010-2018): 1.6 million
ARS: ~1.4 million
BIFAP (2010-2017): 2.5 million
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources registered with ENCePP
Sources of data
Disease/case registry
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
Drug utilisation study
Primary scope : Drug utilisation study
12. Main objective(s)
What is the main objective of the study?
This study will address the research question, “What was the effect of the EU label changes and the revised pregnancy prevention programme (2018) on utilization of valproate containing medicinal products and to what extent did prescribers and patients comply with recommendations?”.
Are there primary outcomes?Yes
- valproate use (dispensing/prescription) (objective 1)
- pregnancy test (objective 2)
- contraceptive use (objective 2)
- pregnancy (objective 3)
- use of alternative medicines (objective 4)
Are there secondary outcomes?Yes
- reason for discontinuation of valproate (objective 1)
13. Study design
What is the design of the study?
Cohort 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
1. Descriptive and hypothesis testing (objectives 1 and 4)
- Incidence rates and quarter-year prevalences of outcomes will be calculated.
- Interrupted time series analysis will be performed to test changes in outcomes before vs. after implementation of PRAC intervention.
2. Overall evaluation (objective 5)
- The results of objectives 1-4 will be summarized qualitatively.