Status: Finalised
First registered on:
22/08/2013
Last updated on:
25/08/2017
1. Study identification
EU PAS Register NumberEUPAS4364
Official titleSafety Evaluation of Adverse Reactions in Diabetes - Drug utilisation studies
Study title acronymSAFEGUARD
Study typeObservational study
Brief description of the studyThe safety of pharmacological treatments used in type 2 diabetes is an ongoing concern. Associations between drugs such as rosiglitazone, pioglitazone and exenatide and adverse cardiovascular, urinary and pancreatic health outcomes have all been suggested in the last decade. Assessments of these associations have been complicated by the complex, often heterogeneous nature of type 2 diabetes treatment and by the strong link between severity of diabetes and/or non-response to treatment and changes in treatment. In a number of countries, information on both prescribing and/or dispensing of these medications and the adverse health outcomes potentially associated with them is routinely collected in electronic healthcare databases. Work package 4 of the FP7 funded Safety Evaluation of Adverse Reactions in Diabetes (SAFEGUARD) project seeks to utilize such databases to assess the safety of type 2 diabetes treatments. The primary objective of the SAFEGUARD Drug Utilisation Study (DUS) is to describe the use of non-insulin blood glucose lowering agents, insulin and insulin analogues in the data sources involved in SAFEGUARD. Utilisation will be described at a population, patient and prescription level and results will be presented stratified across a range of patient characteristics and other covariates. The results will provide information on the utilisation of type 2 diabetes drugs across six countries and will be used to inform exposure assessment and control of confounding in SAFEGUARD studies assessing the safety of drugs used in type 2 diabetes.
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 groupPharmacoepidemiology Erasmus University
Organisation/affiliationErasmus University Medical Center
Details of (Primary) lead investigator
Title Professor
Last name Sturkenboom
First name Miriam
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?10
AEMPS, Spain
UNIMIB, Italy
BWH, United States of America
Countries in which this study is being conducted
International study
Germany
Italy
Netherlands
Spain
United Kingdom
United States
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed23/08/201123/08/2013
Start date of data collection26/07/201326/07/2013
Start date of data analysis01/09/201305/09/2013
Date of interim report, if expected
Date of final study report30/09/201525/08/2017
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
OtherHealth Area of the European Commission under the VII Framework Programme100
5. Contact details for enquiries
Scientific Enquiries
Title Professor
Last name Sturkenboom
First name Miriam
Address line 1POBOX 2040
Address line 2dep. Medical Informatics
Address line 3
CityRotterdam
Postcode3000 CA
CountryNetherlands
Phone number (incl. country code)31-10-7044123
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Professor
Last name Sturkenboom
First name Miriam
Address line 1POBOX 2040
Address line 2dep. Medical Informatics
Address line 3
CityRotterdam
Postcode3000 CA
CountryNetherlands
Phone number (incl. country code)31-10-7044123
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Substance class (ATC Code)A10 (DRUGS USED IN DIABETES)
7. Medical conditions to be studied
Medical condition(s)Yes
Type 2 diabetes mellitus
8. Population under study
Age
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 subjects50000000
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
Regional Database Puglia, Italy
Caremark-Medicare, United States
BIFAP, Spain
GePaRD, Germany
Regional Database Lombardy, Italy
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 describe the use of non-insulin blood glucose lowering drugs (NIBGLD), insulins and insulin analogues at a population, patient and prescription level.
Are there primary outcomes?No
Are there secondary outcomes?No
13. Study design
What is the design of the 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
The monthly incidence, prevalence and volume of exposure to different A10* coded drugs, drug classes and treatment regimens will be described. Rates of initiation, discontinuation and switching of each treatment will be calculated and patient characteristics associated with each rate will be described. Statistics describing the typical number, duration and dose of treatment episodes with each drug, drug class or treatment regimen per patient will be described.
All results will be compared across age, sex and calendar year as well as across each of the participating data sources.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
Yes
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
Other documentsNot
submitted
