Status: Finalised
First registered on:
29/07/2016
Last updated on:
11/11/2021
1. Study identification
EU PAS Register NumberEUPAS14445
Official titleDulaglutide Modified-Prescription-Event Monitoring Study and network database study: a multi-database collaborative research program of observational studies to monitor the utilisation and safety of dulaglutide in the EU
Study title acronym
Study typeObservational study
Brief description of the studyDulaglutide is a glucagon-like peptide-1 receptor agonist (GLP-1 RA) indicated for the treatment of patients with type 2 diabetes mellitus (T2DM). This targeted surveillance study will be conducted in order to monitor the occurrence of certain medical conditions in patients using dulaglutide in the EU. The study will quantify the occurrence and describe the characteristics of these conditions during the first 12 months after starting dulaglutide. The conditions being monitored include acute pancreatitis, hypersensitivity, pancreatic and thyroid cancers, cardiac conduction abnormalities, gastrointestinal effects, and medication errors. Additionally, for subpopulations receiving dulaglutide where safety data are usually classified as “missing information,” the distribution of these medical conditions will be described to determine if there are any differences compared to what is known for the target population. In order to assess the safety profile and utilisation of dulaglutide in the EU, a multi-database post-authorisation safety study (PASS) program will be administered by the DSRU. The DSRU will conduct a Modified Prescription-Event Monitoring (M-PEM) study in England, and it will coordinate a multi-country collaborative research program to address common aims and objectives, using existing data from three European electronic health record (EHR) databases. Each country will independently conduct an observational study developed in accordance with aims and objectives from an agreed base protocol.
Was this study requested by a regulator?Yes: EMA
Is the study required by a Risk Management Plan (RMP)?
EU RMP category 3 (required)
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 belongsDSRU
Department/Research group
Organisation/affiliationDrug Safety Research Unit
Details of (Primary) lead investigator
Title Professor
Last name Shakir
First name Saad
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
Germany
Italy
Netherlands
United Kingdom
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed14/12/201514/12/2015
Start date of data collection01/01/201501/01/2015
Start date of data analysis
Date of interim report, if expected01/08/201728/02/2018
Date of final study report31/03/202019/04/2020
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesEli Lilly100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Lynn
First name Elizabeth
Address line 1DSRU
Address line 2Bursledon Hall
Address line 3Blundell Lane
CitySouthampton
PostcodeSO31 1AA
CountryUnited Kingdom
Phone number (incl. country code)44-2380-408600
Alternative phone number
Fax number (incl. country code)44-2380-408609
Public Enquiries
Title Dr
Last name Lynn
First name Elizabeth
Address line 1DSRU
Address line 2Bursledon Hall
Address line 3Blundell Lane
CitySouthampton
PostcodeSO31 1AA
CountryUnited Kingdom
Phone number (incl. country code)44-2380-408600
Alternative phone number
Fax number (incl. country code)44-2380-408609
6. Study drug(s) information
Product NameTrulicity
CountryUnited Kingdom
Substance INN(s)DULAGLUTIDE
7. Medical conditions to be studied
Medical condition(s)Yes
Pancreatitis
Hypersensitivity
Thyroid cancer
Pancreatic carcinoma
Arrhythmia supraventricular
Conduction disorder
Gastrointestinal disorder
Medication error
8. Population under study
Age
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
Other population
Renal impaired
Hepatic impaired
Pregnant women
9. Number of subjects
Estimated total number of subjects10000
Additional information
A sample size of 5000 patients across non-UK EU countries plus 5000 patients in
the UK is desirable in order to estimate the expected (true) cumulative incidence of acute
pancreatitis of 0.1% with an acceptable level of precision.
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
Caserta Local Health Unit, Italy
Sources of data
Prescription event monitoring
Routine primary care electronic patient registry
11. Scope of the study
What is the scope of the study?
Drug utilisation study
Safety
Primary scope : Safety
12. Main objective(s)
What is the main objective of the study?
The overall aim of this multi-database PASS program is to assess and understand the utilisation and safety profile of dulaglutide in patients with Type II diabetes mellitus.
Are there primary outcomes?Yes
To estimate the cumulative incidence in the first 12 months of treatment with dulaglutide of the following events of interest:
(a) Acute pancreatitis
(b) Hypersensitivity
(c) Cardiovascular (CV) events and conduction abnormalities
(d) Gastrointestinal (GI) effects
(e) Medication errors
Are there secondary outcomes?Yes
For patients receiving dulaglutide:
1. To describe the baseline profile of patients
2. To explore time to onset of primary outcomes of interest and to explore predictors of
risk
3. To describe the safety profile in sub-populations missing from the EU Risk Management Plan
4. To estimate the period prevalence of pancreatic and/or thyroid cancer
13. Study design
What is the design of the study?
Prescription event monitoring
Cohort study
14. Follow-up of patients
Will patients be followed up?Yes
Please describe duration of follow up
The study will quantify the occurrence and describe the characteristics of
certain conditions during the first 12 months after starting dulaglutide. Patients studied in the UK using MPEM will be followed up after 12 months, by means of a case report form that is sent to the prescribing GP.
15. Data analysis plan
Please provide a brief summary of the analysis method
To estimate the cumulative incidence of primary events of interest in the
first 12 months after starting treatment:
Crude annualised cumulative incidence (percent of total valid cohort exposed) and cumulative rate (according to 1000 patients exposed), with 95% binomial and poisson exact Confidence Intervals (CI) for events of interest will be calculated, respectively.
Graphs of cumulative counts of events of interest, by month over the study period, will be examined for possible change in reporting over calendar time.
Points that will be taken into account in the analysis are the baseline characteristics, possible confounding factors and background incidence of the selected events in the study population during the observation period regardless of duration of exposure to dulaglutide.
The incidence rate of these events will also be explored by estimating hazard over time.
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
