Status: Finalised
First registered on:
03/02/2023
Last updated on:
28/03/2023
1. Study identification
EU PAS Register NumberEUPAS103381
Official titleDARWIN EU® - DUS of Antibiotics in the ‘Watch’ category of the WHO AWaRe classification of antibiotics for evaluation and monitoring of use
Study title acronym
Study typeObservational study
Brief description of the studyThis drug utilisation study aims to characterise the incidence of prescription of the 141 antibiotics in the ‘Watch’ list, including indication and treatment duration, for the period 2012-2021, stratified by year and country.
For this study, databases from 5 European countries will be used namely IPCI (Nl), CPRD Gold (UK), SIDIAP (Spain), IQVIA DA (Germany), IMASIS (Spain) and CHUBX (France).
Specific objectives of this study are the following:
(i) To investigate the incidence and prevalence of use of antibiotics (from the WHO Watch list) stratified by calendar year, age, sex and country/database during the study period 2012-2021.
(ii) To explore duration of antibiotic use as well as indication for antibiotic prescribing/dispensing.
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
Centre nameDARWIN EU CC
Centre locationRotterdam, The Netherlands
Details of (Primary) lead investigator
Title Dr
Last name Verhamme
First name Katia
Is this study being carried out with the collaboration of a research network?
Yes
Other centres where this study is being conducted
Multiple centres
In total how many centres are involved in this Study?6
PSMAR, Spain
CHUBX, France
University of Oxford, UK
Countries in which this study is being conducted
International study
France
Germany
Netherlands
Spain
United Kingdom
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed03/11/202203/11/2022
Start date of data collection01/12/202201/12/2021
Start date of data analysis02/01/202302/01/2023
Date of interim report, if expected
Date of final study report06/02/202315/02/2023
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 bodyEMA100
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Verhamme
First name Katia
Address line 1Dr. Molewaterplein 40
Address line 2
Address line 3
CityRotterdam
Postcode3015 GD
CountryNetherlands
Phone number (incl. country code)31107044129
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name Verhamme
First name Katia
Address line 1Dr. Molewaterplein 40
Address line 2
Address line 3
CityRotterdam
Postcode3015 GD
CountryNetherlands
Phone number (incl. country code)31107044129
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Substance class (ATC Code)J01 (AMINOGLYCOSIDE ANTIBACTERIALS)
Substance class (ATC Code)J01F (MACROLIDES, LINCOSAMIDES AND STREPTOGRAMINS)
Substance class (ATC Code)J01A (TETRACYCLINES)
Substance class (ATC Code)J01C (BETA-LACTAM ANTIBACTERIALS, PENICILLINS)
Substance class (ATC Code)J01D (Third-generation cephalosporins)
Substance class (ATC Code)J01XX (Other antibacterials)
Substance class (ATC Code)J01G (AMINOGLYCOSIDE ANTIBACTERIALS)
Substance class (ATC Code)J01M (Other quinolones)
7. Medical conditions to be studied
Medical condition(s)No
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 subjects30000000
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
IQVIA DA, Germany
IMASIS, Spain
CHUBX, France
Sources of data
Routine primary care electronic patient registry
Hospital database (CHUBX and IMASIS (PSMAR))
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?
The objectives of this study are
(i) To investigate the incidence and prevalence of use of antibiotics (from the WHO Watch list) stratified by calendar year, age, sex and country/database during the study period 2012-2021.
(ii) To explore duration of antibiotic use as well as indication for antibiotic prescribing/dispensing.
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?Yes
Please describe duration of follow up
Follow-up will start on a pre-specified calendar time point e.g., 1st of January for each calendar year between 2012-2021 for the calculation of annual incidence/prevalence rates.
End of follow-up will be defined as the earliest of loss to follow-up, end of data availability, death, or end of study period (31st December 2021)
15. Data analysis plan
Please provide a brief summary of the analysis method
Population-level antibiotic use: Annual period prevalence of antibiotic use and annual incidence rates per 100,000 person years.
Patient-level antibiotic use: Large-scale patient-level characterisation will be conducted. Index date will be the date of the first prescription of the specific antibiotic for each person. Frequency of indication at index date will be assessed. Cumulative treatment duration will be estimated and the minimum, p25, median, p75, and maximum will be provided.
For all analyses a minimum cell count of 5 will be used when reporting results, with any smaller counts obscured.
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
Not submitted
