Status: Ongoing
First registered on:
14/03/2023
Last updated on:
29/03/2023
1. Study identification
EU PAS Register NumberEUPAS103936
Official titleDARWIN EU® - Background rates of serious adverse events to contextualise safety assessments in clinical trials and non-interventional studies in adolescent and adult patients with severe asthma.
Study title acronym
Study typeObservational study
Brief description of the studyDuring the evaluation of the safety results of a clinical trial in patients with severe asthma, differences in rates of serious adverse events were observed in the experimental treatment arm compared to the control arm. In order to contextualize these differences, a non-interventional study was requested to generate background rates of selected health outcomes in patients with severe asthma, with a disease definition that follows recently conducted clinical trials.
By means of a retrospective cohort study using routinely-collected health data from 5 databases we will investigate the following:
(i) To estimate the rate of mortality due to any cause stratified by calendar year as well as pre-pandemic (2015-2019) and pandemic (2020-2021), sex, age and country/database.
(ii) To estimate the rate of mortality due to fatal infections stratified by calendar year as well as pre-pandemic (2015-2019) and pandemic (2020-2021), sex, age and country/database.
(iii) To estimate the rate of mortality due to cardiovascular events stratified by calendar year as well as pre-pandemic (2015-2019) and pandemic (2020-2021), sex, age and country/database .
(iv) To estimate the incidence rate of serious cardiovascular events (but not necessarily leading to death) stratified by calendar year as well as pre-pandemic (2015-2019) and pandemic (2020-2021), sex, age and country/database.
The study population will consists of all individuals present in the database in the period between 01/01/2015 and 31/12/2021, with at least 1 year of prior history, being diagnosed with severe asthma and fulfilling inclusion and exclusion criteria.
The study period is from 2015-2021.
Variables of interest will consist of outcomes, comorbidity, lifestyle factors, measurements and drug exposure data.
Participating databases have their data mapped to the OMOP CDM. Participating databases are SIDIAP, IPCI, CPRD Gold, IMASIS and the Estonian Biobank.
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?5
PSMAR, Spain
University of Tartu, Estonia
Oxford University, UK
Countries in which this study is being conducted
International study
Estonia
Netherlands
Spain
United Kingdom
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed19/12/202219/12/2022
Start date of data collection01/01/201501/01/2015
Start date of data analysis
Date of interim report, if expected
Date of final study report01/05/2023
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 body
Research councils
EU funding schemeEMA100
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
Not applicable (disease/epidemiology study)
7. Medical conditions to be studied
Medical condition(s)Yes
Asthma
8. Population under study
Age
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 subjects80000
Additional information
Within the datasources we expect more than 1,000,000 individuals with asthma
Assuming that the prevalence of severe asthma is around 7%, this would result in 70,000 individuals with severe asthma
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
IMASIS, Spain
Estonian Biobank, Estonia
Sources of data
Routine primary care electronic patient registry
Biobank data (Estonian Biobank) and hospital data (IMASIS)
11. Scope of the study
What is the scope of the study?
Disease epidemiology
Primary scope : Disease epidemiology
12. Main objective(s)
What is the main objective of the study?
To estimate the mortality rate (all cause and mortality related to infections or cardiovascular events) stratified by calendar year, sex, age and country/database during the study period 2015-2021.
To estimate the incidence rate of serious cardiovascular events stratified by calendar year, sex, age and country/database during the study period 2015-2021.
Are there primary outcomes?Yes
Mortality and cause specific mortality namely mortality related to cardiovascular events and mortality related to infections
Are there secondary outcomes?Yes
Serious cardiovascular events consisting of: acute myocardial infarction, acute coronary syndrome/ischemic heart disease, stroke and hospitalisation for heart failure
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
Follow-up will start on the latest of the following: 1) study start date, 2) date at which a patient first has sufficient prior history, 3) date on which a patient first fulfils the respective inclusion criteria. Follow-up will end at the earliest date of the following: 1) end date of observation period, 2) date 52 or 104 weeks following start, 3) date of death or 4) end of study period.
15. Data analysis plan
Please provide a brief summary of the analysis method
Annual incidence rate of the outcomes of interest will be calculated stratified by country/database, calendar year, age and sex, within the cohort of severe asthma patients.
For the calculation of the incidence rate, the numerator will be the number of patients newly diagnosed with the respective outcomes of interest and the denominator will consist of the number of person-years of the severe asthma patients fulfilling the inclusion and exclusion criteria at risk.
In addition, survival time to all-cause mortality will be estimated using Kaplan Meier analysis.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
18. Study Results
Not submitted
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
