Status: Planned
First registered on:
18/04/2023
Last updated on:
15/05/2023
1. Study identification
EU PAS Register NumberEUPAS104085
Official titlePost-authorisation Safety Study of Tralokinumab Use in Pregnancy: An Observational Study Based on Electronic Healthcare Data
Study title acronym
Study typeObservational study
Brief description of the studyThis study will investigate whether maternal exposure to tralokinumab during pregnancy is associated with increased risk of adverse pregnancy and infant outcomes: major congenital malformations, infants born small for gestational age, preterm births, spontaneous abortions, or stillbirths. This is an observational cohort study using prospectively collected secondary health care data from 1 US and 2 European data sources. Three study groups will be included: 1) a tralokinumab-exposed group of pregnant women with atopic dermatitis (AD) treated with tralokinumab, 2) a primary comparator group of pregnant women with AD exposed to other, non-tralokinumab, systemic treatments for AD, and 3) a secondary comparator group of pregnant women with AD unexposed to tralokinumab or other systemic therapies for AD.
Was this study requested by a regulator?Yes: EMA, United States
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 belongsRTI-HS
Department/Research groupPharmacoepidemiology & Risk Management
Organisation/affiliationRTI Health Solutions
Details of (Primary) lead investigator
Title Dr
Last name Rivero
First name Elena
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
Carelon Research, Delaware, United States
Countries in which this study is being conducted
International study
France
Germany
United States
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed01/07/202127/07/2021
Start date of data collection01/10/2026
Start date of data analysis08/01/2027
Date of interim report, if expected30/06/2027
Date of final study report31/12/2030
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesLeo Pharma A/S100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Rivero
First name Elena
Address line 1Av. Diagonal, 605, 9-1
Address line 2
Address line 3
CityBarcelona
Postcode08028
CountrySpain
Phone number (incl. country code)34933622802
Alternative phone number
Fax number (incl. country code)34937608507
Public Enquiries
Title Dr
Last name Rivero
First name Elena
Address line 1Av. Diagonal, 605, 9-1
Address line 2
Address line 3
CityBarcelona
Postcode08028
CountrySpain
Phone number (incl. country code)34933622802
Alternative phone number
Fax number (incl. country code)34937608507
6. Study drug(s) information
Substance class (ATC Code)D11AH07 (tralokinumab)
Single-Constituent (Substance INN)TRALOKINUMAB
Product NameAdtralza
CountryGermany
Substance INN(s)TRALOKINUMAB
Product NameAdbry
CountryUnited States
Substance INN(s)TRALOKINUMAB
Product NameAdtralza
CountryFrance
Substance INN(s)TRALOKINUMAB
7. Medical conditions to be studied
Medical condition(s)Yes
Atopic dermatitis
8. Population under study
Age
Preterm newborns
Term newborns (0-27 days)
Infants and toddlers (28 days - 23 months)
Adults (18 - 44 years)
Adults (45 - 64 years)
Sex
Male
Female
Other population
Pregnant women
9. Number of subjects
Estimated total number of subjects11880
Additional information
660 pairs of tralokinumab-exposed pregnancies (and linked infants); 2,640 pairs of unexposed pregnancies (and linked infants) in each of two comparator groups
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
Système National des Données de Santé (SNDS), France
Healthcare Integrated Research Database (HIRD), United States
Sources of data
Administrative database, e.g. claims database
Pharmacy dispensing records
11. Scope of the study
What is the scope of the study?
Risk assessment
Drug utilisation study
Primary scope : Risk assessment
12. Main objective(s)
What is the main objective of the study?
The study will investigate whether maternal exposure to tralokinumab during pregnancy in women with AD is associated with an increased risk of major congenital malformations, minor congenital malformations, infants born small for gestational age, preterm births, spontaneous abortions, or stillbirths relative to non-exposure to tralokinumab during pregnancy.
Are there primary outcomes?Yes
Major congenital malformations
Are there secondary outcomes?Yes
Minor congenital malformations, infants born small for gestational age, preterm births, spontaneous abortions, stillbirths
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?Yes
Please describe duration of follow up
Pregnancies will be followed from the first day of the last menstrual period up to 1 month after the end of pregnancy. Live-born infants will be followed from the date of birth up to 12 months of age.
15. Data analysis plan
Please provide a brief summary of the analysis method
Descriptive analyses will be conducted for the progress reports to monitor counts of tralokinumab-exposed pregnancies and live births. The following analyses will be conducted for the final study report:
• Descriptive analyses of demographic and baseline characteristics and the number of dispensations of the exposure medications will be conducted for each cohort and will include counts, frequency, mean and 95% CI, median, Q1 and Q3, minimum, and maximum. Results will be presented by data source.
• Comparative analyses, including crude and adjusted RRs and risk differences and 95% CIs will be calculated for all pregnancy and infant outcomes by data source.
• For each study outcome, the effect estimates from each data source will be pooled using meta-analytic techniques.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
Yes
17. Full protocol
Available when the study ends
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
Other documentsNot
submitted
Signed Code of
Conduct Checklist
Submitted
Signed Code of Conduct Declaration
Submitted
Signed Checklist for Study
Protocols
Submitted
