Status: Ongoing
First registered on:
11/07/2023
Last updated on:
28/08/2023
1. Study identification
EU PAS Register NumberEUPAS105644
Official titleDARWIN EU® CC - Use of take-home naloxone for opioid overdose treatment
Study title acronym
Study typeObservational study
Brief description of the studyOpioid overdoses are the primary cause of mortality among problematic drug users globally. Naloxone, an opioid antagonist, can avert such fatalities by rapidly counteracting opioid effects. To address the frequent untreated overdoses due to the lack of recognition, fear of legal consequences, and lack of naloxone access, Take-Home Naloxone (THN) programs have been established, providing naloxone to potential bystanders in 12 European countries. This study will investigate the trend of naloxone use, particularly THN, across Europe, and elucidate user profiles to augment aggregated data from existing THN programs, thereby aiding the monitoring of naloxone use and informing regulatory decisions.
The objectives of this study are
(i) To investigate the incidence and prevalence of THN use in (1) the general population and (2) among people with a recorded history of opioid use disorder during the study period 2017-2022. Analyses will be stratified by age, sex, calendar year and country/database.
(ii) To provide summary baseline characteristics of “new” THN users including demographics, previous medical history, previous medication use and history of opioid use, overdose
(iii) To study the use of THN in ”new” users including summary statistics of number of THN packages prescribed at index date for each “new” user (e.g. mean (SD), median, q25 and q75)
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 Jodicke
First name Annika
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?3
University of Oxford, United Kingdom
IDIAP Jordi Gol, Spain
Countries in which this study is being conducted
International study
Belgium
Germany
Spain
United Kingdom
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed04/05/202304/05/2023
Start date of data collection01/01/201701/01/2017
Start date of data analysis
Date of interim report, if expected
Date of final study report01/11/2023
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 Jodicke
First name Annika
Address line 1University of Oxford
Address line 2Windmill Road
Address line 3Headington
CityOxford
Postcode
CountryUnited Kingdom
Phone number (incl. country code)31107043050
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Mrs
Last name Schuemie
First name Ilse
Address line 1Dr. Molewaterplein 40
Address line 2
Address line 3
CityRotterdam
Postcode
CountryNetherlands
Phone number (incl. country code)31107043050
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Single-Constituent (Substance INN)Naloxone
7. Medical conditions to be studied
Medical condition(s)No
8. Population under study
Age
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 subjects17700000
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 LPD, Belgium
IQVIA DA, Germany
Sources of data
Routine primary care electronic patient registry
inpatient and outpatient specialist care
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?
(i) To investigate the incidence and prevalence of THN use in (1) the general population and (2) among people with a recorded history of opioid use disorder during the study period 2017-2022.
(ii) To provide summary baseline characteristics of “new” THN users
(iii) To study the use of THN in ”new” users
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 2017-2022 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 2022).
15. Data analysis plan
Please provide a brief summary of the analysis method
Population-level THN use: Annual period prevalence of THN use and annual incidence rates per 100,000 person years in (1) the general population and (2) among people with a recorded history of opioid use disorder (OUD).
Patient-level THN use: Summary baseline characteristics of “new” users incl. demographics and history of opioid use, overdose will be conducted. Index date will be the date of the respective prescription of THN for each person. Number of THN prescriptions/packages per “new” user at index date will be summarised and mean (SD), median, p25 and p75 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
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
