Status: Ongoing
First registered on:
03/10/2023
Last updated on:
23/10/2023
1. Study identification
EU PAS Register NumberEUPAS106679
Official titleDARWIN EU® CC - EHDS Use Case: Natural history of coagulopathy in COVID-19 patients and persons vaccinated against SARS-CoV-2 in the context of the OMICRON variant
Study title acronym
Study typeObservational study
Brief description of the studyThe aim of the study is to contextualize the risk of venous and arterial thromboembolic events associated with COVID-19, during the Omicron period, and SARS-CoV-2 vaccination.
The research objectives which will be addressed incrementally to support the project aim are to estimate the background incidence rate of venous and arterial thromboembolic events among the general pre-pandemic population, to estimate the incidence rate of venous and arterial thromboembolic events among patients with COVID-19 within 30-, 60-, and 90- and 180-days during the Omicron period, stratified by prior SARS-CoV-2 vaccination and prior infection status, to estimate the incidence rate of venous and arterial thromboembolic events among patients with SARS-CoV-2 vaccination within 30-, 60-, 90- and 180-days, stratified by prior infection status, to estimate the association between clinical risk factors including prior SARS-CoV-2 vaccination on the incidence rate of venous and arterial events among patients with COVID-19 and the impact that thromboembolic events have on worsening severity of COVID-19 during the Omicron period and to estimate incidence rate ratios for venous and arterial thromboembolic events among patients with COVID-19 and people vaccinated against SARS-CoV-2, compared to the background population using incidence rates estimated in objectives 1 to 3.
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, Netherlands
Details of (Primary) lead investigator
Title Dr
Last name Catala Sabate
First name Marti
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
University of Tartu, Estonia
Erasmus MC, Netherlands
University of Oxford, United Kingdom
Countries in which this study is being conducted
International study
Estonia
Germany
Netherlands
Spain
United Kingdom
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed26/07/202326/07/2023
Start date of data collection01/12/202101/12/2021
Start date of data analysis
Date of interim report, if expected
Date of final study report30/12/2023
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 Catala Sabate
First name Marti
Address line 1University of Oxford
Address line 2Windmill Road
Address line 3
CityOxford
Postcode
CountryUnited Kingdom
Phone number (incl. country code)441865223725
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
Substance class (ATC Code)J07BN (Covid-19 vaccines)
7. Medical conditions to be studied
Medical condition(s)Yes
Thromboembolic event
Cardiovascular disorder
8. Population under study
Age
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 subjects18890000
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
CPRD gold, United Kingdom
IQVIA germany, Germany
Estonian Biobank, Estonia
Sources of data
Routine primary care electronic patient registry
Biobank and hospital data
11. Scope of the study
What is the scope of the study?
Drug utilisation study
vaccine safety
Primary scope : Drug utilisation study
12. Main objective(s)
What is the main objective of the study?
To estimate the background incidence rate of venous and arterial thromboembolic events among the general pre-pandemic population. To estimate the incidence rate of venous and arterial thromboembolic events among patients with COVID-19 within 30-, 60-, and 90- and 180-days during the Omicron period, stratified by prior SARS-CoV-2 vaccination and prior infection status.
Are there primary outcomes?Yes
Venous thromboembolic events: In the primary analysis, venous thromboembolic events will be identified by diagnostic codes for pulmonary embolism or deep vein thrombosis.
Arterial thromboembolic events: In the primary analysis, arterial thromboembolic events will be identified by diagnostic codes for an acute myocardial infarction or acute ischemic stroke.
Are there secondary outcomes?Yes
Venous thromboembolic events: In a secondary analysis pulmonary embolism and deep vein thrombosis will be assessed separately. We will also assess portal vein thrombosis, splanchnic venous thrombosis (SVT) and cerebral venous sinus thrombosis separately.
Arterial thromboembolic events: In a secondary analysis acute myocardial infarction and acute ischemic stroke will be assessed separately.
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 begin on January 1st 2017 or 365 days of prior history and continue up until the first of: outcome of interest, loss to follow-up, death or December 31st 2019 and follow-up will begin on their index date and continue up until the first of: outcome of interest, loss to follow-up, death, or either 30-, 60-, 90- or 180-days after the index date.
15. Data analysis plan
Please provide a brief summary of the analysis method
Objective 1 -3: We will use Poisson models to estimate incidence rates and 95% confidence interval. Overall, age group, and sex specific rates will be reported. Within each age-sex strata, rates by prior COVID-19 diagnosis, prior vaccination status and brand, and whether patients are immunosuppressed will be reported as well when event number is larger than 5 within the strata. Objective 4a: To assess the association between potential risk factors on the incidence of venous and arterial thromboembolic events among patients with COVID-19 during the Omicron period, cause-specific Cox models will be used to calculate hazard ratios for the incidence of venous and arterial thromboembolic events for each of the COVID-19 cohorts. Adjusted models will evaluate potential predictors including age, sex, prior COVID-19 infection status, prior vaccination status and brand, cancer, whether patients were immunocompromised on the index date, prior use of antithrombotics, prior use of corticosteroids.
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
