Status: Ongoing
First registered on:
16/10/2023
Last updated on:
23/10/2023
1. Study identification
EU PAS Register NumberEUPAS106798
Official titleDARWIN EU® CC - Drug utilisation study of medicines with prokinetic properties in children and adults diagnosed with gastroparesis
Study title acronym
Study typeObservational study
Brief description of the studyGastroparesis is a medical condition characterized by delayed gastric emptying, causing symptoms like postprandial fullness, nausea, vomiting, and upper abdominal pain. It affects individuals across different age groups, encompassing both paediatric population and adults. Pharmacotherapy, particularly medication with prokinetic properties, has been used to manage symptoms, which includes off-label use. The European Medicines Agency commissioned this DARWIN EU© CC study to: describe the characteristics of children and adults prescribed medications with prokinetic properties stratified by indication of use (gastroparesis), to determine the dose, formulation, cumulative duration and setting at time of treatment initiation of any of the prokinetic drugs of interest for patients diagnosed with gastroparesis, in children and adults separately, and to determine the incidence and prevalence of use of medications with prokinetics properties for patients diagnosed with gastroparesis, in the paediatric population and in adults separately, stratified by calendar year, age categories, sex and database during the study period between 2012 and 2022.
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 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?7
Clinical Data Warehouse of Bordeaux University Hospital (CHUBX), France
Clinical Practice Research Datalink GOLD (CPRD GOLD), United Kingdom
IQVIA DA Germany, Germany
IQVIA LPD Belgium, Belgium
Institut Municipal Assistencia Sanitaria Information System (IMASIS), Spain
Integrated Primary Care Information Project (IPCI), Netherlands
Countries in which this study is being conducted
International study
Belgium
France
Germany
Netherlands
Spain
United Kingdom
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed20/06/202320/06/2023
Start date of data collection01/01/201201/01/2023
Start date of data analysis
Date of interim report, if expected17/11/2023
Date of final study report29/12/2023
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 Verhamme
First name Katia
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)
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)A03FA01 (metoclopramide)
Substance class (ATC Code)A03FA02 (cisapride)
Substance class (ATC Code)A03FA03 (domperidone)
Substance class (ATC Code)A03FA06 (clebopride)
Substance class (ATC Code)A03FA07 (itopride)
Substance class (ATC Code)A03FA08 (cinitapride)
Substance class (ATC Code)J01FA01 (erythromycin)
7. Medical conditions to be studied
Medical condition(s)Yes
Gastroparesis
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 subjects2000000
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
CHUBX, France
CPRD GOLD, United Kingdom
IQVIA DA Germany, Germany
IQVIA LPD Belgium, Belgium
IMASIS, Spain
Sources of data
Routine primary care electronic patient registry
Hospital data
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 main objective of the study is to determine the dose, formulation, cumulative duration and setting at time of treatment initiation of any of the prokinetic drugs of interest for patients diagnosed with gastroparesis and to determine the incidence and prevalence of use of medications with prokinetics properties in patients diagnosed with gastroparesis, in children and adults separately.
Are there primary outcomes?No
Are there secondary outcomes?No
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
Study participants will be followed up from the date of incident prescription or dispensation of medication with prokinetic properties (patient level drug utilisation study) or the date of diagnoses of gastroparesis (population level drug utilisation study) until 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
Patient-level drug utilization: Large-scale patient-level characterization will be conducted at index date including patient demographics, comorbidity and medication. Cumulative duration of use of medication with prokinetic properties, dose, formulation and different types of setting will be reported. Population-level utilization of medication with prokinetic properties: Annual period prevalence of the use of medications with prokinetics properties and annual incidence rates per 100000 person years will be estimated. 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
