Status: Finalised
First registered on:
03/05/2013
Last updated on:
16/12/2022
1. Study identification
EU PAS Register NumberEUPAS3901
Official titleDrug usage patterns of Pylera® in France using the national claims reimbursement database
Study title acronymDUS
Study typeOther: Study using claims database
Brief description of the studyThe objective of the study is to describe the usage patterns of Pylera® in real-life practice. All subjects in the EGB database with one or more claims of Pylera® from April 2013 to March 2015 will be included in the study. A reference population will be defined using patients with a dispensation of specific tritherapy to eradicate H. pylori and the same design. Several cohorts will be identified from Pylera® post-launch, each representing an increment of the number of patients including in the preceding cohort, as well as of the follow-up duration. Consequently, each successive and incremental cohort will be described using information available at the time of data extraction. The index date is defined as the date of the first dispensation of Pylera® (Pylera® population) and as the date of the first dispensation of specific tritherapy to eradicate H. pylori (Reference population). Patients will be included for a period of 2 years and analysed after one month of follow-up (description at inclusion), after 3 months of follow-up (misuse), after one year of follow-up (treatment failure), and after 2 years of follow-up (recurrence).
The evaluation criteria will be defined as:
- Number of drug packs dispensed per patient and per year
- Misuse: dispensation of more than one pack of Pylera® at index date or a dispensation of Pylera® not preceded by urea breath test (UBT) or endoscopy (within the year before first dispensation)
- Normal use: patient without misuse at index date
- Treatment failure: dispensation of a second pack of Pylera® or of another H. pylori eradication drug combination after or not UBT or endoscopy in the 12 months following first dispensation of Pylera®
- Treatment of recurrent infection: dispensation of a new pack of Pylera® or of another drug combination for H. pylori eradication after or not UBT or endoscopy 12 months or more after the last dispensation of Pylera®.
Was this study requested by a regulator?Yes: France, Germany
Is the study required by a Risk Management Plan (RMP)?
EU RMP category 1 (imposed as condition of marketing authorisation)
Regulatory procedure number (RMP Category 1 and 2 studies only)DE/H/2467/001/DC
Other study registration identification numbers and URLs as applicable
2. Research centres and Investigator details
Coordinating study entity
Department/Research grouppharmacoepidemiology
Organisation/affiliationUniversity of Bordeaux
Details of (Primary) lead investigator
Title Professor
Last name Moore
First name Nicholas
Is this study being carried out with the collaboration of a research network?
No
Other centres where this study is being conducted
Not applicable (single centre)
Countries in which this study is being conducted
National study
France
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed21/06/2012
Start date of data collection09/10/2013
Start date of data analysis
Date of interim report, if expected30/06/201628/06/2016
Date of final study report31/05/201709/06/2017
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesAptalis Pharma100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Blin
First name Patrick
Address line 1Université Bordeaux Segalen
Address line 2Bâtiment du Tondu - Case 41
Address line 3146 Rue Leo Saignat
CityBordeaux
Postcode33076
CountryFrance
Phone number (incl. country code)33557574675
Alternative phone number
Fax number (incl. country code)33557574740
Public Enquiries
Title Dr
Last name Blin
First name Patrick
Address line 1Université Bordeaux Segalen
Address line 2Bâtiment du Tondu - Case 41
Address line 3146 Rue Leo Saignat
CityBordeaux
Postcode33076
CountryFrance
Phone number (incl. country code)33557574675
Alternative phone number
Fax number (incl. country code)33557574740
6. Study drug(s) information
Substance class (ATC Code)A02BD08 (bismuth subcitrate, tetracycline and metronidazole)
7. Medical conditions to be studied
Medical condition(s)No
8. Population under study
Age
Preterm newborns
Term newborns (0-27 days)
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
Other population
Renal impaired
Hepatic impaired
Immunocompromised
Pregnant women
9. Number of subjects
Estimated total number of subjects500
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources not registered with ENCePP
EGB, France
Sources of data
Administrative database, e.g. claims database
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?
To describe the usage patterns of Pylera® in real-life practice by obtaining the following data: prescribers; patient age; patient gender; dispensed dose and quantity; number of dispensations over the study period; and concomitant medications dispensing (in particular, of all PPIs).
Are there primary outcomes?Yes
Misuse: dispensation of more than one pack of Pylera at index date or a dispensation of Pylera not preceded by urea breath test (UBT) or endoscopy (within the year before first dispensation) / Normal use / Treatment failure / Treatment of recurrent infection
Are there secondary outcomes?Yes
Concomitant medication, healthcare usage; presence of hospitalisation; duration of treatment as assessed by the number of packs dispensed, each counting for 10 days of treatment; total quantity of bismuth subcitrate dispensed per patient.
13. Study design
What is the design of the study?
Cohort study
14. Follow-up of patients
Will patients be followed up?Not applicable/no follow-up
15. Data analysis plan
Please provide a brief summary of the analysis method
The statistical analyses will be carried out for each interim report and final report by the Department of Pharmacology according to a documented and approved Statistical Analysis Plan (SAP). The SAP describes the statistical analyses as foreseen at the time of planning the study. For each report, statistical analysis will be performed after each database extraction from EGB using SAS® software (SAS Institute, last version, North Carolina, USA). Blind double programming will be used for the main outcome measures. Qualitative variables (dichotomous or categorical) will be described in terms of number and frequency. Quantitative variables will be described in terms of mean, standard deviation, median, first and third quartiles. Descriptive statistics of population included in the study, including patient demographics, prescribers, concomitant medication, usage patterns of Pylera® and evolution over time will be carried out.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
Yes
17. Full protocol
18. Study Results
Please list the 5 most relevant publications using data from your study
ReferenceLink to web-publication
Blin P, Rouyer M, Guiard E, Zerbib F, Diquet B, Mégraud F, et al. Patterns of quadruple therapy use including bismuth for Helicobacter pylori eradication: a cohort study in the French national claims database. Therapies [Internet]. 2020 Sep [cited 2020 Oct 28].https://doi.org/doi:10.1016/j.therap.2020.09.002
19. Other relevant documents
Other documentsNot
submitted
