Status: Finalised
First registered on:
15/12/2015
Last updated on:
22/11/2022
1. Study identification
EU PAS Register NumberEUPAS11854
Official titleUse of Selincro® and impact on usual practice
Study title acronymUSE-PACT
Study typeObservational study
Brief description of the studySelincro® (nalmefene) has obtained European market authorisation “for the reduction of alcohol consumption in adult patients with alcohol dependence who have a high drinking risk level, without physical withdrawal symptoms and who do not require immediate detoxification”. The French health authorities have requested an evaluation on real-life conditions of Selincro® use and its impact on morbidity. In response, a French prospective cohort including 1000 patients initiating Selincro® followed during 1 year using a random sample of general practitioners, psychiatrists, and physicians in specialised structures has been developed. The main objective is to evaluate the evolution of alcohol consumption at 1 year in patients initiating Selincro®. The secondaries are to describe prescribers characteristics; initial demographic, clinical, biological characteristics of patients; patient support, notably psychosocial, at start and during treatment; characteristics of Selincro® during the study period; the frequency of adverse effects during Selincro® treatment. Each participing physician should, during 4-month period, include in cohort all patients for whom he/she initiates Selincro® and fulfilling the eligibility criteria, and record in a non-inclusion register patients for whom Selincro® is initiated and not included in cohort. The physician will follow the patients with a clinical evaluation at 1, 3, 6, 9 and 12 months performed during usual follow-up consultations. In parallel, each patient will complete a self-administered questionnaire at the same points. Patients declared as lost-to-follow-up and, failing that, his/her general practitioner will be contacted in order to fill-out a “last known status questionnaire”. For patients who could not be reached, vital status will be investigated using the INSEE/INSERM centralised procedure defined by decree. The representativeness of the cohort will be evaluated by an analysis in a representative French health insurance database.
Was this study requested by a regulator?Yes: France
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
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
Multiple centres
In total how many centres are involved in this Study?180
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 signed01/07/201514/10/2015
Start date of data collection01/09/201523/02/2016
Start date of data analysis
Date of interim report, if expected
Date of final study report01/12/201710/07/2019
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesLundbeck France100
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 1University of Bordeaux – Bâtiment du Tondu – Case 41 – 146 rue Léo Saignat
Address line 2
Address line 3
CityBordeaux
Postcode
CountryFrance
Phone number (incl. country code)33557574675
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name Blin
First name Patrick
Address line 1University of Bordeaux – Bâtiment du Tondu – Case 41 – 146 rue Léo Saignat
Address line 2
Address line 3
CityBordeaux
Postcode
CountryFrance
Phone number (incl. country code)33557574675
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Substance class (ATC Code)N07BB05 (nalmefene)
7. Medical conditions to be studied
Medical condition(s)Yes
Alcohol abuse
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 subjects1000
10. Source of data
Is this study being carried out with an established data source?No
Sources of data
Prospective patient-based data collection
11. Scope of the study
What is the scope of the study?
Drug utilisation study
Effectiveness evaluation
Primary scope : Drug utilisation study
12. Main objective(s)
What is the main objective of the study?
To evaluate the evolution of alcohol consumption at one year in patients initiating Selincro® in usual practice.
Are there primary outcomes?Yes
The evolution of alcohol consumption at 1 year will be defined as the relative evolution of Total Alcohol Consumption (TAC) between inclusion and end of follow-up at 1 year.
The TAC (g/day) is equal to the number of standard drinks consumed in previous week by patient multiplied by a factor of ten (one standard drink corresponding to about 10g of alcohol), then divided by 7 (days number of week).
Are there secondary outcomes?Yes
At the different times of follow-up (1, 3, 6, 9 and 12 months) the evolution of alcohol consumption will be evaluated with respect to inclusion day in terms of: relative and absolute evolution of TAC and Heavy Drinking Days (HDD, number of days with a high consumption of alcohol); at least 70% reduction in TAC; change in the alcohol consumption risk level according to the WHO.
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
Included patients will be followed during 1 year with clinical evaluation at 1, 3, 6, 9, 12 months during usual follow-up consultations. Patients declared as lost-to-follow-up and failing that his/her general practitioner will be contacted in order to fill-out a “last known status questionnaire”. For patients who could not be reached, vital status will be investigated using INSEE/INSERM procedure.
15. Data analysis plan
Please provide a brief summary of the analysis method
Statistical analysis will be performed after database lock using SAS® software.
The representativeness of the cohort in terms of patient characteristics will be evaluated by an analysis in a representative French health insurance database, the EGB (Echantillon Généraliste de Bénéficiaires).
Statistical analysis will provide a description of : the total population, and according to prescriber specialty, and pevious medicinal treatment; the treated patient characteristcs; the evolution in alcohol consumption; the follow-up; Selincro® treatment; and adverse events.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
Not submitted
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
