Status: Finalised
First registered on:
11/03/2019
Last updated on:
20/02/2020
1. Study identification
EU PAS Register NumberEUPAS28611
Official titleHidden Severe Asthma in Primary Care versus ISAR Cohort
Study title acronym
Study typeObservational study
Brief description of the studyTo identify, within asthma managed population, patients that have severe asthma but are “hidden” from specialist care using a large, real-life population-based cohort of patients in the UK. Then to compare the demographic and clinical characteristics of the “hidden” patients with severe asthma identified in primary care to those managed in specialist care.
Primary objectives:
• To construct criteria for identifying severe asthma in primary-care EMR databases based on their treatment and measures of control.
• To compare the characteristics of “hidden” patients with severe asthma in primary care to those managed in specialist care (ISAR).
Secondary objectives:
• To describe the demographic and clinical profile of patients with severe asthma managed exclusively in primary care and are hidden from specialist care.
• To describe the demographic and clinical profile of patients treated at low dose ICS/LABA and experiencing exacerbations. These patients may be unrecognised as potentially severe asthma patients.
• To create a criteria-template for identifying these patients with severe asthma in other countries
Was this study requested by a regulator?No
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 groupObservational and Pragmatic Research Institute Pte Ltd
Organisation/affiliationOPRI Pte Ltd
Details of (Primary) lead investigator
Title Professor
Last name Price
First name David
Is this study being carried out with the collaboration of a research network?
Yes
Other centres where this study is being conducted
Not applicable (single centre)
Countries in which this study is being conducted
National study
United Kingdom
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed20/12/2018
Start date of data collection01/02/2019
Start date of data analysis01/03/201901/03/2019
Date of interim report, if expected27/03/2019
Date of final study report02/09/201920/02/2020
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesAstra Zeneca100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Professor
Last name Price
First name David
Address line 15a Coles Lane
Address line 2Oakington
Address line 3
CityCambridge
PostcodeCB24 3BA
CountryUnited Kingdom
Phone number (incl. country code)44-1223967582
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Professor
Last name Price
First name David
Address line 15a Coles Lane
Address line 2Oakington
Address line 3
CityCambridge
PostcodeCB24 3BA
CountryUnited Kingdom
Phone number (incl. country code)44-1223967582
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Not applicable (disease/epidemiology study)
7. Medical conditions to be studied
Medical condition(s)Yes
Asthma
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 subjects200000
Additional information
Patients by Step of GINA treatment
GINA STEP Number of patients
1 32,939
2 48,040
3 35,669
4 85,605
5 5,447
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources registered with ENCePP
Sources of data
Disease/case registry
Routine primary care electronic patient registry
11. Scope of the study
What is the scope of the study?
Disease epidemiology
Primary scope : Disease epidemiology
12. Main objective(s)
What is the main objective of the study?
Primary:
Construct criteria to identify severe asthma in primary care EMR databases based on their treatment and measures of control.
Compare the characteristics of “hidden” patients with severe asthma in primary care to those managed in specialist care (ISAR).
Secondary:
To describe the hidden patients with severe asthma
To create a template for identifying these patients in other countries
Are there primary outcomes?Yes
Patients with severe asthma who are hidden from specialist care will be described according to their:
Age, Sex, Smoking status, exacerbations, level of control, blood eosinophil count, adherence, prescribed medication and co-morbidites
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?Not applicable/no follow-up
15. Data analysis plan
Please provide a brief summary of the analysis method
Descriptive statistics on demographic and clinical characteristics will be provided for continuous and categorical variables. Summary statistics for continuous variables will be:
Sample size (n)
Percentage non missing
Mean
Variance/standard deviation
Range (minimum- maximum)
Median
Inter-quartile range (25th and 75th percentile)
Summary statistics for categorical variables will include:
Sample size (n)
Range (if applicable)
Count and percentage by category (distribution)
Characteristics of patients with severe asthma in primary care and ISAR will be compared, group difference will be tested for statistical significance via Chi-square tests. Student t-test or one-way analysis of variance (ANOVA) will be applied to test for statistical significance for comparison of means. Statistical significance will be defined as p<0.05
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
18. Study Results
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
