1. Study identification
EU PAS Register NumberEUPAS35296
Official titleAssociation of angiotensin converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARB) on coronavirus disease (COVID-19) incidence and complications
Study title acronym
Study typeObservational study
Brief description of the studyThis study will evaluate the effect of ACE inhibitor or ARB exposure on the risk of contracting COVID-19 infection and the risk of experiencing respiratory failure, pneumonia, acute kidney injury, and death in hypertensive patients following contracting COVID-19 infection. The analysis will be undertaken across a federated multi-national network of electronic health records and administrative claims from primary care and secondary care that have been mapped to the Observational Medical Outcomes Partnership Common Data Model in collaboration with the Observational Health Data Sciences and Informatics (OHDSI) and European Health Data and Evidence Network (EHDEN) initiatives.
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
Centre nameUniversity of Dundee (within Europe) / UCLA (elsewhere)
Centre locationUK US
Details of (Primary) lead investigator
Title Professor
Last name Suchard
First name Marc
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?8
Ajou University, South Korea
Columbia University, US
Erasmus University Medical Centre, The Netherlands
Janssen Research and Development, US
UCLA, US
University of Dundee, UK
University of Oxford, UK
University of South Australia, Australia
Countries in which this study is being conducted
International study
Korea, Republic of
Spain
United Kingdom
United States
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed02/03/202002/03/2020
Start date of data collection26/03/202026/03/2020
Start date of data analysis07/04/202007/04/2020
Date of interim report, if expected
Date of final study report26/05/202016/06/2020
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 body
Research councils
EU funding schemeEHDEN100
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Morales
First name Daniel
Address line 1University of Dundee
Address line 2
Address line 3
CityDundee
Postcode
CountryUnited Kingdom
Phone number (incl. country code)00441382383000
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name Morales
First name Daniel
Address line 1University of Dundee
Address line 2
Address line 3
CityDundee
Postcode
CountryUnited Kingdom
Phone number (incl. country code)00441382383000
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Substance class (ATC Code)C09 (AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM)
7. Medical conditions to be studied
Medical condition(s)Yes
COVID-19
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 subjects100000
10. Source of data
Is this study being carried out with an established data source?No
Sources of data
Administrative database, e.g. claims database
Routine primary care electronic patient registry
11. Scope of the study
What is the scope of the study?
Risk assessment
Primary scope : Risk assessment
12. Main objective(s)
What is the main objective of the study?
To measure the risk of COVID-19 susceptibility and severity in patients exposure to ACE inhibitors and ARBs compared to patient exposed to other antihypertensive agents.
Are there primary outcomes?Yes
COVID-19 susceptibility and severity
Are there secondary outcomes?Yes
Major acute cardiovascular events (MACE)
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
We will use a prevalent user cohort design to estimate the relative risk of each outcome associated with monotherapy only and monotherapy or combo-therapy comparisons among patients prescribed ACE inhibitors and ARBs compared to patients with diuretics and calcium channel blockers. We will measure the risk of incident COVID-19 diagnosis and also outcomes following hospitalization with COVID-19. Data driven approaches will be used to identify potential covariates for inclusion in matched or stratified propensity score models identified using regularized logistic regression that allow balancing on a large number of baseline potential confounders. Cox regression analysis will be used to calculate hazard ratios. In addition negative control outcomes will allow for evaluating residual bias in the study design.
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
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