1. Study identification
EU PAS Register NumberEUPAS36692
Official titleFirst-line anticancer drugs in patients with advanced, primary Non-Small Cell Lung Cancer: drug-utilization and effectiveness studies from Tuscany Region healthcare database
Study title acronym
Study typeObservational study
Brief description of the studyThe aim of the project is evaluate drug utilization and the effectiveness of first-line anticancer therapies approved for the treatment of advanced, non-resectable, NSCLC patients between 2009 and 2019 in the Tuscany population. Two studies will be thus performed on a cohort of patients with not-resectable, primary NSCLC: a drugs utilization study and a survival study. For the purpose of this study two different, already pseudo-anonymized, data sources will be used: pathology registry and administrative healthcare data of the Tuscany region.
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 grouppharmacoepidemiology
Organisation/affiliationUniversity of Bordeaux
Details of (Primary) lead investigator
Title Dr
Last name Andrea
First name Spini
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?3
University of Siena, Department of Life Sciences and Departement of Medicine, Surgery and Neuroscience, Siena, Via Aldo Moro 2
Countries in which this study is being conducted
National study
Italy
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed08/08/202008/08/2020
Start date of data collection15/08/202008/08/2020
Start date of data analysis
Date of interim report, if expected
Date of final study report15/12/202008/08/2020
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 scheme
OtherNot funded100
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Andrea
First name Spini
Address line 1146 Rue Leo Saignat
Address line 2Bordeaux PharmacoEpi, INSERM CIC1401
Address line 3Département de pharmacologie, Université de Bordeaux, 146 rue Leo Saignat
CityBordeaux
Postcode33076
CountryFrance
Phone number (incl. country code)00393276151702
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name Andrea
First name Spini
Address line 1146 Rue Leo Saignat
Address line 2Bordeaux PharmacoEpi, INSERM CIC1401
Address line 3Département de pharmacologie, Université de Bordeaux, 146 rue Leo Saignat
CityBordeaux
Postcode33076
CountryFrance
Phone number (incl. country code)00393276151702
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)No
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 subjects4500
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources registered with ENCePP
Sources of data
Administrative database, e.g. claims database
Pathology registry
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?
The aim of the project is evaluate drug utilization and the effectiveness of first-line anticancer therapies approved for the treatment of advanced, non-resectable, NSCLC patients between 2009 and 2019 in the Tuscany population.
Are there primary outcomes?Yes
Drug utilization and survival
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
Patients will be followed until the date of data collection
15. Data analysis plan
Please provide a brief summary of the analysis method
Descriptive analyses will be conducted to assess demographic and clinical characteristics of selected NSCLC patients in relation to the histology of NSCLC. Characteristics of patients according to first-line therapy registered will be compared using chi-square tests or Fisher exact test for categorical variables and ANOVA tests for continuous variables. In order to evaluate if squamous and non-squamous patients have a different profile on the basis of first-line treatment, a logistic regression model will be used (odds ratio and CI95%). Trend, seasonality and cyclical irregularity about the percentage of not treated patients and chemotherapy patients will be evaluated using a time series model. As for survival analysis, a COX proportional hazards model will be used to analyze predictors of survival. Results of the Cox model will be reported as HR with 95%CI. Finally, Kaplan Maier method will be used to describe OS.