Status: Ongoing
First registered on:
16/10/2020
Last updated on:
05/04/2022
1. Study identification
EU PAS Register NumberEUPAS37569
Official titleCardiovascular-Renal-Metabolism comorbidity epidemiology and healthcare utilisation – Observational studies across Europe – French part of the study program
Study title acronymCaReMe Europe
Study typeOther: Historical cohort study using the SNDS, the French nationwide claims database
Brief description of the studyCommonalities between cardiovascular, renal and metabolic (CaReMe) diseases with clinical overlap between these diseases and their associated complications are increasingly recognized. AstraZeneca conducts a European study program in 10 countries according to a common protocol to address specific unanswered questions on the epidemiology of CaReMe disorders and the impact of these on healthcare utilization, using the French claims database (SNDS) for the French part of the program. The French cohort will include all adult type 2 diabetes (T2D) patients in 2014 with a follow-up of 5 years and having 4-year history period before the index date (01/01/2014) in the database. The cardiovascular and renal disease-free T2D population will include all T2D patients without angina, unstable angina, atrial fibrillation, myocardial infarction (MI), heart failure (HF), coronary revascularisation, stroke, transient ischemic attack, peripheral artery disease (PAD), peripheral artery revascularisation, chronic kidney disease (CKD) or dispensing of nitrates within the 4-year period before the index date. Several co-morbid T2D populations will be defined as cardiorenal syndrome (HF and CKD) population, HF population, CKD population, stroke population, MI population and PAD population. It is expected for the study approximately 3 million of T2D population in 2015. The events of interest (cardiorenal disease [HF or CKD], HF, CKD, PAD, MI, stroke, and all-cause death) during the study period will be described in terms of crude incidence rate (person-year), cumulative incidence/probability (in %, Kaplan-Meier estimator or Cumulative Incidence Function), and risk comparison for each event between disease-free and co-morbid populations (Cox proportional hazards model or Fine and Grey Model). Specific cost (all payer perspective) of HF, CKD, cardiorenal diseases (HF or CKD), PAD, MI, or stroke will be estimated during the follow-up in T2D patients free from cardiovascular and renal diseases.
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 Blin
First name Patrick
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 signed26/09/2019
Start date of data collection31/10/202001/12/2020
Start date of data analysis
Date of interim report, if expected
Date of final study report31/03/2021
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesAstraZeneca100
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 1146 Rue Leo Saignat
Address line 2University of Bordeaux - Bordeaux PharmacoEpi, INSERM CIC1401
Address line 3Bâtiment du Tondu - Case 41
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 1146 Rue Leo Saignat
Address line 2University of Bordeaux - Bordeaux PharmacoEpi, INSERM CIC1401
Address line 3Bâtiment du Tondu - Case 41
CityBordeaux
Postcode33076
CountryFrance
Phone number (incl. country code)33557574675
Alternative phone number
Fax number (incl. country code)33557574740
6. Study drug(s) information
Not applicable (disease/epidemiology study)
7. Medical conditions to be studied
Medical condition(s)Yes
Type 2 diabetes mellitus
Heart failures
Chronic kidney disease
Myocardial infarction
Stroke
Peripheral arterial disease
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 subjects3346431
Additional information
3 346 431 T2D patients in 2014 (extraction estimate by the CNAM)
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources not registered with ENCePP
SNDS NATIONAL CLAIMS DATABASE, France
Sources of data
Administrative database, e.g. claims database
11. Scope of the study
What is the scope of the study?
Disease epidemiology
Risk assessment
Drug utilisation study
Healthcare resource cost study
Primary scope : Risk assessment
12. Main objective(s)
What is the main objective of the study?
The main objective is to estimate the incidence rate of the first specific cardiorenal event (HF, CKD, cardiorenal diseases [HF or CKD], PAD, MI, or stroke) in T2D patients free from cardiovascular and renal diseases.
Are there primary outcomes?Yes
Outcomes and comorbidities (main analysis): main, linked, or associated diagnoses of hospitalisation associated with cardiorenal diseases (HF or CKD), HF, CKD, PAD, MI, stroke, and all-cause death.
Outcomes (sensitivity analysis): main diagnosis of hospitalisation associated with cardiorenal diseases (HF or CKD), HF, CKD, PAD, MI, stroke, and all-cause death.
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
The study follow-up period will start from the study index date and will end five years later, or until date of death. The index date will be 01/01/2014.
15. Data analysis plan
Please provide a brief summary of the analysis method
-Incidence estimate of HF, CKD, cardiorenal diseases (HF or CKD), PAD, MI, stroke, (first event) in cardiovascular and renal disease-free T2D population, using incidence rate and Cumulative Incidence Function (CIF), to take death into account as a competing risk
-Incidence estimate of PAD, MI, stroke, or all-cause death in comorbid T2D population, using incidence rate and Kaplan-Meier estimator (for all-cause death) or CIF (for other outcomes)
-Incidence comparison of each outcome between disease-free and comorbid populations performed using a multivariable Cox proportional hazards regression model (disease-free patients as the reference category). Sensitivity analyses performed using multivariable Fine and Gray regression models for all outcomes except death
-Description of healthcare resources use and cost (all payer perspective) of HF, CKD, cardiorenal diseases (HF or CKD), PAD, MI, or stroke (first event) for 5 years in T2D patients free from cardiovascular and renal diseases.
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
