Status: Finalised
First registered on:
18/11/2020
Last updated on:
04/02/2022
1. Study identification
EU PAS Register NumberEUPAS38128
Official titleEffectiveness across severe asthma biologic classes (Anti-IL-5 vs Anti IgE) in patients eligible for both
Study title acronymFIRE
Study typeObservational study
Brief description of the studyThis is a prospective cohort study in which we will use a propensity score weighting approach to examine the effectiveness of initiating Anti-IgE versus Anti-IL5 among patients who are eligible for both modalities.
In Phase 1, the demographic and clinical characteristics among all participants who are eligible for both modalities will be studied. These include patients who have an elevated blood eosinophil count, total serum IgE level, 2 or more pre-therapy exacerbation and allergic mediated asthma. In Phase 2, the two study arms will be balanced using propensity score weighting. After this, using weighted longitudinal regression analysis, the two groups will be compared to describe the health outcomes between the groups. These include the rate of exacerbations, OCS use and healthcare resource utilization.
Data will be sourced from the International Severe Asthma Registry (ISAR).
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 nameOptimum Patient Care Global (OPCG)
Centre locationUK
Details of (Primary) lead investigator
Title Professor
Last name David
First name Price
Is this study being carried out with the collaboration of a research network?
Yes
Optimum Patient Care (OPC)
Other centres where this study is being conducted
Not applicable (single centre)
Countries in which this study is being conducted
International study
Argentina
Bulgaria
Canada
Colombia
Denmark
Greece
India
Ireland
Italy
Japan
Korea, Democratic People's Republic of
Kuwait
Mexico
Saudi Arabia
Spain
Taiwan
United Arab Emirates
United Kingdom
United States
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed15/01/201915/03/2019
Start date of data collection01/11/201911/11/2019
Start date of data analysis01/08/202001/09/2020
Date of interim report, if expected
Date of final study report31/12/202119/01/2022
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesAstraZeneca50
Charities
Government body
Research councils
EU funding scheme
OtherOPC Global50
5. Contact details for enquiries
Scientific Enquiries
Title Professor
Last name David
First name Price
Address line 15 Coles Lane
Address line 2
Address line 3
CityOakington, Cambridge
PostcodeCB24 3BA
CountryUnited Kingdom
Phone number (incl. country code)44-7787-905057
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Professor
Last name David
First name Price
Address line 15 Coles Lane
Address line 2
Address line 3
CityOakington, Cambridge
PostcodeCB24 3BA
CountryUnited Kingdom
Phone number (incl. country code)44-7787-905057
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 subjects8395
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources registered with ENCePP
Sources of data
Prospective patient-based data collection
11. Scope of the study
What is the scope of the study?
Disease epidemiology
Effectiveness evaluation
Primary scope : Effectiveness evaluation
12. Main objective(s)
What is the main objective of the study?
The aim is to describe the pattern of use and examine the impact on health outcomes of initiating biologic therapy in a real-world severe asthma population.
Are there primary outcomes?Yes
To describe and compare the demographic and clinical characteristics between the Anti-IgE and Anti-IL5 users
Are there secondary outcomes?Yes
The two study arms will be balanced using propensity score weighting. Next, using weighted longitudinal regression analysis, the two groups will be compared to describe the health outcomes between the groups such as the rate of exacerbations, OCS use, healthcare resource utilization and lung function, if applicable.
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
The two groups will be identified based on those who initiated and maintained a biologic therapy (anti-lgE, anti-IL5/anti-IL5R, or anti-IL4R) for 6 months ("new biologic users"), and those who stayed on maintenance SCS therapy or used 4 or more courses of SCS bursts (10 mg/day) at the time and were also not on any biologic therapy ("high SCS users"). The two groups will then described and compared based on their demographic and clinical characteristics. Descriptive statistics will be provided for continuous and categorical variables. Summary statistics will be produced for variables measured on the interval or ratio scale, including sample size, mean and SD and categorical variables including range and the percentage by category. After propensity score matching, the two groups will be compared to describe outcomes via weighted longitudinal regression analyses such as negative binomial regression and generalized linear models depending on the outcome of interest.
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
None
19. Other relevant documents
Other documentsNot
submitted
Signed Code of
Conduct Checklist
Not submitted
Signed Code of Conduct Declaration
Not submitted
Signed Checklist for Study
Protocols
Not submitted
