A Drug Utilisation Post-authorisation Study of New Users of Aclidinium Bromide (Monotherapy or in Combination)

NCT ID: NCT03333018

Last Updated: 2018-02-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

22155 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-07-06

Study Completion Date

2017-02-28

Brief Summary

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DUS1 and DUS2 are descriptive drug utilisation studies in new users of aclidinium bromide in Europe.

The objectives of DUS1 and DUS2 are to describe the characteristics and patterns of use of new users of aclidinium bromide (monotherapy or in combination) and new users of other medications for chronic obstructive pulmonary disease (COPD); to evaluate the potential off-label use of aclidinium bromide; to describe users of aclidinium bromide in subgroups of patients for whom there is missing information in the risk management plan (RMP); and to establish a core cohort of new users of aclidinium bromide for the future evaluation of safety concerns described in the RMP.

The data source for these studies will be the CRPD in the UK, the GePaRD in Germany, and national health databases in Denmark.

Detailed Description

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DUS1 will be conducted when the target number of new users of aclidinium monotherapy is reached, and DUS2 when the target number of new users of aclidinium fixed-dose combination with formoterol is reached.

As this was a descriptive study no primary or secondary endpoints were specified.

Conditions

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Pulmonary Disease, Chronic Obstructive

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Aclidinium bromide monotherapy

In DUS1, all new users of aclidinium either on monotherapy or with concomitant formoterol will be included. In addition, in DUS2, all new users of the fixed-dose combination of aclidinium/formoterol and any other new fixed-dose combinations of LAMAs and LABAs that become available during the study and that are captured in each database will be included.

Aclidinium bromide

Intervention Type DRUG

Administered as monotherapy, prescribed as recorded in the database.

Aclidinium bromide and formoterol

In DUS1, all new users of aclidinium either on monotherapy or with concomitant formoterol will be included. In addition, in DUS2, all new users of the fixed-dose combination of aclidinium/formoterol and any other new fixed-dose combinations of LAMAs and LABAs that become available during the study and that are captured in each database will be included.

Aclidinium bromide/formoterol

Intervention Type DRUG

Administered in combination with formoterol fumarate (concomitant or as a fixed-dose combination), prescribed as recorded in the database.

New users of other COPD medication

New users of other COPD medications (tiotropium, other LAMAs, LABA, LABA/ICS, LAMA/LABA), prescribed as recorded in the database.

Other COPD medication

Intervention Type DRUG

Other COPD medication including:

tiotropium; other long-acting anticholinergic (LAMAs; lycopyrronium bromide, umeclidinium); LABA (formoterol, salmeterol, indacaterol); LABA/ICS (formoterol/budesonide, formoterol/beclometasone, formoterol/mometasone, formoterol/fluticasone, salmeterol/fluticasone propionate, and vilanterol/fluticasone); LAMA/LABA (approved or under regulatory review or in development; glycopyrrolate/formoterol, glycopyrronium/indacaterol, tiotropium/olodaterol, umeclidinium/vilanterol), prescribed as recorded in the database.

Interventions

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Aclidinium bromide

Administered as monotherapy, prescribed as recorded in the database.

Intervention Type DRUG

Aclidinium bromide/formoterol

Administered in combination with formoterol fumarate (concomitant or as a fixed-dose combination), prescribed as recorded in the database.

Intervention Type DRUG

Other COPD medication

Other COPD medication including:

tiotropium; other long-acting anticholinergic (LAMAs; lycopyrronium bromide, umeclidinium); LABA (formoterol, salmeterol, indacaterol); LABA/ICS (formoterol/budesonide, formoterol/beclometasone, formoterol/mometasone, formoterol/fluticasone, salmeterol/fluticasone propionate, and vilanterol/fluticasone); LAMA/LABA (approved or under regulatory review or in development; glycopyrrolate/formoterol, glycopyrronium/indacaterol, tiotropium/olodaterol, umeclidinium/vilanterol), prescribed as recorded in the database.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients in the study will be required to meet the following criteria, as ascertained from each of the automated databases:
* To have at least 1 year of enrolment in the database (DUS1 and DUS2).
* To have not been prescribed aclidinium bromide as monotherapy or with concomitant use of formoterol during the 6 months before the date of first prescription of aclidinium bromide (index date) in DUS1
* To have not been prescribed aclidinium bromide as monotherapy, with concomitant use of formoterol, or as aclidinium/formoterol during the 6 months before the date of first prescription of aclidinium bromide (index date) in DUS2
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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RTI Health Solutions

OTHER

Sponsor Role collaborator

AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jordi Castellsague, MD, MPH

Role: STUDY_DIRECTOR

RTI Health Solutions

Susana Perez-Gutthann, MD, PhD

Role: STUDY_DIRECTOR

RTI Health Solutions

Locations

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National Health Database Denmark, Southern Denmark University

Odense, , Denmark

Site Status

German Pharmacoepidemiological Research Database

Bremen, , Germany

Site Status

Clinical Practice Research Datalink

London, , United Kingdom

Site Status

Countries

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Denmark Germany United Kingdom

Related Links

Other Identifiers

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EUPAS6559

Identifier Type: REGISTRY

Identifier Source: secondary_id

D6560R00005

Identifier Type: -

Identifier Source: org_study_id

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