Trial Outcomes & Findings for The Incidence of Venous Thromboembolism in Atopic Dermatitis (NCT NCT04969653)

NCT ID: NCT04969653

Last Updated: 2024-12-09

Results Overview

To describe the risk of venous thromboembolism (composite of pulmonary embolism and deep vein thrombosis) in people with active AD compared to a matched control population.

Recruitment status

COMPLETED

Target enrollment

754745 participants

Primary outcome timeframe

10 years from index date

Results posted on

2024-12-09

Participant Flow

Participant milestones

Participant milestones
Measure
Cases
All adults with an episode of active atopic dermatitis at any point between 1st Jan 2010 to 1st Jan 2015 will be included for analysis. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Controls
Adults without atopic dermatitis or other skin conditions matched to cases by age, gender, and duration of practice registration. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Overall Study
STARTED
150975
603770
Overall Study
COMPLETED
150975
603770
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The Incidence of Venous Thromboembolism in Atopic Dermatitis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cases
n=150975 Participants
All adults with an episode of active atopic dermatitis at any point between 1st Jan 2010 to 1st Jan 2015 will be included for analysis. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Controls
n=603770 Participants
Adults without atopic dermatitis or other skin conditions matched to cases by age, gender, and duration of practice registration. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Total
n=754745 Participants
Total of all reporting groups
Age, Continuous
40.0 years
n=5 Participants
41.0 years
n=7 Participants
41.0 years
n=5 Participants
Age, Customized
18-29
54634 Participants
n=5 Participants
213727 Participants
n=7 Participants
268361 Participants
n=5 Participants
Age, Customized
30-39
20599 Participants
n=5 Participants
80118 Participants
n=7 Participants
100717 Participants
n=5 Participants
Age, Customized
40-49
17903 Participants
n=5 Participants
80211 Participants
n=7 Participants
98114 Participants
n=5 Participants
Age, Customized
50-59
15765 Participants
n=5 Participants
61343 Participants
n=7 Participants
77108 Participants
n=5 Participants
Age, Customized
60-69
17375 Participants
n=5 Participants
71571 Participants
n=7 Participants
88946 Participants
n=5 Participants
Age, Customized
70-79
15081 Participants
n=5 Participants
58452 Participants
n=7 Participants
73533 Participants
n=5 Participants
Age, Customized
80+
9618 Participants
n=5 Participants
38348 Participants
n=7 Participants
47966 Participants
n=5 Participants
Sex: Female, Male
Female
89093 Participants
n=5 Participants
356311 Participants
n=7 Participants
445404 Participants
n=5 Participants
Sex: Female, Male
Male
61882 Participants
n=5 Participants
247459 Participants
n=7 Participants
309341 Participants
n=5 Participants
Race/Ethnicity, Customized
White
87748 Participants
n=5 Participants
331717 Participants
n=7 Participants
419465 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian or Asian British
12635 Participants
n=5 Participants
38388 Participants
n=7 Participants
51023 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or Black British
2021 Participants
n=5 Participants
7903 Participants
n=7 Participants
9924 Participants
n=5 Participants
Race/Ethnicity, Customized
Mixed
1396 Participants
n=5 Participants
4281 Participants
n=7 Participants
5677 Participants
n=5 Participants
Race/Ethnicity, Customized
Not stated
4638 Participants
n=5 Participants
21349 Participants
n=7 Participants
25987 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
7503 Participants
n=5 Participants
26907 Participants
n=7 Participants
34410 Participants
n=5 Participants
Race/Ethnicity, Customized
Missing
35034 Participants
n=5 Participants
173225 Participants
n=7 Participants
208259 Participants
n=5 Participants
GP visit in last 12 months
Yes
146440 Participants
n=5 Participants
536511 Participants
n=7 Participants
682951 Participants
n=5 Participants
GP visit in last 12 months
No
4535 Participants
n=5 Participants
67259 Participants
n=7 Participants
71794 Participants
n=5 Participants
BMI
< 18.5 Underweight
5931 Participants
n=5 Participants
24532 Participants
n=7 Participants
30463 Participants
n=5 Participants
BMI
18.5-24.9 Normal weight
46458 Participants
n=5 Participants
174953 Participants
n=7 Participants
221411 Participants
n=5 Participants
BMI
25-29.9 Overweight
43720 Participants
n=5 Participants
159607 Participants
n=7 Participants
203327 Participants
n=5 Participants
BMI
30-34.9 Class I obesity
21317 Participants
n=5 Participants
77432 Participants
n=7 Participants
98749 Participants
n=5 Participants
BMI
35-39.9 Class II obesity
8711 Participants
n=5 Participants
30258 Participants
n=7 Participants
38969 Participants
n=5 Participants
BMI
40+ Class III obesity
5353 Participants
n=5 Participants
17515 Participants
n=7 Participants
22868 Participants
n=5 Participants
BMI
Missing
19485 Participants
n=5 Participants
119473 Participants
n=7 Participants
138958 Participants
n=5 Participants
Smoking status
Never
45,152 Participants
n=5 Participants
189,107 Participants
n=7 Participants
234259 Participants
n=5 Participants
Smoking status
Current
27,173 Participants
n=5 Participants
116,895 Participants
n=7 Participants
144068 Participants
n=5 Participants
Smoking status
Ex-smoker
74,860 Participants
n=5 Participants
255,950 Participants
n=7 Participants
330810 Participants
n=5 Participants
Smoking status
Passive
770 Participants
n=5 Participants
1,904 Participants
n=7 Participants
2674 Participants
n=5 Participants
Smoking status
Missing
3020 Participants
n=5 Participants
39914 Participants
n=7 Participants
42934 Participants
n=5 Participants
Alcohol status
None
47083 Participants
n=5 Participants
170663 Participants
n=7 Participants
217746 Participants
n=5 Participants
Alcohol status
Within limits
58905 Participants
n=5 Participants
226953 Participants
n=7 Participants
285858 Participants
n=5 Participants
Alcohol status
Excess
18660 Participants
n=5 Participants
64716 Participants
n=7 Participants
83376 Participants
n=5 Participants
Alcohol status
Harmful
2374 Participants
n=5 Participants
8743 Participants
n=7 Participants
11117 Participants
n=5 Participants
Alcohol status
Missing
23953 Participants
n=5 Participants
132695 Participants
n=7 Participants
156648 Participants
n=5 Participants
Hospital admission
Yes
3658 Participants
n=5 Participants
11560 Participants
n=7 Participants
15218 Participants
n=5 Participants
Hospital admission
No
147317 Participants
n=5 Participants
592210 Participants
n=7 Participants
739527 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 10 years from index date

To describe the risk of venous thromboembolism (composite of pulmonary embolism and deep vein thrombosis) in people with active AD compared to a matched control population.

Outcome measures

Outcome measures
Measure
Cases
n=150975 Participants
All adults with an episode of active atopic dermatitis at any point between 1st Jan 2010 to 1st Jan 2015 will be included for analysis. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Controls
n=603770 Participants
Adults without atopic dermatitis or other skin conditions matched to cases by age, gender, and duration of practice registration. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Number of Participants With Diagnosis of Venous Thromboembolism After the Start of Follow-up for Each Person.
2576 Participants
7563 Participants

SECONDARY outcome

Timeframe: 10 years from index date

To describe the risk of pulmonary embolism in people with active AD compared to a matched control population.

Outcome measures

Outcome measures
Measure
Cases
n=150975 Participants
All adults with an episode of active atopic dermatitis at any point between 1st Jan 2010 to 1st Jan 2015 will be included for analysis. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Controls
n=603770 Participants
Adults without atopic dermatitis or other skin conditions matched to cases by age, gender, and duration of practice registration. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Number of Participants With Diagnosis of Pulmonary Embolism After the Start of Follow-up for Each Person
797 Participants
2942 Participants

SECONDARY outcome

Timeframe: 10 years from index date

To describe the risk of deep-vein thrombosis in people with active AD compared to a matched control population.

Outcome measures

Outcome measures
Measure
Cases
n=150975 Participants
All adults with an episode of active atopic dermatitis at any point between 1st Jan 2010 to 1st Jan 2015 will be included for analysis. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Controls
n=603770 Participants
Adults without atopic dermatitis or other skin conditions matched to cases by age, gender, and duration of practice registration. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Number of Participants With Diagnosis of Deep-vein Thrombosis After the Start of Follow-up for Each Person
1887 Participants
4934 Participants

SECONDARY outcome

Timeframe: 10 years from index date

To explore the risk of VTE stratified by the male sex at the baseline in people with active AD compared to a matched control population.

Outcome measures

Outcome measures
Measure
Cases
n=61882 Participants
All adults with an episode of active atopic dermatitis at any point between 1st Jan 2010 to 1st Jan 2015 will be included for analysis. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Controls
n=247459 Participants
Adults without atopic dermatitis or other skin conditions matched to cases by age, gender, and duration of practice registration. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Number of Male Participants With Diagnosis of Risk of Venous Thromboembolism After the Start of Follow-up for Each Person
1070 Participants
3170 Participants

SECONDARY outcome

Timeframe: 10 years from index date

To explore the risk of VTE stratified by the female sex at the baseline in people with active AD compared to a matched control population.

Outcome measures

Outcome measures
Measure
Cases
n=89093 Participants
All adults with an episode of active atopic dermatitis at any point between 1st Jan 2010 to 1st Jan 2015 will be included for analysis. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Controls
n=356311 Participants
Adults without atopic dermatitis or other skin conditions matched to cases by age, gender, and duration of practice registration. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Number of Female Participants With Diagnosis of Risk of Venous Thromboembolism After the Start of Follow-up for Each Person
1506 Participants
4393 Participants

SECONDARY outcome

Timeframe: 10 years from index date

To explore the risk of VTE stratified by those aged 18-44 at the baseline in people with active AD compared to a matched control population.

Outcome measures

Outcome measures
Measure
Cases
n=84253 Participants
All adults with an episode of active atopic dermatitis at any point between 1st Jan 2010 to 1st Jan 2015 will be included for analysis. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Controls
n=337007 Participants
Adults without atopic dermatitis or other skin conditions matched to cases by age, gender, and duration of practice registration. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Number of Participants Aged 18-44 With Diagnosis of Venous Thromboembolism After the Start of Follow-up for Each Person
503 Participants
1592 Participants

SECONDARY outcome

Timeframe: 10 years from index date

To explore the risk of VTE stratified by those aged 45-64 at the baseline in people with active AD compared to a matched control population.

Outcome measures

Outcome measures
Measure
Cases
n=33497 Participants
All adults with an episode of active atopic dermatitis at any point between 1st Jan 2010 to 1st Jan 2015 will be included for analysis. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Controls
n=133987 Participants
Adults without atopic dermatitis or other skin conditions matched to cases by age, gender, and duration of practice registration. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Number of Participants Aged 45-64 With Diagnosis of Venous Thromboembolism After the Start of Follow-up for Each Person
639 Participants
1858 Participants

SECONDARY outcome

Timeframe: 10 years from index date

To explore the risk of VTE stratified by those aged ≥65 at the baseline in people with active AD compared to a matched control population.

Outcome measures

Outcome measures
Measure
Cases
n=33225 Participants
All adults with an episode of active atopic dermatitis at any point between 1st Jan 2010 to 1st Jan 2015 will be included for analysis. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Controls
n=132776 Participants
Adults without atopic dermatitis or other skin conditions matched to cases by age, gender, and duration of practice registration. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Number of Participants Aged ≥65 With Diagnosis of Venous Thromboembolism After the Start of Follow-up for Each Person
1434 Participants
4113 Participants

SECONDARY outcome

Timeframe: 10 years from index date

To explore the risk of VTE stratified by those with a BMI \<30 at the baseline with active AD compared to a matched control population. Patients with active AD and missing BMI are excluded along with their related matched cases. Patients with active AD and no matched controls with BMI recorded are also excluded.

Outcome measures

Outcome measures
Measure
Cases
n=92915 Participants
All adults with an episode of active atopic dermatitis at any point between 1st Jan 2010 to 1st Jan 2015 will be included for analysis. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Controls
n=249186 Participants
Adults without atopic dermatitis or other skin conditions matched to cases by age, gender, and duration of practice registration. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Number of Participants BMI <30 With Diagnosis of Venous Thromboembolism After the Start of Follow-up for Each Person
1398 Participants
3188 Participants

SECONDARY outcome

Timeframe: 10 years from index date

To explore the risk of VTE stratified by those with a BMI ≥30 at the baseline in people with active AD compared to a matched control population. Patients with active AD and missing BMI are excluded along with their related matched cases. Patients with active AD and no matched controls with BMI recorded are also excluded.

Outcome measures

Outcome measures
Measure
Cases
n=23725 Participants
All adults with an episode of active atopic dermatitis at any point between 1st Jan 2010 to 1st Jan 2015 will be included for analysis. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Controls
n=36835 Participants
Adults without atopic dermatitis or other skin conditions matched to cases by age, gender, and duration of practice registration. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Number of Participants BMI ≥30 With Diagnosis of Venous Thromboembolism After the Start of Follow-up for Each Person
685 Participants
760 Participants

SECONDARY outcome

Timeframe: 10 years from index date

To explore the risk of VTE stratified by oestrogen contraceptive use in females aged 18-44 years at the baseline in people with active AD compared to a matched control population.

Outcome measures

Outcome measures
Measure
Cases
n=4917 Participants
All adults with an episode of active atopic dermatitis at any point between 1st Jan 2010 to 1st Jan 2015 will be included for analysis. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Controls
n=6925 Participants
Adults without atopic dermatitis or other skin conditions matched to cases by age, gender, and duration of practice registration. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Number of Female Participants Aged 18-44 Using Oestrogen Contraceptive With Diagnosis of Venous Thromboembolism After the Start of Follow-up for Each Person
31 Participants
34 Participants

SECONDARY outcome

Timeframe: 10 years from index date

To explore risk of VTE stratified by the presence, or absence of allergic conditions at baseline in people with active AD compared to a matched control population.. Allergic conditions will comprise common allergies; allergic rhinitis, allergy to dust mites or animal dander, and food allergies e.g., nut, fruit, shellfish, eggs and cows' milk allergies. Medication and other allergies will not be included.

Outcome measures

Outcome measures
Measure
Cases
n=18742 Participants
All adults with an episode of active atopic dermatitis at any point between 1st Jan 2010 to 1st Jan 2015 will be included for analysis. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Controls
n=25088 Participants
Adults without atopic dermatitis or other skin conditions matched to cases by age, gender, and duration of practice registration. Exposure of venous thromboembolism: Composite of pulmonary embolism and deep vein thrombosis
Number of Participants Having History of an Allergic Condition With Diagnosis of Venous Thromboembolism After the Start of Follow-up for Each Person
193 Participants
203 Participants

Adverse Events

Cases

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Controls

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr Andrew McGovern

Momentum Data Ltd

Phone: 07531221970

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place