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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03903094
Registration number
NCT03903094
Ethics application status
Date submitted
25/03/2019
Date registered
4/04/2019
Titles & IDs
Public title
A Study on Anticholinergic Use: Attribution of Overactive Bladder (OAB) Medications to the Anticholinergic Burden
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Scientific title
A Retrospective Database Analysis of Anticholinergic Burden Among the Elderly With and Without Overactive Bladder in Australia and South Korea
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Secondary ID [1]
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178-MA-3241
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Overactive Bladder (OAB)
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Condition category
Condition code
Renal and Urogenital
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Other renal and urogenital disorders
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Other interventions - Non-Interventional
Subjects With Overactive Bladder Treatment - Subjects who have dispensing records for treatment of overactive bladder will be included
Subjects Without Overactive Bladder Treatment - Subjects who do not have dispensing records for treatment of overactive bladder will be included
Other interventions: Non-Interventional
Overview of anticholinergic burden, rather than to evaluate specific drugs
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Intervention code [1]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Anticholinergic Cognitive Burden (ACB) score
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Assessment method [1]
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ACB will be calculated based on methodology from Campbell et al (2016). Sum (Drug A #days prescribed X ACB scale score) + (Drug B #days prescribed X ACB scale score) + (Drug X...)/Number of days with any medication prescribed. The cumulative score has a range from 0 to infinity, with higher values indicating a higher cumulative anticholinergic burden of the patient.
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Timepoint [1]
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100 days
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Primary outcome [2]
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Korea Specific: Percentage of Participants With any Listed Anticholinergic Use
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Assessment method [2]
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This will be calculated as number of participants with any listed anticholinergics use divided by number of participants fulfilling the general eligibility criteria of the study (in each study dataset) multiplied by 100.
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Timepoint [2]
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100 days
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Primary outcome [3]
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Korea Specific: Percentage of Participants With Strong Anticholinergic Use
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Assessment method [3]
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This will be calculated as number of participants with strong anticholinergics use divided by number of participants fulfilling the general eligibility criteria of the study (in each study dataset) multiplied by 100.
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Timepoint [3]
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100 days
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Primary outcome [4]
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Korea Specific: Number of Anticholinergics Dispensed per Participants
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Assessment method [4]
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This will be calculated as total number of anticholinergics dispensed divided by number of participants fulfilling the general eligibility criteria of the study (in each study dataset) multiplied by 100.
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Timepoint [4]
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100 days
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Primary outcome [5]
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Korea Specific: Attribution Proportion of OAB medications to total ACB in OAB Cohort
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Assessment method [5]
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Attribution proportion of OAB medication to total ACB will be calculated as the ratio between the sum over all OAB patients of the ACB scores of each OAB medication multiplied by the number of days supply in the numerator and the sum over all OAB patients of the ACB scores of each antimuscarinic medication multiplied by the number of days supply in the denominator.
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Timepoint [5]
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100 days
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Secondary outcome [1]
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Median percentage of ACB score derived from overactive bladder (OAB) treatment(s) in total ACB score
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Assessment method [1]
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The attribution of antimuscarinics for OAB treatment to entire anticholinergic exposures in OAB patients.
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Timepoint [1]
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100 days
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Eligibility
Key inclusion criteria
* Have at least one dispensing of any medication between January 22, 2016 and December 31, 2016.
Inclusion Criteria for Korea:
* Have at least one dispensing of any medication between January 1st, 2016 and December 31, 2016.
* Participant was diagnosed with OAB (ICD-10 N32.8, N31.0, N31.1, N31.2, N31.8, N31.9, N32.9, N39.8 and N39.40) at index date.
* Participant did not have dispensing record of an OAB medication during the washout period (6 months prior to the index date).
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Minimum age
65
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Participants who do not have a complete year of data availability in the database prior to index date.
* Have record of hospitalization on the index date.
Exclusion Criteria for Korea:
* Participant was hospitalized on the index date.
* Participant did not have an active insurance status during the washout period or on the index date.
* Participant received onabotulinumtoxin A and/or surgical intervention as part of the OAB treatment during the washout period.
* Participant was diagnosed with stress incontinence (ICD-10 N39.3 or equivalent) or had dispensing record of medication for stress incontinence (duloxetine) during the washout period.
* Participant was diagnosed with urinary tract infection (ICD-10 N30.0 and N39.0 or equivalent) during the washout period or on the index date.
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Study design
Purpose
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Duration
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Selection
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Timing
Retrospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
7/03/2019
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
6/05/2022
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Sample size
Target
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Accrual to date
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Final
6295279
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Site AU61001 - Melbourne
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Recruitment postcode(s) [1]
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- Melbourne
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Recruitment outside Australia
Country [1]
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Korea, Republic of
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State/province [1]
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Seoul
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Astellas Pharma Singapore Pte. Ltd.
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Outpatients with at least one dispensing record of any medication will be included in the study. An index date will be assigned to each participant and prescription records for anticholinergics will be used in the study.
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Trial website
https://clinicaltrials.gov/study/NCT03903094
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Central Contact
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Address
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Astellas Pharma Global Development, Inc.
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Access to anonymized individual participant level data will not be provided for this trial as it meets one or more of the exceptions described on www.clinicalstudydatarequest.com under "Sponsor Specific Details for Astellas.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03903094