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Diabetes Mellitus, Type 2NCT01086319

Risk of Hospitalization for Severe Hypersensitivity (Including Severe Skin Reactions) in Patients With Type 2 Diabetes Exposed to Oral Antidiabetic Treatments

An observational study of Diabetes Mellitus, Type 2, run by AstraZeneca.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to compare the incidence hospitalization for severe hypersensitivity and cutaneous reactions among patients with type 2 diabetes who are new users of saxagliptin and those who are new users of other oral antidiabetic drugs. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Diabetes Mellitus, Type 2
How many people
113,505 participants
Where
No sites listed yet
Study dates
Aug 2009to Dec 2015
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: This study will be carried out using databases containing administrative claims data (HealthCore Integrated Research DatabaseSM (HIRD) and Medicare in the U.S.) and electronic medical records (General Practice Research Database (GPRD) and The Health Improvement Network (THIN) in the UK). The US population includes patients from health plans in the northeast, southeastern, mid-Atlantic, central, mid-western, and western regions (HIRD) as well as US citizens 65 years of age and older (Medicare). The UK population includes patients seeking medical care from general practitioners (GPRD and THIN)

Who may be able to join

  • 18 years of age or older
  • Newly prescribed saxagliptin or an Oral Anti-diabetic Drug (OAD) in a class other than Dipeptidyl peptidase IV (DPP4) inhibitors
  • Enrolled in the respective database for at least 180 days prior to first prescription of new OAD
  • Have at least one diagnostic code for a type 2 diabetes-related condition

Who cannot join

  • Patients with an inpatient diagnostic code for any of the conditions of interest within the 180-day baseline period
  • Patients prescribed a DPP4 inhibitor during the baseline period

About this study

Official title: Comparison of Risk of Hospitalization for Severe Hypersensitivity (Including Severe Cutaneous Reactions) Between Patients With Type 2 Diabetes Initiating Saxagliptin and Those Initiating Other Oral Antidiabetic Treatments

The purpose of this study is to compare the incidence hospitalization for severe hypersensitivity and cutaneous reactions among patients with type 2 diabetes who are new users of saxagliptin and those who are new users of other oral antidiabetic drugs.

Read the detailed description

Prospectively designed retrospective database study. This study will be conducted using administrative claims data and electronic medical records that are collected as part of routine clinical practice

Medical subject headings
Diabetes Mellitus, Type 2

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT01086319
Study groupRoleWhat they receive
Patients exposed to saxagliptinNot described
Patients exposed to oral antidiabetic drugs (not saxagliptin)Not described

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Hospitalizations with any hypersensitivity reaction, including anaphylaxis, angioedema, generalized urticaria, SJS, TEN, and other severe skin reactions (i.e., acute generalized exanthematous pustulosis and drug rash with eosinophilia/systemic symptoms)

    Measured: 12-months

  2. Hospitalizations with any hypersensitivity reaction, including anaphylaxis, angioedema, generalized urticaria, SJS, TEN, and other severe skin reactions (i.e., acute generalized exanthematous pustulosis and drug rash with eosinophilia/systemic symptoms)

    Measured: 18-months

  3. Hospitalizations with any hypersensitivity reaction, including anaphylaxis, angioedema, generalized urticaria, SJS, TEN, and other severe skin reactions (i.e., acute generalized exanthematous pustulosis and drug rash with eosinophilia/systemic symptoms)

    Measured: 36-months

  4. Hospitalizations with any hypersensitivity reaction, including anaphylaxis, angioedema, generalized urticaria, SJS, TEN, and other severe skin reactions (i.e., acute generalized exanthematous pustulosis and drug rash with eosinophilia/systemic symptoms)

    Measured: 54-months

Secondary outcomes (36)
  1. Hospitalized for anaphylaxis

    Measured: 12-months

  2. Hospitalized for anaphylaxis

    Measured: 18-months

  3. Hospitalized for anaphylaxis

    Measured: 36-months

  4. Hospitalized for anaphylaxis

    Measured: 54-months

  5. Hospitalized for angioedema

    Measured: 12-months

  6. Hospitalized for angioedema

    Measured: 18-months

  7. Hospitalized for angioedema

    Measured: 36-months

  8. Hospitalized for angioedema

    Measured: 54-months

  9. Hospitalized for generalized urticaria

    Measured: 12-months

  10. Hospitalized for generalized urticaria

    Measured: 18-months

  11. Hospitalized for generalized urticaria

    Measured: 36-months

  12. Hospitalized for generalized urticaria

    Measured: 54-months

  13. Hospitalized for severe skin reactions

    Measured: 12-months

  14. Hospitalized for severe skin reactions

    Measured: 18-months

  15. Hospitalized for severe skin reactions

    Measured: 36-months

  16. Hospitalized for severe skin reactions

    Measured: 54-months

  17. Hospitalized for all endpoints

    Measured: 12-months

  18. Hospitalized for all endpoints

    Measured: 18-months

  19. Hospitalized for all endpoints

    Measured: 36-months

  20. Hospitalized for all endpoints

    Measured: 54-months

  21. Hospitalized/emergency room (ER) visits for hypersensitivity reactions

    Measured: 12-months

  22. Hospitalized/emergency room (ER) visits for hypersensitivity reactions

    Measured: 18-months

  23. Hospitalized/emergency room (ER) visits for hypersensitivity reactions

    Measured: 36-months

  24. Hospitalized/emergency room (ER) visits for hypersensitivity reactions

    Measured: 54-months

  25. Death from hypersensitivity reactions

    Measured: 12-months

  26. Death from hypersensitivity reactions

    Measured: 18-months

  27. Death from hypersensitivity reactions

    Measured: 36-months

  28. Death from hypersensitivity reactions

    Measured: 54-months

  29. Hospitalized for Stevens-Johnson syndrome (SJS)

    Measured: 12-months

  30. Hospitalized for Stevens-Johnson syndrome (SJS)

    Measured: 18-months

  31. Hospitalized for Stevens-Johnson syndrome (SJS)

    Measured: 36-months

  32. Hospitalized for Stevens-Johnson syndrome (SJS)

    Measured: 54-months

  33. Hospitalized for for toxic epidermal necrolysis (TEN)

    Measured: 12-months

  34. Hospitalized for for toxic epidermal necrolysis (TEN)

    Measured: 18-months

  35. Hospitalized for for toxic epidermal necrolysis (TEN)

    Measured: 36-months

  36. Hospitalized for for toxic epidermal necrolysis (TEN)

    Measured: 54-months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Mar 2010 (estimated)
  2. Study startAug 2009
  3. Primary completionDec 2015
  4. Study completionDec 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Enrolment
113,505 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01086319
Sponsor's protocol ID
CV181-103
Status last verified
Sep 2016
First submitted
11 Mar 2010
Last updated
20 Sep 2016
Results posted
No
Data monitoring committee
No

Publications

  • Lo Re V, Carbonari DM, Saine ME, Newcomb CW, Roy JA, Liu Q, Wu Q, Cardillo S, Haynes K, Kimmel SE, Reese PP, Margolis DJ, Apter AJ, Reddy KR, Hennessy S, Bhullar H, Gallagher AM, Esposito DB, Strom BL. Postauthorization safety study of the DPP-4 inhibitor saxagliptin: a large-scale multinational family of cohort studies of five outcomes. BMJ Open Diabetes Res Care. 2017 Jul 31;5(1):e000400. doi: 10.1136/bmjdrc-2017-000400. eCollection 2017.

    PubMed 28878934
  • Saine ME, Carbonari DM, Newcomb CW, Nezamzadeh MS, Haynes K, Roy JA, Cardillo S, Hennessy S, Holick CN, Esposito DB, Gallagher AM, Bhullar H, Strom BL, Lo Re V 3rd. Determinants of saxagliptin use among patients with type 2 diabetes mellitus treated with oral anti-diabetic drugs. BMC Pharmacol Toxicol. 2015 Apr 2;16:8. doi: 10.1186/s40360-015-0007-z.

    PubMed 25889498

Questions about this trial

What is this clinical trial studying?

An observational study of Diabetes Mellitus, Type 2, run by AstraZeneca.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 Sep 2016. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Hospitalizations with any hypersensitivity reaction, including anaphylaxis, angioedema, generalized urticaria, SJS, TEN, and other severe skin reactions (i.e., acute generalized exanthematous pustulosis and drug rash with eosinophilia/systemic symptoms) (time frame: 12-months). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01086319, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Sep 2016.

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