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Diabetes Mellitus, Type 2NCT02140645

Ascertainment of EMR-based Clinical Covariates Among Patients Receiving Oral and Non-insulin Injected Hypoglycemic Therapy

An observational study of Diabetes Mellitus, Type 2, run by Boehringer Ingelheim at 1 site in United States.

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 objective of this study is to identify EMR-based clinical covariates and quantify their association with the prescribing of each specific type 2 diabetes (T2DM) medication under investigation. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Diabetes Mellitus, Type 2
What is being tested?
linagliptin
How many people
166,613 participants
Where
1 siteUnited States
Study dates
May 2014to Mar 2015
Phase
Observational
Are there results?
Yes, posted in the registrySummary in the doctors' view

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: T2DM patients aged 18 or older, initiating antidiabetic treatment after at least 6 months of continuous enrollment

Who may be able to join

  • Dispensing of an oral or non-insulin injected hypoglycemic medication between May 2011 and June 2012
  • Diagnosis of type 2 diabetes mellitus
  • Presence of electronic medical records (for the EMR-based subset)

Who cannot join

  • Age <18 at T2DM medication initiation
  • Missing or ambiguous age or sex information
  • At least one diagnosis of type 1 diabetes mellitus
  • Less than 6 months enrolment in the database preceding the date of the first dispensing
  • Prior use of the index drug

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Boehringer Ingelheim Investigational Site

    Boston, Massachusetts

Other trials in United States

About this study

Official title: Association of Clinical Covariates With Non-insulin Diabetes Medication Initiation Using Electronic Medical Records (EMR)

The objective of this study is to identify EMR-based clinical covariates and quantify their association with the prescribing of each specific type 2 diabetes (T2DM) medication under investigation. This will include an assessment of how well these covariates are captured through claims data proxies, and their potential to confound comparative research of T2DM medications.

Read the detailed description

Purpose:

Being tested
linagliptin
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.

  • linagliptinDrug

    non-randomized

Study groups in NCT02140645
Study groupRoleWhat they receive
Linagliptin1T2DM patients initiating Linagliptin (DPP-4 comparison)
Receives: Drug: linagliptin
Other DPP4T2DM patients initiating a non-linagliptin DPP-4 inhibitor
Linagliptin2T2DM patients initiating Linagliptin (glitizaone comparison)
GlitazonesT2DM patients initiating Thiazolidinediones (glitazones)
SulfonylureaT2DM patients initiating any medication in the Sulfonylurea class
Linagliptin3T2DM patients initiating Linagliptin (Sulfonylurea comparison)

What is being measured

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

  1. Missing EMR (Electronic Medical Record) Characteristic: Smoking

    The missing EMR characteristic smoking defined as current, unknown, versus past/never smoker.

    The associations between claims-based covariates and missingness on EMR characteristics were investigated by estimating a logistic regression model (and multinomial logistic regression, depending on the number of categories for the EMR characteristic) for each EMR characteristic where an indicator for missing the EMR characteristic smoking was the dependent variable and all claims-based covariates were included as independent variables.

    The estimated value represented is actually prediction accuracy defined by C-statistics.

    Measured: Up to 20 months

  2. Missing EMR Characteristic: Duration of Diabetes

    The missing EMR characteristic duration of diabetes defined as >7, 5-6, 3-5, 1-3, <1 (in years) in duration.

    The associations between claims-based covariates and missingness on EMR characteristics were investigated by estimating a logistic regression model (and multinomial logistic regression, depending on the number of categories for the EMR characteristic) for each EMR characteristic where an indicator for missing the EMR characteristic duration of diabetes was the dependent variable and all claims-based covariates were included as independent variables.

    The estimated value represented is actually prediction accuracy defined by C-statistics.

    Measured: Up to 20 months

  3. Missing EMR Characteristic: Duration of Diabetes (Continuous)

    The missing EMR characteristic duration of diabetes defined as starting year/starting age of diabetes.

    Linear regression models were ran using a prioritized list of claims-based covariates as predictors and the value of select EMR-based clinical characteristics duration of diabetes as continuous outcomes.

    The estimated value represented is actually prediction accuracy defined by R-squared.

    Measured: Up to 20 months

  4. Missing EMR Characteristic: BMI (Body Mass Index)

    The missing EMR characteristic BMI defined as not obese, overweight, obese, severe obesity.

    The associations between claims-based covariates and missingness on EMR characteristics were investigated by estimating a logistic regression model (and multinomial logistic regression, depending on the number of categories for the EMR characteristic) for each EMR characteristic where an indicator for missing the EMR characteristic BMI was the dependent variable and all claims-based covariates were included as independent variables.

    The estimated value represented is actually prediction accuracy defined by C-statistics.

    Measured: Up to 20 months

  5. Missing EMR Characteristic: BMI (Continuous)

    The missing EMR characteristic BMI is BMI value. Linear regression models were ran using a prioritized list of claims-based covariates as predictors and the value of select EMR-based clinical characteristics BMI as continuous outcomes.

    The estimated value represented is actually prediction accuracy defined by R-squared.

    Measured: Up to 20 months

  6. Missing EMR Characteristic: HbA1c (Hemoglobin A1c (Glycosylated Hemoglobin))

    The missing EMR characteristic HbA1c defined as value in 6 months prior to and including index date.

    The associations between claims-based covariates and missingness on EMR characteristics were investigated by estimating a logistic regression model (and multinomial logistic regression, depending on the number of categories for the EMR characteristic) for each EMR characteristic where an indicator for missing the EMR characteristic HbA1c was the dependent variable and all claims-based covariates were included as independent variables.

    The estimated value represented is actually prediction accuracy defined by C-statistics.

    Measured: Up to 20 months

  7. Missing EMR Characteristic: eGFR (Glomerular Filtration Rate)

    The missing EMR characteristic eGFR defined as value in 6 months prior to and including index date.

    The associations between claims-based covariates and missingness on EMR characteristics were investigated by estimating a logistic regression model (and multinomial logistic regression, depending on the number of categories for the EMR characteristic) for each EMR characteristic where an indicator for missing the EMR characteristic eGFR was the dependent variable and all claims-based covariates were included as independent variables.

    The estimated value represented is actually prediction accuracy defined by C-statistics.

    Measured: Upto 20 months

  8. Missing EMR Characteristic: Total Cholesterol

    The missing EMR characteristic total cholesterol defined as value in 6 months prior to and including index date.

    The associations between claims-based covariates and missingness on EMR characteristics were investigated by estimating a logistic regression model (and multinomial logistic regression, depending on the number of categories for the EMR characteristic) for each EMR characteristic where an indicator for missing the EMR characteristic total cholesterol was the dependent variable and all claims-based covariates were included as independent variables.

    The estimated value represented is actually prediction accuracy defined by C-statistics.

    Measured: Up to 20 months

  9. Missing EMR Characteristic: Systolic BP (Blood Pressure)

    The missing EMR characteristic systolic BP defined as value in 6 months prior to and including index date.

    The associations between claims-based covariates and missingness on EMR characteristics were investigated by estimating a logistic regression model (and multinomial logistic regression, depending on the number of categories for the EMR characteristic) for each EMR characteristic where an indicator for missing the EMR characteristic systolic BP was the dependent variable and all claims-based covariates were included as independent variables.

    The estimated value represented is actually prediction accuracy defined by C-statistics.

    Measured: Up to 20 months

  10. Missing EMR Characteristic: Diastolic BP

    The missing EMR characteristic diastolic BP defined as value in 6 months prior to and including index date.

    The associations between claims-based covariates and missingness on EMR characteristics were investigated by estimating a logistic regression model (and multinomial logistic regression, depending on the number of categories for the EMR characteristic) for each EMR characteristic where an indicator for missing the EMR characteristic diastolic BP was the dependent variable and all claims-based covariates were included as independent variables.

    The estimated value represented is actually prediction accuracy defined by C-statistics.

    Measured: Up to 20 months

  11. Binary EMR Characteristic: Neuropathy

    The missing EMR characteristic neuropathy defined as participants with any note of diabetic neuropathy.

    The associations between claims-based covariates and missingness on EMR characteristics were investigated by estimating a logistic regression model (and multinomial logistic regression, depending on the number of categories for the EMR characteristic) for each EMR characteristic where an indicator for missing the EMR characteristic neuropathy was the dependent variable and all claims-based covariates were included as independent variables.

    The estimated value represented is actually prediction accuracy defined by C-statistics.

    Measured: Up to 20 months

  12. Binary EMR Characteristic: Nephropathy

    The missing EMR characteristic nephropathy defined as participants with any note of diabetic nephropathy.

    The associations between claims-based covariates and missingness on EMR characteristics were investigated by estimating a logistic regression model (and multinomial logistic regression, depending on the number of categories for the EMR characteristic) for each EMR characteristic where an indicator for missing the EMR characteristic nephropathy was the dependent variable and all claims-based covariates were included as independent variables.

    The estimated value represented is actually prediction accuracy defined by C-statistics.

    Measured: Upto 20 months

  13. Binary EMR Characteristic: Retinopathy

    The missing EMR characteristic retinopathy defined as participants with any note of diabetic retinopathy.

    The associations between claims-based covariates and missingness on EMR characteristics were investigated by estimating a logistic regression model (and multinomial logistic regression, depending on the number of categories for the EMR characteristic) for each EMR characteristic where an indicator for missing the EMR characteristic retinopathy was the dependent variable and all claims-based covariates were included as independent variables.

    The estimated value represented is actually prediction accuracy defined by C-statistics.

    Measured: Up to 20 months

  14. Binary EMR Characteristic: Pancreatitis

    The missing EMR characteristic pancreatitis defined as participants with any note of prior pancreatitis.

    The associations between claims-based covariates and missingness on EMR characteristics were investigated by estimating a logistic regression model (and multinomial logistic regression, depending on the number of categories for the EMR characteristic) for each EMR characteristic where an indicator for missing the EMR characteristic pancreatitis was the dependent variable and all claims-based covariates were included as independent variables.

    The estimated value represented is actually prediction accuracy defined by C-statistics.

    Measured: Up to 20 months

Timeline

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

  1. First posted16 May 2014 (estimated)
  2. Study startMay 2014
  3. Primary completionMar 2015
  4. Study completionMar 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
Time perspective
Retrospective
Enrolment
166,613 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02140645
Sponsor's protocol ID
1218.162
Status last verified
Dec 2016
First submitted
14 May 2014
Last updated
8 Feb 2017

Questions about this trial

What is this clinical trial studying?

An observational study of Diabetes Mellitus, Type 2, run by Boehringer Ingelheim at 1 site in United States.

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 3 inclusion and 5 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 8 Feb 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

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?

Yes. Results are posted in the registry (first posted 8 Feb 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Missing EMR (Electronic Medical Record) Characteristic: Smoking (time frame: Up to 20 months). The study lists 14 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 8 Feb 2017; AzTrials last refreshed its copy on 8 Nov 2026.

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