Last updated: 07/21/2020 18:50:06
HO-16-16593 - Treatment Patterns, Discontinuation and pre-post analysis of Belimumab in the real-world setting
Clinicaltrials.gov ID
Not applicable
EudraCT ID
Not applicable
EU CT Number
Not applicable
Trial status
Finalized
Finalized
Trial overview
Official title: HO-16-16593 - Treatment Patterns, Discontinuation and pre-post analysis of Belimumab in the real-world setting
Trial description: Belimumab is a human monoclonal antibody that was approved by the United states (US) Food and Drug Administration in March 2011 for use among Systemic Lupus Erythematosus (SLE) Subjects. While initiating treatment of Belimumab, the first three administrations are given every two weeks (i.e., days 0, 14 and 28), in a period of time is known as the “initiation period”. Following the initiation period, dosing is one belimumab administration every four weeks. Published literature to date has not investigated belimumab treatment patterns and discontinuation, and frequency and timing of belimumab administrations during the initiation period and post-initiation period. Therefore this retrospective study will use the database from the Truven Health MarketScan Commercial Database from 01 Sep 2010 to 31 Dec 2015 to assess the clinical and economic outcomes related to belimumab treatment.
Primary purpose:
Not applicable
Trial design:
Not applicable
Masking:
Not applicable
Allocation:
Not applicable
Primary outcomes:
Number of inpatient admission
Timeframe: Up to 5 years 4 months
Number of visits to physician's office
Timeframe: Up to 5 years 4 months
Number of emergency room visit
Timeframe: Up to 5 years 4 months
Number of hospital based out-patient visit
Timeframe: Up to 5 years 4 months
Number of Laboratory services required by subjects
Timeframe: Up to 5 years 4 months
Number of Outpatient pharmacy prescription
Timeframe: Up to 5 years 4 months
Total cost per subject
Timeframe: Up to 5 years 4 months
Cumulative overall Oral corticosteroid (OCS) dose per subject
Timeframe: Up to 5 years 4 months
Average daily OCS dose
Timeframe: Up to 5 years 4 months
Secondary outcomes:
Frequency of Belimumab administration during study period
Timeframe: Up to 5 years 4 months
Timing of Belimumab administration during study period
Timeframe: Up to 5 years 4 months
Concomitant medication used during the study period
Timeframe: Up to 5 years 4 months
Number of subject discontinuing belimumab treatment
Timeframe: Up to 5 years 4 months
Number of subject persisting belimumab treatment
Timeframe: Up to 5 years 4 months
Frequency of SLE flare episodes
Timeframe: Up to 5 years 4 months
Severity of SLE flare Episodes
Timeframe: Up to 5 years 4 months
Interventions:
Drug: Belimumab
Enrollment:
0
Observational study model:
Cohort
Primary completion date:
2018-26-02
Time perspective:
Retrospective
Clinical publications:
Bell C, Priest J, Stott-Miller M, Kan H, Amelio J, Song X, Limone, B, Noxon V, Costenbader K.Real-world treatment patterns, healthcare resource utilisation and costs in patients with systemic lupus erythematosus treated with belimumab: a retrospective analysis of claims data in the United States.Lupus Sci Med.2020;7(1):e000357
DOI: 10.1136/lupus-2019-000357
PMID: 32341790
- At least one inpatient claim or non-diagnostic outpatient claim with a diagnosis of SLE between 01 Sep 2010 to 31 Dec 2015
- Evidence of belimumab treatment between 09 Mar 2011 and 31 Dec 2015 based on one of the criteria listed; An outpatient prescription claim with a National drug codes (NDC) for belimumab between 09 Mar 2011 and 31 Dec 2015 or An outpatient medical claim with a Healthcare Common Procedure Coding System (HCPCS) code for belimumab between 09 Mar 2011 and 31 Dec 2015 or An outpatient medical claim with a Current Procedural Terminology (CPT) code for monoclonal antibody/chemotherapy administration between 09 Mar 2011 and 01 Jul 2011. In order to ensure that the CPT code is for the administration of belimumab and not the administration of a chemotherapy agent, the subject must also have an inpatient or non-diagnostic outpatient claim with a diagnosis of SLE and no inpatient or non-diagnostic outpatient claims with diagnosis of cancer and no outpatient claims with a HCPCS code for rituximab administration on the same date of service
- The >2 inpatient or non-diagnostic outpatient medical claims with a diagnosis of acute or chronic glomerulonephritis (including lupus glomerulonephritis), acute or chronic renal failure, nephritis or nephrotic syndrome (including lupus nephrotic syndrome), renal failure or proteinuria
- The >2 inpatient or non-diagnostic outpatient medical claims where the service provider is a nephrologist
Inclusion and exclusion criteria
Inclusion criteria:
- At least one inpatient claim or non-diagnostic outpatient claim with a diagnosis of SLE between 01 Sep 2010 to 31 Dec 2015
- Evidence of belimumab treatment between 09 Mar 2011 and 31 Dec 2015 based on one of the criteria listed; An outpatient prescription claim with a National drug codes (NDC) for belimumab between 09 Mar 2011 and 31 Dec 2015 or An outpatient medical claim with a Healthcare Common Procedure Coding System (HCPCS) code for belimumab between 09 Mar 2011 and 31 Dec 2015 or An outpatient medical claim with a Current Procedural Terminology (CPT) code for monoclonal antibody/chemotherapy administration between 09 Mar 2011 and 01 Jul 2011. In order to ensure that the CPT code is for the administration of belimumab and not the administration of a chemotherapy agent, the subject must also have an inpatient or non-diagnostic outpatient claim with a diagnosis of SLE and no inpatient or non-diagnostic outpatient claims with diagnosis of cancer and no outpatient claims with a HCPCS code for rituximab administration on the same date of service
- At least six months of continuous enrollment with medical and prescription drug coverage prior to the index date
- At least three months of continuous enrollment with medical and prescription drug coverage following the index date (pre-index period)
- Aged 18-64 years as of the index date
Exclusion criteria:
- The >2 inpatient or non-diagnostic outpatient medical claims with a diagnosis of acute or chronic glomerulonephritis (including lupus glomerulonephritis), acute or chronic renal failure, nephritis or nephrotic syndrome (including lupus nephrotic syndrome), renal failure or proteinuria
- The >2 inpatient or non-diagnostic outpatient medical claims where the service provider is a nephrologist
Trial location(s)
No location data available.
Study documents
Clinical study report
Available language(s): English
Protocol
Available language(s): English
Scientific result summary
Available language(s): English
If you wish to request for full study report, please contact - [email protected]
Results overview
Refer to study documents
Recruitment status
Finalized
Actual primary completion date
2018-26-02
Actual study completion date
2018-26-02
Plain language summaries
Not applicable. GSK’s transparency policy provides for Plain Language Summaries for Interventional studies.
Additional information about the trial
Not applicable
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