Last updated: 02/26/2024 05:50:57
Study to Assess Pre/Post Outcomes in Participants with COPD- who Move from ICS-LABA to Trelegy
Clinicaltrials.gov ID
Not applicable
EudraCT ID
Not applicable
EU CT Number
Not applicable
Trial status
Study complete
Study complete
Trial overview
Official title: Pre/Post Outcomes: COPD Patients who Move from ICS-LABA to Trelegy
Trial description: The purpose of this study is to examine the impact of fluticasone furoate/umeclidinium/vilanterol (FF/UMEC/VI) initiation on Chronic Obstructive Pulmonary Disease (COPD) exacerbations and all-cause and COPD related Health Care Resource Utilization (HCRU) experienced by participants with COPD utilizing Inhaled Corticosteroids (ICS)-Long-acting β2-agonist (LABA) prior to initiation of therapy; both overall and among a subgroup of patients who utilized Symbicort (budesonide/formoterol; BUD/FORM) during baseline. The analysis will be carried in both overall and among a subgroup of participants who utilized Symbicort (budesonide/formoterol; BUD/FORM) during baseline. This study includes commercial, and Medicare Advantage with Part D (MAPD) health plan members diagnosed with COPD who initiated FF/UMEC/VI treatment between 01 September 2017 and 31 March 2020 (study period). The index date is the date of the first pharmacy claim for FF/UMEC/VI during study period. Baseline period is defined as 12 months prior to and the index date (01 September 2017 and 31 March 2019).
Primary purpose:
Not applicable
Trial design:
Not applicable
Masking:
Not applicable
Allocation:
Not applicable
Primary outcomes:
Percentage of participants with COPD exacerbations before and after initiation of FF/UMEC/VI
Timeframe: Up to 24 months
Rate of COPD exacerbations among participants before and after initiation of FF/UMEC/VI
Timeframe: Up to 24 months
Percentage of all-cause and COPD-related HCRU among participants before and after initiation of FF/UMEC/VI
Timeframe: Up to 24 months
Secondary outcomes:
Percentage of participants with COPD exacerbations among participants with at least 1 episode of exacerbation during baseline period
Timeframe: Up to 12 months after Index date
Rate of COPD exacerbations among participants with at least 1 episode of exacerbation during the baseline period
Timeframe: Up to 12 months after Index date
Percentage of all-cause and COPD-related HCRU among participants with at least 1 episode of exacerbation during the baseline period
Timeframe: Up to 12 months after Index date
Interventions:
Not applicable
Enrollment:
Not applicable
Primary completion date:
2023-01-02
Observational study model:
Not applicable
Time perspective:
Not applicable
Clinical publications:
DiRocco K, Gronroos N, Igboekwe E, Johnson M, Lee L, McCormack M, et al. . Outcomes of Patients with COPD Treated with ICS/LABA Before and After Initiation of Single-Inhaler Triple Therapy with Fluticasone Furoate/Umeclidinium/Vilanterol (FF/UMEC/VI). Adv Ther.
DOI: 10.1007/s12325-023-02776-8
PMID: 38310193
- At least 1 pharmacy claim for FF/UMEC/VI during the participant identification period of 01 September 2017 through 31 March 2019. The index date will be the date of the first pharmacy claim for FF/UMEC/VI.
- At least 2 medical claims with a diagnosis code for COPD in any position on separate dates of service during the 12-month period prior to and including the index date (Baseline period)
- At least 1 medical claim with a diagnosis code for cystic fibrosis, interstitial lung disease, alpha-1 antitrypsin deficiency, or lung cancer during the baseline.
- At least 2 medical claims with a diagnosis code for asthma in any position on separate dates of service during baseline (asthma and COPD (ACO) overlap).
Inclusion and exclusion criteria
Inclusion criteria:
- At least 1 pharmacy claim for FF/UMEC/VI during the participant identification period of 01 September 2017 through 31 March 2019. The index date will be the date of the first pharmacy claim for FF/UMEC/VI.
- At least 2 medical claims with a diagnosis code for COPD in any position on separate dates of service during the 12-month period prior to and including the index date (Baseline period)
- Must have greater than or equal to (≥) 30 consecutive day’s supply of ICS and LABA during the twelve months prior to the index date (Baseline period).
- At least 35 years of age as of the first day of the index year.
- Continuous enrollment with medical and pharmacy coverage for twelve months prior to the index date (baseline period).
- Continuous enrollment with medical and pharmacy coverage for twelve months following the index date (follow-up period).
Exclusion criteria:
- At least 1 medical claim with a diagnosis code for cystic fibrosis, interstitial lung disease, alpha-1 antitrypsin deficiency, or lung cancer during the baseline.
- At least 2 medical claims with a diagnosis code for asthma in any position on separate dates of service during baseline (asthma and COPD (ACO) overlap).
- At least 1 pharmacy claim for FF/UMEC/VI during the baseline period.
- Triple therapy during Baseline (excluding index date), defined as >= 30 consecutive days of overlap in the day’s supply of ICS, LABA, Long-Acting Muscarinic Antagonist (LAMA).
- Unknown age, gender, geographic region, or business line.
- At least 1 fill for asthma biologic therapy (omalizumab, mepolizumab, reslizumab, benralizumab, tezepelumab, or dupilumab) during baseline.
Trial location(s)
This study does not involve prospective enrollment of participants.
Study documents
Protocol
Available language(s): English
Statistical analysis plan
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
Study complete
Actual primary completion date
2023-01-02
Actual study completion date
2023-01-02
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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