Asthma Comparative Effectiveness Study (Asthma CER)

February 22, 2013 updated by: AstraZeneca

A U.S. Retrospective Database Analysis Evaluating the Comparative Effectiveness of Budesonide/Formoterol Combination (BFC) and Fluticasone Propionate/Salmeterol Combination (FSC) Among Asthma Patients

The objective of this study is to compare the real-world effectiveness of BFC and FSC in asthma patients new to ICS/LABA combination therapy in a population of U.S. health plan enrollees.

Study Overview

Status

Completed

Conditions

Detailed Description

A U.S. retrospective database analysis evaluating the comparative effectiveness of budesonide/formoterol and fluticasone propionate/salmeterol among asthma patients

Study Type

Observational

Enrollment (Actual)

6086

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

12 years to 64 years (Child, Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Health plan members with asthma aged 12 to 64 years receiving two or more prescriptions for BFC or FSC during 6/1/2007-9/30/2010 who are naive to ICS/LABA combination therapy.

Description

Inclusion Criteria:

  • Continuous health plan enrollment for 12 months before and after index Rx
  • At least two prescription fills for BFC or FSC within 12 months
  • Asthma claims diagnosis, and 12 to 64 years of age at the time of first prescription

Exclusion Criteria:

  • Evidence of COPD
  • Claims diagnosis of any of inflammatory diseases or cancer
  • Presence of Rx for more than one type of ICS/LABA combination on index date
  • Chronic steroid use or Xolair use prior to ICS/LABA index treatment

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Symbicort
BFC patients new to ICS/LABA combination therapy
Advair
FSC patients new to ICS/LABA combination therapy

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Rate of asthma exacerbations
Time Frame: 12 months
The rate is defined as the total number of asthma exacerbations for all patients in the cohort divided by the total number of person years. An asthma exacerbation is defined as any of three conditions: Asthma related inpatient hospitalization or Asthma related emergency department visit or Oral corticosteroid use.
12 months
Asthma Related Inpatient Hospitalizations
Time Frame: 12 months
12 months
Asthma Related Emergency Department visits
Time Frame: 12 months
12 months
Use of Oral Corticosteroids (OCS)
Time Frame: 12 months
A pharmacy claim for any of the OCS medications
12 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Asthma controller medication use (SABA, ICS, LABA, LTRA, XOLAIR, THEOPHYLLINE)
Time Frame: 12 months
Asthma controller use (0 vs. 1 and total number of fills for each).
12 months
Asthma Related Healthcare Utilization
Time Frame: 12 months
Asthma Related Healthcare Utilization: Outpatient/office visits, Inpatient length of stay, ICU admission and length of stay.
12 months
Asthma Related Healthcare costs
Time Frame: 12 months
Asthma Related Healthcare costs (plan paid, patient paid and plan + patient paid)costs of all Asthma related medication and Asthma related outpatient/office, ED and Inpatient visits.
12 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

June 1, 2012

Primary Completion (Actual)

July 1, 2012

Study Completion (Actual)

September 1, 2012

Study Registration Dates

First Submitted

June 18, 2012

First Submitted That Met QC Criteria

June 19, 2012

First Posted (Estimate)

June 20, 2012

Study Record Updates

Last Update Posted (Estimate)

February 25, 2013

Last Update Submitted That Met QC Criteria

February 22, 2013

Last Verified

February 1, 2013

More Information

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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