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A Post Marketing Evaluation of the Effectiveness of FluMist Risk Minimization Plan in Children

21 juillet 2014 mis à jour par: MedImmune LLC

A Post Marketing Evaluation of the Effectiveness of the Risk Minimization Plan For Use of FluMist Among Children Less Than 5 Years of Age

This is a retrospective cohort study of children included in a large medical insurance claims database.

Aperçu de l'étude

Statut

Complété

Intervention / Traitement

Description détaillée

  • To evaluate the rate of FluMist administration compared to other influenza vaccine use in the following pediatric populations:

    • Children younger than 24 months of age
    • Children 24-59 months of age with a claim associated with a diagnosis of asthma
    • Children 24-59 months of age without a claim associated with a diagnosis of asthma, but with dispensed medication for wheezing
    • Children 24-59 months of age with immunosuppression
  • To describe, in children in the above populations who receive FluMist, the type and number of Emergency Room visits or hospitalizations associated with an insurance claim within 42 days of receiving FluMist
  • To explore the rationale for FluMist immunization of pediatric populations that are excluded from recommended usage by characterizing the use in these populations

Type d'étude

Observationnel

Inscription (Réel)

321697

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

    • North Carolina
      • Research Triangle, North Carolina, États-Unis
        • Research Site

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

  • Enfant
  • Adulte
  • Adulte plus âgé

Accepte les volontaires sains

Non

Sexes éligibles pour l'étude

Tout

Méthode d'échantillonnage

Échantillon non probabiliste

Population étudiée

Children < 60 months of age.

La description

  • Children less than 24 months of age during August through January/February.
  • Children <24 to 59 months of age during August through January/February, with:

    • two outpatient claims for asthma, or
    • one inpatient/emergency room claim for asthma, or
    • one outpatient claim for asthma and at least one SABA prescription during a defined 12-month period.
  • Children <24 to 59 months of age during August through January/February, without any claims associated with a diagnosis of asthma, but with at least one dispensing for SABA, as indicated by pharmacy claims during a defined 12-month period.
  • Children 24 to 59 months of age during August to January/February with evidence of immunosuppression prior to the date of influenza vaccination based on available medical and pharmacy claims.

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Modèles d'observation: Cohorte
  • Perspectives temporelles: Rétrospective

Cohortes et interventions

Groupe / Cohorte
Intervention / Traitement
1
Children less than 24 months of age
There were no interventions. No subjects were enrolled in this retrospective database study.
2
Children 24 to 59 months of age with a claim associated with a diagnosis of asthma
There were no interventions. No subjects were enrolled in this retrospective database study.
3
Children 24 to 59 months of age without a claim associated with a diagnosis of asthma, but with dispensed medication for wheezing
There were no interventions. No subjects were enrolled in this retrospective database study.
4
Children 24-59 months of age with immunosuppression
There were no interventions. No subjects were enrolled in this retrospective database study.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
FluMist Use in Participants up to 59 Months of Age
Délai: 2009-2010
Among participants up to 59 months of age who received any flu vaccine, number who received FluMist
2009-2010
Vaccinating Physician Specialty: Pediatrician or Pediatric Specialist
Délai: 2009-2010
Specialty of vaccinating physician who provided FluMist.
2009-2010
Vaccinating Physician Specialty: General/Family Practitioner
Délai: 2009-2010
Specialty of vaccinating physician who provided FluMist
2009-2010
Vaccinating Physician Specialty: Other
Délai: 2009-2010
Specialty of vaccinating physician who provided FluMist
2009-2010
Vaccinating Physician Specialty: Unknown
Délai: 2009-2010
Specialty of vaccinating physician who provided FluMist
2009-2010
Geographic Region: Northeastern
Délai: 2009-2010
Geographic region of parents' residence among participants receiving FluMist
2009-2010
Geographic Region: North Central
Délai: 2009-2010
Geographic region of parents' residence among participants receiving FluMist
2009-2010
Geographic Region: Southern
Délai: 2009-2010
Geographic region of parents' residence among participants receiving FluMist
2009-2010
Geographic Region: Western
Délai: 2009-2010
Geographic region of parents' residence among participants receiving FluMist
2009-2010
Number of Outpatient Visits: 0
Délai: 2009-2010
Among participants vaccinated with FluMist, the number who had 0 outpatient visits in the 3 months prior to vaccination
2009-2010
Number of Outpatient Visits: 1
Délai: 2009-2010
Among participants vaccinated with FluMist, the number who had 1 outpatient visit in the 3 months prior to vaccination
2009-2010
Number of Outpatient Visits: 2 or More
Délai: 2009-2010
Among participants vaccinated with FluMist, the number who had 2 or more outpatient visits in the 3 months prior to vaccination
2009-2010
Number of Days With a Respiratory Claim in 28 Days Prior to Vaccination: 0
Délai: 2009-2010
Among participants vaccinated with FluMist, the number of days with a respiratory claim (asthma, acute respiratory distress, bronchospasm, influenza, respiratory syncytial virus, bronchiolitis, bronchitis, pneumonia, croup, sinusitis, adenovirus infection, coxsackie virus infection, rhinovirus infection, nasopharyngitis, laryngitis and tracheitis, upper respiratory infection, cough) in the 28 days prior to vaccination.
2009-2010
Number of Days With a Respiratory Claim in 28 Days Prior to Vaccination: 1
Délai: 2009-2010
Among participants vaccinated with FluMist, the number of days with a respiratory claim (asthma, acute respiratory distress, bronchospasm, influenza, respiratory syncytial virus, bronchiolitis, bronchitis, pneumonia, croup, sinusitis, adenovirus infection, coxsackie virus infection, rhinovirus infection, nasopharyngitis, laryngitis and tracheitis, upper respiratory infection, cough) in the 28 days prior to vaccination.
2009-2010
Number of Days With a Respiratory Claim in 28 Days Prior to Vaccination: 2 or More
Délai: 2009-2010
Among participants vaccinated with FluMist, the number of days with a respiratory claim (asthma, acute respiratory distress, bronchospasm, influenza, respiratory syncytial virus, bronchiolitis, bronchitis, pneumonia, croup, sinusitis, adenovirus infection, coxsackie virus infection, rhinovirus infection, nasopharyngitis, laryngitis and tracheitis, upper respiratory infection, cough) in the 28 days prior to vaccination.
2009-2010

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Parrainer

Collaborateurs

Les enquêteurs

  • Directeur d'études: Chris Ambrose, M.D., MedImmune LLC

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude

1 octobre 2007

Achèvement primaire (Réel)

1 mars 2010

Achèvement de l'étude (Réel)

1 mars 2010

Dates d'inscription aux études

Première soumission

20 février 2008

Première soumission répondant aux critères de contrôle qualité

20 février 2008

Première publication (Estimation)

29 février 2008

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Estimation)

12 août 2014

Dernière mise à jour soumise répondant aux critères de contrôle qualité

21 juillet 2014

Dernière vérification

1 juillet 2014

Plus d'information

Termes liés à cette étude

Termes MeSH pertinents supplémentaires

Autres numéros d'identification d'étude

  • MI-MA175

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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