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Simulation of Risk of Adverse Drug Events Associated With the Initiation of Drugs Repurposed for the Treatment of COVID-19 in Adults With Polypharmacy Using Data From Large Medicare and Commercially Insured Populations

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ClinicalTrials.gov Identifier: NCT04378881
Recruitment Status : Active, not recruiting
First Posted : May 7, 2020
Last Update Posted : June 30, 2020
Sponsor:
Collaborator:
Cambia Health Solutions
Information provided by (Responsible Party):
Tabula Rasa HealthCare

Brief Summary:
This retrospective study aims to perform a medication risk stratification using drug claims data and to simulate the impact of the addition of various repurposed drugs on the Medication Risk Score (MRS) in a health insurance population. Our clinical tool would enable us to identify potential multi-drug interactions and potentially reduce the risk of adverse drug events (ADE) developing in these patients infected with COVID-19.

Condition or disease
COVID Drug Effect Drug Interaction Adverse Drug Event

Detailed Description:

Certain investigational agents have been described in observational series or are being used anecdotally based on in vitro or extrapolated evidence. It is important to acknowledge that there are no controlled data supporting the use of any of these agents, and their efficacy for COVID-19 is unknown. FDA-approved drugs such as chloroquine/hydroxychloroquine, lopinavir/ritonavir, monoclonal IL-6 antibodies, JAK inhibitors, thalidomide, and the new investigational drug remdesivir, have been proposed for repurposing to fight COVID-19 and its complications.

A medication risk stratification strategy will be used to simulate the impacts of different potential repurposed drugs for COVID-19 and the Medication Risk Score (MRS) which is used as a predictive tool for ADEs. A retrospective study will be conducted using de-identified drug claims data for commercially insured patients.

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Study Type : Observational
Estimated Enrollment : 100 participants
Observational Model: Cohort
Time Perspective: Retrospective
Official Title: Simulation of Risk of Adverse Drug Events Associated With the Initiation of Drugs Repurposed for the Treatment of COVID-19 in Adults With Polypharmacy Using Data From Large Medicare and Commercially Insured Populations
Actual Study Start Date : June 1, 2020
Estimated Primary Completion Date : December 30, 2020
Estimated Study Completion Date : April 30, 2021

Resource links provided by the National Library of Medicine





Primary Outcome Measures :
  1. Calculate the Medication Risk Score of de-identified participants from Medicare/Medicaid and commercial health insurance plans using their current drug regimen via our proprietary risk stratification process. [ Time Frame: Three months ]
    Quantitative

  2. Simulate the Medication Risk Score following the addition of different repurposed drugs against COVID-19 to their current drug regimen via our proprietary risk stratification process. [ Time Frame: Three months ]
    Quantitative

  3. Compare the impact (change) on the Medication Risk Score using the calculate before score and simulated after score following the addition of repurposed drugs for COVID-19 to the drug regimens of patients enrolled in the study. [ Time Frame: Three months ]
    Quantitative

  4. Measure the effects of various repurposed drugs for COVID-19 on each of the five factors computed by algorithms to derive the Medication Risk Score will be calculated via our proprietary risk stratification process. [ Time Frame: Three months ]
    Quantitative


Secondary Outcome Measures :
  1. Comparison of the Medication Risk Score and the effects of the addition of repurposed drugs on the drug regimen between participants with Medicare/Medicaid vs. commercial health insurance plans will be assessed. [ Time Frame: Six months ]
    Qualitative

  2. Measure the effects on Medication Risk Score of various repurposed drugs for COVID-19 within subgroups of patients classified by specific diseases or drugs used and the impact of various covariables. [ Time Frame: One year ]
    Qualitative



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
The number of patients will change. 95,717 patients with Medicare/Medicaid health plan and 528,436 from commercial population.
Criteria

Inclusion Criteria:

  • Patients enrolled with Cambia Health Solutions; Medicare/Medicaid or Commercial Health Insurance Plan
  • Patients with drug claims available from 10/01/2018 to 10/31/2019

Exclusion Criteria:

  • Patients with no drug claims available for 2018
  • Health Plan for injectable drugs

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04378881


Locations
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United States, Florida
Tabula Rasa HealthCare Precision Pharmacotherapy Research and Development Institute
Orlando, Florida, United States, 32827
Sponsors and Collaborators
Tabula Rasa HealthCare
Cambia Health Solutions
Investigators
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Principal Investigator: Veronique Michaud Tabula Rasa HealthCare
Additional Information:
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Responsible Party: Tabula Rasa HealthCare
ClinicalTrials.gov Identifier: NCT04378881    
Other Study ID Numbers: COVID19-TRHC-2020-002
First Posted: May 7, 2020    Key Record Dates
Last Update Posted: June 30, 2020
Last Verified: June 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Tabula Rasa HealthCare:
COVID-19
Repurposed Drug
Drug Interaction
LQTS
Additional relevant MeSH terms:
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Drug-Related Side Effects and Adverse Reactions
Chemically-Induced Disorders