Review Article

Drug Utilization Studies in Pregnant Women for Newly Licensed Medicinal Products: A Contribution from IMI ConcePTION

Table 1

Drug utilization studies for new drugs identified.

EU PAS number, year, documentsEMA approval of drugStudy objective(s)PopulationsCountry/regionDatabaseMedicine studied, indicationPrimary care/hospital prescribingDuration (years)Interim reportsComparator groupsNumber of pregnant women in report

36014, 2020, protocol2018Exploratory: frequency of pregnancies, estimate rates of pregnancy outcomesPatients prescribed drug classDenmark, Sweden, Finland, NorwayDanish, Swedish, Finnish, and Norwegian national healthcare databasesErenumab, migrainePrimary, secondary, inpatient, outpatient
Hospital treatment identified only in Denmark
4Yearly after 2 yearsCohorts with same disease other treatmentsProtocol

27574, 2020, protocol2018Primary objective: exposure to medicine during pregnancyPregnant patients with diseaseUS (submitted to EMA)HealthCore Integrated Research Database (HIRD)Galcanezumab, migrainePrimary care: outpatient prescription drug dispensing5YearlyNoProtocol

17062, 2017, interim report2015Primary objective: characterise users (including pregnancy)Patients prescribed the medicineBelgium, Germany, Italy, Portugal, Spain, Switzerland, UKRetrospective chart reviewsEdoxaban, anticoagulantHospitals and general practitioners, internal medicine, and specialists3After 1 yearNo0

9507, 2015 report2012Secondary objective: exposure to medicine during pregnancyPatients prescribed the medicineSpain, Germany, UK, AustriaRetrospective chart reviewFidaxomicin, Clostridium difficilePrimary care4NoNo0

13783, 2016, protocol and report2014Primary: frequency of use in different groups of patients (including pregnancy)Patients prescribed the medicineFrance, Germany, Spain, UK, SwedenIMS Disease Analyzer, SIDIAP, NPR, SPDR, CPRDDulaglutide, T2DMPrimary care3YearlyNo0

12839, 2016, protocol and report2013Primary: frequency of use in different groups of patients (including pregnancy)Patients prescribed the medicineUK, Spain, and SwedenSIDIAP, CPRD, Sweden (NPR, PDR)Linaclotide, irritable bowel syndromePrimary care in UK and Spain, prescribed medicines in primary health care centers and outpatient specialists in Sweden5NoNoNR not mentioned in results

14445, 2016, protocol and report2014Secondary: frequency of use in different groups of patients (including pregnancy)Patients prescribed the medicineGermany, the Netherlands, Italy, England (UK)BIPS, PHARMO, LHU, M-PEMDulaglutide, T2DMHealthcare and administrative databases, for UK, primary careNRNoNoNR not mentioned in results

11841, 2015, protocol2014Primary: frequency of pregnancies, estimate rates of pregnancy outcomesPatients with disease of childbearing ageUKCPRDAlbiglutide, T2MPrimary care4Every 6 monthsNoProtocol

4270, 2013, protocol and report2012Secondary objective frequency of pregnancyPatients prescribed the medicineUS, Ireland, France, UKECFSPR RegistryIvacaftor, cystic fibrosisSpecialists, inpatient and outpatient data5YearlyPatients with disease not prescribed the medicine462

4845, 2013, protocol and report2012Secondary objective frequency of pregnancyPatients prescribed the medicineUK, Denmark, Italy, the Netherlands, SpainTHIN, HSD, IPCI, Aarhus, SIDIAPGlycopyrronium bromide, COPDOutpatient (primary care) prescribing (specialists incomplete)4YearlyNo0

3901, 2013, protocol and report2012Primary: frequency of pregnancyPatients prescribed the medicinesFranceSNIIR-AMBismuth subcitrate potassium, Helicobacter pyloriNonhospital claims3YearlyNo1

BIPS: Leibniz-Institute for Prevention Research and Epidemiology Germany; CPRD: Clinical Practice Research Datalink; ECFSPR: European Cystic Fibrosis Foundation Patient Registry; LHU: Caserta Local Health Unit Italy; M-PEM: Modified Prescription Event Monitoring Study; NPR: National Patient Register; NR: not reported; PDR: Prescription Drug Registry; SIDIAP: System for Development of Research in Primary Care; SPDR: Swedish Prescribed Drug Register; SNIIR-AM: Système National d’Information Inter-Régimes de l’Assurance Maladie; T2DM: type 2 diabetes mellitus; THIN: The Health Improvement Network.