Study type

Study topic

Disease /health condition
Human medicinal product

Study type

Non-interventional study

Scope of the study

Assessment of risk minimisation measure implementation or effectiveness
Effectiveness study (incl. comparative)

Data collection methods

Primary data collection
Non-interventional study

Non-interventional study design

Cross-sectional
Other

Non-interventional study design, other

Multinational survey
Study drug and medical condition

Anatomical Therapeutic Chemical (ATC) code

(N03AG01) valproic acid
valproic acid
(N03AG02) valpromide
valpromide

Medical condition to be studied

Epilepsy
Bipolar disorder
Pregnancy
Population studied

Short description of the study population

The study focused on female patients of childbearing age received treatment with valproate-containing medicines.
Inclusion criteria:
Prescribers of valproate: GPs, neurologists (including pediatric neurologists), paediatricians and psychiatrists who prescribed valproate containing medicines to female patients of childbearing potential in the last 6 months.
Gynaecologists: Gynaecologists who have had a consultation with at least one female patient of childbearing potential treated with valproate containing medicines in the last 6 months.
Pharmacists: Pharmacists who have dispensed valproate containing medicines to female patients of childbearing potential in the last 6 months. The survey will enrol only those pharmacists who have dispensed the drug in a pre-specified period of last six months.

Patients
• Female patients of childbearing age (i.e., 13 to 49 years of age) and being treated with valproate-containing medicines at the time of the survey
• Who consent to participate in this self-administered survey (for patients between 13 to 17 years of age, the survey shall be filled out by their parent, guardian or caregiver)

Exclusion criteria:
• HCPs or patients who may have conflicts of interest with the survey (i.e. patients employed by regulatory bodies or pharmaceutical companies).
• HCPs or patients (with a relative) involved in valproate-related lawsuits or associations for victims of valproate syndrome.

Age groups

Adolescents (12 to < 18 years)
Adults (18 to < 46 years)
Adults (46 to < 65 years)
Adults (65 to < 75 years)
Adults (75 to < 85 years)
Adults (85 years and over)

Special population of interest

Pregnant women

Estimated number of subjects

2695
Study design details

Main study objective

To evaluate awareness, knowledge and behaviour of Health Care Professionals and Patients with respect to the new (2018) Risk Minimization Measures for valproate use in 6 European countries.

Data analysis plan

All the analyses will be descriptive. Continuous variables will be described by their mean, standard deviation, and median, first quantile (Q1), third quantile (Q3), minimum and maximum. Categorical variables will be described as total number and relative percentage per category. Analysis for the survey will be performed for patients and HCPs (prescribers, gynaecologists and pharmacists) separately for the endpoints described below, and will include the total number of patients and HCPs with valid responses to all relevant questions and the percentage of patients and HCPs with a positive response for the questions. The statistical results of the included European countries will be presented overall and then at country level. The analysis of the Patients’ and HCPs’ surveys will then be broken down by subpopulation of interest, i.e. according to therapeutic indication (epilepsy / bipolar disorders).
Documents
Study results
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