A Study to Learn More About the Menopausal Hormone Therapies in Korea

Sponsor
Pfizer (Industry)
Overall Status
Not yet recruiting
CT.gov ID
NCT06033521
Collaborator
(none)
4,293,747
8

Study Details

Study Description

Brief Summary

The purpose of this study is to learn about how the commonly used menopausal hormone therapies were prescribed and taken in practice. This is done by using healthcare database, to study the overall dangers and benefits of menopausal hormone therapies in real-world practice.

This study will include subjects who were newly diagnosed menopausal symptoms between 2012 and 2019. They were all followed up for 12 months at least.

The study included the below subjects who:
  • were aged 40-59 years

  • were diagnosed to have menopausal symptoms through some medical check-ups

The data collected will be used to understand:
  • how the commonly used menopausal hormone therapies were prescribed and taken in practice

  • how patients took medication as prescribed by their doctors This might help to understand treatment trends of these therapies.

Condition or Disease Intervention/Treatment Phase
  • Drug: Menopausal hormone therapy Intervention Type: Drug

Study Design

Study Type:
Observational
Anticipated Enrollment :
4293747 participants
Observational Model:
Cohort
Time Perspective:
Retrospective
Official Title:
Treatment Patterns of Menopausal Hormone Therapy in South Korea: a Nationwide Cohort Study
Anticipated Study Start Date :
Nov 1, 2023
Anticipated Primary Completion Date :
May 31, 2024
Anticipated Study Completion Date :
Jun 30, 2024

Arms and Interventions

Arm Intervention/Treatment
Women with menopausal hormone therapy

Subjects who were newly diagnosed menopausal symptoms between 01 Jan 2012 and 31 Dec 2019, and were followed up for 12 months at least in the HIRA claims database

Drug: Menopausal hormone therapy Intervention Type: Drug
Subjects who were newly diagnosed menopausal symptoms between 01 Jan 2012 and 31 Dec 2019, and were followed up for 12 months at least in the HIRA claims database

Outcome Measures

Primary Outcome Measures

  1. Prevalence of menopausal symptoms [365 days]

    Calculated as the number of women diagnosed with menopausal symptoms divided by the mid-year population of women (age 40-59 years).

  2. Prevalence of menopausal symptoms with Menopausal Hormone Therapy (MHT) [365 days]

    Calculated as the number of women diagnosed with menopausal symptoms and prescribed with MHT divided by the mid-year population of women (ages 40 - 59 years)

  3. Prevalence of menopausal symptom: bone and joint symptoms [365 days]

    The prevalence of each menopausal symptom among patients with MHT will be calculated as the number of patients diagnosed with each menopausal symptom divided by the number of patients prescribed for MHT.

  4. Prevalence of menopausal symptom: vasomotor symptoms [365 days]

    The prevalence of each menopausal symptom among patients with MHT will be calculated as the number of patients diagnosed with each menopausal symptom divided by the number of patients prescribed for MHT.

  5. Prevalence of menopausal symptom: genitourinary symptoms [365 days]

    The prevalence of each menopausal symptom among patients with MHT will be calculated as the number of patients diagnosed with each menopausal symptom divided by the number of patients prescribed for MHT.

  6. Prevalence of menopausal symptom: psychosomatic symptoms [365 days]

    The prevalence of each menopausal symptom among patients with MHT will be calculated as the number of patients diagnosed with each menopausal symptom divided by the number of patients prescribed for MHT.

  7. Trends in prevalence of MHT by treatment [90 days]

    include estrogen therapy, estrogen-progestin therapy and tibolone

  8. Trends in prevalence of MHT by age [90 days]

    include ages (40-44), (45-49), (50-54), and (55-59)

  9. Tends in prevalence of MHT by symptom [90 days]

    include vasomotor symptoms, bone and joint symptoms, genitourinary symptoms, and psychosomatic symptoms

  10. Trends in Prevalence of MHT by type of administration [90 days]

    include systemic hormone therapies (oral), systemic hormone therapies (transdermal) and local hormone therapies (transvaginal)

Secondary Outcome Measures

  1. Number of treatment regimens change of MHT across time [90 days]

    Treatment switch and discontinuation patterns across time by measuring the number of different classes of MHT

  2. Time to switch and discontinuation of MHT [365 days]

    The time to non-persistence events including switch and discontinuation

  3. Treatment Adherence using medication possession ratio (MPR) [90 days]

Eligibility Criteria

Criteria

Ages Eligible for Study:
40 Years to 59 Years
Sexes Eligible for Study:
Female
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Patients aged 40-59 years at cohort entry date

  • Patients who had at least one inpatient or outpatient diagnosis of menopausal symptoms between 01 Jan 2012 and 31 Dec 2019 with any of following diagnosis codes: N95.1, N95.2, N95.3, N95.8, N95.9, M80.0, M81.0, M81.99, M85.99

Exclusion Criteria:
  • Patients diagnosed with breast cancer (C50, D05), endometrial cancer (C54.1), and granulosa cell tumor (C56) within 1 year prior to the index date.

  • Patients diagnosed with coronary heart disease (I20-I25, I51.6), stroke (I60-64), and VTE (I80.2, I80.3 I26) within 1 year prior to the index date.

  • Patients diagnosed with viral hepatitis (B16-B19), cirrhosis (K70.2-K70.4, K71.7, K72.0-K72.1, K72.9, K74.0-K74.6, K76.1, K76.6-K76.7, R18, I85.0, I85.9, I86.4, I86.8, I98.2-I98.3), and hepatic cancer (C22) within 1 year prior to the index date.

  • Patients diagnosed with gallbladder disease (K80, K81, K82, K83, K85.1), gallbladder cancer (C23), extrahepatic bile duct cancer (C24) within 1 year prior to the index date.

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

  • Pfizer

Investigators

  • Study Director: Pfizer CT.gov Call Center, Pfizer

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Pfizer
ClinicalTrials.gov Identifier:
NCT06033521
Other Study ID Numbers:
  • B2311076
  • MHT RWD
First Posted:
Sep 13, 2023
Last Update Posted:
Sep 14, 2023
Last Verified:
Sep 1, 2023
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Pfizer
Additional relevant MeSH terms:

Study Results

No Results Posted as of Sep 14, 2023