Economic Impact of Switching From Metoprolol to Nebivolol for Hypertension Treatment

Overview[ - collapse ][ - ]

Purpose This is a retrospective data analysis of patients with high blood pressure (hypertension) who took metoprolol for a minimum of 6 months who then switched to taking nebivolol for a minimum of 6 month to treat hypertension. These patients will be identified from a large medical claims database. This study tests the hypothesis (alternative, higher or lower) that average patient monthly health care administrative cost changes after switching from metoprolol to nebivolol.
ConditionHypertension
InterventionDrug: Metoprolol
Drug: Nebivolol
PhaseN/A
SponsorForest Laboratories
Responsible PartyForest Laboratories
ClinicalTrials.gov IdentifierNCT01758263
First ReceivedDecember 26, 2012
Last UpdatedDecember 26, 2012
Last verifiedDecember 2012

Tracking Information[ + expand ][ + ]

First Received DateDecember 26, 2012
Last Updated DateDecember 26, 2012
Start DateOctober 2012
Estimated Primary Completion DateJuly 2013
Current Primary Outcome MeasuresPatient monthly health care cost [Time Frame: 6 months] [Designated as safety issue: No]The average per patient monthly health care cost for the pre-specified hypertensive target study population during the 6 months before and after switching from metoprolol to nebivolol
Current Secondary Outcome Measures
  • Number of monthly out-patient visits [Time Frame: 6 months] [Designated as safety issue: No]Estimate the average per patient monthly number of out-patient visits for the pre-specified hypertensive target study population during the 6 months before and after switching from metoprolol to nebivolol.
  • Monthly Emergency Room visits per patient [Time Frame: 6 months] [Designated as safety issue: No]Estimate of the average monthly number of Emergency Room (ER) visits per patient for the pre-specified hypertensive target study population during the 6 months before and after switching from metoprolol to nebivolol.
  • Monthly hospitalizations per patient [Time Frame: 6 months] [Designated as safety issue: No]Estimate of the average monthly number of hospitalizations per patient for the pre-specified hypertensive target study population during the 6 months before and after switching from metoprolol to nebivolol.

Descriptive Information[ + expand ][ + ]

Brief TitleEconomic Impact of Switching From Metoprolol to Nebivolol for Hypertension Treatment
Official TitleEconomic Impact of Switching From Metoprolol to Nebivolol for Hypertension Treatment: A Retrospective Database Analysis
Brief Summary
This is a retrospective data analysis of patients with high blood pressure (hypertension)
who took metoprolol for a minimum of 6 months who then switched to taking nebivolol for a
minimum of 6 month to treat hypertension. These patients will be identified from a large
medical claims database. This study tests the hypothesis (alternative, higher or lower) that
average patient monthly health care administrative cost changes after switching from
metoprolol to nebivolol.
Detailed DescriptionNot Provided
Study TypeObservational
Study PhaseN/A
Study DesignObservational Model: Cohort, Time Perspective: Retrospective
ConditionHypertension
InterventionDrug: Metoprolol
Metoprolol, oral administration
Drug: Nebivolol
Nebivolol, oral administration
Study Arm (s)Metoprolol to Nebivolol
Patients with high blood pressure (hypertension) who were continuously treated with metoprolol for a minimum of 6 months prior to switching to nebivolol. Patients were then continuously treated with nebivolol for a minimum of 6 months.

Recruitment Information[ + expand ][ + ]

Recruitment StatusActive, not recruiting
Estimated Enrollment3000
Estimated Completion DateJuly 2013
Estimated Primary Completion DateDecember 2012
Eligibility Criteria
Inclusion Criteria:

- Be at least 18 years old at initiation of metoprolol (or first date on metoprolol
treatment between 2007 and 2011)

- Had one or more inpatient or outpatient claims with a primary or non-primary
diagnosis of hypertension (ICD-9-CM 401.xx-405.xx)

- Received nebivolol treatment continuously (defined as supply gap <30 days) for at
least 6 months after initiation

- Received metoprolol treatment continuously for at least 6 months prior to switching
to (initiation of) nebivolol (defined as metoprolol was discontinued whereas a
prescription for nebivolol was filled)

- Had at least 12 months of continuous enrollment (as verified using enrollment file):
6 month prior to nebivolol initiation and 6 months following nebivolol initiation.
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesUnited States

Administrative Information[ + expand ][ + ]

NCT Number NCT01758263
Other Study ID NumbersNEB-HE-200
Has Data Monitoring CommitteeNo
Information Provided ByForest Laboratories
Study SponsorForest Laboratories
CollaboratorsNot Provided
Investigators Study Director: Stephanie Chen, PhD Forest Laboratories
Verification DateDecember 2012

Locations[ + expand ][ + ]

Forest Investigative Site 0
Jersey City, New Jersey, United States, 07311