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NCT01236053 · OUTCOME

Number of Breast Cancer Cases and Matched Controls With the Indicated Long Duration of Exposure to Gabapentin

Cancer in Patients With Gabapentin (GPRD) · Source last updated 2017-07-06

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
NUMBER
Unit
participants
Interval / dispersion
Not reported
Time frame
The case index date was the date of incident breast cancer diagnosis ascertained in the GPRD study cohort 1995-2008. The matched control index date was the date at which the follow-up time from his/her cohort entry was the same as that for the case.

What was measured

Incident breast cancer. Gabapentin Exposure Description: With 2 year lag = Gabapentin exposure from cohort entry to 2 years prior to index date (to control for prediagnostic prescribing for pain symptoms possibly related to cancer). Without 2 year lag = Gabapentin exposure from cohort entry to index date.

Analysis population: Cases \& controls drawn from the GPRD study cohort. Entry into study cohort began January 1, 1993, or at time of GPRD registration if after Jan. 1, 1993. Follow-up ended December 31, 2008, or earlier if respective cancer was diagnosed or if participant left the GPRD for any reason including death. Participants with prior history of cancer excluded.

Groups in this outcome

Incident Breast Cancer Patients

Patients with incident breast cancer defined from READ/OXMIS codes in the years 1995-2008

Matched Controls for Incident Breast Cancer Patients

Cancer-free control patients risk set matched with incident breast cancer patients for sex, age at cohort entry (within two years), calendar year of cohort entry (within one year), and General Practice site

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Incident Breast Cancer Patients19564
Matched Controls for Incident Breast Cancer Patients188924

Reported measurements

Never (with 2 year lag)
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Incident Breast Cancer Patients19468Not reportedNot reportedNot reportedNot reported
Matched Controls for Incident Breast Cancer Patients188199Not reportedNot reportedNot reportedNot reported
> 1 year (with 2 year lag)
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Incident Breast Cancer Patients20Not reportedNot reportedNot reportedNot reported
Matched Controls for Incident Breast Cancer Patients131Not reportedNot reportedNot reportedNot reported
> 2 year (with 2 year lag)
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Incident Breast Cancer Patients9Not reportedNot reportedNot reportedNot reported
Matched Controls for Incident Breast Cancer Patients54Not reportedNot reportedNot reportedNot reported
> 3 year (with 2 year lag)
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Incident Breast Cancer Patients2Not reportedNot reportedNot reportedNot reported
Matched Controls for Incident Breast Cancer Patients27Not reportedNot reportedNot reportedNot reported
Never (without 2 year lag)
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Incident Breast Cancer Patients19390Not reportedNot reportedNot reportedNot reported
Matched Controls for Incident Breast Cancer Patients187532Not reportedNot reportedNot reportedNot reported
> 1 year (without 2 year lag)
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Incident Breast Cancer Patients46Not reportedNot reportedNot reportedNot reported
Matched Controls for Incident Breast Cancer Patients291Not reportedNot reportedNot reportedNot reported
> 2 year (without 2 year lag)
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Incident Breast Cancer Patients24Not reportedNot reportedNot reportedNot reported
Matched Controls for Incident Breast Cancer Patients133Not reportedNot reportedNot reportedNot reported
> 3 year (without 2 year lag)
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Incident Breast Cancer Patients10Not reportedNot reportedNot reportedNot reported
Matched Controls for Incident Breast Cancer Patients54Not reportedNot reportedNot reportedNot reported

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. ci Lower Limit
    0.94
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    2.42
    estimate Comment
    Comparison: "\> 1 year (with 2 year lag)" and "Never (with 2 year lag)".
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.0892
    param Type
    Odds Ratio (OR)
    param Value
    1.51
    statistical Method
    Conditional Logistic Regression
  2. ci Lower Limit
    0.92
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    2.39
    estimate Comment
    Comparison: "\> 1 year (with 2 year lag)" and "Never (with 2 year lag)". Adjusted for smoking, BMI, alcohol consumption, diabetes, neuropathic pain, back pain, epilepsy, hysterectomy, current estrogen, prior estrogen, benign breast disease.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.1043
    param Type
    Odds Ratio (OR)
    param Value
    1.48
    statistical Method
    Conditional Logistic Regression
  3. ci Lower Limit
    1.10
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    2.06
    estimate Comment
    Comparison: "\> 1 year (without 2 year lag)" and "Never (without 2 year lag)".
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.0101
    param Type
    Odds Ratio (OR)
    param Value
    1.51
    statistical Method
    Conditional Logistic Regression
  4. ci Lower Limit
    1.07
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    2.00
    estimate Comment
    Comparison: "\> 1 year (without 2 year lag)" and "Never (without 2 year lag)". Adjusted for smoking, BMI, alcohol consumption, diabetes, neuropathic pain, back pain, epilepsy, hysterectomy, current estrogen, prior estrogen, benign breast disease.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.0186
    param Type
    Odds Ratio (OR)
    param Value
    1.46
    statistical Method
    Conditional Logistic Regression
  5. ci Lower Limit
    0.83
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    3.43
    estimate Comment
    Comparison: "\> 2 years (with 2 year lag)" and "Never (with 2 year lag)".
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.1458
    param Type
    Odds Ratio (OR)
    param Value
    1.69
    statistical Method
    Conditional Logistic Regression
  6. ci Lower Limit
    0.79
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    3.29
    estimate Comment
    Comparison: "\> 2 years (with 2 year lag)" and "Never (with 2 year lag)". Adjusted for smoking, BMI, alcohol consumption, diabetes, neuropathic pain, back pain, epilepsy, hysterectomy, current estrogen, prior estrogen, benign breast disease.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.1859
    param Type
    Odds Ratio (OR)
    param Value
    1.62
    statistical Method
    Conditional Logistic Regression
  7. ci Lower Limit
    1.13
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    2.72
    estimate Comment
    Comparison: "\> 2 years (without 2 year lag)" and "Never (without 2 year lag)".
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.0122
    param Type
    Odds Ratio (OR)
    param Value
    1.75
    statistical Method
    Conditional Logistic Regression
  8. ci Lower Limit
    1.10
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    2.67
    estimate Comment
    Comparison: "\> 2 years (without 2 year lag)" and "Never (without 2 year lag)". Adjusted for smoking, BMI, alcohol consumption, diabetes, neuropathic pain, back pain, epilepsy, hysterectomy, current estrogen, prior estrogen, benign breast disease.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.0162
    param Type
    Odds Ratio (OR)
    param Value
    1.72
    statistical Method
    Conditional Logistic Regression
  9. ci Lower Limit
    0.19
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    3.36
    estimate Comment
    Comparison: "\> 3 years (with 2 year lag)" and "Never (with 2 year lag)".
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.7573
    param Type
    Odds Ratio (OR)
    param Value
    0.80
    statistical Method
    Conditional Logistic Regression
  10. ci Lower Limit
    0.18
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    3.21
    estimate Comment
    Comparison: "\> 3 years (with 2 year lag)" and "Never (with 2 year lag)". Adjusted for smoking, BMI, alcohol consumption, diabetes, neuropathic pain, back pain, epilepsy, hysterectomy, current estrogen, prior estrogen, benign breast disease.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.7088
    param Type
    Odds Ratio (OR)
    param Value
    0.76
    statistical Method
    Conditional Logistic Regression
  11. ci Lower Limit
    0.93
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    3.64
    estimate Comment
    Comparison: "\> 3 years (without 2 year lag)" and "Never (without 2 year lag)".
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.0787
    param Type
    Odds Ratio (OR)
    param Value
    1.84
    statistical Method
    Conditional Logistic Regression
  12. ci Lower Limit
    0.92
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    3.58
    estimate Comment
    Comparison: "\> 3 years (without 2 year lag)" and "Never (without 2 year lag)". Adjusted for smoking, BMI, alcohol consumption, diabetes, neuropathic pain, back pain, epilepsy, hysterectomy, current estrogen, prior estrogen, benign breast disease.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.0873
    param Type
    Odds Ratio (OR)
    param Value
    1.81
    statistical Method
    Conditional Logistic Regression
Complete source fields
analyses
  1. ci Lower Limit
    0.94
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    2.42
    estimate Comment
    Comparison: "\> 1 year (with 2 year lag)" and "Never (with 2 year lag)".
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.0892
    param Type
    Odds Ratio (OR)
    param Value
    1.51
    statistical Method
    Conditional Logistic Regression
  2. ci Lower Limit
    0.92
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    2.39
    estimate Comment
    Comparison: "\> 1 year (with 2 year lag)" and "Never (with 2 year lag)". Adjusted for smoking, BMI, alcohol consumption, diabetes, neuropathic pain, back pain, epilepsy, hysterectomy, current estrogen, prior estrogen, benign breast disease.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.1043
    param Type
    Odds Ratio (OR)
    param Value
    1.48
    statistical Method
    Conditional Logistic Regression
  3. ci Lower Limit
    1.10
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    2.06
    estimate Comment
    Comparison: "\> 1 year (without 2 year lag)" and "Never (without 2 year lag)".
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.0101
    param Type
    Odds Ratio (OR)
    param Value
    1.51
    statistical Method
    Conditional Logistic Regression
  4. ci Lower Limit
    1.07
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    2.00
    estimate Comment
    Comparison: "\> 1 year (without 2 year lag)" and "Never (without 2 year lag)". Adjusted for smoking, BMI, alcohol consumption, diabetes, neuropathic pain, back pain, epilepsy, hysterectomy, current estrogen, prior estrogen, benign breast disease.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.0186
    param Type
    Odds Ratio (OR)
    param Value
    1.46
    statistical Method
    Conditional Logistic Regression
  5. ci Lower Limit
    0.83
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    3.43
    estimate Comment
    Comparison: "\> 2 years (with 2 year lag)" and "Never (with 2 year lag)".
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.1458
    param Type
    Odds Ratio (OR)
    param Value
    1.69
    statistical Method
    Conditional Logistic Regression
  6. ci Lower Limit
    0.79
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    3.29
    estimate Comment
    Comparison: "\> 2 years (with 2 year lag)" and "Never (with 2 year lag)". Adjusted for smoking, BMI, alcohol consumption, diabetes, neuropathic pain, back pain, epilepsy, hysterectomy, current estrogen, prior estrogen, benign breast disease.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.1859
    param Type
    Odds Ratio (OR)
    param Value
    1.62
    statistical Method
    Conditional Logistic Regression
  7. ci Lower Limit
    1.13
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    2.72
    estimate Comment
    Comparison: "\> 2 years (without 2 year lag)" and "Never (without 2 year lag)".
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.0122
    param Type
    Odds Ratio (OR)
    param Value
    1.75
    statistical Method
    Conditional Logistic Regression
  8. ci Lower Limit
    1.10
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    2.67
    estimate Comment
    Comparison: "\> 2 years (without 2 year lag)" and "Never (without 2 year lag)". Adjusted for smoking, BMI, alcohol consumption, diabetes, neuropathic pain, back pain, epilepsy, hysterectomy, current estrogen, prior estrogen, benign breast disease.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.0162
    param Type
    Odds Ratio (OR)
    param Value
    1.72
    statistical Method
    Conditional Logistic Regression
  9. ci Lower Limit
    0.19
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    3.36
    estimate Comment
    Comparison: "\> 3 years (with 2 year lag)" and "Never (with 2 year lag)".
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.7573
    param Type
    Odds Ratio (OR)
    param Value
    0.80
    statistical Method
    Conditional Logistic Regression
  10. ci Lower Limit
    0.18
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    3.21
    estimate Comment
    Comparison: "\> 3 years (with 2 year lag)" and "Never (with 2 year lag)". Adjusted for smoking, BMI, alcohol consumption, diabetes, neuropathic pain, back pain, epilepsy, hysterectomy, current estrogen, prior estrogen, benign breast disease.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.7088
    param Type
    Odds Ratio (OR)
    param Value
    0.76
    statistical Method
    Conditional Logistic Regression
  11. ci Lower Limit
    0.93
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    3.64
    estimate Comment
    Comparison: "\> 3 years (without 2 year lag)" and "Never (without 2 year lag)".
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.0787
    param Type
    Odds Ratio (OR)
    param Value
    1.84
    statistical Method
    Conditional Logistic Regression
  12. ci Lower Limit
    0.92
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    3.58
    estimate Comment
    Comparison: "\> 3 years (without 2 year lag)" and "Never (without 2 year lag)". Adjusted for smoking, BMI, alcohol consumption, diabetes, neuropathic pain, back pain, epilepsy, hysterectomy, current estrogen, prior estrogen, benign breast disease.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.0873
    param Type
    Odds Ratio (OR)
    param Value
    1.81
    statistical Method
    Conditional Logistic Regression
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        19468
      2. group Id
        OG001
        value
        188199
    title
    Never (with 2 year lag)
  2. categories
    1. measurements
      1. group Id
        OG000
        value
        20
      2. group Id
        OG001
        value
        131
    title
    > 1 year (with 2 year lag)
  3. categories
    1. measurements
      1. group Id
        OG000
        value
        9
      2. group Id
        OG001
        value
        54
    title
    > 2 year (with 2 year lag)
  4. categories
    1. measurements
      1. group Id
        OG000
        value
        2
      2. group Id
        OG001
        value
        27
    title
    > 3 year (with 2 year lag)
  5. categories
    1. measurements
      1. group Id
        OG000
        value
        19390
      2. group Id
        OG001
        value
        187532
    title
    Never (without 2 year lag)
  6. categories
    1. measurements
      1. group Id
        OG000
        value
        46
      2. group Id
        OG001
        value
        291
    title
    > 1 year (without 2 year lag)
  7. categories
    1. measurements
      1. group Id
        OG000
        value
        24
      2. group Id
        OG001
        value
        133
    title
    > 2 year (without 2 year lag)
  8. categories
    1. measurements
      1. group Id
        OG000
        value
        10
      2. group Id
        OG001
        value
        54
    title
    > 3 year (without 2 year lag)
denoms
  1. counts
    1. group Id
      OG000
      value
      19564
    2. group Id
      OG001
      value
      188924
    units
    Participants
description
Incident breast cancer. Gabapentin Exposure Description: With 2 year lag = Gabapentin exposure from cohort entry to 2 years prior to index date (to control for prediagnostic prescribing for pain symptoms possibly related to cancer). Without 2 year lag = Gabapentin exposure from cohort entry to index date.
groups
  1. description
    Patients with incident breast cancer defined from READ/OXMIS codes in the years 1995-2008
    id
    OG000
    title
    Incident Breast Cancer Patients
  2. description
    Cancer-free control patients risk set matched with incident breast cancer patients for sex, age at cohort entry (within two years), calendar year of cohort entry (within one year), and General Practice site
    id
    OG001
    title
    Matched Controls for Incident Breast Cancer Patients
param Type
NUMBER
population Description
Cases \& controls drawn from the GPRD study cohort. Entry into study cohort began January 1, 1993, or at time of GPRD registration if after Jan. 1, 1993. Follow-up ended December 31, 2008, or earlier if respective cancer was diagnosed or if participant left the GPRD for any reason including death. Participants with prior history of cancer excluded.
reporting Status
POSTED
time Frame
The case index date was the date of incident breast cancer diagnosis ascertained in the GPRD study cohort 1995-2008. The matched control index date was the date at which the follow-up time from his/her cohort entry was the same as that for the case.
title
Number of Breast Cancer Cases and Matched Controls With the Indicated Long Duration of Exposure to Gabapentin
type
PRIMARY
unit Of Measure
participants

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