首页|基于FAERS数据库的贝那利珠单抗不良事件信号挖掘

基于FAERS数据库的贝那利珠单抗不良事件信号挖掘

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目的 运用数据挖掘的方法检测贝那利珠单抗上市后的不良事件信号,为临床提供用药参考。方法 对美国FDA不良事件报告系统(FDA adverse event reporting system,FAERS)中2017年第4季度至2023年第2季度报告数≥3的贝那利珠单抗相关不良事件(adverse drug event,ADE)报告进行数据挖掘和信号检测。结果 经过数据清理,在数据库中分析了关于贝那利珠单抗的21616份ADE报告。报告涉及到8 020名患者,其中女性患者占61。48%,共4 931例,而男性患者占26。82%,共2 151例。主要上报这些报告的国家是美国,占总数的71。57%。在挖掘过程中,发现了 216个与ADE相关的阳性信号,这些信号主要涉及呼吸系统、胸部及纵隔疾病(占28。57%),以及全身性疾病和各种给药部位的反应(占26。65%),共涵盖了 21个不同的系统器官分类。在这些数据中,发现了共计67个高风险信号。其中,有25个信号明确提及或与药品说明书相关的不良反应,另外还有42个新发现的高风险信号,包括哮喘危象、痰液改变、睡眠障碍等。结论 临床应用贝那利珠单抗时,除密切关注咳嗽、头痛、呼吸困难、超敏反应等药品说明书中提及的不良反应外,还应警惕痰液性质的改变、睡眠障碍、鼻窦疾病等潜在的ADEs,以保证用药安全。
Benalizumab Adverse Event Signal Mining Based on FAERS Database
OBJECTIVE To use data mining method to detect the adverse event signal of benalizumab after marketing,and to provide clinical reference for drug use.METHODS To conduct data mining and signal detection for benalizuzuma-related ADE reports in the U.S.FDA Adverse Event Reporting System(FAERS)with a reported number of≥3 from Q4 2017 to Q2 2023.RESULTS After data clearing,21 616 ADE reports of US FAERS with benalizumab as the primary suspected drug were obtained,involving a total of 8 020 patients,4 931 female patients(61.48%)and 2 151 male patients(26.82%)were reported.The main reporting country was the United States(71.57%).216 ADE positive signals were found,mainly involving diseases of respiratory system,chest and mediastinum(28.57%),as well as systemic diseases and various reactions at the drug administration site(26.65%),covering a total of 21 different categories of systemic organs.A total of 67 high-risk signals were identified,of which 25 were benalizumab drug labels explicitly mentioned or related adverse drug reactions,and 42(such as asthmatic crises,sputum changes,sleep disorders,etc.)were new high-risk signals.CONCLUSION In clinical use of benalizumab,in addition to paying close attention to the adverse reactions mentioned in the drug instructions such as cough,headache,dyspnea,hypersensitivity,etc.,we should also be alert to the changes in the nature of sputum,sleep disorders,sinus diseases and other potential ADEs to ensure drug safety.

American adverse event reporting systembenalizumabadverse drug eventssignal detectiondata mining

廖兆豪、卢妤、吴四智、马为

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广州市第一人民医院,药剂科,广东广州 510000

广州市第一人民医院,老年呼吸内科,广东广州 510000

美国不良事件报告系统 贝那利珠单抗 药品不良事件 信号检测 数据挖掘

2024

今日药学
广东省药学会 中国药学会

今日药学

影响因子:0.413
ISSN:1674-229X
年,卷(期):2024.34(5)