首页|基于FAERS数据库对阿培利西的皮肤和皮下组织不良事件的信号挖掘和分析

基于FAERS数据库对阿培利西的皮肤和皮下组织不良事件的信号挖掘和分析

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目的:通过对美国FDA不良事件报告系统(FDA adverse event reporting system,FAERS)数据库阿培利西上市后的不良事件进行数据挖掘和分析,为临床乳腺癌用药提供参考.方法:采用报告比值比法(reporting odds ratio,ROR)对FAERS数据库2019年第2季度—2021年第3季度的阿培利西数据进行不良反应信号挖掘和分析.结果:共收集阿培利西的不良事件报告11 427份,包含相关不良信号166个,从中整理出皮肤及皮下组织不良事件报告共1 287份,包含20个皮肤相关不良反应信号.报告以女性为主,年龄分布主要在40岁以上.单因素分析结果显示,日剂量不是导致皮肤和皮下组织不良反应发生的独立危险因素(P>0.05),而疗程可能是其危险因素(P<0.05).结论:阿培利西可能引起多种皮肤反应如皮疹、剥脱性皮炎、脱发等,在乳腺癌患者治疗过程中需要密切监测,尽早识别,以期降低药物不良反应发生率.
Signal mining and analysis of the adverse effects of alpelisib in skin and subcutaneous tissue based on the database FAERS
Objective:To provide a reference for the safe and rational drug use in the clinical treatment of breast cancer,a data mining and analysis work of post-marketing adverse events(AEs)and signals of alpelisib is developed in this paper based on the database US FDA adverse event reporting system(FAERS).Methods:The reporting odds ratio(ROR)was used to mine and analyze the adverse reaction signals from the data of alpelisib between April of 2019 and Sep-tember of 2021 in FAERS.Results:A total of 11 427 AE reports of alpelisib were collected,including 166 related adverse signals,among which a total of 1 287 AE reports of skin and subcutaneous tissue,including 20 skin-related AE signals,were sorted out.The majority of the reports are from women,most of whom are over 40 years old.Univariate analysis showed that daily dose was not an independent risk factor to the occurrence of skin and subcutaneous tissue AEs(P>0.05),while the course of treatment is probably a risk factor to the occurrence of skin and subcutaneous tissue AEs(P<0.05).Conclusion:Alpelisib causes a variety of skin reactions such as rash,dermatitis exfoliative,alopecia,etc.During the treatment for breast cancer patients,it is necessary to closely monitor AEs and identify them as soon as possible.The incidence of AEs caused by alpelisib should be reduced.

alpelisibadverse event reporting systemreporting odds ratiosignal mining

卢佩雯、周瑞珊、陈君恒、何明秀、石艺杨、韩芳芳、蔡永铭

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广东药科大学医药信息工程学院,广州 510006

国家药品监督管理局药物警戒技术研究与评价重点实验室,广州 510006

广东省中医药精准医学大数据工程技术研究中心,广州 510006

阿培利西 不良事件报告系统 报告比值比 信号挖掘

广东省药品监督管理局2022年科技创新项目

2022ZDZ06

2024

中国新药杂志
中国医药科技出版社 中国医药集团总公司 中国药学会

中国新药杂志

CSTPCD北大核心
影响因子:1.039
ISSN:1003-3734
年,卷(期):2024.33(5)
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