首页|基于FAERS的阿来替尼安全性评价

基于FAERS的阿来替尼安全性评价

扫码查看
目的 为临床安全使用阿来替尼提供参考。方法 提取美国食品和药物管理局不良事件报告系统(FAERS)中 2014 年第 1 季度至 2022 年第 3 季度的阿来替尼相关药品不良事件(ADE)报告,采用报告比值比(ROR)法和比例报告比值(PRR)法挖掘ADE信号。结果 共获得以阿来替尼为首要怀疑药物的ADE有效报告 2 236 份,男女比例约为 1∶1。27。获得阿来替尼ADE信号 118 个,报告较多的药品不良反应(ADR)为死亡、乏力、便秘、皮疹等;而相关性高的ADR主要为棘形红细胞存在、棘细胞性贫血、溶血、中枢神经系统转移、颅内肿瘤出血等。未在药品说明书中提及的ADR包括棘形红细胞存在、棘细胞性贫血、颅内肿瘤出血、蛋白减少、胸腔积液、乏力,心包积液、新型冠状病毒感染等。结论 阿来替尼常见ADR与药品说明书基本一致,但要警惕药品说明书中未提及的ADR如红细胞膜病、乏力、胸腔积液等,以保障临床用药安全、有效。
Safety Evaluation of Alectinib Based on the FAERS
Objective To provide a reference for the safe use of alectinib in the clinic.Methods Alectinib-related adverse drug event(ADE)reports from the first quarter of 2014 to the third quarter of 2022 in the Food and Drug Administration Adverse Event Reporting System(FAERS)were retrieved,and the ADE signals were mined by the reported odds ratio(ROR)method and proportional reporting ratio(PRR)method.Results A total of 2 236 effective ADE reports were obtained,with alectinib as the primary suspected drug,with a male-to-female ratio of approximately 1∶1.27.A total of 118 ADE signals of alectinib were obtained,with the most commonly reported adverse drug reactions(ADRs)being death,fatigue,constipation,rash,etc.The ADRs with high correlation mainly included the presence of acanthocyte,spike cell anemia,hemolysis,central nervous system metastasis,intracranial tumor bleeding,etc.ADR not listed in the drug instructions included the presence of acanthocyte,spike cell anemia,intracranial tumor hemorrhage,protein reduction,pleural effusion,fatigue,pericardial effusion,COVID-19 infection,etc.Conclusion The common ADRs of alectinib are basically consistent with the drug instructions,but attention should be paid to ADRs not listed in the drug instructions,such as red blood cell membrane disease,fatigue,pleural effusion,etc,to ensure the safety and effectiveness of medication in the clinic.

alectinibFAERSadverse drug reactionspharmacovigilancedata mining

司倩、高钟丽、李文杰、陈楠、葛春丽、杨庆宇

展开 >

河南中医药大学第五临床医学院·河南省郑州市人民医院,河南 郑州 450099

阿来替尼 美国食品和药物管理局不良事件报告系统 药品不良反应 药物警戒 数据挖掘

河南省医学科技攻关计划联合共建项目中国医药教育协会药学服务专业委员会"聚火优才"全国药学服务科研项目

LHGJ20210709CMEAPC2023050

2024

中国药业
重庆市食品药品监督管理局

中国药业

CSTPCD
影响因子:1.369
ISSN:1006-4931
年,卷(期):2024.33(15)