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厦门地区信迪利单抗注射液药品不良反应报告分析

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目的 为临床合理使用信迪利单抗提供参考。方法 收集 2021 年 1 月至 2023 年 12 月厦门市医疗机构上报至国家药品不良反应(ADR)监测系统数据库的信迪利单抗注射液ADR报告,统计患者的基本情况、用药情况、ADR累及系统和临床表现、转归等,应用帕累托图分析ADR发生特点。结果 涉及 186 例患者,其中男 142 例(76。34%),女 44 例(23。66%)。共发生信迪利单抗ADR 210 例次,其中严重ADR 110 例次(52。38%);帕累托图显示,该类ADR主要分布在 50 岁以上年龄段,瘤种主要为肺癌及胃癌,主要来自信迪利单抗联合化疗人群,发生ADR的用药周期跨度大(0~276 d)、第 1 周期(1~21 d)内出现ADR的频率最高(68。10%),ADR主要累及血液系统、消化系统、皮肤系统,多数ADR临床转归为好转或痊愈(80。96%)。结论 信迪利单抗ADR多发生在 50 岁以上男性患者,用药第 1 周期即可出现,可累及多个系统/器官(尤其是血液、消化和皮肤系统),临床应用时需注意早期发现、及时干预。
Adverse Drug Reaction Reports of Sintilimab Injection in Xiamen
Objective To provide a reference for the rational use of sintilimab in clinical practice.Methods The adverse drug reaction(ADR)reports of Sintilimab Injection reported by medical institutions in Xiamen to the National Adverse Drug Reaction Monitoring System from January 2021 to December 2023 were collected,the patients' basic information,medication history,systems and clinical manifestations affected by ADRs and outcomes were obtained,and the characteristics of ADR occurrence were analyzed by the Pareto chart.Results A total of 186 patients were involved,including 142 males(76.34%)and 44 females(23.66%).There were 210 case times of ADRs induced by sintilimab,including 110 case times of serious ADRs(52.38%).Pareto chart showed that the ADRs mainly involved the population over 50 years,the tumors of lung cancer and gastric cancer,and the patients receiving sintilimab combined with chemotherapy;the span of medication cycles involving ADRs was large(0-276 d),and the frequency of ADRs occurring in the first cycle(1-21 d)was the highest(68.10%);the ADRs mainly affected the blood system,digestive system and skin system,and most ADR clinical outcomes were improvement or recovery(80.96%).Conclusion The ADRs induced by sintilimab occur more frequently in male patients over 50 years,they can occur in the first cycle of medication and can affect multiple systems/organs(especially the blood,digestive,skin systems).We need to pay attention to early detection and timely intervention of the ADRs when using sintilimab in clinical practice.

sintilimabadverse drug reactionimmune checkpoint inhibitorPareto chart

苏智阳、卢艳钦、赵敏、曹畅

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福建省厦门市食品药品审评认证与不良反应监测中心,福建 厦门 361000

复旦大学附属中山医院厦门医院,福建 厦门 361015

厦门大学附属第一医院,福建 厦门 361000

信迪利单抗 药品不良反应 免疫检查点抑制剂 帕累托图

福建省自然科学基金

2021J05285

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(20)