Department of medical pharmacology and toxicology, Montpellier university hospital, 34295 Montpellier, France.
Department of hematology, Montpellier university hospital, 34295 Montpellier, France.
Therapie. 2019 Jun;74(3):343-346. doi: 10.1016/j.therap.2018.07.004. Epub 2018 Jul 20.
Post-marketing data regarding brentuximab vedotin (BV) are sparse. The aim of this study was to assess the frequency and nature of significant adverse drug reactions (ADRs) in patients treated with BV in a real-world setting. We conducted a systematic retrospective study of patients treated with BV in a French university hospital. Significant ADRs were collected using the electronic patient records. Between January 2009 and December 2016, 39 patients received BV. Median age was 43.2 and 53.8% were males. Overall, 20 patients (51.3%) experienced at least one significant ADR and 24 reactions were reported in total. Twelve (50%) out of 24 ADRs were severe. The most frequently observed significant ADRs were peripheral sensory neuropathy and CMV reactivation. ADRs led to drug discontinuation for 4 patients and dose reduction for 6 patients. Only 29.2% of the events were spontaneously reported. Prospective monitoring is needed to better assess BV safety.
关于 Brentuximab Vedotin(BV)的上市后数据很少。本研究的目的是评估在真实环境中使用 BV 治疗的患者中严重药物不良反应(ADR)的频率和性质。我们对法国一家大学医院使用 BV 治疗的患者进行了系统的回顾性研究。使用电子病历收集了严重 ADR。2009 年 1 月至 2016 年 12 月期间,共 39 例患者接受了 BV 治疗。中位年龄为 43.2 岁,53.8%为男性。总体而言,20 例患者(51.3%)至少发生一次严重 ADR,共报告了 24 次反应。12 次(50%)ADR 为严重。最常观察到的严重 ADR 是周围感觉神经病和 CMV 再激活。ADR 导致 4 例患者停药,6 例患者减少剂量。只有 29.2%的事件是自发报告的。需要进行前瞻性监测以更好地评估 BV 的安全性。