达雷妥尤单抗真实世界安全性:基于 FAERS 数据库的药物警戒研究。
Safety of daratumumab in the real-world: a pharmacovigilance study based on FAERS database.
机构信息
Key Specialty of Clinical Pharmacy, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, Guangdong Province, China.
Laboratory of Clinical Pharmacy, Gifu Pharmaceutical University, Gifu, Japan.
出版信息
Expert Opin Drug Saf. 2024 Jul;23(7):905-916. doi: 10.1080/14740338.2023.2296966. Epub 2023 Dec 26.
BACKGROUND
Daratumumab is widely used in multiple myeloma (MM) and light chain amyloidosis (AL amyloidosis). The purpose of this study was to identify adverse event (AE) signals for daratumumab through the FDA Adverse Event Reporting System (FAERS) database to assess its safety in a large sample of people.
METHODS
Based on data from the FAERS database, three disproportionality analysis methods were used to mine AE signals for daratumumab, including reporting odd ratio (ROR), proportional reporting ratio (PRR), and bayesian configuration promotion neural network (BCPNN).
RESULTS
A total of 9220 AE reports with daratumumab as the primary suspect drug were collected, containing 23,946 AEs. Within these reports, 252 preferred terms (PT) levels, 73 high level term (HLT) levels and 11 system organ class (SOC) levels of AE signals were detected, along with some new AEs. Most AEs occurred within the first month after drug administration.
CONCLUSION
Our findings were consistent with the results of established studies that daratumumab has a good safety profile. The newly identified AEs are of concern and prospective clinical studies are needed to confirm whether they are causally related to daratumumab. This study provided an early warning for the safe use of daratumumab and also provided guidance for further safety studies.
背景
达雷妥尤单抗广泛应用于多发性骨髓瘤(MM)和轻链淀粉样变性(AL 淀粉样变性)。本研究旨在通过 FDA 不良事件报告系统(FAERS)数据库识别达雷妥尤单抗的不良事件(AE)信号,以评估其在大量人群中的安全性。
方法
基于 FAERS 数据库中的数据,使用三种比例失衡分析方法挖掘达雷妥尤单抗的 AE 信号,包括报告比值比(ROR)、比例报告比值(PRR)和贝叶斯结构促进神经网络(BCPNN)。
结果
共收集到 9220 例以达雷妥尤单抗为主要怀疑药物的 AE 报告,包含 23946 例 AE。在这些报告中,检测到 252 个首选术语(PT)水平、73 个高级别术语(HLT)水平和 11 个系统器官类别(SOC)水平的 AE 信号,以及一些新的 AE。大多数 AE 发生在药物给药后第一个月内。
结论
我们的发现与已确立的研究结果一致,即达雷妥尤单抗具有良好的安全性。新识别的 AE 值得关注,需要进行前瞻性临床研究以确认它们是否与达雷妥尤单抗有关。本研究为达雷妥尤单抗的安全使用提供了早期预警,也为进一步的安全性研究提供了指导。