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基于食品和药物管理局不良事件报告系统数据库的瓦伦扎嗪安全性警报信号的挖掘与分析。

Mining and analysis of security alert signals of valbenazine based on the Food and Drug Administration Adverse Event Reporting System database.

机构信息

Mental Health Center of Jiangnan University, Wuxi Central Rehabilitation Hospital, Wuxi, Jiangsu, China.

出版信息

J Psychopharmacol. 2024 Jun;38(6):562-566. doi: 10.1177/02698811241248391. Epub 2024 Apr 20.

Abstract

BACKGROUND

Valbenazine is used for tardive movement disorders in adults. Current studies on its safety are mostly from clinical trials and small case reports, limiting information on rare adverse reactions. This study investigated valbenazine-related adverse event (AE) risk signals using the U.S. Food and Drug Administration Adverse Event Reporting System (FAERS) database.

METHODS

Valbenazine AEs data were collected from the FAERS database from 2017 Q2 to 2023 Q1, employing methods like reporting odds ratio (ROR), proportional reporting ratio (PRR), Bayesian confidence propagation neural network, and empirical Bayesian geometric mean.

RESULTS

After data cleaning and drug screening, there were 20,837 AEs primarily suspecting valbenazine, involving 26 system organ classes and 125 AEs related to valbenazine at the preferred terms level. AEs related to valbenazine were mainly concentrated in nervous system disorders, general disorders and administration site conditions, and psychiatric disorders. Eye disorders and gastrointestinal disorders are new AEs not labeled in the valbenazine instructions. In addition, some new potential AE signals were found, such as Tardive dyskinesia and eyelid function disorder.

CONCLUSION

The common AEs of valbenazine in the real world are consistent with the instructions, but there are some newly discovered suspicious AEs.

摘要

背景

瓦伦扎嗪用于治疗成人迟发性运动障碍。目前关于其安全性的研究大多来自临床试验和小病例报告,限制了对罕见不良反应的信息。本研究使用美国食品和药物管理局不良事件报告系统(FAERS)数据库调查了瓦伦扎嗪相关不良事件(AE)风险信号。

方法

从 FAERS 数据库中收集了 2017 年第 2 季度至 2023 年第 1 季度的瓦伦扎嗪 AE 数据,采用报告比值比(ROR)、比例报告比值(PRR)、贝叶斯置信传播神经网络和经验贝叶斯几何均值等方法。

结果

经过数据清理和药物筛选,共发现 20837 例疑似与瓦伦扎嗪有关的 AE,涉及 26 个系统器官类别和 125 个首选术语水平与瓦伦扎嗪有关的 AE。与瓦伦扎嗪有关的 AE 主要集中在神经系统疾病、一般疾病和给药部位状况以及精神疾病。眼部疾病和胃肠道疾病是瓦伦扎嗪说明书中未标记的新的 AE。此外,还发现了一些新的潜在 AE 信号,如迟发性运动障碍和眼睑功能障碍。

结论

真实世界中瓦伦扎嗪的常见 AE 与说明书一致,但也有一些新发现的可疑 AE。

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