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阿布昔替尼的上市后安全性问题:对美国食品药品监督管理局不良事件报告系统的真实世界药物警戒分析

Post-marketing safety concerns with abrocitinib: a real-world pharmacovigilance analysis of the FDA adverse event reporting system.

作者信息

Zhu Zhou, Liu Mingjuan, Zhang Hanlin, Zheng Heyi, Li Jun

机构信息

Department of Dermatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.

State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.

出版信息

Expert Opin Drug Saf. 2025 May;24(5):599-606. doi: 10.1080/14740338.2024.2356020. Epub 2024 May 17.

Abstract

BACKGROUND

Abrocitinib was newly approved for treatment of moderate-to-severe atopic dermatitis. The present study was to assess abrocitinib-related adverse events (AEs) using the Food and Drug Administration Adverse Event Reporting System (FAERS).

METHODS

Disproportionality analyses, including the reporting odds ratio (ROR), the proportional reporting ratio (PRR), the Bayesian confidence propagation neural network (BCPNN), and the multi-item gamma Poisson shrinker (MGPS) algorithms, were employed to quantify the signals of abrocitinib-related AEs.

RESULTS

A total of 3,177,744 reports of AEs were collected from the FAERS database, of which 1370 reports were identified with abrocitinib as the primary suspect drug. Abrocitinib-induced adverse events (AEs) occurred across 27 system organ classes (SOCs). A total of 68 preferred terms (PTs) with significant disproportionality, meeting the criteria of all four algorithms simultaneously, were identified. Unexpected significant AEs, such as increased blood cholesterol, venous embolism, hypoacusis, cellulitis, and tuberculosis, might also occur. The median onset time for abrocitinib-associated AEs was 182 days (interquartile range [IQR] 47-527 days).

CONCLUSIONS

The results of this study were consistent with clinical observations. Additionally, unexpected safety signals for abrocitinib were identified, which provided supportive information for the safety profile of abrocitinib. Prospective clinical studies are warranted to validate these findings.

摘要

背景

阿布昔替尼新获批用于治疗中重度特应性皮炎。本研究旨在使用美国食品药品监督管理局不良事件报告系统(FAERS)评估与阿布昔替尼相关的不良事件(AE)。

方法

采用不成比例分析,包括报告比值比(ROR)、比例报告比(PRR)、贝叶斯置信传播神经网络(BCPNN)和多项目伽马泊松收缩器(MGPS)算法,对与阿布昔替尼相关的AE信号进行量化。

结果

从FAERS数据库共收集到3177744例AE报告,其中1370例报告将阿布昔替尼确定为主要怀疑药物。阿布昔替尼引起的不良事件发生在27个系统器官类别(SOC)中。共确定了68个具有显著不成比例性的首选术语(PT),这些术语同时符合所有四种算法的标准。还可能发生意外的显著不良事件,如血胆固醇升高、静脉栓塞、听力减退、蜂窝织炎和结核病。与阿布昔替尼相关的AE的中位发病时间为182天(四分位间距[IQR]47 - 527天)。

结论

本研究结果与临床观察一致。此外,还发现了阿布昔替尼意外的安全信号,为阿布昔替尼的安全性概况提供了支持性信息。有必要进行前瞻性临床研究以验证这些发现。

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