Butuca Anca, Dobrea Carmen Maximiliana, Arseniu Anca Maria, Frum Adina, Chis Adriana Aurelia, Rus Luca Liviu, Ghibu Steliana, Juncan Anca Maria, Muntean Andrei Catalin, Lazăr Antonina Evelina, Gligor Felicia Gabriela, Morgovan Claudiu, Vonica-Tincu Andreea Loredana
Preclinical Department, Faculty of Medicine, "Lucian Blaga" University of Sibiu, 2A Lucian Blaga St., 550169 Sibiu, Romania.
Department of Pharmacology, Physiology and Pathophysiology, Faculty of Pharmacy, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.
Biomedicines. 2024 May 18;12(5):1124. doi: 10.3390/biomedicines12051124.
Some glucagon-like peptide-1 receptor agonists (GLP-1 RAs), first used in the treatment of type 2 diabetes mellitus (T2DM), have been approved for the treatment of obesity in patients with or without T2DM (liraglutide-LIR, semaglutide-SEM, and tirzepatide-TIR). Social media had an important influence on the off-label use of GLP-1 RAs for obesity, especially for SEM. We analyzed the Google queries related to SEM to assess people's interest in this drug. We also investigated the occurrence of adverse drug reactions (ADRs) by searching the EudraVigilance database (EV) for Individual Case Safety Reports (ICSRs) that reported SEM as the suspected drug and performed a descriptive and a disproportionality analysis. The data obtained for SEM were compared to other GLP-1 RAs. SEM had the highest proportions of searches on Google associated with the term "weight loss" and presented the lowest number of severe ADRs, but it also had the highest number of ICSRs reported in EV. Even though no unexpected safety issues have been reported for it until now, SEM has a hi3gh tendency for overdose reports. The most frequent off-label use was reported for SEM and TIR. In order to lower the risks of ADRs, the off-label use should be reduced and carefully monitored.
一些最初用于治疗2型糖尿病(T2DM)的胰高血糖素样肽-1受体激动剂(GLP-1 RAs)已被批准用于治疗伴有或不伴有T2DM的肥胖患者(利拉鲁肽-LIR、司美格鲁肽-SEM和替尔泊肽-TIR)。社交媒体对GLP-1 RAs用于肥胖的超说明书使用有重要影响,尤其是对司美格鲁肽。我们分析了与司美格鲁肽相关的谷歌搜索查询,以评估人们对这种药物的兴趣。我们还通过在欧洲药品不良反应数据库(EV)中搜索将司美格鲁肽列为可疑药物的个例安全报告(ICSRs)来调查药物不良反应(ADRs)的发生情况,并进行了描述性分析和不成比例性分析。将司美格鲁肽获得的数据与其他GLP-1 RAs进行比较。司美格鲁肽在谷歌上与“减肥”一词相关的搜索比例最高,严重ADRs的数量最少,但在EV中报告的ICSRs数量也最多。尽管到目前为止尚未报告与它相关的意外安全问题,但司美格鲁肽有很高的过量用药报告倾向。司美格鲁肽和替尔泊肽的超说明书使用报告最为频繁。为了降低ADRs风险,应减少超说明书使用并进行仔细监测。