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对亮丙瑞林相关上市后不良事件的新见解:利用FAERS数据库进行的综合分析。

Novel insights into post-marketing AEs associated with leuprorelin: A comprehensive analysis utilizing the FAERS database.

作者信息

Han Huawei, Bu Xinping, Wang Xinzhe, Chen Shuai, Tian Ningsheng, Jin Jie, Feng Qian, Ma Bo, Teng Jiasong, Li Zhiwei

机构信息

Department of Orthopedics, The Second Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.

Department of Pediatrics, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.

出版信息

Heliyon. 2024 Jul 21;10(15):e34969. doi: 10.1016/j.heliyon.2024.e34969. eCollection 2024 Aug 15.

Abstract

PURPOSE

This research focused on meticulously tracking and identifying adverse reactions associated with leuprorelin, a drug prescribed for conditions such as prostate cancer, endometriosis, uterine fibroids, and early-onset puberty. The main objective was to enhance patient safety and offer informed guidance on the appropriate use of this treatment.

METHODS

From the first quarter of 2004 to the fourth quarter of 2023, a comprehensive analysis was conducted on a significant number of adverse event reports (AERs) from the FDA Adverse Event Reporting System (FAERS) database. Data mining with dismutation analysis was conducted to quantify signals associated with adverse events (AEs) related to leuprorelin, utilizing powerful algorithms such as ROR, PRR, BCPNN, and EBGM.

RESULTS

A total of 102 positive reaction terms (PT) spanning 24 System Organ Classes (SOCs) were identified from an analysis of 60,709 reports associated with leuprorelin use. Notably, several previously unrecognized adverse reactions were uncovered, including Artificial Menopause, Ovarian Adhesion, Follicular Cystitis, Intercepted product preparation error, among others. These findings underscore the importance of exercising additional vigilance regarding the potential adverse effects of leuprorelin, such as Abscess Sterile, Injection site granuloma, Intercepted medication error, and Bulbospinal muscular atrophy congenital.

CONCLUSIONS

This research has successfully uncovered new and unforeseen signals associated with adverse drug reactions (ADRs) following leuprorelin administration. The study provides valuable insights into the intricate connection between ADRs and leuprorelin usage. The results underscore the crucial significance of continuous surveillance and meticulous monitoring to promptly identify and manage AEs, ultimately enhancing patient safety and well-being while undergoing leuprorelin therapy.

摘要

目的

本研究专注于精确追踪和识别与亮丙瑞林相关的不良反应,亮丙瑞林是一种用于治疗前列腺癌、子宫内膜异位症、子宫肌瘤和性早熟等病症的药物。主要目标是提高患者安全性,并为该治疗方法的合理使用提供明智的指导。

方法

从2004年第一季度到2023年第四季度,对美国食品药品监督管理局不良事件报告系统(FAERS)数据库中的大量不良事件报告(AER)进行了全面分析。利用ROR、PRR、BCPNN和EBGM等强大算法,通过变异分析进行数据挖掘,以量化与亮丙瑞林相关的不良事件(AE)信号。

结果

在对60709份与亮丙瑞林使用相关的报告进行分析后,共识别出102个阳性反应术语(PT),涵盖24个系统器官类别(SOC)。值得注意的是,发现了一些先前未被认识到的不良反应,包括人工绝经、卵巢粘连、滤泡性膀胱炎、截留产品制备错误等。这些发现强调了对亮丙瑞林潜在不良反应保持额外警惕的重要性,如无菌性脓肿、注射部位肉芽肿、截留用药错误和先天性延髓脊髓性肌萎缩。

结论

本研究成功发现了与亮丙瑞林给药后药物不良反应(ADR)相关的新的和意外的信号。该研究为ADR与亮丙瑞林使用之间的复杂联系提供了有价值的见解。结果强调了持续监测和细致监控以迅速识别和管理AE的至关重要性,最终在亮丙瑞林治疗期间提高患者的安全性和福祉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f31/11327563/4bd869d5f501/gr1.jpg

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