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评估曲罗芦单抗治疗特应性皮炎的真实世界安全性:来自对FAERS数据全面分析的见解

Assessing the real-world safety of tralokinumab for atopic dermatitis: insights from a comprehensive analysis of FAERS data.

作者信息

Zhao Kaidi, Zhao Yang, Xiao Shengxiang, Tu Chen

机构信息

Department of Dermatology, Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.

National & Local Joint Engineering Research Center of Biodiagnosis and Biotherapy, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.

出版信息

Front Pharmacol. 2024 Aug 13;15:1458438. doi: 10.3389/fphar.2024.1458438. eCollection 2024.

Abstract

BACKGROUND

Tralokinumab, a humanized monoclonal antibody targeting interleukin-13, has been primarily used for the treatment of moderate-to-severe atopic dermatitis. Given its extensive use in clinical practice, understanding its safety profile in the real-world setting is crucial.

METHODS

This study utilized disproportionality analysis to evaluate the safety of tralokinumab in clinical practice by analyzing all adverse event reports since 2021 in the FDA Adverse Event Reporting System database that identified tralokinumab as the primary suspected drug. Reporting odds ratio, proportional reporting ratio, multi-item gamma Poisson shrinker, and Bayesian confidence propagation neural network were used for disproportionality analyses of adverse events related to tralokinumab. Additionally, the Weibull distribution was employed to model the risk of adverse events over time.

RESULTS

Adverse reactions documented on the drug label, such as injection site reactions, conjunctivitis, and upper respiratory infections, displayed positive signals. Additionally, potential adverse reactions not mentioned on the label were also identified, including dizziness, headache, nausea, vomiting, hair loss, and acne. The importance of adverse event monitoring, particularly in the first month after treatment initiation, was emphasized.

CONCLUSION

This study has provided preliminary safety data on the real-world application of tralokinumab, confirming some known adverse reactions and revealing additional potential risks. The findings offer critical safety information for clinicians prescribing tralokinumab to treat atopic dermatitis.

摘要

背景

曲罗芦单抗是一种靶向白细胞介素-13的人源化单克隆抗体,主要用于治疗中重度特应性皮炎。鉴于其在临床实践中的广泛应用,了解其在实际应用中的安全性至关重要。

方法

本研究采用不成比例分析方法,通过分析自2021年以来美国食品药品监督管理局不良事件报告系统数据库中所有将曲罗芦单抗列为主要可疑药物的不良事件报告,评估曲罗芦单抗在临床实践中的安全性。报告比值比、比例报告比、多项目伽马泊松收缩器和贝叶斯置信传播神经网络用于对与曲罗芦单抗相关的不良事件进行不成比例分析。此外,采用威布尔分布对不良事件随时间的风险进行建模。

结果

药物标签上记录的不良反应,如注射部位反应、结膜炎和上呼吸道感染,显示出阳性信号。此外,还发现了标签上未提及的潜在不良反应,包括头晕、头痛、恶心、呕吐、脱发和痤疮。强调了不良事件监测的重要性,特别是在治疗开始后的第一个月。

结论

本研究提供了曲罗芦单抗实际应用的初步安全性数据,证实了一些已知的不良反应,并揭示了其他潜在风险。这些发现为临床医生开具曲罗芦单抗治疗特应性皮炎提供了关键的安全信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c44a/11347326/06a9b1a88b6a/fphar-15-1458438-g001.jpg

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