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曲妥珠单抗的上市后安全性:基于 FDA 不良事件报告系统的真实世界药物警戒研究。

Post-marketing safety of tralokinumab: a real-world pharmacovigilance study based on the FDA adverse event reporting system.

机构信息

Department of Pharmacy, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China.

出版信息

Expert Opin Drug Saf. 2024 Nov;23(11):1439-1446. doi: 10.1080/14740338.2024.2410434. Epub 2024 Oct 1.

Abstract

BACKGROUND

Tralokinumab is a fully human IgG4 monoclonal antibody targeting IL-13, used for treating atopic dermatitis. This study analyzed tralokinumab-related adverse drug events by mining the Food and Drug Administration Adverse Event Reporting System (FAERS) database to provide a safety reference for clinical application.

METHODS

Adverse drug event reports from Q1 2022 to Q2 2024 were extracted from the FAERS database. After standardizing the data, various signal detection methods were used for analysis, including ROR, PRR, BCPNN, and MGPS.

RESULTS

A total of 1,820 reports of adverse events (AEs) with tralokinumab as the primary suspected drug were identified. 70 preferred terms (PTs) met the criteria across four signal detection methods, involving 11 system organ classes (SOCs). These included known adverse reactions like conjunctivitis and injection site reactions, and signals not previously reported in clinical trials, such as eye pruritus, dry eye, eye swelling, pneumonia pneumococcal, and cutaneous T-cell lymphoma. Most AEs occurred within one month of initiating tralokinumab treatment.

CONCLUSIONS

Based on the FAERS database, this study comprehensively and systematically analyzed AE signals in tralokinumab treatment. The results enhance the understanding of tralokinumab's safety and serve as valuable references for reducing the risk of adverse reactions during clinical use.

摘要

背景

特利鲁单抗是一种针对白细胞介素 13 的全人源 IgG4 单克隆抗体,用于治疗特应性皮炎。本研究通过挖掘美国食品和药物管理局不良事件报告系统(FAERS)数据库分析特利鲁单抗相关不良药物事件,为临床应用提供安全性参考。

方法

从 FAERS 数据库中提取 2022 年第 1 季度至 2024 年第 2 季度与特利鲁单抗相关的不良药物事件报告。在对数据进行标准化后,采用 ROR、PRR、BCPNN 和 MGPS 等多种信号检测方法进行分析。

结果

共确定了 1820 例以特利鲁单抗为主要怀疑药物的不良事件(AE)报告。四种信号检测方法均符合标准的 70 个首选术语(PT),涉及 11 个系统器官类别(SOC)。其中包括结膜炎和注射部位反应等已知不良反应,以及临床试验中未报告的信号,如眼瘙痒、干眼症、眼肿胀、肺炎球菌性肺炎和皮肤 T 细胞淋巴瘤。大多数 AE 在开始特利鲁单抗治疗后一个月内发生。

结论

基于 FAERS 数据库,本研究全面系统地分析了特利鲁单抗治疗中的 AE 信号。结果增强了对特利鲁单抗安全性的理解,为降低临床使用中不良反应的风险提供了有价值的参考。

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