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奥法木单抗的真实世界安全性:基于美国食品药品监督管理局不良事件报告系统的药物警戒分析。

The real-world safety of Ofatumumab: a pharmacovigilance analysis based on the FDA adverse event reporting system.

作者信息

Zhou Yue, Wu Yutong, Zhao Xiao, Xu Lingxu, Sun Mingguang, Meng Zhaoyou

机构信息

Department of Neurology, Second Affiliated Hospital of Army Medical University, Chongqing, China.

出版信息

Front Immunol. 2025 Jan 23;16:1515730. doi: 10.3389/fimmu.2025.1515730. eCollection 2025.

Abstract

BACKGROUND

Ofatumumab is a humanized monoclonal antibody that targets CD20-positive B cells. It was approved by the FDA in 2020 for the treatment of relapsing multiple sclerosis (RMS) in adult patients, and in 2009 for the treatment of Chronic Lymphocytic Leukemia (CLL). With the escalating clinical application of Ofatumumab, comprehending its safety profile within actual healthcare environments is of considerable importance.

METHODS

This study compiled a dataset derived from the FAERS database, which included real-world safety data on Ofatumumab from Q4 2009 to Q2 2024. We applied four distinct methodologies, including ROR, PRR, MGPS, and BCPNN, to perform a disproportionality analysis of adverse events (AEs) associated with Ofatumumab. Furthermore, we utilized the Weibull distribution model to estimate the temporal risk pattern of AEs.

RESULTS

The investigation incorporated a total of 24,468 case reports pertaining to AEs associated with Ofatumumab. The commonly observed AEs encompass Fatigue, Headache, Chills, Pyrexia, Pain, Nausea, Nasopharyngitis, Vomiting, Urinary tract infection, and Pneumonia. Additionally, we identified potential AEs not specified on the drug label, such as Asthenia, Hypoesthesia, Dizziness, Malaise, Injection site pain, Paresthesia, and Diarrhea.

CONCLUSIONS

This investigation has identified several AEs associated with Ofatumumab and revealed previously unacknowledged potential adverse reaction signals. Healthcare providers can refer to these adverse reaction signals to more comprehensively consider the possible conditions that patients may present with during actual clinical practice.

摘要

背景

奥法妥木单抗是一种靶向CD20阳性B细胞的人源化单克隆抗体。它于2020年被美国食品药品监督管理局(FDA)批准用于治疗成年复发型多发性硬化症(RMS),并于2009年被批准用于治疗慢性淋巴细胞白血病(CLL)。随着奥法妥木单抗临床应用的不断增加,了解其在实际医疗环境中的安全性概况至关重要。

方法

本研究汇编了来自FAERS数据库的数据集,其中包括2009年第四季度至2024年第二季度奥法妥木单抗的真实世界安全性数据。我们应用了四种不同的方法,包括报告比值比(ROR)、比例报告比(PRR)、多基因遗传风险评分(MGPS)和贝叶斯置信传播神经网络(BCPNN),对与奥法妥木单抗相关的不良事件(AE)进行不成比例分析。此外,我们利用威布尔分布模型来估计不良事件的时间风险模式。

结果

该调查共纳入了24468例与奥法妥木单抗相关的不良事件病例报告。常见的不良事件包括疲劳、头痛、寒战、发热、疼痛、恶心、鼻咽炎、呕吐、尿路感染和肺炎。此外,我们还确定了药物标签上未注明的潜在不良事件,如乏力、感觉减退、头晕、不适、注射部位疼痛、感觉异常和腹泻。

结论

本调查确定了几种与奥法妥木单抗相关的不良事件,并揭示了以前未被认识到的潜在不良反应信号。医疗保健提供者可以参考这些不良反应信号,以便在实际临床实践中更全面地考虑患者可能出现的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b567/11798770/45a8471dee40/fimmu-16-1515730-g001.jpg

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