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基于FAERS数据库的布罗达单抗不良事件分析与挖掘

Analysis and mining of brodalumab adverse events based on FAERS database.

作者信息

Wan Yue, Zhou Yang, Chen Wenjin, Li Huanhuan, Huang Jingjing, Li Jianhong

机构信息

Beijing University of Chinese Medicine, Beijing, 100029, China.

Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 100700, China.

出版信息

Sci Rep. 2025 May 25;15(1):18175. doi: 10.1038/s41598-025-03192-4.

Abstract

The aim of this study is to evaluate the real-world safety of brodalumab by analyzing adverse events (AEs) associated with the drug. The AE reports related to brodalumab from the FAERS database from 2017 Q1 to 2023 Q4 were collected. Subsequently, we employed four disproportionality analysis methods to identify positive signals among AEs associated with brodalumab, including Reporting Odds Ratio (ROR), Proportional Reporting Ratio (PRR), Bayesian Confidence Propagation Neural Network (BCPNN), and Multi-Item Gamma Poisson Shrinker (MGPS). In 1480 AE reports with brodalumab as the primary suspected drug, 168 preferred terms (PTs) exhibiting positive signals were identified. This study confirmed several known positive AEs, such as injection site vesicles and injection site hemorrhage. In addition, the study identified several positive AEs not listed in the drug product information, including palmoplantar pustulosis and extranodal marginal zone b-cell lymphoma (malt type). This study evaluated the real-world safety profile of brodalumab and identified several unexpected AEs, such as palmoplantar pustulosis and extranodal marginal zone b-cell lymphoma (malt type). These findings provide new safety insights for clinicians and may contribute to the safer and more rational use of brodalumab in clinical practice.

摘要

本研究的目的是通过分析与布罗达单抗相关的不良事件(AE)来评估其真实世界中的安全性。收集了2017年第一季度至2023年第四季度来自FAERS数据库的与布罗达单抗相关的AE报告。随后,我们采用了四种不成比例分析方法来识别与布罗达单抗相关的AE中的阳性信号,包括报告比值比(ROR)、比例报告比值比(PRR)、贝叶斯置信传播神经网络(BCPNN)和多项目伽马泊松收缩器(MGPS)。在以布罗达单抗为主要可疑药物的1480份AE报告中,识别出168个显示阳性信号的首选术语(PT)。本研究证实了一些已知的阳性AE,如注射部位水疱和注射部位出血。此外,该研究还识别出了药品说明书中未列出的一些阳性AE,包括掌跖脓疱病和结外边缘区B细胞淋巴瘤(黏膜相关淋巴组织型)。本研究评估了布罗达单抗的真实世界安全性概况,并识别出了一些意外的AE,如掌跖脓疱病和结外边缘区B细胞淋巴瘤(黏膜相关淋巴组织型)。这些发现为临床医生提供了新的安全见解,并可能有助于布罗达单抗在临床实践中更安全、更合理地使用。

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Marginal zone lymphoma: 2023 update on diagnosis and management.边缘区淋巴瘤:2023年诊断与管理更新
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A possible case of brodalumab-induced ichthyosis.一例可能由布罗达单抗诱发的鱼鳞病病例。
J Dtsch Dermatol Ges. 2023 Mar;21(3):288-290. doi: 10.1111/ddg.14976. Epub 2023 Feb 20.

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