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Safety profiles of dasatinib in pediatric patients: a real-world pharmacovigilance assessment based on the FAERS
Yuanyuan Yang1, Weihao Ma1, Hongbo Fu1
1Department of Pharmacy of the Second Affiliated Hospital, Shantou University Medical College, No. 69 Dongxia North Road, Jinping District, Shantou 515041, Guangdong, China.
Insights
This study analyzed Food and Drug Administration Adverse Event Reporting System data for pediatric dasatinib use. It identified potential new safety concerns and highlighted the need for enhanced pharmacovigilance in children.
Area of Science:
- Pediatric Oncology
- Pharmacovigilance
- Drug Safety
Background:
- Dasatinib is approved for pediatric Philadelphia chromosome-positive leukemias.
- Comprehensive pediatric safety data for dasatinib are limited.
- This study addresses the need for detailed safety information in young patients.
Purpose of the Study:
- To evaluate adverse events (AEs) in pediatric patients treated with dasatinib.
- To characterize the safety profile of dasatinib in a pediatric population.
- To identify potential new safety concerns using real-world data.
Main Methods:
- Analysis of Food and Drug Administration Adverse Event Reporting System (FAERS) data from Q1 2014 to Q4 2024.
- Disproportionality analysis to identify statistically significant AE reporting patterns.
- Focus on adverse events in pediatric patients receiving dasatinib.
Main Results:
- 382 pediatric cases involving dasatinib were reported.
- Common AEs included general disorders, gastrointestinal issues, and injury-related events.
- Novel AEs like hemorrhagic enterocolitis and hydrocephalus were identified; off-label use was also noted.
Conclusions:
- Enhanced pharmacovigilance and monitoring are crucial for pediatric dasatinib use.
- Proactive safety surveillance can improve clinical outcomes in pediatric patients.
- Findings support the safe use of dasatinib in children with appropriate monitoring.
Objective:
Dasatinib was approved for treating pediatric patients with philadelphia chromosome-positive chronic myeloid leukemia and philadelphia chromosome-positive acute lymphoblastic leukemia. While its efficacy has been proven, comprehensive safety data in pediatric populations remain limited. This study utilizes data from the food and drug administration adverse event reporting system (FAERS) to evaluate and characterize adverse events (AEs) reported in pediatric patients treated with dasatinib.
Methods:
Data from the FAERS between 2014 Q1 and 2024 Q4 were analyzed. Disproportionality analysis was performed to identify AEs reported in pediatric patients treated with dasatinib.
Results:
A total of 382 pediatric cases involving dasatinib were reported. The most frequent system organ classes included general disorders and administration site conditions, injury, poisoning, and procedural complications, and gastrointestinal disorders. Notably, previously unreported AEs such as hemorrhagic enterocolitis, lymphoid tissue hyperplasia, hydrocephalus, and hemorrhagic cystitis were identified, raising potential new safety concerns. Additionally, instances of off-label use were observed, particularly in regions where dasatinib is not recommended for pediatric patients, underscoring the importance of vigilant AEs monitoring to ensure patient safety.
Conclusion:
This study highlights the need for enhanced pharmacovigilance and proactive monitoring in pediatric patients receiving dasatinib to ensure treatment safety and improve clinical outcomes, and provides supporting evidence for the safe use of dasatinib in pediatric populations.
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Pharmacovigilance
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
Drug Dosing: Infants and Children