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与抗癌药物相关的口炎的不成比例分析使用日本药物不良事件报告数据库
Kousuke Hosonaka1,2, Kenta Yamaoka1,3, Naoe Ikeda1
1School of Pharmacy, Hyogo Medical University, Kobe, Japan.
Oncology
|January 10, 2024
概括
这项研究使用日本不良药物事件报告数据库确定了41种可能导致癌症患者口腔炎的药物. 细胞循环依赖药物,激酶抑制剂和mTOR抑制剂经常与这种副作用有关.
科学领域:
- 药物监督 药物监督 药物监督
- 在瘤学瘤学.
- 药品安全 药品安全
背景情况:
- 抗癌药物诱导的口腔炎显著影响患者的生活质量和治疗坚持.
- 关于与抗癌药物相关的口腔炎的研究有限,特别是在日本人群中,并按癌症类型分层.
研究的目的:
- 研究不同癌症患者群体中与各种抗癌药物相关的口腔炎的不成比例性.
- 使用日本药物不良事件报告 (JADER) 数据库识别口腔炎的潜在安全信号.
主要方法:
- 在JADER数据库 (2004年4月 - 2023年3月) 中分析自发不良事件报告.
- 专注于有超过10例口腔炎发生的报告.
- 安全信号定义:报告的概率比率的95%置信区间的下限>1.1.
主要成果:
- 分析了6178份与药物相关的口腔炎报告.
- 41种药物被确定为口腔炎的潜在安全信号.
- 相关药物类别包括抗皮里米丁,叶酸代谢对抗剂,化剂,化合物,拓酶抑制剂,微管抑制剂,mTOR抑制剂,激酶抑制剂,抗生素抗体和免疫检查点抑制剂.
结论:
- 细胞循环依赖的药物,表皮生长因子受体-铁氨酸激酶抑制剂和mTOR抑制剂都与口腔炎的发展有关.
- 反生长因子抗体和免疫检查点抑制剂也可能与口腔炎有关.
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