对Evolocumab的不良反应:来自EudraVigilance的真实世界数据的分析
Fabrizio Calapai1, Carmen Mannucci2, Mariaconcetta Currò1
1Department of Clinical and Experimental Medicine, University of Messina, 98125 Messina, Italy.
Pharmaceuticals (Basel, Switzerland)
|March 28, 2024
概括
埃沃洛库马布 (PCSK9抑制剂) 的营销后监测证实了其在高胆固醇患者中的安全性. 由于潜在的心脏不良反应,建议心脏病患者谨慎使用.
科学领域:
- 药理学 药理学是指药理学的学科.
- 心血管医学 心血管医学
- 药品安全监督 药品安全监督
背景情况:
- 埃沃洛库马布是一种PCSK9抑制剂,用于高胆固醇血症.
- 预审批试验确定了其当前的安全概况.
- 市场发布后的数据提供了最新的安全见解.
研究的目的:
- 更新对evolocumab. 的安全知识.
- 分析真实世界关于疑似不良反应 (SARs) 的数据.
- 使用EudraVigilance数据库进行营销后监测.
主要方法:
- 对公共EudraVigilance数据库的分析.
- 仅包括严重的SARS信号.
- 专注于营销后的真实世界数据.
主要成果:
- 常见的SAR包括肌肉骨疾病,类似流感的症状,注射部位反应,皮肤反应和代谢障碍.
- 腹是一种新报告的SAR,在销售前研究中没有发现.
- 心脏不良反应在成年人中比老年人更频繁.
结论:
- 市场营销后的数据表明,evolocumab具有一般安全的特征.
- 在给患有心脏病的高脂血症患者开处方时,建议谨慎使用evolocumab.
- 持续的监测对于了解长期安全至关重要.
相关概念视频
Pharmacovigilance
830
Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
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...
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...
830
Analysis of Population Pharmacokinetic Data
254
Analysis of population pharmacokinetic data involves studying the behavior of drugs within diverse populations to understand their pharmacokinetic parameters. Traditional pharmacokinetic methods typically involve collecting samples from a few individuals and estimating these parameters. While these methods are commonly used, they have limitations in capturing the variability in drug response among individuals or heterogeneous populations. Population pharmacokinetics is employed to address these...
254
Allergic Drug Reactions
839
Allergic reactions related to drugs are hypersensitivity responses driven by the immune system and bear no connection to the drug's therapeutic action. While drugs in isolation do not trigger an immune response, they can interact with endogenous proteins to form antigens. These antigens stimulate lymphocytes to produce antibodies. IgE-type antibodies attach themselves to mast cells. Upon subsequent exposure to the same stimulus, the antigen-antibody interaction is initiated, unleashing...
839
Anticoagulant Drugs: Vitamin K Antagonists and Direct Oral Anticoagulants
1.2K
Oral anticoagulants are vital tools in preventing and treating blood clotting disorders. This diverse class of medications can be categorized as vitamin K antagonists, exemplified by warfarin, and direct thrombin inhibitors (DTIs), such as dabigatran, as well as factor Xa inhibitors, including rivaroxaban.
Warfarin, a prominent vitamin K antagonist family member, exerts its effect by inhibiting the enzyme VKORC1 (vitamin K epoxide reductase complex 1). By hindering this enzyme, warfarin...
Warfarin, a prominent vitamin K antagonist family member, exerts its effect by inhibiting the enzyme VKORC1 (vitamin K epoxide reductase complex 1). By hindering this enzyme, warfarin...
1.2K
Anticoagulant Drugs: Low-Molecular-Weight Heparins
690
Hemostasis is a crucial process that prevents excessive blood loss from damaged blood vessels. It involves various mechanisms such as vasoconstriction, platelet adhesion and activation, and fibrin formation. The importance of each mechanism depends on the type of vessel injury. In contrast, thrombosis is the abnormal formation of a blood clot within the blood vessels, leading to potential complications if the clot obstructs blood flow. Thrombosis can be caused by increased coagulability of the...
690
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
126
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
126


