现实世界药监测研究确定了与乙型肝炎病毒重新激活相关的药物
Jie Wang1, He Jiang1, Guoqi Zhang2
1State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, National Medical Center for Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
乙型肝炎病毒重新激活 (HBVr) 与44种药物有关,其中许多药物没有警告. 抗瘤药和免疫调节剂具有最高的风险,而特定的抗病毒药对预防HBVr的安全性更好.
科学领域:
- 药物监督 药物监督 药物监督
- 肝病学 肝病学是一种肝病学.
- 药品安全 药品安全
背景情况:
- 乙型肝炎病毒 (HBVr) 再激活是一个重要的临床问题.
- 与HBVr相关的药物的全谱仍然不完全理解.
- 识别有风险的药物对于患者安全至关重要.
研究的目的:
- 用大型不良事件数据库识别与HBVr显著相关的药物.
- 分析HBVr事件的特征,包括药物类别和时间.
- 评估抗病毒药物的安全性,以预防HBVr.
主要方法:
- 对FDA不良事件报告系统 (FAERS) 和日本不良药事件报告 (JADER) 数据库的回顾性分析.
- 应用三个不成比例性分析来确定药物事件的关联.
- 检查药品标签上是否存在HBVr警告.
主要成果:
- 确定了44种与HBVr相关的药物;35种缺乏产品标签警告.
- 抗瘤和免疫调节剂经常涉及.
- HBVr 倾向于在使用抗瘤剂和全身皮质类固醇时早期发生.
- 恩特卡维尔,天诺福维尔二氧化和天诺福维尔阿拉芬胺为预防HBVr显示了有利的安全性.
结论:
- 这项研究提高了对HBVr风险因素,涉及的药物和事件时间的理解.
- 这些发现支持对可能触发HBVr.的药物进行更好的风险效益评估.
- 识别出更安全的抗病毒选择可以指导预防策略,优化患者的治疗结果.
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