循环素依赖激酶4/6抑制剂相关的肺毒性:基于FAERS数据库的2015年至2023年的不成比例分析
Qian Cheng1, JunSheng Qi1, Shupeng Zou1
1Department of pharmacy, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Expert opinion on drug safety
|February 2, 2025
概括
像abemaciclib和ribociclib这样的循环素依赖性激酶4/6抑制剂 (CDK4/6抑制剂) 与肺毒性有关,包括肺炎和. 这种风险在女性和老年患者中更高.
科学领域:
- 在瘤学瘤学.
- 药物监督 药物监督 药物监督
- 肺部医学 肺部医学
背景情况:
- 循环素依赖性激酶4/6抑制剂 (CDK4/6抑制剂) 在乳腺癌治疗中至关重要.
- 肺毒性是与这些疗法相关的潜在不良事件.
- 了解palbociclib,ribociclib和abemaciclib的特定风险对于患者的安全至关重要.
研究的目的:
- 调查和描述与CDK 4/6抑制剂 (palbociclib, ribociclib,abemaciclib) 相关的肺毒性.
- 在接受这些药物治疗乳腺癌的患者中,确定肺部不良事件的特定模式和危险因素.
主要方法:
- 使用了食品和药物管理局的不良事件报告系统 (FAERS) 数据库.
- 对83,505例报告与CDK 4/6抑制剂相关的不良事件进行了不成比例的分析.
- 分析了临床特征,发病时间,药物组合和并发症.
主要成果:
- 鉴定了437例肺炎,555例肺水腫和181例与CDK 4/6抑制剂相关的肺血栓症.
- 阿贝马西克利布显示了肺炎和肺血栓形成的最强信号;里博西克利布用于肺.
- 在女性和60岁以上的患者中不成比例地观察到肺毒性.
结论:
- 阿贝马西利布和里博西利布表现出不同的肺毒性概况.
- 与肺毒性相关的顺序是abemaciclib,ribociclib和palbociclib. 这三种药物有着相应的作用.
- 肺部不良事件需要在接受CDK 4/6抑制剂的特定患者群体中进行仔细监测.
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