与NSAIDs结合的VEGF抑制剂的不良反应:使用JADRE和FAERS进行不成比例分析
Kazuki Saito1, Satoru Nihei2,3, Junichi Asaka2,3
1Department of Pharmacy, Iwate Medical University Hospital, Iwate, Japan; kazuki.saito@j.iwate-med.ac.jp.
In vivo (Athens, Greece)
|April 28, 2025
概括
将血管内皮生长因子 (VEGF) 抑制剂与非类固醇抗炎药物 (NSAID) 结合起来,显著增加了胃肠道穿孔的风险. 这种严重的不良药物反应需要谨慎使用这些药物一起处方.
科学领域:
- 药监和药物安全 药监和药物安全
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
背景情况:
- 同时使用血管内皮生长因子 (VEGF) 抑制剂和非类固醇抗炎药物 (NSAIDs) 在临床实践中很常见.
- 这些药物类别之间的潜在药理学相互作用引发了对增加药物不良反应 (ADRs) 的担忧.
- 有限的研究专门研究了这种药物组合的安全性.
研究的目的:
- 调查与VEGF抑制剂和NSAIDs联合使用相关的药物不良反应 (ADRs) 的风险.
- 为了确定特定的安全信号,并量化这种药物组合的相互作用风险.
主要方法:
- 来自日本药物不良事件报告 (JADER) 和FDA不良事件报告系统 (FAERS) 数据库的ADR报告的不成比例分析.
- 利用并发信号得分和 Ω 收缩度来检测药物组合的安全信号.
- 对与癌症治疗相关的副作用进行后勤回归分析,以评估对相互作用的调整报告几率比率 (aROR).
主要成果:
- 分析包括来自JADER和FAERS数据库的数百万份ADR报告.
- 在两个数据库中都发现了胃肠道穿孔的显著安全信号.
- 后勤回归显示,这种组合增加了胃肠道穿孔风险的协同作用 (aRORs:JADER 1.74,FAERS 1.49).
结论:
- 结合VEGF抑制剂和NSAID与显著增加胃肠道穿孔的风险有关.
- 胃肠道穿孔是一种严重且可能致命的药物不良反应.
- 临床医生在与NSAID同时开处方VEGF抑制剂时应谨慎行事.
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