与药物相关的甲状腺功能障碍不良事件的不成比例分析和风险因素评估:基于FAERS数据库的研究
Endocrine connections
|July 1, 2025
概括
这项研究发现了新药与甲状腺功能障碍 (TD) 的相关性,特别是与抗瘤剂的相关性. 在高风险治疗期间监测TD不良事件时,现实世界的药物监测至关重要.
科学领域:
- 药物监督 药物监督 药物监督
- 内分泌学 在内分泌学.
- 药品安全 药品安全
背景情况:
- 甲状腺功能障碍 (TD) 是与各种药物相关的常见不良事件 (AE).
- 关于与药物相关的TD AEs的全面真实数据有限.
研究的目的:
- 使用现实世界的数据来识别与药物相关的TD AEs.
- 检测甲状腺功能障碍和甲状腺功能障碍的信号.
- 评估与药物相关的TD AEs的预测因素.
主要方法:
- 使用美国FDA不良事件报告系统 (FAERS) 数据库 (2004-2024).
- 员工报告的概率比率,奇平方测试,邦费罗尼校正,拉索回归和多变量逻辑回归.
- 分析了46,725份TD AEs报告 (18,057例甲状腺功能过高,28,668例甲状腺功能低下).
主要成果:
- 确定了21种用于甲状腺功能增强症的药物和36种用于甲状腺功能低下症的药物,符合单变性标准.
- 抗瘤剂最常与TDAE相关.
- 女性患者患有与药物相关的TDAE的可能性更高.
- 20种药物显著与甲状腺功能障碍相关,34种与甲状腺功能障碍相关.
结论:
- 确定了已知和新药与TD AEs的关联,特别是抗瘤剂.
- 强调在高风险疗法期间进行甲状腺监测的重要性.
- 证明了现实世界药物监督在检测安全信号方面的价值.
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