使用FDA不良事件报告系统 (FAERS) 数据库进行实践分析
Lan Luo1, Yue Wang1, Yumei Fu1
1Department of Breast Surgery, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.
British journal of clinical pharmacology
|September 2, 2025
概括
这项研究分析了9533份针对乳腺癌药物的不良反应报告. 它确定了已知的和意想不到的副作用,包括瘤和免疫系统障碍,提供了真实世界的安全洞察力.
科学领域:
- 药物监督和药物安全
- 癌症学
- 临床药理学
背景情况:
- 利博西基布是一种FDA批准的循环素依赖性激酶4/6 (CDK4/ 6) 抑制剂,用于晚期HR+乳腺癌.
- 营销后监测对于了解现实药物安全情况至关重要.
研究的目的:
- 通过数据挖掘评估与 ribociclib 相关的不良事件.
- 通过真实世界的安全数据分析来识别潜在的新和意外的AE信号.
主要方法:
- 使用美国食品和药物管理局不良事件报告系统 (FAERS) 数据库从2017年第一季度到2023年第一季度.
- 使用不成比例分析 (ROR,PRR,BCPNN,EBGM) 来检测AE信号.
- 使用"监管活动医学词典" (MedDRA) 进行分类.
主要成果:
- 在23个器官系统 (SOC) 中分析了9533个ribociclib的AE报告.
- 确定了包括瘤和免疫系统疾病在内的显著的SOC,与瘤发生和血液毒性相关的信号.
- 发现了一些意想不到的副作用,如左心房扩大,,多神经病变,膜过率下降和老年病变.
结论:
- 提供了市场上市后监测的现实安全数据.
- 突出了与里博西基布治疗相关的潜在的新和意想不到的不良事件信号.
相关概念视频
Pharmacovigilance
983
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...
983
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
174
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,...
174
Clinical Trials: Overview
3.4K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
3.4K
Drug Administration and Therapy Phases: Overview
738
Drugs, the chemical agents used in diagnosing, treating, or preventing diseases, undergo a four-phase process of development: pharmaceutic, pharmacokinetics, pharmacodynamics, and therapeutic.
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
738
Relative Risk
340
Relative risk (RR) is a statistical measure commonly used in epidemiology to compare the likelihood of a particular event occurring between two groups. This metric is important for evaluating the relationship between exposure to a specific risk factor and the probability of a particular outcome. It plays a crucial role in medical research, public health studies, and risk assessment. Relative risk quantifies how much more (or less) likely an event is to occur in an exposed group compared to an...
340
Clinical Trials
7.8K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
7.8K


