Exploring the safety profile of tremelimumab: an analysis of the FDA adverse event reporting system

Background Despite the approval of tremelimumab in 2022, there is a lack of pharmacovigilance studies investigating its safety profile in real-world settings using the FDA Adverse Event Reporting System (FAERS) database. Aim This pharmacovigilance study aimed to comprehensively explore the adverse events (AEs) associated with tremelimumab using data mining techniques on the FAERS database. Method The study utilized data from the FAERS database, covering the period from the first quarter of 2004 to the third quarter of 2022. Disproportionality analysis, the Benjamini Hochberg adjustment method and volcano plots were used to identify and evaluate AE signals associated with tremelimumab. Results The study uncovered 233 AE cases associated with tremelimumab. Among these cases, pyrexia (n = 39), biliary tract infection (n = 23), and sepsis (n = 21) were the three main AEs associated with tremelimumab use. The study also investigated the system organ classes associated with tremelimumab-related AEs. The top three classes were gastrointestinal disorders (17.9%), infections and infestations (16.6%), and general disorders and administration site infections (11.2%). Several AEs were identified that were not listed on the drug label of tremelimumab. These AEs included pyrexia, biliary tract infection, sepsis, dyspnea, infusion site infection, hiccup, appendicitis, hypotension, dehydration, localised oedema, presyncope, superficial thrombophlebitis and thrombotic microangiopathy. Conclusion This pharmacovigilance study identified several potential adverse events signals related to tremelimumab including some adverse events not listed on the drug label. However, further basic and clinical research studies are needed to validate these results..

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:46

Enthalten in:

International journal of clinical pharmacy - 46(2024), 2 vom: 20. Jan., Seite 480-487

Sprache:

Englisch

Beteiligte Personen:

Zhao, Yibei [VerfasserIn]
Jiang, Huiming [VerfasserIn]
Xue, Lifen [VerfasserIn]
Zhou, Mi [VerfasserIn]
Zhao, Xiaobing [VerfasserIn]
Liu, Fei [VerfasserIn]
Jiang, SongJiang [VerfasserIn]
Huang, Jing [VerfasserIn]
Meng, Long [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

BKL:

44.40 / Pharmazie / Pharmazeutika

Themen:

Adverse event
CTLA-4
FAERS
Immunotherapy
Pharmacovigilance
Safety profile
Tremelimumab

Anmerkungen:

© The Author(s), under exclusive licence to Springer Nature Switzerland AG 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

doi:

10.1007/s11096-023-01678-7

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

SPR055265456