中国药物警戒 ›› 2019, Vol. 16 ›› Issue (10): 614-616.
DOI: 10.19803/j.1672-8629.2019.10.09

• 安全性评价与合理用药 • 上一篇    下一篇

抗肿瘤创新药西达本胺片风险信号分析与思考

王涛, 董铎, 熊玮仪, 田春华, 刘红亮   

  1. 国家药品监督管理局药品评价中心,北京 100022
  • 收稿日期:2019-10-24 修回日期:2019-10-24 出版日期:2019-10-20 发布日期:2019-10-24
  • 作者简介:王涛,男,博士,副研究员,神经药理学、药品不良反应监测与评价。
  • 基金资助:
    国家科技重大专项项目(2017ZX09101001-001-003):药品再评价政策法规及实施策略研究

Risk Signals of Innovative Antineoplastic Drug Chidamide Tablets

WANG Tao, DONG Duo, XIONG Weiyi, TIAN Chunhua, LIU Hongliang   

  1. Center for Drug Reevaluation, NMPA, Beijing 100022, China
  • Received:2019-10-24 Revised:2019-10-24 Online:2019-10-20 Published:2019-10-24

摘要: 目的 分析西达本胺片的安全性风险,为临床合理用药提供参考。方法 采用比例报告比法和贝叶斯判别可信区间递进神经网络模型,对2014年至2018年国家药品不良反应监测数据库中西达本胺片不良反应/不良事件报告进行数据挖掘,同时对我国药品不良反应监测数据库、国内外文献报道情况及国内外风险控制措施等相关资料进行整理与分析。结果 经人工判定及筛选,共得到西达本胺片有价值信号2个,分别为心力衰竭和间质性肺炎。结论 应加强抗肿瘤创新药西达本胺片的临床应用监测,及时完善产品说明书,促进药品的合理使用。

关键词: 西达本胺, 创新药, 心衰, 间质性肺炎, 信号检测

Abstract: Objective To analyze the risk signals of chidamide tablets in China in order to provide reference for clinical rational use of this drug. Methods By using two signal detection methods- PRR and BCPNN, data mining of chidamide tablets was carried out in China adverse drug reaction database between 2014 and 2018. In addition, individual cases of adverse drug reactions documented in China adverse drug reaction database, domestic and foreign literature, and risk management measures in China were analyzed. Results After manual determination and screening, two valuable signals related to chidamide were discovered, namely heart failure and interstitial pneumonia. Conclusion Monitoring of clinical application of chidamide tablets should be enhanced, drug labeling updated without delay and rational application of medicine promoted.

Key words: chidamide, innovative drug, heart failure, interstitial pneumonia, signal detection

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