Clozapine is associated with an increased risk of Hodgkin and non-Hodgkin lymphoma.

IF 2.2 4区 医学 Q3 HEMATOLOGY
Leukemia & Lymphoma Pub Date : 2025-06-01 Epub Date: 2025-02-12 DOI:10.1080/10428194.2025.2461663
Connor Frey, Mahyar Etminan
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引用次数: 0

Abstract

Clozapine is a cornerstone treatment for schizophrenia, though long-term use has been associated with significant adverse effects, including hematologic risks. This study analyzed FDA Adverse Event Reporting System (FAERS) data from 2003 to 2024 to assess the potential link between clozapine and lymphoma. Disproportionality analyses revealed elevated reporting odds ratios (RORs) for clozapine: Hodgkin lymphoma (HL) (3.76; 95% CI: 2.84-4.97) and non-Hodgkin lymphoma (NHL) (3.62; 95% CI: 2.88-4.54), while other antipsychotics showed no significant associations. Although causality cannot be established, the results underscore the need for targeted research into clozapine-associated risks and improved monitoring strategies to protect patients reliant on this medication. Further studies are essential to refine safety protocols and understand population-specific risks.

氯氮平与霍奇金淋巴瘤和非霍奇金淋巴瘤的风险增加有关。
氯氮平是治疗精神分裂症的基础药物,但长期使用会产生严重的不良反应,包括血液病风险。本研究分析了2003年至2024年FDA不良事件报告系统(FAERS)的数据,以评估氯氮平与淋巴瘤之间的潜在联系。歧化分析显示氯氮平报告的优势比(RORs)升高:霍奇金淋巴瘤(HL) (3.76;95% CI: 2.84-4.97)和非霍奇金淋巴瘤(NHL) (3.62;95% CI: 2.88-4.54),而其他抗精神病药物无显著相关性。虽然不能确定因果关系,但结果强调需要对氯氮平相关风险进行有针对性的研究,并改进监测策略,以保护依赖这种药物的患者。进一步的研究对于完善安全协议和了解特定人群的风险至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Leukemia & Lymphoma
Leukemia & Lymphoma 医学-血液学
CiteScore
4.10
自引率
3.80%
发文量
384
审稿时长
1.8 months
期刊介绍: Leukemia & Lymphoma in its fourth decade continues to provide an international forum for publication of high quality clinical, translational, and basic science research, and original observations relating to all aspects of hematological malignancies. The scope ranges from clinical and clinico-pathological investigations to fundamental research in disease biology, mechanisms of action of novel agents, development of combination chemotherapy, pharmacology and pharmacogenomics as well as ethics and epidemiology. Submissions of unique clinical observations or confirmatory studies are considered and published as Letters to the Editor
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