Comparison of product label vs real-world safety data from branded icosapent ethyl users: A select analysis utilizing MarketScan data.

IF 3.6 3区 医学 Q2 PHARMACOLOGY & PHARMACY
John R Nelson, Richard A Hansen, Handrean Soran, Nilima Justice, Om P Ganda, David Abrahamson, Kaveh Hosseini, Hakima Hannachi, Sephy Philip
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引用次数: 0

Abstract

Background: The REDUCE-IT trial demonstrated significant reductions in cardiovascular events with icosapent ethyl (IPE) treatment among patients with elevated triglyceride levels; however, patients on IPE experienced slightly more atrial fibrillation/flutter, bleeding, constipation, and peripheral edema events compared with patients receiving placebo. The real-world frequency of these events outside of trials and spontaneous post-marketing reports is unknown.

Sources of material: The frequency of the events of interest with IPE was compared across the REDUCE-IT trial, product labels, and real-world evidence (RWE) estimates derived using the MarketScan Commercial Claims database. New IPE users were followed up to 4 years; events were identified from ICD-10 codes. Cumulative incidence of each event was compared across data sources.

Abstract of findings: RWE estimates exhibited similar trends to the trial-based estimates; however, the RWE estimates consistently were one-third to one-fifth of the cumulative incidences reported in the REDUCE-IT trial or product label.

Conclusion: IPE may be well tolerated in real-world settings.

比较产品标签与现实世界的安全数据,从品牌乙基苯乙酯用户:选择分析利用市场扫描数据。
背景:REDUCE-IT试验表明,在甘油三酯水平升高的患者中,使用IPE治疗可显著降低心血管事件;然而,与接受安慰剂的患者相比,IPE组患者的心房颤动/扑动、出血、便秘和外周水肿事件发生率略高。这些事件在临床试验和自发上市后报告之外的真实频率是未知的。材料来源:通过REDUCE-IT试验、产品标签和使用MarketScan商业索赔数据库得出的真实世界证据(RWE)估计,比较IPE感兴趣事件的频率。新的IPE使用者随访4年;从ICD-10代码中识别事件。每个事件的累积发生率在不同数据源之间进行比较。研究结果摘要:RWE估计与基于试验的估计显示出相似的趋势;然而,RWE的估计始终是REDUCE-IT试验或产品标签中报告的累积发病率的三分之一到五分之一。结论:IPE在现实环境中可能具有良好的耐受性。
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
CiteScore
7.00
自引率
6.80%
发文量
209
审稿时长
49 days
期刊介绍: Because the scope of clinical lipidology is broad, the topics addressed by the Journal are equally diverse. Typical articles explore lipidology as it is practiced in the treatment setting, recent developments in pharmacological research, reports of treatment and trials, case studies, the impact of lifestyle modification, and similar academic material of interest to the practitioner. Sections of Journal of clinical lipidology will address pioneering studies and the clinicians who conduct them, case studies, ethical standards and conduct, professional guidance such as ATP and NCEP, editorial commentary, letters from readers, National Lipid Association (NLA) news and upcoming event information, as well as abstracts from the NLA annual scientific sessions and the scientific forums held by its chapters, when appropriate.
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