Varicella zoster virus reactivation reported with isatuximab use.

IF 1.9 4区 医学 Q3 INFECTIOUS DISEASES
Journal of Chemotherapy Pub Date : 2024-05-01 Epub Date: 2023-10-06 DOI:10.1080/1120009X.2023.2266201
Michelle Nadeau Nguyen, Graça M Dores, Afrouz Nayernama, S Christopher Jones
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引用次数: 0

Abstract

Isatuximab is a CD38-directed antibody indicated for the treatment of relapsed or refractory multiple myeloma. The Division of Pharmacovigilance at the U.S. Food and Drug Administration (FDA) reviewed case reports from postmarketing sources, including the FDA Adverse Event Reporting System (FAERS), PubMed, and Embase, to investigate a potential association between isatuximab and the risk of varicella zoster virus (VZV) reactivation. We identified 20 reports of which 15 met our case definition and causality criteria. All 15 patients (80% male, median age = 60 years) received isatuximab for a hematologic neoplasm; eight (53%) for previously untreated multiple myeloma. All cases described additional risk factors for VZV reactivation, including concomitant proteasome inhibitor and/or immunomodulatory drug (n = 10, 67%) use. Based on this postmarket analysis, the U.S. Prescribing Information for isatuximab was updated to include this new safety information, including recommendations for antiviral prophylaxis.

使用依沙妥昔单抗后水痘-带状疱疹病毒再激活的报告。
Isatuximab是一种CD38定向抗体,适用于治疗复发或难治性多发性骨髓瘤。美国食品药品监督管理局(FDA)药物警戒司审查了上市后来源的病例报告,包括FDA不良事件报告系统(FAERS)、PubMed和Embase,以调查依沙妥昔单抗与水痘带状疱疹病毒(VZV)再激活风险之间的潜在关联。我们确定了20份报告,其中15份符合我们的病例定义和因果关系标准。所有15名患者(80%为男性,中位年龄=60 年)因血液肿瘤接受依沙妥昔单抗治疗;8例(53%)既往未经治疗的多发性骨髓瘤。所有病例都描述了VZV再激活的额外风险因素,包括伴随的蛋白酶体抑制剂和/或免疫调节药物(n = 10%、67%)使用。根据这一上市后分析,更新了伊萨妥昔单抗的美国处方信息,以包括这一新的安全性信息,包括抗病毒预防的建议。
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
Journal of Chemotherapy
Journal of Chemotherapy 医学-药学
CiteScore
3.70
自引率
0.00%
发文量
144
审稿时长
6-12 weeks
期刊介绍: The Journal of Chemotherapy is an international multidisciplinary journal committed to the rapid publication of high quality, peer-reviewed, original research on all aspects of antimicrobial and antitumor chemotherapy. The Journal publishes original experimental and clinical research articles, state-of-the-art reviews, brief communications and letters on all aspects of chemotherapy, providing coverage of the pathogenesis, diagnosis, treatment, and control of infection, as well as the use of anticancer and immunomodulating drugs. Specific areas of focus include, but are not limited to: · Antibacterial, antiviral, antifungal, antiparasitic, and antiprotozoal agents; · Anticancer classical and targeted chemotherapeutic agents, biological agents, hormonal drugs, immunomodulatory drugs, cell therapy and gene therapy; · Pharmacokinetic and pharmacodynamic properties of antimicrobial and anticancer agents; · The efficacy, safety and toxicology profiles of antimicrobial and anticancer drugs; · Drug interactions in single or combined applications; · Drug resistance to antimicrobial and anticancer drugs; · Research and development of novel antimicrobial and anticancer drugs, including preclinical, translational and clinical research; · Biomarkers of sensitivity and/or resistance for antimicrobial and anticancer drugs; · Pharmacogenetics and pharmacogenomics; · Precision medicine in infectious disease therapy and in cancer therapy; · Pharmacoeconomics of antimicrobial and anticancer therapies and the implications to patients, health services, and the pharmaceutical industry.
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