| アブストラクト | BACKGROUND: Palbociclib and abemaciclib are cyclin-dependent kinase (CDK) 4/6 inhibitors currently used to treat breast cancer. Although their therapeutic efficacies are considered comparable, differences in adverse event (AE) profiles of the two drugs remain unclear. AIM: We analysed two real-world databases, the World Health Organization's VigiBase and the Food and Drug Administration Adverse Event Reporting System (FAERS), to identify differences in AE profiles of palbociclib and abemaciclib. METHOD: Data of patients with breast cancer receiving palbociclib or abemaciclib recorded until December 2022 were extracted from the VigiBase and FAERS databases. In total, 200 types of AEs were analysed. The reporting odds ratios were calculated using a disproportionality analysis. RESULTS: Cytopenia was frequently reported in patients receiving palbociclib, whereas interstitial lung disease and diarrhoea were frequently reported in those receiving abemaciclib. Moreover, psychiatric and nervous system disorders were more common in the palbociclib group, whereas renal and urinary disorders were more common in the abemaciclib group. CONCLUSION: This study is the first to show comprehensively the disparities in the AE profiles of palbociclib and abemaciclib. The findings highlight the importance of considering these differences when selecting a suitable CDK4/6 inhibitor to ensure safe and favourable outcomes for patients with breast cancer. |
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| 投稿者 | Takeda, Tatsuaki; Sugimoto, Shiho; Matsumoto, Jun; Iwata, Naohiro; Nakamoto, Akihiko; Ozaki, Aya Fukuma; Hamano, Hirofumi; Ariyoshi, Noritaka; Zamami, Yoshito |
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| 組織名 | Department of Education and Research Center for Clinical Pharmacy, Faculty of;Pharmaceutical Sciences, Okayama University, 2-5-1 Shikata-cho, Kita-ku, Okayama,;700-8558, Japan.;Department of Pharmacy, Okayama University Hospital, 2-5-1 Shikata-cho, Kita-ku,;Okayama, 700-8558, Japan.;Department of Personalized Medicine and Preventive Healthcare Sciences, Faculty;of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1;Shikata-cho, Kita-ku, Okayama, 700-8558, Japan.;700-8558, Japan. matsumotoj@okayama-u.ac.jp.;Okayama, 700-8558, Japan. matsumotoj@okayama-u.ac.jp.;Shikata-cho, Kita-ku, Okayama, 700-8558, Japan. matsumotoj@okayama-u.ac.jp.;Department of Clinical Pharmacy Practice, School of Pharmacy and Pharmaceutical;Sciences, University of California, Irvine, 101 Theory Ste. 100, Irvine, CA,;92697, USA. |
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