| アブストラクト | Limited data are available on adverse drug reactions (ADRs) of gender-affirming hormone therapy (HT), mainly due to the lack of population-based studies with adequate controls, thus making spontaneous reporting systems a valuable tool to detect potential side reactions. In this nationwide retrospective study, we aimed to analyze ADRs related to gender-affirming HT reported in the French pharmacovigilance database (FPVD). We requested all the individual case safety reports related to gender-affirming HT recorded in the FPVD before May 27, 2020. We excluded previously published cases and those where gender-affirming HT was not the suspected drug. A total of 28 reports of ADRs were identified. Six concerned transgender men (21-40 years) and 22 transgender women (22-68 years). In transgender men taking testosterone enanthate, all reported ADRs were cardiovascular events, with pulmonary embolism in 50% of cases. Median time to onset (TTO) was 34 months. In transgender women, antiandrogens, mainly cyproterone acetate, were involved in 68% of cases, and estrogens in 77% of cases, mostly in association with progestin or cyproterone acetate. Meningiomas were the principal ADRs, followed by cardiovascular events, with a median TTO of 5.3 months. Our data show a previously unreported, non-negligible proportion of cases indicating cardiovascular ADRs in transgender men younger than 40 years. In transgender women, cardiovascular events were the second most frequent ADR. Further research is necessary to identify risk factors that might help to the individualization of treatment strategies. There is a necessity to increase awareness, implement preventive and education measures. |
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| ジャーナル名 | Fundamental & clinical pharmacology |
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| 投稿日 | 2022/6/3 |
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| 投稿者 | Yelehe, Melissa; Klein, Marc; El Aridi, Layal; Maurier, Anais; Gillet, Pierre; Feigerlova, Eva |
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| 組織名 | Department of Clinical Pharmacology and Toxicology, Centre Regional de;Pharmacovigilance de Lorraine, Nancy, France.;Department of Endocrinology, Diabetology and Nutrition, Centre Hospitalier;Universitaire and Medical Faculty, Universite de Lorraine, Nancy, France.;Centre Regional de Pharmacovigilance de Brest, Centre Hospitalier Universitaire;de Brest, Brest, France.;Centre Regional de Pharmacovigilance et d'Information sur le Medicament Centre;Val de Loire, Centre Hospitalier Universitaire de Tours, Tours, France.;CNRS, IMoPA, Universite de Lorraine, Nancy, France.;INSERM UMR_S 1116 - DCAC, Universite de Lorraine, Nancy, France. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/35653182/ |
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