| アブストラクト | BACKGROUND: Evidence about remdesivir-associated acute kidney injury (AKI) among patients with novel coronavirus disease 2019 (COVID-19) was controversial. AIM: To investigate the signal of disproportionate reporting of remdesivir-related AKI in COVID-19 patients over time with data from US Food and Drug Administration Adverse Event Reporting System. METHOD: Adverse events in COVID-19 patients reported between April 2020 and September 2022 were included. Reporting odds ratios (RORs) of AKI and renal disorders (a more sensitive definition for AKI) were estimated to compare remdesivir with other medications prescribed in comparable situations of COVID-19. RESULTS: During the entire study period, significant signals were identified for remdesivir-related AKI (ROR 2.00, 95% CI: 1.83-2.18) and renal disorder (ROR 2.35, 95% CI: 2.17-2.54) when compared to all comparable drugs. However, in the third quarter of 2022 (the most recent quarter) signals disappeared as the ROR of AKI was 1.50 (95% CI 0.91-2.45) and ROR of renal disorder was 1.69 (95% CI 1.06-2.70). Number of signals in sensitivity analyses and the proportion of AKI in remdesivir-associated events decreased over time. CONCLUSION: In COVID-19 patients, we observed diminishing signals of remdesivir-associated AKI over time and no significant signal in the most recent quarter, suggesting remdesivir might not be nephrotoxic. |
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| 投稿者 | Li, Xiaotong; Zhou, Liyuan; Gaggl, Martina; Kinlaw, Alan C; Gou, Zhuoyue; Xu, Yang; Wei, Jingkai; Wang, Tiansheng |
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| 組織名 | School of Pharmacy, University of Pittsburgh, Pittsburgh, PA, USA.;Institute for Drug Evaluation, Peking University Health Science Center, Beijing,;China.;Department of Biostatistics, Gillings School of Global Public Health, University;of North Carolina at Chapel Hill, Chapel Hill, NC, USA.;Department of Medicine III, Division of Nephrology and Dialysis, Medical;University of Vienna, Vienna, Austria.;Division of Pharmaceutical Outcomes and Policy, University of North Carolina;School of Pharmacy, Chapel Hill, NC, USA.;Peking University Clinical Research Institute, Peking University First Hospital,;Beijing, China.;Department of Epidemiology and Biostatistics, Arnold School of Public Health,;University of South Carolina, Columbia, SC, USA.;Department of Epidemiology, Gillings School of Global Public Health, University;of North Carolina at Chapel Hill, 2101 McGavran-Greenberg Hall, Campus, Box 7453,;Chapel Hill, NC, 27599, USA. tianwang@unc.edu. |
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