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Signal detection for adverse event of varenicline in Korea Adverse Event Reporting System

의약품부작용보고시스템을 이용한 바레니클린의 이상사례 실마리정보 도출

  • Jang, Min-Gyo (College of Pharmacy, Research Institute of Pharmaceutical Sciences, Kyungpook National University) ;
  • Gu, Hyun-Jin (College of Pharmacy, Research Institute of Pharmaceutical Sciences, Kyungpook National University) ;
  • Kim, Junwoo (Daegu Health College Hospital, Department of Family Medicine) ;
  • Shin, Kwang-Hee (College of Pharmacy, Research Institute of Pharmaceutical Sciences, Kyungpook National University)
  • 장민교 (경북대학교 약학대학, 약학연구소) ;
  • 구현진 (경북대학교 약학대학, 약학연구소) ;
  • 김준우 (대구보건대학교병원 가정의학과) ;
  • 신광희 (경북대학교 약학대학, 약학연구소)
  • Received : 2021.11.27
  • Accepted : 2022.03.03
  • Published : 2022.03.31

Abstract

Objective: The purpose of this study was to detect signals of Adverse Events (AEs) after varenicline treatment using spontaneous AEs reporting system in Korea. Methods: This study was conducted by Korea Institute of Drug Safety and Risk Management-Korea Adverse Event Reporting System Database (KIDS-KD) reported from January 2013 to December 2017 through Korea Adverse Event Reporting System. Signals of varenicline that satisfied the data-mining indices, proportional reporting ratio, reporting odds ratio and information component were defined. The detected signals were checked whether they included in drug labels in South Korea and United States of America (USA). Results: A total number of drug AE reports associated with all drugs in the KIDS-KD reported between January 2013 and December 2017 was 2,665,429. Among them, the number of AE reports associated with varenicline was 1,398. Eighteen meaningful signals of varenicline were detected that satisfied with the criteria of data-mining indices. Finally, two signals such as hypotonia, incorrected dose administered were not included in the drug labels. Conclusion: New AE signals of varenicline that were not listed on the drug labels in South Korea and USA were detected. However, further pharmacoepidemiological studies such as randomized controlled trial are needed to evaluate the causality of the signals of varenicline.

Keywords

Acknowledgement

본 연구는 한국연구재단 이공학개인기초기본연구 지원 사업의 지원을 수행되었다(NRF-2018R1D1A1B07050267). 본 논문은 교육부 및 한국연구재단의 4단계 두뇌한국21 사업(4단계 BK21 사업)으로 지원된 연구이다(5199990614732).

References

  1. Samet JM. Tobacco smoking: the leading cause of preventable disease worldwide. Thorac Surg Clin 2013;23(2):103-12. https://doi.org/10.1016/j.thorsurg.2013.01.009
  2. Reitsma MB, Fullman N, Ng M, et al. Smoking prevalence and attributable disease burden in 195 countries and territories, 1990-2015: a systematic analysis from the Global Burden of Disease Study 2015. Lancet 2017;389(10082):1885-906. https://doi.org/10.1016/S0140-6736(17)30819-X
  3. Stanaway JD, Afshin A, Gakidou E, et al. Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 2018;392(10159): 1923-94. https://doi.org/10.1016/S0140-6736(18)32225-6
  4. Hughes JR, Keely J, Naud S. Shape of the relapse curve and long-term abstinence among untreated smokers. Addiction 2004;99(1):29-38. https://doi.org/10.1111/j.1360-0443.2004.00540.x
  5. Lee CM. Pharmacotherapy to Quit: Beyond the Guidelines. J Korean Soc Res Nicotine Tob 2015;6(1):10-7. https://doi.org/10.25055/JKSRNT.2015.6.1.10
  6. Hughes JR, Peters EN, Naud S. Relapse to smoking after 1 year of abstinence: a meta-analysis. Addict Behav 2008;33(12):1516-20. https://doi.org/10.1016/j.addbeh.2008.05.012
  7. Linxiang T, Quansheng T, Wei H. Nicotine dependence and smoking cessation. Zhong Nan Da Xue Xue Bao Yi Xue Ban 2009;34(11):1049-57.
  8. Fiore MC, Jaen CR, Baker TB, et al. Treating tobacco use and dependence: 2008 update US public health service clinical practice guideline executive summary. Respir Care 2008;53(9):1217-22.
  9. Garcia-Gomez L, Hernandez-Perez A, Noe-Diaz V, Riesco-Miranda JA, Jimenez-Ruiz C. Smoking cessation treatments: current psychological and pharmacological options. Rev Invest Clin 2019;71(1):7-16.
  10. Choi MK, Paek YJ. Updated information on smoking cessation management. J Korean Med Assoc 2016;59(11):872-80. https://doi.org/10.5124/jkma.2016.59.11.872
  11. Jimenez-Ruiz C, Berlin I, Hering T. Varenicline: a novel pharmacotherapy for smoking cessation. Drugs 2009;69(10):1319-38. https://doi.org/10.2165/00003495-200969100-00003
  12. Ministry of Food and Drug Saftey. Searching for information such as medicines. Available from https://nedrug.mfds.go.kr/searchDrug?sort=ITEM_PERMIT_DATE&sortOrder=false&searchYn=&ExcelRowdata=&page=1&searchDivision=detail&itemName=&entpName=&ingrName1=%EB%B0%94%EB%A0%88%EB%8B%88%ED%81%B4%EB%A6%B0&ingrName2=&ingrName3=&itemSeq=&stdrCodeName=&atcCodeName=&indutyClassCode=&sClassNo=&narcoticKindCode=&cancelCode=&etcOtcCode=&makeMaterialGb=&searchConEe=AND&eeDocData=&searchConUd=AND&udDocData=&searchConNb=AND&nbDocData=&startPermitDate=&endPermitDate=. Accessed February 16, 2022.
  13. Rouve N, Bagheri H, Telmon N, et al. Prescribed drugs and violence: a case/noncase study in the French PharmacoVigilance Database. Eur J Clin Pharmacol 2011;67(11):1189-98. https://doi.org/10.1007/s00228-011-1067-7
  14. Motooka Y, Matsui T, Slaton RM, et al. Adverse events of smoking cessation treatments (nicotine replacement therapy and non-nicotine prescription medication) and electronic cigarettes in the Food and Drug Administration Adverse Event Reporting System, 2004-2016. SAGE Open Med 2018;6:1-11.
  15. Moore TJ, Glenmullen J, Furberg CD. Prescription drugs associated with reports of violence towards others. PloS one 2010;5(12):e15337. https://doi.org/10.1371/journal.pone.0015337
  16. Moore TJ, Glenmullen J, Furberg CD. Thoughts and acts of aggression/violence toward others reported in association with varenicline. Ann Pharmacother 2010;44(9):1389-94. https://doi.org/10.1345/aph.1P172
  17. Choi NK, Park BJ. Adverse drug reaction surveillance system in Korea. J Prev Med Public Health 2007;40(4):278-84. https://doi.org/10.3961/jpmph.2007.40.4.278
  18. Park HH, Kim JH, Yoon D, Lee H, Shin JY. Gender differences in the adverse events associated with cardiovascular drugs in a spontaneous reporting system in South Korea. Int J Clin Pharm 2021;43(4):1036-44. https://doi.org/10.1007/s11096-020-01212-z
  19. Lim K-H, Shin H-T, Sohn H-S, et al. Comparison of WHO-ART versus MedDRA, internationally standardized terminology of adverse drug reaction classification. Korean J Clin Pharm 2007;17(1):46-51.
  20. Kim M-S, You S-H, Park HM, et al. Patterns of spontaneous adverse events reporting on human papillomavirus vaccines according to the applicability of Brighton Collaboration Criteria in Korea from 2008 to 2017. Korean J Clin Pharm 2020;30(1):19-30. https://doi.org/10.24304/kjcp.2020.30.1.19
  21. Oh S, Geum MJ, Kim JS, Son ES, Yu YM. Efficacy and safety of antipsychotics for delirium treatment in cancer patients receiving palliative care. Korean J Clin Pharm 2020;30(2):92-101. https://doi.org/10.24304/kjcp.2020.30.2.92
  22. Chae GH, Cho GW, Nagata R, Park JS, Hong CH, Kang JS. A study on improving Korea's regulatory System for pharmaceutical safety mangement. YakHak Hoeji 2013;57(3):173-86.
  23. Ministry of Food and Drug Saftey. Search for product information. Available from https://nedrug.mfds.go.kr/pbp/CCBBB01/getItemSearch?sMainIngr1=%EB%B0%94%EB%A0%88%EB%8B%88%ED%81%B4%EB%A6%B0. Accessed November 22, 2021.
  24. Food and Drug Administration. FDA label search. Available from https://www.accessdata.fda.gov/spl/data/116f3482-f4fd-4474-bea9-b2b3c476a28a/116f3482-f4fd-4474-bea9-b2b3c476a28a.xml#LINK_e0c8d743-7974-4dda-aae1-7967cadfdf18. Accessed November 22, 2021.
  25. Kim S, Park K, Kim MS, Yang BR, Choi HJ, Park BJ. Data-mining for detecting signals of adverse drug reactions of fluoxetine using the Korea Adverse Event Reporting System (KAERS) database. Psychiatry Res 2017;256:237-42. https://doi.org/10.1016/j.psychres.2017.06.038
  26. Lee MW, Lee JS, Han OY, et al. Study for Association between Adverse Drug Reactions and Causative Drugs in the Elderly Using Data-mining Analysis. Korean J Clin Pharm 2014;24(1):39-44.
  27. Seo DE, Kim S, Park BJ. Signals of adverse drug reactions of paliperidone compared to other atypical antipsychotics using the Korean Adverse Event Reporting System Database. Clin Drug Investig 2020;40(9):873-81. https://doi.org/10.1007/s40261-020-00945-z
  28. Ha D, Lee SE, Song I, Lim SJ, Shin JY. Comparison of signal detection of tumour necrosis factor-α inhibitors using the Korea Adverse Events Reporting System Database, 2005-2016. Clin Rheumatol 2020;39(2):347-55. https://doi.org/10.1007/s10067-019-04802-z
  29. Lummis SCR, Thompson AJ, Bencherif M, Lester HA. Varenicline is a potent agonist of the human 5-hydroxytryptamine3 receptor. J Pharmacol Exp Ther 2011;339(1):125-31. https://doi.org/10.1124/jpet.111.185306
  30. Thompson AJ, Lummis SC. 5-HT3 receptors. Curr Pharm Des 2006;12(28):3615-30. https://doi.org/10.2174/138161206778522029
  31. Price KL, Lillestol RK, Ulens C, Lummis SC. Varenicline interactions at the 5-HT3 receptor ligand binding site are revealed by 5-HTBP. ACS Chem Neurosci 2015;6(7):1151-7. https://doi.org/10.1021/cn500369h
  32. Faessel HM, Obach RS, Rollema H, Ravva P, Williams KE, Burstein AH. A review of the clinical pharmacokinetics and pharmacodynamics of varenicline for smoking cessation. Clin Pharmacokinet 2010;49(12):799-816. https://doi.org/10.2165/11537850-000000000-00000
  33. Tonstad S, Arons C, Rollema H, et al. Varenicline: mode of action, efficacy, safety and accumulated experience salient for clinical populations. Curr Med Res Opin 2020;36(5):713-30. https://doi.org/10.1080/03007995.2020.1729708
  34. Kuehn BM. Studies linking smoking-cessation drug with suicide risk spark concerns. JAMA 2009;301(10):1007-8. https://doi.org/10.1001/jama.2009.293
  35. Moore TJ, Furberg CD, Glenmullen J, Maltsberger JT, Singh S. Suicidal behavior and depression in smoking cessation treatments. PLoS One 2011;6(11):e27016. https://doi.org/10.1371/journal.pone.0027016
  36. Anthenelli RM, Benowitz NL, West R, et al. Neuropsychiatric safety and efficacy of varenicline, bupropion, and nicotine patch in smokers with and without psychiatric disorders (EAGLES): a double-blind, randomised, placebo-controlled clinical trial. Lancet 2016;387(10037):2507-20. https://doi.org/10.1016/S0140-6736(16)30272-0
  37. Evins AE, Benowitz NL, West R, et al. Neuropsychiatric safety and efficacy of varenicline, bupropion, and nicotine patch in smokers with psychotic, anxiety, and mood disorders in the EAGLES Trial. J Clin Psychopharmacol 2019;39(2):108-16. https://doi.org/10.1097/JCP.0000000000001015
  38. Foulds J. The neurobiological basis for partial agonist treatment of nicotine dependence: varenicline. Int J Clin Pract 2006;60(5):571-6. https://doi.org/10.1111/j.1368-5031.2006.00955.x
  39. Uca AU, Kozak HH, Uguz F. Varenicline-induced acute dystonic reaction: a case report. Gen Hosp Psychiatry 2014;36(3):361.e1-2. https://doi.org/10.1016/j.genhosppsych.2014.01.007
  40. Abou-Zeid E, Rudnicki SA, Keyrouz SG. Lambert-Eaton myasthenic syndrome following varenicline (Chantix) use. Muscle Nerve 2009;40(3):486-7. https://doi.org/10.1002/mus.21356