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- Title
A Pharmacovigilance Study on the Safety of Axicabtagene Ciloleucel Based on Spontaneous Reports from the EudraVigilance Database.
- Authors
Rafaniello, Concetta; Liguori, Valerio; Zinzi, Alessia; Gaio, Mario; Falco, Angela; Di Costanzo, Luigi; Gargano, Francesca; Trimarco, Valentina; Cataldi, Mauro; Capuano, Annalisa
- Abstract
During pre-approval clinical trials, the safety of axi-cel, a second-generation CAR-T-cell therapy directed against CD19, which dramatically improved the prognosis of intractable B-cell lymphomas, has been investigated only in about 400 patients. Therefore, additional information on this issue is urgently needed. In the present paper, we evaluated the 2905 ICSRs with axi-cel as the suspected drug that had been uploaded in the EudraVigilance database from 1 January 2018 to 31 December 2022. About 80% of the reported adverse events were serious, and about 20% of them did not fully resolve or caused death. The adverse events most-frequently reported were Nervous system disorders (25.6%) and, among them, immune-effector-cell-associated neurotoxicity syndrome, followed by Immune system disorders (23.1%), General disorders and administration site conditions (12.0%), Blood and lymphatic system disorders (7.2%), and Infections and infestations (5.8%). Disproportionality analysis showed that the frequency of reported adverse events related to the nervous system was higher with axi-cel than with the other approved CAR-T-cells, except brexu-cel. In conclusion, real-world pharmacovigilance data showed that nervous system and immune system disorders are the adverse events most reported in axi-cel-related ICSRs and suggest that axi-cel could be more neurotoxic than other CAR-T-cells.
- Subjects
DATABASES; LYMPHATICS; CHIMERIC antigen receptors; NERVOUS system; CYTOKINE release syndrome; CUTANEOUS T-cell lymphoma
- Publication
Biomedicines, 2023, Vol 11, Issue 8, p2162
- ISSN
2227-9059
- Publication type
Article
- DOI
10.3390/biomedicines11082162