Association between use of febuxostat and muscle injury: A disproportionality analysis and meta‐analysis of randomized controlled trials.
In: British Journal of Clinical Pharmacology, Jg. 89 (2023-03-01), Heft 3, S. 956-966
Online
academicJournal
Zugriff:
Aims: Several reports have suggested an association between febuxostat and muscle injury. The purpose of this study was to determine whether febuxostat increases the risk of muscle injury. This study included an analysis of the US Food and Drug Administration Adverse Event Reporting System (FAERS) database and a systematic review/meta‐analysis of randomized controlled trials. Methods: First, evaluation of the FAERS data included a disproportionality analysis that compared patients with and without rhabdomyolysis according to whether they were receiving febuxostat or allopurinol. Second, a systematic review/meta‐analysis was performed to assess the risk of rhabdomyolysis and muscle injury in patients who used febuxostat or allopurinol. Results: Analysis of the FAERS data revealed disproportionality for increasing rhabdomyolysis in patients who received febuxostat (reporting odds ratio 4.49, 95% confidence interval [CI] 3.72–5.38, P <.01) and allopurinol (reporting odds ratio 2.49, 95% CI 2.25–2.75, P <.01). Nineteen studies were eligible for inclusion in the systematic review/meta‐analysis. Rhabdomyolysis was reported in only 1 study. The risk of any type of muscle damage was not significantly increased with febuxostat compared with placebo (risk ratio 0.92, 95% CI 0.73–1.17, P =.52, I2 = 0%; 8 studies including 2597 participants, high‐certainty evidence) or allopurinol (risk ratio 1.03, 95% CI 0.94–1.11, P =.56, I2 = 0%; 9 studies including 17 644 participants, moderate‐certainty evidence). Conclusion: Febuxostat does not seem to affect the risk of muscle injury. However, the findings of this meta‐analysis indicate a need for further high‐quality observational studies with long‐term follow‐up. [ABSTRACT FROM AUTHOR]
Copyright of British Journal of Clinical Pharmacology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Titel: |
Association between use of febuxostat and muscle injury: A disproportionality analysis and meta‐analysis of randomized controlled trials.
|
---|---|
Autor/in / Beteiligte Person: | Mitsuboshi, Satoru ; Kotake, Kazumasa |
Link: | |
Zeitschrift: | British Journal of Clinical Pharmacology, Jg. 89 (2023-03-01), Heft 3, S. 956-966 |
Veröffentlichung: | 2023 |
Medientyp: | academicJournal |
ISSN: | 0306-5251 (print) |
DOI: | 10.1111/bcp.15655 |
Schlagwort: |
|
Sonstiges: |
|