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31 results for “Global safety”
A Global Study to Assess the Drug Dynamics, Efficacy, and Safety of Venglustat (GZ/SAR402671) in Parkinson's Disease Patients Carrying a Glucocerebrosidase (GBA) Gene Mutation
ClinicalTrials.gov study NCT02906020. IPD Sharing: YES. Countries: 16. Publications: 3.
Global Study to Assess the Safety and Effectiveness of Edoxaban (DU-176b) vs Standard Practice of Dosing With Warfarin in Patients With Atrial Fibrillation
ClinicalTrials.gov study NCT00781391. IPD Sharing: YES. Countries: 46. Publications: 35.
LOGiC - Lapatinib Optimization Study in ErbB2 (HER2) Positive Gastric Cancer: A Phase III Global, Blinded Study Designed to Evaluate Clinical Endpoints and Safety of Chemotherapy Plus Lapatinib
ClinicalTrials.gov study NCT00680901. IPD Sharing: YES. Countries: 23. Publications: 2.
A Global Study of the Efficacy and Safety of Midostaurin + Chemotherapy in Newly Diagnosed Patients With FLT3 Mutation Negative (FLT3-MN) Acute Myeloid Leukemia (AML)
ClinicalTrials.gov study NCT03512197. IPD Sharing: YES. Countries: 20. Publications: 0.
Global Safety and Efficacy Registration Study of Crinecerfont in Pediatric Participants With Classic Congenital Adrenal Hyperplasia (CAHtalyst Pediatric Study)
ClinicalTrials.gov study NCT04806451. IPD Sharing: NO. Countries: 10. Publications: 1.
A Global Phase 3 Safety Study of 120 mcg rLP2086 Vaccine in Adolescents and Young Adults Aged 10 to 25 Years
ClinicalTrials.gov study NCT01352793. IPD Sharing: Not stated. Countries: 12. Publications: 1.
Global Safety and Efficacy Registration Study of Crinecerfont for Congenital Adrenal Hyperplasia
ClinicalTrials.gov study NCT04490915. IPD Sharing: NO. Countries: 18. Publications: 1.
Global Linerixibat Itch Study of Efficacy and Safety in Primary Biliary Cholangitis (PBC) (GLISTEN)
ClinicalTrials.gov study NCT04950127. IPD Sharing: YES. Countries: 19. Publications: 2.
CR845-CLIN3103: A Global Study to Evaluate the Safety and Efficacy of CR845 in Hemodialysis Patients With Moderate-to-Severe Pruritus
ClinicalTrials.gov study NCT03636269. IPD Sharing: NO. Countries: 11. Publications: 5.
The VITAL Amyloidosis Study, a Global Phase 3, Efficacy and Safety Study of NEOD001 in Patients With AL Amyloidosis
ClinicalTrials.gov study NCT02312206. IPD Sharing: Not stated. Countries: 15. Publications: 1.
A Global Phase 3 Study to Evaluate the Safety and Efficacy of Elagolix in Subjects With Moderate to Severe Endometriosis-Associated Pain
ClinicalTrials.gov study NCT01931670. IPD Sharing: UNDECIDED. Countries: 0. Publications: 15.
TYGRIS - ROW: TYSABRI Global Observational Program in Safety - Rest of World
ClinicalTrials.gov study NCT00483847. IPD Sharing: Not stated. Countries: 1. Publications: 1.
A Global, Postmarketing Observational Safety Study to Evaluate the Safety and Tolerability of Fycompa (Perampanel) as Add-on Therapy in Epilepsy Patients Aged Greater Than or Equal to 12 Years
ClinicalTrials.gov study NCT02033902. IPD Sharing: Not stated. Countries: 6. Publications: 2.
TYSABRI Global Observational Program in Safety
ClinicalTrials.gov study NCT00477113. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Global Patient Registry to Monitor Long-term Safety and Effectiveness of Increlex® in Children and Adolescents With Severe Primary Insulin-like Growth Factor-1 Deficiency (SPIGFD).
ClinicalTrials.gov study NCT00903110. IPD Sharing: Not stated. Countries: 11. Publications: 4.
Safety and Performance of a GLOBAL Mapping and Ablation Device for the Treatment of Atrial Fibrillation (GLOBAL-AF)
ClinicalTrials.gov study NCT02168972. IPD Sharing: Not stated. Countries: 2. Publications: 3.
Global Study to Evaluate the Long-Term Safety and Efficacy of Elagolix in Women With Moderate to Severe Endometriosis-associated Pain
ClinicalTrials.gov study NCT02143713. IPD Sharing: UNDECIDED. Countries: 0. Publications: 6.
A vigiPoint characterisation of female versus male reports in VigiBase, the WHO global database of individual case safety reports
<p><strong>General information</strong></p> <p>This data is supplementary material to the paper by Watson <em>et al</em>. on sex differences in global reporting of adverse drug reactions [1]. Readers are referred to this paper for a detailed description of the context in which the data was generated. Anyone intending to use this data for any purpose should read the publicly available information on the VigiBase source data [2, 3]. The conditions specified in the caveat document [3] must be adhered to.</p> <p><b>Source dataset</b></p> <p>The dataset published here is based on analyses performed in VigiBase, the WHO global database of individual case safety reports [4]. All reports entered into VigiBase from its inception in 1967 up to 2 January 2018 with patient sex coded as either female or male have been included, except suspected duplicate reports [5]. In total, the source dataset contained 9,056,566 female and 6,012,804 male reports.</p> <p><strong>Statistical analysis</strong></p> <p>The characteristics of the female reports were compared to those of the male reports using a method called vigiPoint [6]. This is a method for comparing two or more sets of reports (here female and male reports) on a large set of reporting variables, and highlight any feature in which the sets are different in a statistically and clinically relevant manner. For example, patient age group is a reporting variable, and the different age groups 0 - 27 days, 28 days - 23 months et cetera are features within this variable. The statistical analysis is based on shrinkage log odds ratios computed as a comparison between the two sets of reports for each feature, including all reports without missing information for the variable under consideration. The specific output from vigiPoint is defined precisely below. Here, the results for 18 different variables with a total of 44,486 features are presented. 74 of these features were highlighted as so called vigiPoint key features, suggesting a statistically and clinically significant difference between female and male reports in VigiBase.</p> <p><strong>Description of published dataset</strong></p> <p>The dataset is provided in the form of a MS Excel spreadsheet (.xlsx file) with nine columns and 44,486 rows (excluding the header), each corresponding to a specific feature. Below follows a detailed description of the data included in the different columns.</p> <p><em>Variable</em>: This column indicates the reporting variable to which the specific feature belongs. Six of these variables are described in the original publication by Watson <em>et al</em>.: <em>country of origin</em>, <em>geographical region of origin</em>, <em>type of reporter</em>, <em>patient age group</em>, <em>MedDRA SOC</em>, <em>ATC level 2 of reported drugs</em>, <em>seriousness</em>, and <em>fatality </em>[1]. The remaining 12 are described here:</p> <ul> <li> <em>MedDRA HLGT</em> (high-level group term), <em>MedDRA HLT </em>(high-level term) and <em>MedDRA PT</em> (preferred term) are defined analogously to the <em>MedDRA SOC</em> (system organ class) [1], only at lower levels of the <a href="https://www.meddra.org/">MedDRA </a>(Medical Dictionary for Regulatory Activities) hierarchy. Here, MedDRA version 20.1 has been used.</li> <li> <em>ATC level 3 of reported drugs</em> is defined analogously to the variable <em>ATC level 2 of reported drugs </em>[1], only one step further down in the <a href="https://www.whocc.no/atc/structure_and_principles">ATC</a> (Anatomical Therapeutical Classification) hierarchy.</li> <li>The vigiGrade <i>completeness score</i> is a measure of how complete each report is with respect to certain report fields useful for causality assessment [7]. The completeness score has been dichotomised into two features, 'Above or equal to 0.8' and 'Below 0.8'. The maximum possible score for an individual report is 1.0.</li> <li>The <em>date of VigiBase entry </em>is simply the time when a report was entered into VigiBase. This variable is divided into 14 features that are either individual years or ranges of years.</li> <li> The <em>number of reported drugs</em> is the number of unique drugs that are coded on a report as either suspected, interacting, or concomitant. A drug is here defined as an entry at the preferred base (i.e. substance) level of the WHODRUG terminology. The variable is divided into four features: 'One drug', 'Two drugs', '3-5 drugs', and 'More than 5 drugs'.</li> <li> The <em>number of reported MedDRA PTs</em> is the number of unique MedDRA preferred terms that are coded as events on a report. This variable is divided into four features in exactly the same way as the reported drugs.</li> <li> A <i>reported drug</i> is a drug coded on a report as either suspected, interacting, or concomitant. As above, a drug is defined as an entry at the preferred base (i.e. substance) level of the WHODRUG terminology. This variable has almost 23,000 features, one for each drug that occurs in at least one female or one male report.</li> <li> The <em>type of report</em> indicates the type of individual case report. The vast majority belongs to the feature 'Spontaneous', but there are four other possible features for this variable.</li> </ul> <p>The <em>Variable </em>column can be useful for filtering the data, for example if one is interested in one or a few specific variables.</p> <p><i>Feature: </i>This column contains each of the 44,486 included features. The vast majority should be self-explanatory, or else they have been explained above, or in the original paper [1].</p> <p><em>Female reports</em> and <em>Male reports</em>: These columns show the number of female and male reports, respectively, for which the specific feature is present.</p> <p><em>Proportion among female reports</em> and <em>Proportion among male reports</em>: These columns show the proportions within the female and male reports, respectively, for which the specific feature is present. Comparing these crude proportions is the simplest and most intuitive way to contrast the female and male reports, and a useful complement to the specific vigiPoint output.</p> <p><em>Odds ratio</em>: The odds ratio is a basic measure of association between the classification of reports into female and male reports and a given reporting feature, and hence can be used to compare female and male reports with respect to this feature. It is formally defined as <em>a / (bc / d)</em>, where</p> <ul> <li> <em>a</em> is the number of female reports with the feature</li> <li> <em>b</em> is the number of female reports without the feature (excluding reports where the variable is missing)</li> <li> <em>c</em> is the number of male reports with the feature</li> <li> <i>d</i> is the number of male reports without the feature (excluding reports where the variable is missing).</li> </ul> <p>This crude odds ratio can also be computed as <em>(p<sub>female</sub> / (1-p<sub>female</sub>)) / (p<sub>male</sub> / (1-p<sub>male</sub>))</em>, where <em>p<sub>female</sub></em> and <em>p<sub>male</sub></em> are the proportions described earlier. If the odds ratio is above 1, the feature is more common among the female than the male reports; if below 1, the feature is less common among the female than the male reports. Note that the odds ratio can be mathematically undefined, in which case it is missing in the published data.</p> <p><em>vigiPoint score</em>: This score is defined based on an odds ratio with added statistical shrinkage, defined as (<em>a + k) / ((bc / d) + k)</em>, where <em>k</em> is 1% of the total number of female reports, or about 9,000. While the shrinkage adds robustness to the measure of association, it makes interpretation more difficult, which is why the crude proportions and unshrunk odds ratios are also presented. Further, 99% credibility intervals are computed for the shrinkage odds ratios, and these intervals are transformed onto a log<sub>2</sub> scale [6]. The vigiPoint score is then defined as the lower endpoint of the interval, if that endpoint is above 0; as the higher endpoint of the interval, if that endpoint is below 0; and otherwise as 0. The vigiPoint score is useful for sorting the features from strongest positive to strongest negative associations, and/or to filter the features according to some user-defined criteria.</p> <p><em>vigiPoint key feature</em>: Features are classified as vigiPoint key features if their vigiPoint score is either above 0.5 or below -0.5. The specific thereshold of 0.5 is arbitrary, but chosen to identify features where the two sets of reports (here female and male reports) differ in a clinically significant way.</p> <p><strong>References</strong></p> <ol> <li>Watson S, Caster O, Rochon PA, den Ruijter H. Reported adverse drug reactions in women and men: Aggregated evidence from globally collected individual case reports during half a decade. <em>EClinicalMedicine</em> 2019.</li> <li>Uppsala Monitoring Centre. <a href="https://www.who-umc.org/media/164772/guidelineusingvigibaseinstudies.pdf">Guideline for using VigiBase data in studies</a>.</li> <li>Uppsala Monitoring Centre. <a href="https://www.who-umc.org/media/164610/umc_caveat.pdf">Caveat document: Statement of reservations, limitations, and conditions relating to data released from VigiBase, the WHO global database of individual case safety reports (ICSRs)</a>.</li> <li>Lindquist M. VigiBase, the WHO Global ICSR Database System: Basic Facts. <i>The Drug Information Journal</i> 2008; <b>42</b>(5): 409-19.</li> <li>Norén GN, Orre R, Bate A, Edwards IR. Duplicate detection in adverse drug reaction surveillance. <em>Data Mining and Knowledge Discovery</em> 2007; <strong>14</strong>(3): 305-28.</li> <li>Juhlin K, Star K, Norén GN. A method for data-driven exploration to pinpoint key features in medical data and facilitate expert review. <i>Pharmacoepidemiology and Drug Safety</i> 2017; <b>26</b>(10): 1256-65.</li> <li>Bergvall T, Norén GN, Lindquist M. vigiGrade: A tool to identify well-documented individual case reports and highlight systematic data quality issues. <em>Drug Safety </em>2014; <strong>37</strong>(1): 65-77.</li> </ol>
Global Phase1 Study to Assess the Safety and Tolerability of AZD1208 in Advanced Solid Tumors and Malignant Lymphoma
ClinicalTrials.gov study NCT01588548. IPD Sharing: Not stated. Countries: 2. Publications: 0.
Non-Interventional Post-Marketing Safety Study on the Long-Term Safety of HYQVIA (Global)
ClinicalTrials.gov study NCT02593188. IPD Sharing: YES. Countries: 1. Publications: 0.
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