Adverse Drug Reactions to Cancer Therapies in Patients with Depression: Insights from VigiBase

NCT ID: NCT06801158

Last Updated: 2025-01-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

8804863 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-11-01

Study Completion Date

2025-01-16

Brief Summary

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Importance:

Depression is prevalent among oncology patients and may influence the perception, reporting, and severity of adverse events (AEs) related to cancer therapies. Understanding this association is crucial for optimizing treatment outcomes and improving patient quality of life.

Objective:

To evaluate the association between depression and the reporting and severity of AEs among oncology patients using data from VigiBase®, the World Health Organization's global pharmacovigilance database.

Design:

This pharmacovigilance study employed a case/non-case disproportionality analysis using Individual Case Safety Reports (ICSRs) from 1968 to 2024. Multivariable analyses were conducted to adjust for potential confounders, such as age and sex.

Setting:

The study utilized data from VigiBase®, a global pharmacovigilance database containing reports from over 120 countries.

Participants:

ICSRs involving antineoplastic or immunomodulating agents were included. Depression was identified through antidepressant use, yielding 428,102 reports for patients on antidepressants and 8,376,761 for those not on antidepressants.

Exposure:

Oncology patients receiving antidepressant therapy were compared to those not receiving such treatment.

Main Outcome and Measures:

The primary outcome was the reporting of serious AEs (e.g., hospitalization, life-threatening events). Secondary outcomes included the 20 most frequently reported AEs among oncology patients, with comparisons made between those treated with and without antidepressants.

Detailed Description

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Conditions

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Adverse Effects of Medical Drugs

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

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Patients with an adverse effect of interest (or with a severity criteria of that AE)

use of anticancer drugs in monotherapy or in combination therapy

Intervention Type DRUG

ICSRs involving antineoplastic or immunomodulating agents were included.

Patients without an adverse effect of interest (or without a severity criteria of that AE)

use of anticancer drugs in monotherapy or in combination therapy

Intervention Type DRUG

ICSRs involving antineoplastic or immunomodulating agents were included.

Interventions

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use of anticancer drugs in monotherapy or in combination therapy

ICSRs involving antineoplastic or immunomodulating agents were included.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* ICSRs were limited to those involving liable antineoplastic or immunomodulating agents (per the Anatomical Therapeutic Chemical (ATC) Classification code L; hereafter referred to as antineoplastics)

Exclusion Criteria

* Suspect of duplication
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Caen

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Caen University Hospital

Caen, , France

Site Status

Countries

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France

Other Identifiers

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Pharmacol20241101

Identifier Type: -

Identifier Source: org_study_id

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