Real-world practice patterns and characteristics of adverse events with selexipag in Korean patients with pulmonary arterial hypertension
- Authors
- Chang, Sung-A; Lee, Sang Hyun; Choi, Jung Hyun; Chung, Wook-Jin; Choi, Jae Young; Kim, Hyung-Kwan; Jung, Hae-Ok; Park, Seong-Mi; Kim, Won-Jang; Jung, Su Young; Chang, Hyuk-Jae
- Issue Date
- Nov-2022
- Publisher
- Taylor & Francis
- Keywords
- Adverse events; prescription pattern; pulmonary arterial hypertension; real-world; selexipag
- Citation
- Expert Opinion on Drug Safety, v.21, no.11, pp 1423 - 1432
- Pages
- 10
- Indexed
- SCIE
SCOPUS
- Journal Title
- Expert Opinion on Drug Safety
- Volume
- 21
- Number
- 11
- Start Page
- 1423
- End Page
- 1432
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/60703
- DOI
- 10.1080/14740338.2022.2069750
- ISSN
- 1474-0338
1744-764X
- Abstract
- Background
Optimizing an individual dose with careful management of adverse events (AEs) is essential in the treatment with selexipag approved for pulmonary arterial hypertension (PAH). This study aims to identify real-world practice patterns and AE characteristics of selexipag.
Research design and methods
This multicenter, longitudinal, observational study included Korean patients with PAH who initiated with selexipag and were followed up to 24 weeks. The dose-titration pattern, AE incidences by dosing and time course, recovery pattern from AEs, and relationship between doses and AE incidences were evaluated.
Results
Data for 113 patients were included in the analysis. The individual maintenance dose ranged between 200 and 3,200 µg/day. More often AEs were occurred in the titration phase than maintenance phase. There was no significant difference in AE incidences according to the distribution of titration and maintenance doses. The four most common AEs were diarrhea, headache, nausea/vomiting, and myalgia without showing a dose-dependent trend in either frequency or severity. The recovery rates were between 65.0% and 76.9% with a median time to recovery of 15–70 days (range, 2–233).
Conclusion
Our finding that AE incidence did not increase with increasing dose of selexipag would provide supportive real-world evidence on the management of optimal dose and safety.
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- Appears in
Collections - 2. Clinical Science > Department of Cardiology > 1. Journal Articles
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