PMID- 30079005 OWN - NLM STAT- MEDLINE DCOM- 20190307 LR - 20220408 IS - 1598-6357 (Electronic) IS - 1011-8934 (Print) IS - 1011-8934 (Linking) VI - 33 IP - 32 DP - 2018 Aug 6 TI - Safety and Effectiveness of Peramivir in Korean Adult Influenza Patients: Prospective Observational Study Based on Post-Marketing Surveillance Data. PG - e212 LID - 10.3346/jkms.2018.33.e212 [doi] LID - e212 AB - BACKGROUND: The safety and clinical effectiveness data of peramivir in the real clinical field are limited. A prospective observational study was conducted based on the post-marketing surveillance data to evaluate the post-marketing safety and effectiveness of peramivir in Korean adults with seasonal influenza. METHODS: Among adults aged 20 years or older who were diagnosed with influenza A or B, patients who started peramivir within 48 hours from the initial symptoms of influenza were enrolled. All adverse events (AEs) that occurred within 7 days after administration of peramivir were checked. For the evaluation of effectiveness, changes in the severity of influenza symptoms and daily living performance were examined before and 7 days after the administration of peramivir. The date on which influenza related symptoms disappeared was checked. RESULTS: A total of 3,024 patients were enrolled for safety evaluation and 2,939 patients were for effectiveness evaluation. In the safety evaluation, 42 AEs were observed in 35 (1.16%) patients. The most common AE was fever. AEs were mostly rated as mild in severity. Serious AEs were observed in 10 patients and two of them died. However, both deaths were considered to be less relevant to peramivir. In the effectiveness evaluation, the severity of influenza symptoms decreased by 10.68 +/- 4.01 points and daily living performance was improved 5.59 +/- 2.16 points. Influenza related symptoms disappeared on average 3.02 +/- 2.39 days after peramivir administration. CONCLUSION: Peramivir showed a tolerable safety profile and acceptable effectiveness in Korean adult patients with seasonal influenza. FAU - Choi, Won Suk AU - Choi WS AUID- ORCID: 0000-0001-5874-4764 AD - Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. FAU - Ryu, Seong Yeol AU - Ryu SY AUID- ORCID: 0000-0002-6023-8550 AD - Department of Infectious Diseases, Keimyung University Dongsan Medical Center, Daegu, Korea. FAU - Lee, Jacob AU - Lee J AUID- ORCID: 0000-0002-7041-065X AD - Division of Infectious Diseases, Department of Internal Medicine, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. FAU - Hong, Sang-Bum AU - Hong SB AUID- ORCID: 0000-0003-2737-7695 AD - Department of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. FAU - Eom, Joong Sik AU - Eom JS AUID- ORCID: 0000-0003-2744-1159 AD - Division of Infectious Diseases, Department of Internal Medicine, Gachon University College of Medicine, Incheon, Korea. FAU - Shin, Jonghwan AU - Shin J AUID- ORCID: 0000-0002-7121-2137 AD - Department of Emergency Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea. FAU - Park, Ki Ho AU - Park KH AUID- ORCID: 0000-0002-2796-7145 AD - Kim & Park Heart & Digestive Disease Clinic, Siheung, Korea. FAU - Ohk, Taekgeun AU - Ohk T AUID- ORCID: 0000-0003-1005-9893 AD - Department of Emergency Medicine, School of Medicine, Kangwon National University, Chuncheon, Korea. FAU - Chung, Jin-Won AU - Chung JW AUID- ORCID: 0000-0003-4811-6056 AD - Division of Infectious Diseases, Chung-Ang University Hospital, Seoul, Korea. FAU - Chung, Doo Ryeon AU - Chung DR AUID- ORCID: 0000-0001-9267-101X AD - Division of Infectious Diseases, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Kim, Dong Kee AU - Kim DK AUID- ORCID: 0000-0002-1086-0245 AD - Songdo Green Clinic, Incheon, Korea. FAU - Lee, Sang-Rok AU - Lee SR AUID- ORCID: 0000-0003-0657-4657 AD - Cheongju St. Mary's Hospital, Cheongju, Korea. FAU - Kim, Pill Young AU - Kim PY AUID- ORCID: 0000-0002-9305-4301 AD - Kim's Internal Medicine Clinic, Daegu, Korea. FAU - Kim, Shin-Woo AU - Kim SW AUID- ORCID: 0000-0002-3755-8249 AD - Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Korea. FAU - Noh, Ji Yun AU - Noh JY AUID- ORCID: 0000-0001-8541-5704 AD - Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. FAU - Song, Joon Young AU - Song JY AUID- ORCID: 0000-0002-0148-7194 AD - Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. FAU - Cheong, Hee Jin AU - Cheong HJ AUID- ORCID: 0000-0002-2532-1463 AD - Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. FAU - Kim, Woo Joo AU - Kim WJ AUID- ORCID: 0000-0002-4546-3880 AD - Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. LA - eng PT - Journal Article PT - Observational Study DEP - 20180626 PL - Korea (South) TA - J Korean Med Sci JT - Journal of Korean medical science JID - 8703518 RN - 0 (Acids, Carbocyclic) RN - 0 (Antiviral Agents) RN - 0 (Cyclopentanes) RN - 0 (Guanidines) RN - QW7Y7ZR15U (peramivir) SB - IM CIN - J Korean Med Sci. 2018 Jul 25;33(32):e232. PMID: 30079007 MH - Acids, Carbocyclic MH - Adult MH - Aged MH - Aged, 80 and over MH - Antiviral Agents/adverse effects/*therapeutic use MH - Cyclopentanes/adverse effects/*therapeutic use MH - Female MH - Guanidines/adverse effects/*therapeutic use MH - Humans MH - Influenza, Human/*drug therapy MH - Male MH - Marketing MH - Middle Aged MH - Prospective Studies MH - Republic of Korea MH - Young Adult PMC - PMC6070467 OTO - NOTNLM OT - Antiviral OT - Clinical Trial OT - Effectiveness OT - Influenza OT - Peramivir OT - Safety COIS- Disclosure: The sponsor participated in the post-marketing study design, execution, and the data collections. Although the sponsor reviewed the draft, the opinions expressed by the sponsor may not necessarily be reflected. The results of this study were presented as a poster at the 5th ISIRV-AVG conference. EDAT- 2018/08/07 06:00 MHDA- 2019/03/08 06:00 PMCR- 2018/08/06 CRDT- 2018/08/07 06:00 PHST- 2018/02/03 00:00 [received] PHST- 2018/04/17 00:00 [accepted] PHST- 2018/08/07 06:00 [entrez] PHST- 2018/08/07 06:00 [pubmed] PHST- 2019/03/08 06:00 [medline] PHST- 2018/08/06 00:00 [pmc-release] AID - 10.3346/jkms.2018.33.e212 [doi] PST - epublish SO - J Korean Med Sci. 2018 Jun 26;33(32):e212. doi: 10.3346/jkms.2018.33.e212. eCollection 2018 Aug 6.