PMID- 35723868 OWN - NLM STAT- MEDLINE DCOM- 20220907 LR - 20220908 IS - 1179-6901 (Electronic) IS - 1174-5886 (Print) IS - 1174-5886 (Linking) VI - 22 IP - 3 DP - 2022 Sep TI - Analysis of the US Safety Data for Edaravone (Radicava((R))) From the Third Year After Launch. PG - 205-211 LID - 10.1007/s40268-022-00391-6 [doi] AB - BACKGROUND: Amyotrophic lateral sclerosis (ALS) is a progressive and fatal neuromuscular disease with no curative therapies. Edaravone (Radicava((R))) (Mitsubishi Tanabe Pharma Corporation, Tokyo, Japan), approved in the United States (US) for ALS in adults in 2017, was shown in a clinical trial to slow the rate of physical functional decline in ALS and is administered intravenously. The aim of this paper is to summarize the observed safety profile from real-world patient use during the first 3 years of edaravone availability in the US. METHODS: Edaravone usage data were collected, and adverse events (AEs) were identified from a postmarketing safety database from August 8, 2017 through August 7, 2020 (cutoff date). RESULTS: As of October 3, 2020, 5207 ALS patients had been treated with edaravone. As of August 7, 2020, the most commonly reported AEs included death (not specified), drug ineffective, disease progression, therapeutic response unexpected, fall, asthenia, fatigue, muscular weakness, gait disturbance, and dyspnea. The most commonly reported serious AEs (SAEs) included death (not specified), pneumonia, disease progression, ALS, fall, dyspnea, respiratory failure, device-related infection, hospitalization, and injection-site infection. There were 687 deaths, with 494 reported as death without specifying the cause. Deaths were most commonly attributed to ALS, disease progression, respiratory failure, or pneumonia. Review for administration-site reactions revealed 95 AEs, including 34 site infections, with 22 SAEs (all non-fatal). Five non-fatal SAEs of anaphylaxis were reported. CONCLUSION: In the postmarketing reporting to date, no new safety signals were identified beyond those already known from the edaravone clinical trial program. CI - (c) 2022. The Author(s). FAU - Genge, Angela AU - Genge A AD - Montreal Neurological Institute and Hospital, Montreal, Canada. FAU - Brooks, Benjamin Rix AU - Brooks BR AD - Atrium Health Neurosciences Institute, Carolinas Medical Center, University of North Carolina School of Medicine-Charlotte Campus, Charlotte, NC, USA. FAU - Oskarsson, Bjorn AU - Oskarsson B AD - Mayo Clinic, Jacksonville, FL, USA. FAU - Kalin, Alexander AU - Kalin A AD - Mitsubishi Tanabe Pharma Development America, Inc., Jersey City, NJ, USA. FAU - Ji, Ming AU - Ji M AD - Mitsubishi Tanabe Pharma Development America, Inc., Jersey City, NJ, USA. FAU - Apple, Stephen AU - Apple S AUID- ORCID: 0000-0002-3051-3953 AD - Mitsubishi Tanabe Pharma America, Inc., Jersey City, NJ, USA. stephen_apple@mt-pharma-us.com. FAU - Bower, Laura AU - Bower L AD - Mitsubishi Tanabe Pharma Development America, Inc., Jersey City, NJ, USA. LA - eng PT - Journal Article DEP - 20220620 PL - New Zealand TA - Drugs R D JT - Drugs in R&D JID - 100883647 RN - S798V6YJRP (Edaravone) SB - IM MH - Adult MH - *Amyotrophic Lateral Sclerosis/drug therapy MH - Disease Progression MH - Dyspnea/chemically induced MH - *Edaravone/adverse effects MH - Humans MH - Respiratory Insufficiency/chemically induced MH - United States PMC - PMC9433633 COIS- AG, BRB, and BO are consultants for MTPA. BW, AK, MJ, and LB are employees of Mitsubishi Tanabe Pharma Development America, Inc. SA is an employee of Mitsubishi Tanabe Pharma America, Inc. EDAT- 2022/06/21 06:00 MHDA- 2022/09/08 06:00 PMCR- 2022/06/20 CRDT- 2022/06/20 11:20 PHST- 2022/05/08 00:00 [accepted] PHST- 2022/06/21 06:00 [pubmed] PHST- 2022/09/08 06:00 [medline] PHST- 2022/06/20 11:20 [entrez] PHST- 2022/06/20 00:00 [pmc-release] AID - 10.1007/s40268-022-00391-6 [pii] AID - 391 [pii] AID - 10.1007/s40268-022-00391-6 [doi] PST - ppublish SO - Drugs R D. 2022 Sep;22(3):205-211. doi: 10.1007/s40268-022-00391-6. Epub 2022 Jun 20.