PMID- 37608598 OWN - NLM STAT- MEDLINE DCOM- 20240308 LR - 20240308 IS - 1744-764X (Electronic) IS - 1474-0338 (Linking) VI - 23 IP - 3 DP - 2024 Mar TI - Ocular adverse events of cenegermin used in neurotrophic keratopathy: an analysis of the FDA adverse event reporting system database. PG - 385-391 LID - 10.1080/14740338.2023.2251389 [doi] AB - BACKGROUND: Cenegermin, a recombinant human nerve growth factor, is an orphan drug approved for neurotrophic keratitis. The safety information on the label is incomplete, and the adverse reactions noted are mostly mild and tolerable. However, the occurrence of painful epithelial plagues and irreversible corneal deposits after cenegermin usage have been reported. Real-world data on long-term ocular safety are lacking. We aimed to assess the cenegermin-associated eye safety profile in the FDA pharmacovigilance database. METHODS: The signals of cenegermin-related ocular adverse events (AEs) from 2018 to 2022 were quantified using the reporting odds ratio (ROR) and information component (IC). The grading system was used to prioritize the signals. RESULTS: We identified 3288 cases of cenegermin-related ocular AEs and 56 positive ocular-related signals. Fifty unexpected signals of ocular AE were identified. Eye ulcer was classified as a designated medical event. Twenty AEs, including corneal perforation, eye infection, corneal deposits, and eye inflammation, were recognized as important medical event. The median onset time for ocular AEs was 6 days (interquartile range [IQR]: 1-29 days). CONCLUSION: This study revealed new cenegermin-related ocular AE signals. Clinical practice requires close monitoring to early identify and manage adverse reactions that may cause occurrence of serious irreversible consequences. FAU - Li, Yunfei AU - Li Y AD - Department of Ophthalmology, West China Hospital of Sichuan University, Chengdu, Sichuan Province, China. FAU - Yang, Haiyun AU - Yang H AD - School of Pharmacy, Lanzhou University, Lanzhou, Gansu, P.R. China. FAU - Gao, Yuan AU - Gao Y AD - School of Pharmacy, Lanzhou University, Lanzhou, Gansu, P.R. China. FAU - He, Weimin AU - He W AD - Department of Ophthalmology, West China Hospital of Sichuan University, Chengdu, Sichuan Province, China. LA - eng PT - Journal Article DEP - 20230828 PL - England TA - Expert Opin Drug Saf JT - Expert opinion on drug safety JID - 101163027 RN - B6E7K36KT8 (cenegermin) RN - 9061-61-4 (Nerve Growth Factor) RN - 0 (Recombinant Proteins) SB - IM MH - Humans MH - *Keratitis/chemically induced/epidemiology MH - Nerve Growth Factor/adverse effects MH - Recombinant Proteins MH - Pharmacovigilance OTO - NOTNLM OT - Cenegermin OT - FDA adverse event reporting system OT - drug safety OT - neurotrophic keratitis OT - pharmacovigilance EDAT- 2023/08/23 06:42 MHDA- 2024/03/08 06:43 CRDT- 2023/08/23 02:09 PHST- 2024/03/08 06:43 [medline] PHST- 2023/08/23 06:42 [pubmed] PHST- 2023/08/23 02:09 [entrez] AID - 10.1080/14740338.2023.2251389 [doi] PST - ppublish SO - Expert Opin Drug Saf. 2024 Mar;23(3):385-391. doi: 10.1080/14740338.2023.2251389. Epub 2023 Aug 28.