Cardiovascular events and safety outcomes associated with remdesivir using a World Health Organization international pharmacovigilance database.


Por: Jung SY, Kim MS, Li H, Lee KH, Koyanagi A, Solmi M, Kronbichler A, Dragioti E, Tizaoui K, Cargnin S, Terrazzino S, Hong SH, Abou Ghayda R, Kim NK, Chung SK, Jacob L., Salem JE, Yon DK, Lee SW, Kostev K, Kim AY, Jung JW, Choi JY, Shin JS, Park SJ, Choi SW, Ban K, Moon SH, Go YY, Shin JI and Smith L

Publicada: 1 feb 2022 Ahead of Print: 31 oct 2021
Resumen:
On October 2020, the US Food and Drug Administration (FDA) approved remdesivir as the first drug for the treatment of coronavirus disease 2019 (COVID-19), increasing remdesivir prescriptions worldwide. However, potential cardiovascular (CV) toxicities associated with remdesivir remain unknown. We aimed to characterize the CV adverse drug reactions (ADRs) associated with remdesivir using VigiBase, an individual case safety report database of the World Health Organization (WHO). Disproportionality analyses of CV-ADRs associated with remdesivir were performed using reported odds ratios and information components. We conducted in vitro experiments using cardiomyocytes derived from human pluripotent stem cell cardiomyocytes (hPSC-CMs) to confirm cardiotoxicity of remdesivir. To distinguish drug-induced CV-ADRs from COVID-19 effects, we restricted analyses to patients with COVID-19 and found that, after adjusting for multiple confounders, cardiac arrest (adjusted odds ratio [aOR]: 1.88, 95% confidence interval [CI]: 1.08-3.29), bradycardia (aOR: 2.09, 95% CI: 1.24-3.53), and hypotension (aOR: 1.67, 95% CI: 1.03-2.73) were associated with remdesivir. In vitro data demonstrated that remdesivir reduced the cell viability of hPSC-CMs in time- and dose-dependent manners. Physicians should be aware of potential CV consequences following remdesivir use and implement adequate CV monitoring to maintain a tolerable safety margin.

Filiaciones:
Jung SY:
 Division of Pediatric Cardiology, Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea

Kim MS:
 College of Medicine, Korea University, Seoul, Korea

 Samsung Advanced Institute for Health Sciences and Technology (SAIHST), Samsung Medical Center, Sungkyunkwan University, Seoul, Korea

Li H:
 University of Florida College of Medicine, Gainesville, Florida, USA

Lee KH:
 Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea

Koyanagi A:
 Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, CIBERSAM, Barcelona, Spain

 ICREA, Barcelona, Spain

 Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain

Solmi M:
 Department of Psychiatry, University of Ottawa, Ottawa, Ontario, Canada

 Department of Mental Health, The Ottawa Hospital, Ottawa, Ontario, Canada

 Ottawa Hospital Research Institute (OHRI) Clinical Epidemiology Program, University of Ottawa, Ottawa, Ontario, Canada

Kronbichler A:
 Department of Internal Medicine IV, Medical University Innsbruck, Innsbruck, Austria

Dragioti E:
 Department of Health, Medicine and Caring Sciences, Pain and Rehabilitation Centre, Linköping University, Linköping, Sweden

Tizaoui K:
 Laboratory Microorganismes and Active Biomolecules, Sciences Faculty of Tunis, Tunis El Manar University, Tunis, Tunisia

Cargnin S:
 Department of Pharmaceutical Sciences, Interdepartmental Research Center of Pharmacogenetics and Pharmacogenomics (CRIFF), University of Piemonte Orientale, Novara, Italy

Terrazzino S:
 Department of Pharmaceutical Sciences, Interdepartmental Research Center of Pharmacogenetics and Pharmacogenomics (CRIFF), University of Piemonte Orientale, Novara, Italy

Hong SH:
 Yonsei University College of Medicine, Seoul, Korea

Abou Ghayda R:
 Urology Institute, University Hospitals and Case Western Reserve University, Cleveland, Ohio, USA

Kim NK:
 Department of Pediatrics, Emory University, Atlanta, Georgia, USA

 Division of Cardiovascular Surgery, Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul, Korea

Chung SK:
 College of Medicine, Ewha Womans University, Seoul, Korea

Jacob L.:
 Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, CIBERSAM, Barcelona, Spain

 Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Montigny-le-Bretonneux, France

Salem JE:
 Department of Pharmacology, INSERM, CIC-1901 Paris-Est, CLIP Galilée, UNICO-GRECO Cardio-oncology Program, Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Sorbonne Université, Paris, France

Yon DK:
 Department of Pediatrics, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul, Korea

Lee SW:
 Department of Data Science, Sejong University College of Software Convergence, Seoul, Korea

Kostev K:
 University Clinic of Marburg, Marburg, Germany

Kim AY:
 Division of Pediatric Cardiology, Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea

Jung JW:
 Division of Pediatric Cardiology, Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea

Choi JY:
 Division of Pediatric Cardiology, Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea

Shin JS:
 Infectious Disease Research Center, Korea Research Institute of Chemical Technology, Daejeon, Korea

Park SJ:
 Stem Cell Research Institute, T&R Biofab Co. Ltd, Siheung, Korea

Choi SW:
 Department of Physiology, Ischemic/Hypoxic Disease Institute, Seoul National University College of Medicine, Seoul, Korea

Ban K:
 Department of Biomedical Sciences, City University of Hong Kong, Hong Kong SAR, China

Moon SH:
 Stem Cell Research Institute, T&R Biofab Co. Ltd, Siheung, Korea

Go YY:
 Department of Infectious Diseases and Public Health, City University of Hong Kong, Hong Kong SAR, China

Shin JI:
 Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea

Smith L:
 The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, UK
ISSN: 17528054
Editorial
Wiley-Blackwell, United States, Estados Unidos America
Tipo de documento: Article
Volumen: 15 Número: 2
Páginas: 501-513
WOS Id: 000712993900001
ID de PubMed: 34719115
imagen Green Accepted, Green Published

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