Adverse reactions related to monoclonal antibodies: An analysis of the Vietnamese spontaneous ADR reporting system

  • Cao Thị Thu Huyền Trung tâm DI & ADR Quốc gia
  • Phùng Thị Thu Trang Trung tâm DI & ADR Quốc gia
  • Nguyễn Hà Nhi Trung tâm DI & ADR Quốc gia
  • Phùng Thanh Hương Khoa Công nghệ Sinh học, Trường ĐH Dược Hà Nội
  • Vũ Đình Hòa Trung tâm DI & ADR Quốc gia
  • Nguyễn Quốc Bình Trung tâm DI & ADR KV TP. Hồ Chí Minh
  • Nguyễn Hoàng Anh Trung tâm DI & ADR Quốc gia

Main Article Content

Keywords

Monoclonal antibodies, adverse drug reactions, spontaneous reporting, pharmacovigilance, database.

Abstract

Objective: To investigate the characteristics of adverse drug reactions related to monoclonal antibodies in the Vietnamese Database of spontaneous ADR reports. Subject and method: A cross-sectional retrospective study of spontaneous ADR reports registered at the National DI & ADR Center from 2017 to 2023. Result: Out of 378 ADR reports related to monoclonal antibodies, bevacizumab and rituximab were the most reported drugs with rates of 42.3% and 25.4%, respectively. Adverse reactions were diverse, with the most common including skin and subcutaneous tissue disorders (26.7%), blood and lymphatic system disorders (22.8%), and nervous system disorders (20.4%). The signals of anaphylaxis associated to monoclonal antibodies and some other medically significant ADRs associated with bevacizumab and rituximab have been detected. Conclusion: Amid the growing use of monoclonal antibodies, this study provides a partial overview of the safety profiles of monoclonal antibodies reported in Vietnam, thereby enhancing monitoring and mitigating the risks associated with these drugs in clinical practice.

Article Details

References

1. Luật Dược, số 105/2016/QH13, Quốc hội Nước CHXH Chủ nghĩa Việt Nam, Editor. 2016. p. 2.
2. Hansel TT, Kropshofer H, Singer T, Mitchell JA, George AJ (2010) The safety and side effects of monoclonal antibodies. Nat Rev Drug Discov 9(4): 325-338.
3. The MedDRA Maintenance and Support Services Organization (MSSO) Medical Dictionary for Regulatory Activities.
4. Faillie JL (2019) Case-non-case studies: Principle, methods, bias and interpretation. Therapie 74(2): 225-232.
5. Trung tâm DI & ADR Quốc gia, "Tổng kết hoạt động báo cáo ADR hàng năm", Retrieved 2025, from http://canhgiacduoc.org.vn/Thongtinthuoc/TinYDuoc/2329/TongketADRhangnam.htm.
6. Kalaivani M, Singh A et al (2015) Therapeutic monoclonal antibodies and the need for targeted pharmacovigilance in India. MAbs 7(1): 276-280.
7. Sim DW, Park KH et al (2016) Clinical characteristics of adverse events associated with therapeutic monoclonal antibodies in Korea. Pharmacoepidemiol Drug Saf 25(11): 1279-1286.
8. Lichtenstein L, Ron Y et al (2015) Infliximab-Related Infusion Reactions: Systematic Review. J Crohns Colitis 9(9): 806-815.
9. The electronic medicines compendium (emc), Avastin 25mg/ml concentrate for solution for infusion. Retrieved 2025, from https://www.medicines.org.uk/emc.
10. Kwakman JJM, Elshot YS et al (2020) Management of cytotoxic chemotherapy-induced hand-foot syndrome. Oncol Rev 14(1): 442.
11. Jiao Z Wang G et al (2021) Safety Profile of Monoclonal Antibody Compared With Traditional Anticancer Drugs: An Analysis of Henan Province Spontaneous Reporting System Database. Front Pharmacol 12: 760013.