Real-World Safety of Niraparib for Maintenance Treatment of Ovarian Cancer in Canada.

Niraparib was recently funded in Canada for the maintenance treatment of ovarian cancer following platinum-based chemotherapy. However, the drug's safety profile in the real world remains uncertain. We conducted a cohort study to describe the patient population using niraparib and the proportion tha...

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Publicado en:Current Oncology Vol. 31; no. 6; pp. 3591 - 3603
Autores principales: Guan, Qi, Aktar, Suriya J., Pataky, Reka E., Stephen, Mariet Mathew, Marques, Maud, Gambaro, Karen, Rachedi, Kahina, Forster, Katharina, Strub, Samara, Stock, David, de Léséleuc, Louis, Cheung, Winson Y., Peacock, Stuart, Farrer, Christie, Gavura, Scott, Tadrous, Mina, Grant, Robert C., Chan, Kelvin K. W.
Formato: Journal Article
Publicado: MDPI Jun2024
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Real-World Safety of Niraparib for Maintenance Treatment of Ovarian Cancer in Canada.
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          Guan, Qi
          Aktar, Suriya J.
          Pataky, Reka E.
          Stephen, Mariet Mathew
          Marques, Maud
          Gambaro, Karen
          Rachedi, Kahina
          Forster, Katharina
          Strub, Samara
          Stock, David
          de Léséleuc, Louis
          Cheung, Winson Y.
          Peacock, Stuart
          Farrer, Christie
          Gavura, Scott
          Tadrous, Mina
          Grant, Robert C.
          Chan, Kelvin K. W.
        affil: Ontario Health, Toronto, ON M5G 2L3, Canada
      sug:
      ab: Niraparib was recently funded in Canada for the maintenance treatment of ovarian cancer following platinum-based chemotherapy. However, the drug's safety profile in the real world remains uncertain. We conducted a cohort study to describe the patient population using niraparib and the proportion that experienced adverse events between June 2019 and December 2022 in four Canadian provinces (Ontario, Alberta, British Columbia [BC], and Quebec). We used administrative data and electronic medical records from Ontario Health, Alberta Health Services, and BC Cancer, and registry data from Exactis Innovation. We summarized baseline characteristics using descriptive statistics and reported safety outcomes using cumulative incidence. We identified 514 patients receiving niraparib. Mean age was 67 years and most were initiated on a daily dose of 100 or 200 mg/day. Grade 3/4 anemia, neutropenia, and thrombocytopenia occurred in 11–16% of the cohort. In Ontario, the three-month cumulative incidence of grade 3/4 thrombocytopenia was 11.6% (95% CI, 8.3–15.4%), neutropenia was 7.1% (95% CI, 4.6–10.4%), and anemia was 11.3% (95% CI, 8.0–15.2%). Cumulative incidences in the remaining provinces were similar. Initial daily dose and proportions of hematological adverse events were low in the real world and may be related to cautious prescribing and close monitoring by clinicians.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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