VEGAN: Evaluation of Reporting of Vascular Endothelial Growth Factor and Vascular Endothelial Growth Factor Receptor Inhibitors Associated Cardiovascular Adverse reactioN.
Study Details
Study Description
Brief Summary
Antiangiogenics (AAs) which are vascular endothelial growth factor (VEGF) or VEGF receptor (VEGFR) inhibitors might have high grade adverse events (AEs) on the cardio-vascular system. This study investigates reports of cardio-vascular toxicity with treatment including VEGF and VEGFR inhibitors using the World Health Organization (WHO) database VigiBase.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
AAs have dramatically improved clinical outcomes in multiple cancer types and are increasingly being tested in earlier disease settings and used in combination. However, AEs can occur. Here the investigators use VigiBase (http://www.vigiaccess.org/), the World Health Organization (WHO) database of individual safety case reports, to identify cases of cardiovascular adverse drug reaction following treatment with AAs.
Study Design
Outcome Measures
Primary Outcome Measures
- Cardio-vascular toxicity of AAs [Case reported in the World Health Organization (WHO) database of individual safety case reports to 01/01/2018]
Identification and report of the cardio-vascular toxicity of AAs. The research includes the report with MedDRA terms: SOC Cardiac Disorders, SOC Vascular Disorders, Sudden death (PT). Drugs investigated are: sorafenib, sunitinib, pazopanib, vandetanib, axitinib, regorafenib, nintedanib, lenvatinib, ceritinib, bevacizumab, ramucirumab, aflibercept.
Secondary Outcome Measures
- Causality assessment of reported cardiovascular events according to the WHO system [Case reported in the World Health Organization (WHO) database of individual safety case reports to 01/01/2018]
- Description of the type of cardiotoxicity depending on the category of AAs [Case reported in the World Health Organization (WHO) database of individual safety case reports to 01/01/2018]
- Description of the duration of treatment when the toxicity happens (role of cumulative dose) [Case reported in the World Health Organization (WHO) database of individual safety case reports to 01/01/2018]
- Description of the drug-drug interactions associated with adverse events [Case reported in the World Health Organization (WHO) database of individual safety case reports to 01/01/2018]
- Description of the pathologies (cancer) for which the incriminated drugs have been prescribed [Case reported in the World Health Organization (WHO) database of individual safety case reports to 01/01/2018]
- Description of the population of patients having a cardio-vascular adverse event [Case reported in the World Health Organization (WHO) database of individual safety case reports to 01/01/2018]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Case reported in the World Health Organization (WHO) database of individual safety case reports to 01/01/2018
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Adverse event reported were including the MedDRA terms: Cardiac disorders (SOC), Vascular disorders (SOC), Sudden death (PT)
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Patients treated with antiangiogenics included in the following list:
Exclusion Criteria:
- Chronology not compatible between the drug and the toxicity
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | AP-HP, Pitié-Salpêtrière Hospital, Department of Pharmacology, CIC-1421, Pharmacovigilance Unit, INSERM. | Paris | France | 75013 |
Sponsors and Collaborators
- Groupe Hospitalier Pitie-Salpetriere
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Alexandre J, Moslehi JJ, Bersell KR, Funck-Brentano C, Roden DM, Salem JE. Anticancer drug-induced cardiac rhythm disorders: Current knowledge and basic underlying mechanisms. Pharmacol Ther. 2018 Sep;189:89-103. doi: 10.1016/j.pharmthera.2018.04.009. Epub 2018 Apr 24. Review.
- Gougis P, Wassermann J, Spano JP, Keynan N, Funck-Brentano C, Salem JE. Clinical pharmacology of anti-angiogenic drugs in oncology. Crit Rev Oncol Hematol. 2017 Nov;119:75-93. doi: 10.1016/j.critrevonc.2017.08.010. Epub 2017 Sep 1. Review.
- CIC1421-18-02