Evidence map›Paper›PMID 29670332›Full record

ArticleDrug design, development and therapy2018

Reevaluation of the post-marketing safety of Shuxuening injection based on real-world and evidence-based evaluations.

Can Wang, Qing-Ping Shi, Feng Ding, Xiao-Dong Jiang, Wei Tang, Mei-Ling Yu, Jian-Hua Zhu

Open access · goldAbstract read
In one paragraph

Article in Drug design, development and therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Shuxuening injection, derived fromPharmaceutical biology · 2020
    Article
  8. Article
  9. Article
  10. Article
  11. Safety Concerns of Traditional Chinese Medicine Injections Used in Chinese Children.Evidence-based complementary and alternative medicine : eCAM · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Can WangDepartment of Pharmacy, The First Affiliated Hospital of Bengbu Medical College, Bengbu, People's Republic of China.
Qing-Ping ShiDepartment of Pharmacy, The First Affiliated Hospital of Bengbu Medical College, Bengbu, People's Republic of China.
Feng DingFaculty of Pharmacy, Bengbu Medical College, Bengbu, People's Republic of China.
Xiao-Dong JiangDepartment of Pharmacy, The First Affiliated Hospital of Bengbu Medical College, Bengbu, People's Republic of China.
Wei TangDepartment of Pharmacy, Huaiyuan County Hospital of TCM in Anhui, Bengbu, People's Republic of China.
Mei-Ling YuDepartment of Pharmacy, The First Affiliated Hospital of Bengbu Medical College, Bengbu, People's Republic of China.
Jian-Hua ZhuFaculty of Pharmacy, Bengbu Medical College, Bengbu, People's Republic of China.
Bengbu Medical College · CNFirst Affiliated Hospital of Bengbu Medical College · CNCM Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the factors influencing suspected hypersensitivity and adverse systemic reactions after Shuxuening injection and to provide innovative ideas and methods for the reevaluation of post-marketing safety of Shuxuening.

methodsThis study used a prospective, nested case-control study design, combined with a prescription sequence analysis design method. It classified patients who exhibited trigger signals after administration of Shuxuening injection as suspected allergic patients and made comparisons with patients who did not report adverse effects to calculate the correlation between relevant risk factors and suspected allergic reactions. Randomized controlled studies and cohort studies of the adverse drug reaction (ADR) of Shuxuening were performed using a computer database. Data retrieval was carried out by the foundation governing the individual database. Meta-analysis was performed by using R3.2.3 software to evaluate the ADRs of Shuxuening.

resultsThe results of real-world study showed that administration of Shuxuening in combination with potassium aspartate and magnesium, atorvastatin calcium, Shengmai injection, pantoprazole sodium, or high-dose medication was a risk factor for suspected allergic reactions. Meta-analysis showed that the incidence of adverse events was 5.84% (95% CI 0.0499; 0.0674), and serious adverse reaction rate was 4.36% (95% CI 0.0188; 0.0760) when Shuxuening was used in combination with these drugs. The incidence of allergic reaction was also influenced by the vehicle, duration of treatment, single dose, and indicated vs off-label use.

conclusionRisk factors for adverse reaction following the use of Shuxuening injection in patients are associated with a single dose, vehicle, type of disease, and combination with potassium aspartate, atorvastatin calcium, Shengmai injection, injection with pantoprazole sodium, and other drugs. Physicians should be careful to follow guidelines when administering this drug. We further propose that the unique methodology used in this study may be useful for reevaluation of the safety of other traditional Chinese medicines.

Indexed as

Case-Control StudiesDrugs, Chinese HerbalHumansMedicine, Chinese TraditionalProspective StudiesDrugs, Chinese Herbalshuxueningallergic reactionevidence-based evaluationpost-marketing safety reevaluationreal-world studyShuxuening injection

Identifiers

PMID29670332
PMCPMC5896674
OpenAlexW2795392464

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.