Evidence map›Paper›PMID 30341677›Full record

ReviewDrug safety2019

Safety of Follitropin Alfa/Lutropin Alfa for Stimulation of Follicular Development.

Nadezda Abramova, Julie Hubbard, Joan Schertz, Emilia Richter

Open access · hybridAbstract readReview
In one paragraph

Review in Drug safety, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 23% 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

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. 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

4 authors at 2 institutions in 2 countries.

Nadezda AbramovaMerck KGaA, Frankfurter Strasse 250, 64293, Darmstadt, Germany. nadezda.abramova@merckgroup.com.ORCID 0000-0002-3987-2477
Julie HubbardEMD Serono Research and Development Institute, Billerica, MA, USA.
Joan SchertzEMD Serono Research and Development Institute, Billerica, MA, USA.
Emilia RichterMerck KGaA, Frankfurter Strasse 250, 64293, Darmstadt, Germany.
Merck (Germany) · DEOno Pharmaceutical (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRecombinant human luteinizing hormone (r-hLH) is used in a fixed-ratio combination with recombinant human follicle-stimulating hormone (r-hFSH) for the stimulation of follicular development.

objectiveThe objective of this article was to conduct a review of safety data to evaluate the risks of r-hFSH/r-hLH treatment.

methodsData were retrieved from the Global Safety Database (Merck KGaA, Darmstadt, Germany) including reports from healthcare professionals, patients, health authorities, clinical trials, non-interventional studies, and the literature. Reports of important risks (identified and potential) as per the risk management plan applicable at the time of data retrieval were obtained up to December 2017. The estimated patient exposure to r-hFSH/r-hLH in the post-marketing setting was 427,012 treatment cycles. Nine hundred patients received r-hFSH/r-hLH during company-sponsored clinical trials (pre- and post-marketing).

resultsWe identified 72 case reports describing important risks related to r-hFSH/r-hLH use, including 46 cases of ovarian hyperstimulation syndrome (10.8 per 100,000 treatment cycles) and 24 of hypersensitivity reaction (5.6 per 100,000 treatment cycles). No thromboembolic events were reported. One congenital anomaly, not suspected to be related to r-hFSH/r-hLH use, was reported during a clinical trial; the event was resolved by corrective surgery. Two fatal cases were identified; one case of recurrent malignant melanoma (suspected to be related to r-hFSH/r-hLH use) and one case resulting from complications of ovarian hyperstimulation syndrome.

conclusionCumulative reporting rates of important identified and potential risks of r-hFSH/r-hLH during a 10-year surveillance period demonstrate the benefit-risk balance is positive. This post-marketing surveillance and continued surveillance of safety events should provide reassurance about the use of r-hFSH/r-hLH in clinical practice.

Indexed as

Adverse Drug Reaction Reporting SystemsDatabases, FactualDrug HypersensitivityDrug-Related Side Effects and Adverse ReactionsFemaleFollicle Stimulating Hormone, HumanGlycoprotein Hormones, alpha SubunitHumansOvarian Hyperstimulation SyndromeOvulation InductionRecombinant ProteinsFollicle Stimulating Hormone, Humanfollitropin alfaGlycoprotein Hormones, alpha SubunitRecombinant Proteins

Identifiers

PMID30341677
PMCPMC6426819
OpenAlexW2896379648

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.