Evidence map›Paper›PMID 34322827›Full record

ArticleDrugs - real world outcomes2021

Safety of Anthroposophic Medicinal Products: An Analysis of Adverse Drug Reactions from German Pharmacovigilance Databases.

Miek C Jong, Herman van Wietmarschen, Anja Glockmann, Erik W Baars, Harald J Hamre

Open access · goldAbstract read
In one paragraph

Article in Drugs - real world outcomes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 38% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
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

5 authors at 4 institutions in 2 countries.

Miek C JongESCAMP - European Scientific Cooperative on Anthroposophic Medicinal Products, Zechenweg 6, 79111, Freiburg, Germany.ORCID http://orcid.org/0000-0001-8523-9632
Herman van WietmarschenESCAMP - European Scientific Cooperative on Anthroposophic Medicinal Products, Zechenweg 6, 79111, Freiburg, Germany. h.vanwietmarschen@louisbolk.nl.ORCID http://orcid.org/0000-0003-2225-0337
Anja GlockmannESCAMP - European Scientific Cooperative on Anthroposophic Medicinal Products, Zechenweg 6, 79111, Freiburg, Germany.ORCID http://orcid.org/0000-0003-2257-3507
Erik W BaarsESCAMP - European Scientific Cooperative on Anthroposophic Medicinal Products, Zechenweg 6, 79111, Freiburg, Germany.ORCID http://orcid.org/0000-0003-4428-5135
Harald J HamreESCAMP - European Scientific Cooperative on Anthroposophic Medicinal Products, Zechenweg 6, 79111, Freiburg, Germany.ORCID http://orcid.org/0000-0003-1098-1079
Witten/Herdecke University · DEESCP Business School · DELouis Bolk Instituut · NLUniversity of Applied Sciences Leiden · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnthroposophic medicinal products (AMPs) are widely used in Europe and world-wide.

objectiveTo determine the frequency of reported adverse drug reactions (ADRs) from all AMPs on the market, in absolute numbers and relative to the maximum daily administration doses (MDADs). PATIENTS AND

methodsRetrolective safety analysis of AMP-related ADRs in pharmacovigilance databases of four AMP Marketing Authorisation Holders in Germany. For each ADR, information about the patient, outcome, causality and AMP was retrieved. Primary outcome was the frequency of reported ADRs relative to MDADs sold.

resultsIn the period 2010-2017, a total of 5506 ADRs were reported that had occurred in 2765 different patients, comprising 370 different AMPs. A total of 104 ADRs (1.9%) were classified as serious. The frequency of ADRs for all AMPs was 1.50 per million MDADs. For serious ADRs the frequency was 0.03 per million MDADs. ADRs were more frequently reported with parenteral AMP administration (injections) than with oral or local administration (18.85 vs. 0.59 vs. 1.61 ADRs per million MDADs, respectively; p < 0.0001). The large majority of users (91.9%) had recovered or were recovering from the ADRs and there were no reports with a fatal outcome. Most frequently reported ADR symptom was injection site inflammation for parenteral AMPs (4.66 ADRs per million MDADs), nausea for oral AMPs (0.03 ADRs per million MDADs), and eye irritation for locally administered AMPs (0.23 ADRs per million MDADs).

conclusionsIn this retrolective safety analysis of pharmacovigilance data, the frequency of ADRs to AMPs was 1.50 per million MDADs. Notably, the ADR frequency in this study based on spontaneous reporting is not directly comparable to frequencies in prospective clinical studies nor to frequencies based on other measures of patient exposure than MDADs.

Identifiers

PMID34322827
PMCPMC8605942
OpenAlexW3185615067

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.