Evidence map›Paper›PMID 39812078›Full record

ArticleInternational journal of rheumatic diseases2025

Pharmacovigilance Pregnancy Data in a Population of Japanese Patients With Chronic Inflammatory Disease Exposed to Certolizumab Pegol.

Mikako Goto, Shigeru Saito, Angela E Scheuerle, Shinya Yasuda, Niamh Houston, Thomas Kumke, Bernard Lauwerys, Atsuko Murashima

Abstract read
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Article in International journal of rheumatic diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Mikako GotoJapan Drug Information Institute in Pregnancy, National Center for Child Health and Development, Tokyo, Japan.
Shigeru SaitoUniversity of Toyama, Toyama, Japan.
Angela E ScheuerleUT Southwestern Medical Center, Dallas, Texas, USA.
Shinya YasudaUCB, Tokyo, Japan.
Niamh HoustonUCB, Slough, UK.
Thomas KumkeUCB, Monheim am Rhein, Germany.
Bernard LauwerysUCB, Brussels, Belgium.
Atsuko MurashimaJapan Drug Information Institute in Pregnancy, National Center for Child Health and Development, Tokyo, Japan.

Funding

UCB
6 · The paper itself

Abstract

aimUncontrolled chronic inflammatory diseases (CIDs) before, during, and after pregnancy, as well as some CID medications, can increase the risk of impaired fertility in addition to adverse maternal/pregnancy outcomes in women of childbearing age. We report pregnancy outcomes from prospectively reported pregnancies in Japanese women treated with certolizumab pegol (CZP).

methodsData from July 2001 to November 2020 on CZP-exposed pregnancies from the CZP Pharmacovigilance safety database were reviewed. Pregnancy outcomes analyzed included live birth, ectopic pregnancy, abortion (miscarriage or medically indicated/elective), and stillbirth. Congenital anomalies (major and minor), preterm delivery, and low birth weight were also examined.

resultsAmong 149 prospective pregnancies with maternal CZP exposure and known outcomes identified in Japanese women, 111/149 (74.5%) involved at least first-trimester exposure and 53/149 (35.6%) were exposed in all trimesters; 135/149 (90.6%) live births, 12/149 (8.1%) abortions (11 miscarriages, one elective termination), 2/149 (1.3%) stillbirths, no ectopic pregnancies reported. One (0.7%) infant, whose mother had first-trimester exposure, manifested a minor congenital anomaly (accessory auricle). There were no major congenital anomalies. Among live births, 3/135 (2.2%) were preterm and 10/135 (7.4%) had low birth weight.

conclusionThe safety profile of CZP in pregnant Japanese women was consistent with published global data.

Indexed as

Certolizumab PegolPregnancy ComplicationsAdultChronic DiseaseEast Asian PeopleFemaleHumansInfant, NewbornJapanLive BirthPharmacovigilancePregnancyPregnancy OutcomeProspective StudiesRisk AssessmentRisk FactorsCertolizumab PegolCertolizumab pegolcongenital anomaliesJapanese patientspregnancy outcomesTNFi

Identifiers

PMID39812078
PMCPMC11733829

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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.