Surveillance of adverse events in the treatment of drug-resistant tuberculosis: A global feasibility study

•WHO recommends countries monitor the safety profile of new drugs and regimens.•WHO developed the active TB drug safety monitoring and management (aDSM) package.•aDSM data are not yet available globally.•A project to prove aDSM feasibility was launched by the Global Tuberculosis Network; 41 centres...

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Veröffentlicht in:International Journal of Infectious Diseases Jg. 83; S. 72 - 76
Hauptverfasser: Akkerman, Onno, Aleksa, Alena, Alffenaar, Jan-Willem, Al-Marzouqi, Nada Hassan, Arias-Guillén, Miguel, Belilovski, Evgeny, Bernal, Enrique, Boeree, Martin J., Borisov, Sergey E., Bruchfeld, Judith, Cadiñanos Loidi, Julen, Cai, Qingshan, Caminero, Jose A., Cebrian Gallardo, Jose Joaquín, Centis, Rosella, Codecasa, Luigi Ruffo, D’Ambrosio, Lia, Dalcolmo, Margareth, Danila, Edvardas, Dara, Masoud, Davidavičienė, Edita, Davies Forsman, Lina, De Los Rios Jefe, Jorge, Denholm, Justin, Duarte, Raquel, Elamin, Seifeldin Eltaeb, Ferrarese, Maurizio, Filippov, Alexey, Ganatra, Shashank, Garcia, Ana, García-García, José-María, Gayoso, Regina, Giraldo Montoya, Angela Maria, Gomez Rosso, Roscio Gomez, Gualano, Gina, Hoefsloot, Wouter, Ilievska-Poposka, Biljana, Jonsson, Jerker, Khimova, Elena, Kuksa, Liga, Kunst, Heinke, Laniado-Laborín, Rafael, Li, Yang, Magis-Escurra, Cecile, Manfrin, Vinicio, Manga, Selene, Marchese, Valentina, Martínez Robles, Elena, Maryandyshev, Andrei, Matteelli, Alberto, Migliori, Giovanni Battista, Mullerpattan, Jai B., Munoz-Torrico, Marcela, Mustafa Hamdan, Hamdan, Nieto Marcos, Magnolia, Noordin, Noorliza Mohamad, Palmero, Domingo Juan, Palmieri, Fabrizio, Payen, Marie-Christine, Piubello, Alberto, Pontali, Emanuele, Pontarelli, Agostina, Quirós, Sarai, Rendon, Adrian, Skrahina, Alena, Šmite, Agnese, Solovic, Ivan, Sotgiu, Giovanni, Souleymane, Mahamadou Bassirou, Spanevello, Antonio, Stošić, Maja, Tadolini, Marina, Tiberi, Simon, Udwadia, Zarir Farokh, van den Boom, Martin, Vescovo, Marisa, Viggiani, Pietro, Visca, Dina, Zhurkin, Dmitry, Zignol, Matteo
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Canada Elsevier Ltd 01.06.2019
Elsevier BV
Elsevier
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ISSN:1201-9712, 1878-3511, 1878-3511
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Abstract •WHO recommends countries monitor the safety profile of new drugs and regimens.•WHO developed the active TB drug safety monitoring and management (aDSM) package.•aDSM data are not yet available globally.•A project to prove aDSM feasibility was launched by the Global Tuberculosis Network; 41 centres in 27 countries participated.•309 cases were fully reported as of February 2019 out of 781 cases countries committed to report in 2019. The World Health Organization launched a global initiative, known as aDSM (active TB drug safety monitoring and management) to better describe the safety profile of new treatment regimens for drug-resistant tuberculosis (TB) in real-world settings. However, comprehensive surveillance is difficult to implement in several countries. The aim of the aDSM project is to demonstrate the feasibility of implementing national aDSM registers and to describe the type and the frequency of adverse events (AEs) associated with exposure to the new anti-TB drugs. Following a pilot study carried out in 2016, official involvement of TB reference centres/countries into the project was sought and cases treated with bedaquiline- and/or delamanid-containing regimens were consecutively recruited. AEs were prospectively collected ensuring potential attribution of the AE to a specific drug based on its known safety profile. A total of 309 cases were fully reported from 41 centres in 27 countries (65% males; 268 treated with bedaquiline, 20 with delamanid, and 21 with both drugs) out of an estimated 781 cases the participating countries had committed to report by the first quarter of 2019.
AbstractList The World Health Organization launched a global initiative, known as aDSM (active TB drug safety monitoring and management) to better describe the safety profile of new treatment regimens for drug-resistant tuberculosis (TB) in real-world settings. However, comprehensive surveillance is difficult to implement in several countries. The aim of the aDSM project is to demonstrate the feasibility of implementing national aDSM registers and to describe the type and the frequency of adverse events (AEs) associated with exposure to the new anti-TB drugs. Following a pilot study carried out in 2016, official involvement of TB reference centres/countries into the project was sought and cases treated with bedaquiline- and/or delamanid-containing regimens were consecutively recruited. AEs were prospectively collected ensuring potential attribution of the AE to a specific drug based on its known safety profile. A total of 309 cases were fully reported from 41 centres in 27 countries (65% males; 268 treated with bedaquiline, 20 with delamanid, and 21 with both drugs) out of an estimated 781 cases the participating countries had committed to report by the first quarter of 2019.The World Health Organization launched a global initiative, known as aDSM (active TB drug safety monitoring and management) to better describe the safety profile of new treatment regimens for drug-resistant tuberculosis (TB) in real-world settings. However, comprehensive surveillance is difficult to implement in several countries. The aim of the aDSM project is to demonstrate the feasibility of implementing national aDSM registers and to describe the type and the frequency of adverse events (AEs) associated with exposure to the new anti-TB drugs. Following a pilot study carried out in 2016, official involvement of TB reference centres/countries into the project was sought and cases treated with bedaquiline- and/or delamanid-containing regimens were consecutively recruited. AEs were prospectively collected ensuring potential attribution of the AE to a specific drug based on its known safety profile. A total of 309 cases were fully reported from 41 centres in 27 countries (65% males; 268 treated with bedaquiline, 20 with delamanid, and 21 with both drugs) out of an estimated 781 cases the participating countries had committed to report by the first quarter of 2019.
The World Health Organization launched a global initiative, known as aDSM (active TB drug safety monitoring and management) to better describe the safety profile of new treatment regimens for drug-resistant tuberculosis (TB) in real-world settings. However, comprehensive surveillance is difficult to implement in several countries.The aim of the aDSM project is to demonstrate the feasibility of implementing national aDSM registers and to describe the type and the frequency of adverse events (AEs) associated with exposure to the new anti-TB drugs.Following a pilot study carried out in 2016, official involvement of TB reference centres/countries into the project was sought and cases treated with bedaquiline- and/or delamanid-containing regimens were consecutively recruited. AEs were prospectively collected ensuring potential attribution of the AE to a specific drug based on its known safety profile.A total of 309 cases were fully reported from 41 centres in 27 countries (65% males; 268 treated with bedaquiline, 20 with delamanid, and 21 with both drugs) out of an estimated 781 cases the participating countries had committed to report by the first quarter of 2019. Keywords: Tuberculosis, MDR-TB, Adverse events, Monitoring, Delamanid, Bedaquiline
•WHO recommends countries monitor the safety profile of new drugs and regimens.•WHO developed the active TB drug safety monitoring and management (aDSM) package.•aDSM data are not yet available globally.•A project to prove aDSM feasibility was launched by the Global Tuberculosis Network; 41 centres in 27 countries participated.•309 cases were fully reported as of February 2019 out of 781 cases countries committed to report in 2019. The World Health Organization launched a global initiative, known as aDSM (active TB drug safety monitoring and management) to better describe the safety profile of new treatment regimens for drug-resistant tuberculosis (TB) in real-world settings. However, comprehensive surveillance is difficult to implement in several countries. The aim of the aDSM project is to demonstrate the feasibility of implementing national aDSM registers and to describe the type and the frequency of adverse events (AEs) associated with exposure to the new anti-TB drugs. Following a pilot study carried out in 2016, official involvement of TB reference centres/countries into the project was sought and cases treated with bedaquiline- and/or delamanid-containing regimens were consecutively recruited. AEs were prospectively collected ensuring potential attribution of the AE to a specific drug based on its known safety profile. A total of 309 cases were fully reported from 41 centres in 27 countries (65% males; 268 treated with bedaquiline, 20 with delamanid, and 21 with both drugs) out of an estimated 781 cases the participating countries had committed to report by the first quarter of 2019.
The World Health Organization launched a global initiative, known as aDSM (active TB drug safety monitoring and management) to better describe the safety profile of new treatment regimens for drug-resistant tuberculosis (TB) in real-world settings. However, comprehensive surveillance is difficult to implement in several countries. The aim of the aDSM project is to demonstrate the feasibility of implementing national aDSM registers and to describe the type and the frequency of adverse events (AEs) associated with exposure to the new anti-TB drugs. Following a pilot study carried out in 2016, official involvement of TB reference centres/countries into the project was sought and cases treated with bedaquiline- and/or delamanid-containing regimens were consecutively recruited. AEs were prospectively collected ensuring potential attribution of the AE to a specific drug based on its known safety profile. A total of 309 cases were fully reported from 41 centres in 27 countries (65% males; 268 treated with bedaquiline, 20 with delamanid, and 21 with both drugs) out of an estimated 781 cases the participating countries had committed to report by the first quarter of 2019.
Author Rendon, Adrian
van den Boom, Martin
Hoefsloot, Wouter
Udwadia, Zarir Farokh
Cadiñanos Loidi, Julen
Martínez Robles, Elena
Bernal, Enrique
Davies Forsman, Lina
Alffenaar, Jan-Willem
Skrahina, Alena
Filippov, Alexey
Pontarelli, Agostina
Nieto Marcos, Magnolia
Sotgiu, Giovanni
Duarte, Raquel
Visca, Dina
Kuksa, Liga
Tiberi, Simon
Mustafa Hamdan, Hamdan
Khimova, Elena
Bruchfeld, Judith
Tadolini, Marina
Solovic, Ivan
D’Ambrosio, Lia
Garcia, Ana
Noordin, Noorliza Mohamad
Kunst, Heinke
Denholm, Justin
Al-Marzouqi, Nada Hassan
Ganatra, Shashank
Palmero, Domingo Juan
García-García, José-María
Mullerpattan, Jai B.
Spanevello, Antonio
Belilovski, Evgeny
Laniado-Laborín, Rafael
Pontali, Emanuele
Aleksa, Alena
Zignol, Matteo
Manga, Selene
Payen, Marie-Christine
Dalcolmo, Margareth
Gomez Rosso, Roscio Gomez
Caminero, Jose A.
Davidavičienė, Edita
Matteelli, Alberto
Cai, Qingshan
Giraldo Montoya, Angela Maria
Migliori, Giovanni Battista
Maryandyshev, Andrei
Munoz-Torrico, Marcela
Gayoso, Regina
Magis-Escurra, Cecile
Manfrin, Vinicio
Gualano, Gina
Šmite, Ag
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  givenname: Jai B.
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– sequence: 53
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  email: dra_munoz@hotmail.com
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– sequence: 54
  givenname: Hamdan
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  organization: MDR-TB Department, Abu anga Teaching Hospital, Khartoum, Sudan
– sequence: 55
  givenname: Magnolia
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– sequence: 56
  givenname: Noorliza Mohamad
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– sequence: 57
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  email: djpalmero@intramed.net
  organization: Pulmonology Division, Municipal Hospital F.J. Muñiz, Buenos Aires, Argentina
– sequence: 58
  givenname: Fabrizio
  surname: Palmieri
  fullname: Palmieri, Fabrizio
  email: fabrizio.palmieri@inmi.it
  organization: Respiratory Infectious Diseases Unit, National Institute for Infectious Diseases ‘L. Spallanzani’, IRCCS, Rome, Italy
– sequence: 59
  givenname: Marie-Christine
  surname: Payen
  fullname: Payen, Marie-Christine
  email: christine_payen@stpierre-bru.be
  organization: Division of Infectious Diseases, CHU Saint-Pierre, Université Libre de Bruxelles (ULB), Brussels, Belgium
– sequence: 60
  givenname: Alberto
  surname: Piubello
  fullname: Piubello, Alberto
  email: albertopiubello@yahoo.it
  organization: Tuberculosis Division, International Union against Tuberculosis and Lung Disease (The Union), Paris, France
– sequence: 61
  givenname: Emanuele
  surname: Pontali
  fullname: Pontali, Emanuele
  email: pontals@yahoo.com
  organization: Department of Infectious Diseases, Galliera Hospital, Genova, Italy
– sequence: 62
  givenname: Agostina
  surname: Pontarelli
  fullname: Pontarelli, Agostina
  email: agostinapontarelli@gmail.com
  organization: Reference Centre for MDR and HIV-TB, Eugenio Morelli Hospital, Sondalo, Italy
– sequence: 63
  givenname: Sarai
  surname: Quirós
  fullname: Quirós, Sarai
  email: saraiquiros@icloud.com
  organization: Pneumology Department, Tuberculosis Unit, Hospital de Cantoblanco- Hospital General Universitario La Paz, Madrid, Spain
– sequence: 64
  givenname: Adrian
  surname: Rendon
  fullname: Rendon, Adrian
  email: adrianrendon@hotmail.com
  organization: Centro de Investigación, Prevención y Tratamiento de Infecciones Respiratorias CIPTIR, University Hospital of Monterrey UANL (Universidad Autonoma de Nuevo Leon), Monterrey, Mexico
– sequence: 65
  givenname: Alena
  surname: Skrahina
  fullname: Skrahina, Alena
  email: alena.skrahina@gmail.com
  organization: Republican Research and Practical Centre for Pulmonology and Tuberculosis, Minsk, Belarus
– sequence: 66
  givenname: Agnese
  orcidid: 0000-0002-2880-3759
  surname: Šmite
  fullname: Šmite, Agnese
  email: a_smite@inbox.lv
  organization: MDR-TB department, Riga East University Hospital for TB and Lung Disease Centre, Riga, Latvia
– sequence: 67
  givenname: Ivan
  surname: Solovic
  fullname: Solovic, Ivan
  email: solovic@hagy.sk
  organization: National Institute for TB, Lung Diseases and Thoracic Surgery, Vysne Hagy, Catholic University Ruzomberok, Slovakia
– sequence: 68
  givenname: Giovanni
  orcidid: 0000-0002-1600-4474
  surname: Sotgiu
  fullname: Sotgiu, Giovanni
  email: gsotgiu@uniss.it
  organization: Clinical Epidemiology and Medical Statistics Unit, Department of z, University of Sassari, Sassari, Italy
– sequence: 69
  givenname: Mahamadou Bassirou
  surname: Souleymane
  fullname: Souleymane, Mahamadou Bassirou
  email: bachirsoul@gmail.com
  organization: Tuberculosis Division, Damien Foundation, Niamey, Niger
– sequence: 70
  givenname: Antonio
  surname: Spanevello
  fullname: Spanevello, Antonio
  email: antonio.spanevello@icsmaugeri.it
  organization: Division of Pulmonary Rehabilitation, Istituti Clinici Scientifici Maugeri, IRCCS, Tradate, Italy
– sequence: 71
  givenname: Maja
  surname: Stošić
  fullname: Stošić, Maja
  email: maja_stosic@batut.org.rs
  organization: TB Programme and Surveillance Unit, National Public Health Institute, Belgrade, Serbia
– sequence: 72
  givenname: Marina
  surname: Tadolini
  fullname: Tadolini, Marina
  email: mtadolini@hotmail.com
  organization: Unit of Infectious Diseases, Deparment of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy
– sequence: 73
  givenname: Simon
  orcidid: 0000-0001-9424-6551
  surname: Tiberi
  fullname: Tiberi, Simon
  email: simon.tiberi@bartshealth.nhs.uk
  organization: Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom
– sequence: 74
  givenname: Zarir Farokh
  surname: Udwadia
  fullname: Udwadia, Zarir Farokh
  email: zfu@hindujahospital.com
  organization: Department of Respiratory Medicine, P.D. Hinduja National Hospital and MRC, Mumbai, India
– sequence: 75
  givenname: Martin
  orcidid: 0000-0002-6417-6668
  surname: van den Boom
  fullname: van den Boom, Martin
  email: vandenboomm@who.int
  organization: World Health Organization, Regional Office for Europe, Copenhagen, Denmark
– sequence: 76
  givenname: Marisa
  surname: Vescovo
  fullname: Vescovo, Marisa
  email: marisavescovo@yahoo.com.ar
  organization: Pulmonology Division, Municipal Hospital F.J. Muñiz, Buenos Aires, Argentina
– sequence: 77
  givenname: Pietro
  surname: Viggiani
  fullname: Viggiani, Pietro
  email: pietro.viggiani@asst-val.it
  organization: Reference Centre for MDR and HIV-TB, Eugenio Morelli Hospital, Sondalo, Italy
– sequence: 78
  givenname: Dina
  surname: Visca
  fullname: Visca, Dina
  email: dina.visca@icsmaugeri.it
  organization: Division of Pulmonary Rehabilitation, Istituti Clinici Scientifici Maugeri, IRCCS, Tradate, Italy
– sequence: 79
  givenname: Dmitry
  surname: Zhurkin
  fullname: Zhurkin, Dmitry
  email: dmitry_zhurkin@yahoo.com
  organization: Republican Research and Practical Centre for Pulmonology and Tuberculosis, Minsk, Belarus
– sequence: 80
  givenname: Matteo
  surname: Zignol
  fullname: Zignol, Matteo
  email: zignolm@who.int
  organization: Global Tuberculosis Programme, World Health Organization, Geneva, Switzerland
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Cites_doi 10.1183/13993003.00724-2015
10.1183/13993003.00017-2018
10.1183/13993003.02467-2017
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Keywords MDR-TB
Tuberculosis
Adverse events
Delamanid
Monitoring
Bedaquiline
Language English
License This is an open access article under the CC BY-NC-ND license.
Copyright © 2019. Published by Elsevier Ltd.
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Snippet •WHO recommends countries monitor the safety profile of new drugs and regimens.•WHO developed the active TB drug safety monitoring and management (aDSM)...
The World Health Organization launched a global initiative, known as aDSM (active TB drug safety monitoring and management) to better describe the safety...
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SubjectTerms Adverse events
Adverse events; Bedaquiline; Delamanid; MDR-TB; Monitoring; Tuberculosis
Adverse events; Bedaquiline; Delamanid; MDR-TB; Monitoring; Tuberculosis; Antitubercular Agents; Diarylquinolines; Drug Therapy, Combination; Feasibility Studies; Female; Humans; Male; Nitroimidazoles; Oxazoles; Pilot Projects; Tuberculosis; Tuberculosis, Multidrug-Resistant; World Health Organization
Antitubercular Agents
Bedaquiline
Delamanid
Diarylquinolines
Drug Therapy, Combination
Feasibility Studies
Female
Humans
Infectious and parasitic diseases
Male
MDR-TB
Microbiologie et protistologie [bacteriol.virolog.mycolog.]
Microbiologie et protistologie [entomologie,phytoparasitolog.]
Microbiologie et protistologie [parasitologie hum. et anim.]
Monitoring
Nitroimidazoles
Oxazoles
Pathologie maladies infectieuses
Pilot Projects
RA Aspectos Públicos de la Medicina
Radboudumc 4: lnfectious Diseases and Global Health RIHS: Radboud Institute for Health Sciences
RC109-216
Tuberculosis
Tuberculosis, Multidrug-Resistant
World Health Organization
Title Surveillance of adverse events in the treatment of drug-resistant tuberculosis: A global feasibility study
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https://www.ncbi.nlm.nih.gov/pubmed/30953827
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