The Adverse Event Profile in Patients Treated with TransferonTM (Dialyzable Leukocyte Extracts): A Preliminary Report
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Author(s)
Toni Homberg1, Violeta Sáenz2, Jorge Galicia-Carreón2, Iván Lara2, Edgar Cervantes-Trujano1,2, Maria C. Andaluz1,2, Erika Vera1, Oscar Pineda1, Julio Ayala-Balboa1, Alejandro Estrada-García3, Sergio Estrada-Parra3, Mayra Pérez-Tapia4, Maria C. Jiménez-Martínez5*
Affiliation(s)
1Clinical
Trials Branch and Clinical Immunology Service, Unit of External
Services and Clinical Research (USEIC), National School of Biological
Sciences, National Polytechnic Institute, Mexico City, Mexico.
2Unit of Pharmacovigilance, Unit of External Services and Clinical Research (USEIC), National School of Biological Sciences, National Polytechnic Institute, Mexico City, Mexico.
3Department of Immunology, National School of Biological Sciences, National Polytechnic Institute, Mexico City, Mexico.
4Unit of R&D in Bioprocesses (UDIBI), National School of Biological Sciences, National Poly-technic Institute, Mexico City, Mexico.
5Department of Biochemistry, Faculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico.
2Unit of Pharmacovigilance, Unit of External Services and Clinical Research (USEIC), National School of Biological Sciences, National Polytechnic Institute, Mexico City, Mexico.
3Department of Immunology, National School of Biological Sciences, National Polytechnic Institute, Mexico City, Mexico.
4Unit of R&D in Bioprocesses (UDIBI), National School of Biological Sciences, National Poly-technic Institute, Mexico City, Mexico.
5Department of Biochemistry, Faculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico.
ABSTRACT
Background:
Dialyzable leukocyte extracts (DLE) are heterogeneous mixtures of
peptides less than 10 kDa in size that are used as immunomodulatory
adjuvants in immune-mediated diseases. TransferonTM is DLE
manufactured by National Polytechnic Institute (IPN), and is registered
by Mexican health-regulatory authorities as an immunomodulatory drug and
commercialized nationally. The proposed mechanism of action of
TransferonTM is induction of a Th1 immunoregulatory response.
Despite that it is widely used, to date there are no reports of adverse
events related to the clinical safety of human DLE or TransferonTM. Objective: To assess the safety of TransferonTM
in a large group of patients exposed to DLE as adjuvant treatment.
Methods: We included in this study 3844 patients from our Clinical
Immunology Service at the Unit of External Services and Clinical
Research (USEIC), IPN. Analysis was performed from January 2014 to
November 2014, searching for clinical adverse events in patients with
immune-mediated diseases and treated with TransferonTM as an
adjuvant. Results: In this work we observed clinical nonserious adverse
events (AE) in 1.9% of patients treated with TransferonTM (MD
1.9, IQR 1.7 - 2.0). AE were 2.8 times more frequently observed in
female than in male patients. The most common AE were headache in 15.7%,
followed by rash in 11.4%, increased disease-related symptomatology in
10%, rhinorrhea in 7.1%, cough in 5.7%, and fatigue in 5.7% of patients
with AE. 63% of adverse event presentation occurred from day 1 to day 4
of treatment with TransferonTM, and mean time resolution of
adverse events was 14 days. In 23 cases, the therapy was stopped because
of adverse events and no serious adverse events were observed in this
study. Conclusion: TransferonTM induced low frequency of
nonserious adverse events during adjuvant treatment. Further monitoring
is advisable for different age and disease groups of patients.
KEYWORDS
Dialyzable Leukocyte Extracts, Adverse Events, Monitoring, Drug Safety, Adjuvant Therapy, Immunoregulation, Guidelines, Transfer Factor, Pharmacovigilance
Cite this paper
References
Homberg,
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, Andaluz, M. , Vera, E. , Pineda, O. , Ayala-Balboa, J. ,
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Jiménez-Martínez, M. (2015) The Adverse Event Profile in Patients
Treated with TransferonTM (Dialyzable Leukocyte Extracts): A Preliminary Report. Pharmacology & Pharmacy, 6, 65-74. doi: 10.4236/pp.2015.62009.
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