From: Efficacy and safety of compassionate use for rare diseases: a scoping review from 1991 to 2022
Drug Name | Disease | Number of patientsa | AE grade | TEAE | Drug-related deaths |
---|---|---|---|---|---|
IVb Ribavirin [32] | Severe Adenovirus Disease | 5 | 5 | Severe Adenovirus Disease (n = 3, 60.0%) | – |
Nivolumab [34] | Pediatric glioblastoma | 1 | 5 | Malignant cerebral edema and herniation (n = 1, 100%) | 1 |
Miransertib [35] | Pik3ca-related overgrowth syndrome | 2 | 1 | Hyperlipidaemia (n = 1, 50.0%) | – |
 |  |  | Loose stools (n = 1, 50.0%) |  | |
Nirogacestat [36] | Desmoid tumors | 1 | 2 | Diarrhea (n = 1, 100.0%) | – |
AL101 [40] | Desmoid tumors | 1 | 1 | Fatigue (n = 1, 100.0%) | – |
2 | Nausea (n = 1, 100.0%) | – | |||
 | Weight decreased (n = 1,100.0%) |  | |||
3 | Diarrhea (n = 1,100.0%) | – | |||
Lorlatinib [44] | Inflammatory myofibroblastic tumour | 1 | 1 | Oral stomatitis, insomnia, paronychia (n = 1,100.0%) each |  |
2 | Hyperlipidaemia (n = 1,100.0%) |  | |||
Defibrotide [45] | Hepatic veno-occlusive disease | 19 | 1–2 3–4 | Nausea (n = 6, 31.6%) | – |
Transient mild systolic hypotension (n = 5, 26.3%) | |||||
Fever (n = 5,26.3%) | |||||
Abdominal cramping (n = 3, 15.8%) | |||||
Vasomotor symptoms (n = 1, 5.3%) | |||||
Sepsis (n = 7, 36.8%) | – | ||||
Pulmonary edema (n = 5, 26.3%) | |||||
Cytomegalovirus infection (n = 2, 10.5%) | |||||
Hypotension (n = 2, 10.5%) | |||||
Respiratory failure (n = 2, 10.5%) | |||||
Diarrhea, bronchospasm, alveolar hemorrhage, renal failure, gastrointestinal bleeding, supraventricular arrhythmia, and encephalopathy (n = 1,5.3%) each | |||||
Bedaquiline [46] | Multidrug-resistant tuberculosis | 82 | 5 | Respiratory failure (n = 3, 3.6%) Cardiopulmonary failure (n = 2, 2.4%) Peripheral oedema, Nephrotic syndrome, Tuberculosis, Committed suicide, Tuberculosis disease progression, and Myocardial infarction (n = 1, 1.2%) each | 2 |
Gemtuzumab Ozogamicin [47] | AMLc, high-risk myelodysplastic syndrome, or acute promyelocytic leukemia | 331 | 3–4 5 | Anemia (n = 142, 42.9%) WBCd count decrease (n = 120, 36.3%) Platelet count decrease (n = 118, 35.6%) Febrile neutropenia (n = 120, 36.3%) Disease progression (n = 48, 14.5%) Lymphocyte count decrease (n = 81, 24.5%) Hypokalemia (n = 66, 19.9%) Neutrophil count decrease (n = 79, 23.9%) Lung infection (n = 13, 3.9%) | – |
Disease progression (n = 46, 13.9%) AML (n = 16, 4.8%) Sepsis (n = 7, 2.1%) Respiratory failure (n = 5,1.5%) Intracranial hemorrhage (n = 1, 0.3%) Pulmonary hemorrhage, respiratory distress, sepsis, and multiple organ dysfunction syndrome (n = 2, 0.6%) each | 15 | ||||
Ropeginterferon Alpha-2b (Besremi) [50] | [Ph (−)]e myeloproliferative neoplasms | 9 | 1 | Anemia, thrombocytopenia, depression, and bone pain (n = 1, 11.1%) each Mucositis (n = 2, 22.2%) Dizziness (n = 2, 22.2%) Alopecia (n = 3, 33.3%) | – |
2 | Anemia, leukopenia, and neuropathy (n = 2, 22.2%) each Headache, insomnia, and transaminitis (n = 1, 11.1%) each | – | |||
3 | Anemia, leukopenia, thrombocytopenia, and transaminitis (n = 1, 11.1%) each | – | |||
4 | Anemia (n = 1, 11.1%) | – | |||
Aflibercept [51] | Colorectal cancer | 5 | 1 | Alopecia, hypertension, dysphonia, epistaxis conjunctival toxicity, and acute neurotoxicity (n = 1, 20.0%) each Diarrhoea (n = 2, 40.0%) | – |
2 | Proteinuria, palmar plantar erythrodysesthesia, alopecia, fatigue, nausea, diarrhoea, neutropenia,respiratory infection, and mucositis (n = 1, 20.0%) each Hypertension (n = 2, 40.0%) Hyporexia (n = 2, 40.0%) | – – | |||
3 | Neutropenia, hypertension, and fatigue (n = 1, 20.0%) each |  | |||
Hydralazine and Valproate (TRANSKRIP™) [52] | Myelodysplastic syndrome | 14 | 1–2 | Distal tremor (n = 9, 64.3%) Edema (n = 8, 57.1%) Nausea (n = 7, 50.0%) Drowsiness (n = 6, 42.9%) Headache (n = 5, 35.7%) Skin rash (n = 1, 7.1%) | – |
Letermovir [59] | CMVf infection | 80 | 5 | Graft-versus-host disease (n = 5, 6.2%) CMV infection (n = 2, 2.5%) Adenovirus colitis, influenza infection, leukemia relapse, cardiac arrest, and adenovirus pneumonia (n = 1, 1.2%) each | 1 |
Gemtuzumab Ozogamicin [62] | AML | 24 | 3–4 | Neutropenia and/or thrombocytopenia (n = 24, 100%) | – |
5 | Veno-occlusive disease (n = 1, 4.2%) Septic shock (n = 1, 4.2%) | – | |||
Abiraterone Acetate [63] | Prostate cancer | 368 | 3–4 | Pain (n = 23, 6.3%) Nausea (n = 5, 1.4%) Vomiting (n = 2, 0.5%) Fatigue (n = 25, 6.8%) Peripheral edema (n = 3, 0.8%) Cardiac disorders (n = 3, 0.8%) Anemia (n = 51, 13.9%) Neutropenia (n = 7, 1.9%) Thrombocytopenia (n = 15, 4.1%) Liver enzymes (n = 13, 3.5%) Hypokalemia (n = 27, 7.3%) Hypertension (n = 13, 3.5%) | – |
Avapritinib [65] | Gastrointestinal stromal tumour | 1 | 2 | Bilateral lower limb oedema (n = 1, 100.0%) | – |
Imatinib [58] | Chordoma | 48 |  ≤ 2 | Oedema (n = 22, 45.8%) Gastritis (n = 1, 2.1%) | – |
 ≥ 3 | Oedema (n = 2, 4.2%) Nausea (n = 4, 8.4%) Neutropenia (n = 1, 2.1%) |  | |||
Ulixertinib [66] | BRAF D594G cutaneous melanoma | 1 | 1 2 | Mucositis, rash, and diarrhea (n = 1, 100.0%) each | – |
Intermittent visual floaters (n = 1, 100.0%) | – | ||||
Avapritinib [70] | Mucosal melanoma and thymic carcinoma | 4 | 2 | Vasculitis, uveitis, anaemia, and thrombocytopaenia (n = 1, 25.0%) each | – |