Research Article


DOI :10.26650/IstanbulJPharm.2024.1207607   IUP :10.26650/IstanbulJPharm.2024.1207607    Full Text (PDF)

Comparison of drug–drug interaction checking databases for interactions involving BCR-ABL tyrosine kinase inhibitors

Ayşe GünayEren DemirpolatMükerrem Betül Yerer AycanAli Ünal

Background and Aims: BCR-ABL tyrosine kinase inhibitors (TKIs) are used for the treatment of chronic myeloid leukemia and are commonly involved in clinically significant drug–drug interactions (DDIs). In this study, we aimed to evaluate the consensus of DDI checking databases for interactions involving BCR-ABL TKIs.

Methods: We checked DDIs of 100 drugs with six BCR-ABL TKIs—dasatinib, imatinib, nilotinib, ponatinib, bosutinib, and asciminib—in two subscription-based databases (UpToDate and Micromedex) and two open-access databases (Drugs.com and Medscape). Databases were compared in terms of severity ratings, literature support ratings, and general interaction mechanism definitions using Fleiss’ and Cohen’s kappa statistics.

Results: A total of 410 interactions were found. Nilotinib was the most interacted TKI, with 88 interactions. Drugs.com detected the highest number of interactions (n = 355). The overall agreement levels of databases for the severity ratings and general mechanisms were calculated as 0.13 (p = 0) and 0.28 (p = 0), respectively. The Micromedex- UpToDate pair showed the highest agreement level in terms of severity ratings and general mechanism definitions, with kappa values of 0.23 and 0.45, respectively.

Conclusion: The differences among databases for DDIs involving BCR-ABL TKIs were statistically significant. Therefore, healthcare practitioners should check DDIs in multiple databases. 


PDF View

References

  • An, X., Tiwari, A. K., Sun, Y., Ding, P. R., Ashby, C. R., Jr, & Chen, Z. S. (2010). BCR-ABL tyrosine kinase inhibitors in the treatment of Philadelphia chromosome positive chronic myeloid leukemia: a review. Leukemia Research, 34(10), 1255-1268. google scholar
  • Bossaer, J. B., & Thomas, C. M. (2017). Drug Interaction Database Sensitivity With Oral Antineoplastics: An Exploratory Analysis. Journal of Oncology Practice, 13(3), e217-e222. google scholar
  • Cancer.org. (2022, Nov 1). Targeted Therapies for Chronic Myeloid Leukemia. Retrieved from https://www.cancer.org/cancer/chronic-myeloid-leukemia/treating/targeted-therapies.html google scholar
  • Cascorbi I. (2012). Drug interactions-principles, examples and clini-cal consequences. Deutsches Arzteblatt International, 109(33-34), 546-556. google scholar
  • Corrie, K., Hardman, J. G. (2011). Mechanisms of drug interactions: pharmacodynamics and pharmacokinetics. Anaesthesia and In-tensive Care Medicine, 12(4), 156-159. google scholar
  • Deeks E. D. (2022). Asciminib: First Approval. Drugs, 82(2), 219-226. google scholar
  • Drugs.com. (2022, Sep 7). Drug Interactions Checker. Retrieved from https://www.drugs.com/drug_interactions.html google scholar
  • Haider, S. I., Johnell, K., Thorslund, M., & Fastbom, J. (2007). Trends in polypharmacy and potential drug-drug interactions across edu-cational groups in elderly patients in Sweden for the period 1992 -2002. International Journal of Clinical Pharmacology and Ther-apeutics, 45(12), 643-653. google scholar
  • Hohl, C. M., Dankoff, J., Colacone, A., & Afilalo, M. (2001). Polyphar-macy, adverse drug-related events, and potential adverse drug in-teractions in elderly patients presenting to an emergency depart-ment. Annals of Emergency Medicine, 38(6), 666-671. google scholar
  • Hsieh, Y. C., Kirschner, K., & Copland, M. (2021). Improving out-comes in chronic myeloid leukemia through harnessing the im-munological landscape. Leukemia, 35(5), 1229-1242. google scholar
  • IBM Micromedex. (2022, Sep 7). Drug Interactions. Retrieved from https://www.micromedexsolutions.com/home/dispatch google scholar
  • Kennedy, J. A., & Hobbs, G. (2018). Tyrosine Kinase Inhibitors in the Treatment of Chronic-Phase CML: Strategies for Front-line Decision-making. Current Hematologic Malignancy Reports, 13(3), 202-211. google scholar
  • Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33(1), 159-174. google scholar
  • Luskin, M. R., & DeAngelo, D. J. (2018). How to treat chronic myeloid leukemia (CML) in older adults. Journal of Geriatric Oncology, 9(4), 291-295. google scholar
  • Marcath, L. A., Xi, J., Hoylman, E. K., Kidwell, K. M., Kraft, S. L., & Hertz, D. L. (2018). Comparison of Nine Tools for Screening Drug-Drug Interactions of Oral Oncolytics. Journal of Oncology Practice, 14(6), e368-e374. google scholar
  • Medscape. (2022, Sep 7). Drug Interaction Checker. Retrieved from https://reference.medscape.com/drug-interactionchecker google scholar
  • World Health Organization. (2022, Sep 1). Collaborating Centre for Drug Statistics Methodology. ATC/DDD Index 2022 Retrieved from https://www.whocc.no/atc_ddd_index/ google scholar
  • Monteith, S., Glenn, T., Gitlin, M., & Bauer, M. (2020). Potential Drug interactions with Drugs used for Bipolar Disorder: A Comparison of 6 Drug Interaction Database Programs. Pharmacopsychiatry, 53(5), 220-227. google scholar
  • Osman, A. E. G., & Deininger, M. W. (2021). Chronic Myeloid Leukemia: Modern therapies, current challenges and future di-rections. Blood Reviews, 49, 100825. google scholar
  • Osorio, S., Escudero-Vilaplana, V., Gomez-Centurion, I., Perez-Lopez, R., Ayala, R., Vall-Llovera, F., ... CML Spanish Group (GELMC) (2018). Drug-to-drug interactions of tyrosine kinase inhibitors in chronic myeloid leukemia patients. Is it a real problem?. Annals of Hematology, 97(11), 2089-2098. google scholar
  • Patel, R. I., & Beckett, R. D. (2016). Evaluation of resources for analyz-ing drug interactions. Journal of the Medical Library Association : JMLA, 104(4), 290-295. google scholar
  • Reis, A. M., & Cassiani, S. H. (2010). Evaluation of three brands of drug interaction software for use in intensive care units. Pharmacy World & Science : PWS, 32(6), 822-828. google scholar
  • Riechelmann, R. P., & Del Giglio, A. (2009). Drug interactions in oncology: how common are they?. Annals of Oncology, 20(12), 1907-1912. google scholar
  • Saydam, G., Ali, R., Demir, A. M., Eskazan, A. E., Guvenc, B., Haznedaroglu, I. C., . . . Ilhan, O. (2022). The effect of comor-bidities on the choice of tyrosine kinase inhibitors in patients with chronic myeloid leukemia. International Journal of Hematologic Oncology, 11(1), JJH38. google scholar
  • Suriyapakorn, B., Chairat, P., Boonyoprakarn, S., Rojanarattanangkul, P., Pisetcheep, W., Hunsakunachai, N., . . . Khemawoot, P. (2019). Comparison of potential drug-drug interactions with metabolic syndrome medications detected by two databases. PloS One, 14(11), e0225239. google scholar
  • Uptodate. (2022, Sep 7). Lexicomp Drug Interactions. Retrieved from https://www.uptodate.com/drug-interactions/?source=responsive_home#di-druglist google scholar
  • van Leeuwen, R. W., van Gelder, T., Mathijssen, R. H., & Jansman, F.G. (2014). Drug-drug interactions with tyrosine-kinase inhibitors: a clinical perspective. The Lancet. Oncology, 15(8), e315-e326. google scholar
  • van Leeuwen, R. W., Brundel, D. H., Neef, C., van Gelder, T., Mathi-jssen, R. H., Burger, D. M., & Jansman, F. G. (2013). Prevalence of potential drug-drug interactions in cancer patients treated with oral anticancer drugs. British Journal of Cancer, 108(5), 1071-1078. google scholar
  • van Leeuwen, R. W. F., Jansman, F. G. A., Hunfeld, N. G., Peric, R., Reyners, A. K. L., Imholz, A. L. T., . . . Mathjssen, R. H. J. (2017). Tyrosine Kinase Inhibitors and Proton Pump Inhibitors: An Evaluation of Treatment Options. Clinical Pharmacokinetics, 56(7), 683-688. google scholar
  • Vonbach, P., Dubied, A., Krahenbühl, S., & Beer, J. H. (2008). Eval-uation of frequently used drug interaction screening programs. Pharmacy World & Science : PWS, 30(4), 367-374. google scholar

Citations

Copy and paste a formatted citation or use one of the options to export in your chosen format


EXPORT



APA

Günay, A., Demirpolat, E., Yerer Aycan, M., & Ünal, A. (2024). Comparison of drug–drug interaction checking databases for interactions involving BCR-ABL tyrosine kinase inhibitors. İstanbul Journal of Pharmacy, 54(1), 32-39. https://doi.org/10.26650/IstanbulJPharm.2024.1207607


AMA

Günay A, Demirpolat E, Yerer Aycan M, Ünal A. Comparison of drug–drug interaction checking databases for interactions involving BCR-ABL tyrosine kinase inhibitors. İstanbul Journal of Pharmacy. 2024;54(1):32-39. https://doi.org/10.26650/IstanbulJPharm.2024.1207607


ABNT

Günay, A.; Demirpolat, E.; Yerer Aycan, M.; Ünal, A. Comparison of drug–drug interaction checking databases for interactions involving BCR-ABL tyrosine kinase inhibitors. İstanbul Journal of Pharmacy, [Publisher Location], v. 54, n. 1, p. 32-39, 2024.


Chicago: Author-Date Style

Günay, Ayşe, and Eren Demirpolat and Mükerrem Betül Yerer Aycan and Ali Ünal. 2024. “Comparison of drug–drug interaction checking databases for interactions involving BCR-ABL tyrosine kinase inhibitors.” İstanbul Journal of Pharmacy 54, no. 1: 32-39. https://doi.org/10.26650/IstanbulJPharm.2024.1207607


Chicago: Humanities Style

Günay, Ayşe, and Eren Demirpolat and Mükerrem Betül Yerer Aycan and Ali Ünal. Comparison of drug–drug interaction checking databases for interactions involving BCR-ABL tyrosine kinase inhibitors.” İstanbul Journal of Pharmacy 54, no. 1 (May. 2024): 32-39. https://doi.org/10.26650/IstanbulJPharm.2024.1207607


Harvard: Australian Style

Günay, A & Demirpolat, E & Yerer Aycan, M & Ünal, A 2024, 'Comparison of drug–drug interaction checking databases for interactions involving BCR-ABL tyrosine kinase inhibitors', İstanbul Journal of Pharmacy, vol. 54, no. 1, pp. 32-39, viewed 19 May. 2024, https://doi.org/10.26650/IstanbulJPharm.2024.1207607


Harvard: Author-Date Style

Günay, A. and Demirpolat, E. and Yerer Aycan, M. and Ünal, A. (2024) ‘Comparison of drug–drug interaction checking databases for interactions involving BCR-ABL tyrosine kinase inhibitors’, İstanbul Journal of Pharmacy, 54(1), pp. 32-39. https://doi.org/10.26650/IstanbulJPharm.2024.1207607 (19 May. 2024).


MLA

Günay, Ayşe, and Eren Demirpolat and Mükerrem Betül Yerer Aycan and Ali Ünal. Comparison of drug–drug interaction checking databases for interactions involving BCR-ABL tyrosine kinase inhibitors.” İstanbul Journal of Pharmacy, vol. 54, no. 1, 2024, pp. 32-39. [Database Container], https://doi.org/10.26650/IstanbulJPharm.2024.1207607


Vancouver

Günay A, Demirpolat E, Yerer Aycan M, Ünal A. Comparison of drug–drug interaction checking databases for interactions involving BCR-ABL tyrosine kinase inhibitors. İstanbul Journal of Pharmacy [Internet]. 19 May. 2024 [cited 19 May. 2024];54(1):32-39. Available from: https://doi.org/10.26650/IstanbulJPharm.2024.1207607 doi: 10.26650/IstanbulJPharm.2024.1207607


ISNAD

Günay, Ayşe - Demirpolat, Eren - Yerer Aycan, Mükerrem Betül - Ünal, Ali. Comparison of drug–drug interaction checking databases for interactions involving BCR-ABL tyrosine kinase inhibitors”. İstanbul Journal of Pharmacy 54/1 (May. 2024): 32-39. https://doi.org/10.26650/IstanbulJPharm.2024.1207607



TIMELINE


Submitted21.11.2022
Accepted28.11.2023
Published Online30.04.2024

LICENCE


Attribution-NonCommercial (CC BY-NC)

This license lets others remix, tweak, and build upon your work non-commercially, and although their new works must also acknowledge you and be non-commercial, they don’t have to license their derivative works on the same terms.


SHARE




Istanbul University Press aims to contribute to the dissemination of ever growing scientific knowledge through publication of high quality scientific journals and books in accordance with the international publishing standards and ethics. Istanbul University Press follows an open access, non-commercial, scholarly publishing.