Table 5.
Postmarketing Reports of Ischemic Colitis and Complications of Constipation Associated with Alosetron: Reported and Adjudicated Incidence Rates
| Before June 2002 (before reintroduction/prior to the risk management program)* | November 2002-December 2011 (reintroduction under the risk management program) | |
|---|---|---|
| Number of Prescriptions | 586,000 | 341,784 |
| Patient-Years of Alosetron Exposure† | 48,829 | 28,084 |
| Ischemic Colitis‡ | ||
| Reported Incidence Rate (pre-adjudication) | 1.70 | 1.53 |
| Adjudicated Incidence Rate (probable/possible) | 0.96 | 1.03 |
| Complications of Constipation‡ | ||
| Reported Incidence Rate (pre-adjudication) | 2.00 | 0.93 |
| Adjudicated Incidence Rate | 0.59 | 0.25 |
Safety database of adverse events reported as of February 18, 2002 reported by Chang L et al. Am J Gastroenterol. 2006;101(5):1069-1079.6
Each prescription is considered to represent 30 days of alosetron use.
Per 1,000 patient-years exposure.
Adapted from Tong K et al. Therap Adv Gastroenterol. 2013;6(5):344-357.8