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. 2018 Oct 19;4(4):00084-2018. doi: 10.1183/23120541.00084-2018

TABLE 4.

Adverse drug reactions of special interest (ADRSI)# in the overall population

Total events Patients with event
Any ADRSI 1577 693 (68.7)
 Gastrointestinal symptoms 591 386 (38.3)
 Photosensitivity and skin rashes 388 293 (29.0)
 Fatigue 257 244 (24.2)
 Weight loss 173 162 (16.1)
 Dizziness 79 72 (7.1)
 Abnormal LFTs 54 36 (3.6)
 Angioedema 10 9 (0.9)
 Specific cardiac events 9 7 (0.7)
 Falls 6 6 (0.6)
 Blood dyscrasias 4 4 (0.4)
 Severe skin infections 4 4 (0.4)
 Drug interactions (including smoking) 2 2 (0.2)
 Increased platelet count 0 0 (0.0)

Data are presented as n or n (%). LFT: liver function test; EMA: European Medicines Agency; CHMP: Committee for Medicinal Products for Human Use. #: ADRSI included any important identified/potential risks identified in the EMA's CHMP assessment report for pirfenidone (important identified risks: photosensitivity reactions/skin rashes, abnormal LFTs, dizziness, weight loss, gastrointestinal symptoms, fatigue and angioedema; important potential risks: falls, drug interactions (particularly cytochrome P450 CYP1A2 inducers/inhibitors such as cigarette smoke and ciprofloxacin), increased platelet counts, specific cardiac events (including supraventricular tachyarrhythmia, atrioventricular block and sick sinus syndrome, ventricular arrhythmia, bundle branch block and aortic or pulmonic valvular incompetence)) [12]; in addition to these ADRSI included in the EMA's CHMP, this study also included angioedema, blood dyscrasias (specifically agranulocytosis, leukopenia and neutropenia), severe skin reactions and warfarin interactions as important/potential risks (the treating physician (investigator) made a clinical judgement to decide if the ADRSI was related to pirfenidone); : n=1009.