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2017 ; 46
(6
): 2078-2089
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Mendelian randomization: a novel approach for the prediction of adverse drug
events and drug repurposing opportunities
#MMPMID29040597
Walker VM
; Davey Smith G
; Davies NM
; Martin RM
Int J Epidemiol
2017[Dec]; 46
(6
): 2078-2089
PMID29040597
show ga
Identification of unintended drug effects, specifically drug repurposing
opportunities and adverse drug events, maximizes the benefit of a drug and
protects the health of patients. However, current observational research methods
are subject to several biases. These include confounding by indication, reverse
causality and missing data. We propose that Mendelian randomization (MR) offers a
novel approach for the prediction of unintended drug effects. In particular, we
advocate the synthesis of evidence from this method and other approaches, in the
spirit of triangulation, to improve causal inferences concerning drug effects. MR
addresses some of the limitations associated with the existing methods in this
field. Furthermore, it can be applied either before or after approval of the
drug, and could therefore prevent the potentially harmful exposure of patients in
clinical trials and beyond. The potential of MR as a pharmacovigilance and drug
repurposing tool is yet to be realized, and could both help prevent adverse drug
events and identify novel indications for existing drugs in the future.
|*Drug Repositioning
[MESH]
|*Drug-Related Side Effects and Adverse Reactions
[MESH]