Data mining and analysis of the adverse events derived signals of 4 gadolinium-based contrast agents based on the US Food and drug administration adverse event reporting system

BACKGROUND: To detect and analyze risk signals of the drug-related adverse events (AEs) of 4 gadolinium-based contrast agents (GBCAs) (gadopentetate dimeglumine (Gd-DTPA), gadobenate dimeglumine (Gd-BOPTA), gadoteridol (Gd-HP-DO3A), and gadobutrol (Gd-BT-DO3A)) according to the US Food and Drug Administration Adverse Event Reporting System (FAERS) database and ensure the clinical safety.

RESEARCH DESIGN AND METHODS: The AEs that are associated with the 4 GBCAs were collected from the FAERS database from 2004Q1 to 2022Q3. The risk signals were mined using reporting odds ratio (ROR) and proportional reporting ratio (PRR).

RESULTS: 424 risk signals were excavated, in which 151 risk signals were associated with Gd-DTPA, 93 risk signals were related to Gd-BOPTA, 79 risk signals were relevant to Gd-HP-DO3A, and 101 risk signals were associated with Gd-BT-DO3A. The AE signals involved 20 system organ classes (SOCs). Two of the top four SOCs were identical, namely 'skin and subcutaneous tissue disorders' and 'general disorders and administration site conditions.'.

CONCLUSIONS: The safety signals of 4 GBCAs were detected, and the SOCs associated with the AEs of the 4 GBCAs were different. Besides, some AEs obtained in this study were not mentioned in the package inserts, which need more attention and research to ensure the clinical safety.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:23

Enthalten in:

Expert opinion on drug safety - 23(2024), 3 vom: 05. März, Seite 339-352

Sprache:

Englisch

Beteiligte Personen:

Wang, Lu [VerfasserIn]
Wang, Yinglin [VerfasserIn]
Zhao, Quan [VerfasserIn]

Links:

Volltext

Themen:

0199MV609F
15G12L5X8K
6HG8UB2MUY
AU0V1LM3JT
Contrast Media
Drug-related adverse events
FAERS
Gadobenic acid
Gadolinium
Gadolinium DTPA
Gadolinium-based contrast agent
Gadoteridol
Heterocyclic Compounds
Journal Article
K2I13DR72L
Meglumine
Organometallic Compounds
Potential risk signal
System organ class

Anmerkungen:

Date Completed 08.03.2024

Date Revised 08.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/14740338.2023.2271834

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363303138