Newly identified adverse events for gemcitabine using the Food and Drug Administration Adverse Event Reporting System

BACKGROUND: Our research aimed to identify previously undocumented adverse events (AEs) in the gemcitabine drug insert with the goal of informing clinical practice.

METHODS: We extracted adverse events associated with gemcitabine use through 2023 using the Food and Drug Administration Adverse Event Reporting System (FAERS) database. Four algorithms (Reporting Odds Ratio, Proportional Reporting Ratio, Bayesian Confidence Propagation Neural Network, and Empirical Bayesian Geometric Mean) were employed to detect new AE signals. AEs were considered positive signals only if they were detected by all four algorithms.

RESULTS: From 2014 to 2023, a total of 42,360 AEs were reported in 14,905 individuals following gemcitabine use. These AEs totaled 437 preferred terms (PTs) across 20 system organ classes (SOCs). We identified unexpected AEs related to the ocular disorders, the nervous system, and the ear and the labyrinth. The ocular organ system will present with retinopathy, purtscher retinopathy, choroidal effusion, amaurosis, necrotizing scleritis, etc. The nervous system may experience reversible posterior encephalopathy syndrome, cerebellar syndrome, cauda equina syndrome, athetosis, transverse myelitis, etc. The ears and labyrinth may exhibit ototoxicity.

CONCLUSION: Our study identified previously undetected signals following gemcitabine treatment, thereby providing new insights for future medication guidance.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - year:2023

Enthalten in:

Expert opinion on drug safety - (2023) vom: 16. Nov., Seite 1-7

Sprache:

Englisch

Beteiligte Personen:

Zhang, Wei [VerfasserIn]
Wang, Yuhong [VerfasserIn]
Jiang, Xin [VerfasserIn]
Zhao, Hu [VerfasserIn]
Jia, Xinli [VerfasserIn]
Wang, Qiye [VerfasserIn]
Chen, Yue [VerfasserIn]
Jiang, Yuanfang [VerfasserIn]
Ma, Zhifang [VerfasserIn]
Chang, Lina [VerfasserIn]
Wang, Xin [VerfasserIn]

Links:

Volltext

Themen:

Adverse event
Eye diseases
FAERS
Gemcitabine
Journal Article
Nervous system

Anmerkungen:

Date Revised 20.11.2023

published: Print-Electronic

Citation Status Publisher

doi:

10.1080/14740338.2023.2284989

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM364659645