PMID- 31734937 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210110 IS - 2193-8210 (Print) IS - 2190-9172 (Electronic) VI - 10 IP - 1 DP - 2020 Feb TI - Injection Site Reactions in the Federal Adverse Event Reporting System (FAERS) Post-Marketing Database Vary Among Biologics Approved to Treat Moderate-To-Severe Psoriasis. PG - 99-106 LID - 10.1007/s13555-019-00341-2 [doi] AB - INTRODUCTION: Biologics used to treat moderate-to-severe plaque psoriasis may cause injection site reactions (ISRs) characterized by erythema, edema, itch, and sometimes pain. The Federal Adverse Event Reporting System (FAERS) is a repository of spontaneous post-marketing reports of adverse events (AEs) that are reported to the US Food and Drug Administration (FDA). Our objective was to perform a pharmacovigilance analysis of FAERS reports of ISRs associated with the use of subcutaneously administered biologic products approved to treat moderate-to-severe plaque psoriasis. METHODS: The products included in our assessment were adalimumab, etanercept, ixekizumab, secukinumab, and ustekinumab. Reports from the date of US approval for each biologic as treatment for plaque psoriasis through 2 years were included using the search term "injection site." RESULTS: The results show that the FAERS database contained reports of ISRs for all of the included biologics during the 2 years following FDA approval. The most common reports on ISRs were on pain, irritation, and erythema for adalimumab; reaction, pain, and erythema for etanercept; erythema, pain, and reaction for ixekizumab; bruising, pain, hemorrhage for secukinumab; and pain, induration, and swelling for ustekinumab. FAERS does not include data on total patient exposure; therefore, ISR rates could not be calculated. CONCLUSIONS: Specific ISRs varied among the biologic therapies assessed. The findings presented could be helpful when patients consider switching therapies due to ISRs. FUNDING: Eli Lilly and Company. FAU - Grace, Elsie AU - Grace E AD - Eli Lilly and Company, Indianapolis, IN, USA. FAU - Goldblum, Orin AU - Goldblum O AUID- ORCID: 0000-0003-1827-2031 AD - Eli Lilly and Company, Indianapolis, IN, USA. goldblum_orin_m@lilly.com. FAU - Renda, Lisa AU - Renda L AD - Eli Lilly and Company, Indianapolis, IN, USA. FAU - Agada, Noah AU - Agada N AD - Eli Lilly and Company, Indianapolis, IN, USA. FAU - See, Kyoungah AU - See K AD - Eli Lilly and Company, Indianapolis, IN, USA. FAU - Leonardi, Craig AU - Leonardi C AD - Central Dermatology, St. Louis, MO, USA. FAU - Menter, Alan AU - Menter A AD - Baylor Scott and White Medical Center, Dallas, TX, USA. LA - eng PT - Journal Article DEP - 20191116 PL - Switzerland TA - Dermatol Ther (Heidelb) JT - Dermatology and therapy JID - 101590450 PMC - PMC6994575 OTO - NOTNLM OT - Adalimumab OT - Biologics OT - Etanercept OT - FAERS OT - Injection site reactions OT - Ixekizumab OT - Psoriasis OT - Secukinumab OT - Ustekinumab COIS- Elsie Grace is a full-time employee and minor stock holder of Eli Lilly and Company. Orin Goldblum is a full-time employee and minor stock holder of Eli Lilly and Company. Noah Agada is a full-time employee and minor stock holder of Eli Lilly and Company. Kyoungah See is a full-time employee and minor stock holder of Eli Lilly and Company. Lisa Renda is a full-time employee and minor stock holder of Eli Lilly and Company. Craig Leonardi reports receiving honoraria from AbbVie, Amgen, Boehringer Ingelheim, Dermira, Eli Lilly and Company, Janssen, LEO Pharma, Pfizer, Sandoz, UCB, and Vitae for serving on the advisory board/consultancies; he reports receiving honoraria from AbbVie, Celgene, Novartis, Eli Lilly and Company, UCB, and Sun Pharmaceuticals for speaking engagements; he reports receiving fee-for-service for acting as an investigator for AbbVie, Actavis, Allergan, Amgen, Boehringer Ingelheim, Celgene, Cellceutix, Coherus, Corrona, Dermira, Eli Lilly and Company, Galderma, Glenmark, Janssen, LEO Pharma, Merck, Novartis, Novella, Pfizer, Sandoz, Sienna, Stiefel, and UCB. Alan Menter reports receiving grants and honoraria from Abbott Labs, Amgen, Janssen Biotech, and Sienna (advisory boards, speaker serving investigator, and consulting); he reports receiving grants and honoraria from Boehringer Ingelheim (advisory boards and investigator); he reports receiving grants from Celgene and Merck (investigator); he reports receiving honoraria from Eli Lilly and Company and Novartis (consulting and investigator); and he reports receiving honoraria from UCB (consulting, investigator, and speaker); he is the Editor-in-Chief of this journal. EDAT- 2019/11/18 06:00 MHDA- 2019/11/18 06:01 PMCR- 2019/11/16 CRDT- 2019/11/18 06:00 PHST- 2019/06/11 00:00 [received] PHST- 2019/11/18 06:00 [pubmed] PHST- 2019/11/18 06:01 [medline] PHST- 2019/11/18 06:00 [entrez] PHST- 2019/11/16 00:00 [pmc-release] AID - 10.1007/s13555-019-00341-2 [pii] AID - 341 [pii] AID - 10.1007/s13555-019-00341-2 [doi] PST - ppublish SO - Dermatol Ther (Heidelb). 2020 Feb;10(1):99-106. doi: 10.1007/s13555-019-00341-2. Epub 2019 Nov 16.