PMID- 34786743 OWN - NLM STAT- MEDLINE DCOM- 20220412 LR - 20220626 IS - 1365-2125 (Electronic) IS - 0306-5251 (Linking) VI - 88 IP - 5 DP - 2022 May TI - Adverse events of alpelisib: A postmarketing study of the World Health Organization pharmacovigilance database. PG - 2180-2189 LID - 10.1111/bcp.15143 [doi] AB - AIMS: To explore and describe the adverse reaction signals in the safety reporting for alpelisib. METHODS: We performed a disproportionality analysis of the World Health Organization's VigiBase pharmacovigilance database from 1 January 2019 to 30 June 2021. Disproportionality analysis by information components (ICs) were used to evaluate the potential association between adverse events (AEs) and alpelisib. RESULTS: A total of 33 327 reports were extracted, 5695 of them were chosen with alpelisib as the suspected drug. After combining the same ID, 687 cases remained. The 45-64-years group had the most cases (n = 203, 29.55%). There were 129 Preferred Terms with significant signals. Hyperglycaemia (IC025 = 6.74), breast cancer metastatic (IC025 = 5.85) and metastases to liver (IC025 = 4.70) were the AEs with the strongest signal. AEs with the most cases were hyperglycaemia (n = 595), rash (n = 535) and diarrhoea (n = 475). CONCLUSION: We established a comprehensive list of AEs potentially associated with alpelisib. AEs with the most significant signals were hyperglycaemia, breast cancer metastatic, metastases to liver. The AEs with the most cases were hyperglycaemia, rash, diarrhoea, blood glucose increase and nausea. CI - (c) 2021 British Pharmacological Society. FAU - Chen, Xiao AU - Chen X FAU - Wei, Lianhui AU - Wei L FAU - Chi, Lijie AU - Chi L FAU - Guo, Xiaojing AU - Guo X FAU - Chen, Chenxin AU - Chen C AD - Department of Health Statistics, Faculty of Health Service, Naval Medical University, Shanghai, China. FAU - Guo, Zhijian AU - Guo Z AD - Department of Health Statistics, Faculty of Health Service, Naval Medical University, Shanghai, China. FAU - Liang, Jizhou AU - Liang J AD - Department of Health Statistics, Faculty of Health Service, Naval Medical University, Shanghai, China. FAU - Zheng, Yi AU - Zheng Y AD - Department of Health Statistics, Faculty of Health Service, Naval Medical University, Shanghai, China. FAU - He, Jia AU - He J AD - Department of Health Statistics, Faculty of Health Service, Naval Medical University, Shanghai, China. FAU - Ye, Xiaofei AU - Ye X AD - Department of Health Statistics, Faculty of Health Service, Naval Medical University, Shanghai, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20211206 PL - England TA - Br J Clin Pharmacol JT - British journal of clinical pharmacology JID - 7503323 RN - 0 (Thiazoles) RN - 08W5N2C97Q (Alpelisib) SB - IM MH - Adverse Drug Reaction Reporting Systems MH - *Breast Neoplasms/drug therapy MH - Databases, Factual MH - Diarrhea MH - *Drug-Related Side Effects and Adverse Reactions/epidemiology MH - *Exanthema MH - Female MH - Humans MH - *Hyperglycemia/chemically induced/epidemiology MH - Pharmacovigilance MH - Thiazoles MH - World Health Organization OTO - NOTNLM OT - VigiBase OT - adverse events OT - alpelisib OT - disproportionality analysis EDAT- 2021/11/18 06:00 MHDA- 2022/04/13 06:00 CRDT- 2021/11/17 07:07 PHST- 2021/10/13 00:00 [revised] PHST- 2021/09/03 00:00 [received] PHST- 2021/11/01 00:00 [accepted] PHST- 2021/11/18 06:00 [pubmed] PHST- 2022/04/13 06:00 [medline] PHST- 2021/11/17 07:07 [entrez] AID - 10.1111/bcp.15143 [doi] PST - ppublish SO - Br J Clin Pharmacol. 2022 May;88(5):2180-2189. doi: 10.1111/bcp.15143. Epub 2021 Dec 6.