PMID- 34918584 OWN - NLM STAT- MEDLINE DCOM- 20220322 LR - 20220429 IS - 1744-764X (Electronic) IS - 1474-0338 (Linking) VI - 21 IP - 4 DP - 2022 Apr TI - A real-world pharmacovigilance study of axitinib: data mining of the public version of FDA adverse event reporting system. PG - 563-572 LID - 10.1080/14740338.2022.2016696 [doi] AB - BACKGROUND: Axitinib was approved for treatment of advanced renal cell carcinoma (RCC). The current study was to assess axitinib-related adverse events (AEs) through data mining of the US Food and Drug Administration Adverse Event Reporting System (FAERS). METHODS: Disproportionality analyses, including the reporting odds ratio (ROR), the proportional reporting ratio (PRR), the Bayesian confidence propagation neural network (BCPNN), and the multi-item gamma Poisson shrinker (MGPS) algorithms, were employed to quantify the signals of axitinib-associated AEs. RESULTS: Out of 10,703,806 reports collected from the FAERS database, 9044 reports of axitinib as the 'primary suspected (PS)' AEs were identified. Axitinib induced AEs occurrence targeted 26 organ systems. A total of 95 significant disproportionality PTs conforming to the four algorithms were simultaneously retained. Rare reports and significant signals of aortic disease have emerged. Unexpected significant AEs such as scrotal swelling, scrotal ulcers, infections, and infestations might also occur. The median onset time of axitinib-associated AEs was 63.5 days (interquartile range [IQR] 20-182 days), and most of the cases occurred within the first one and 2 months after axitinib initiation. CONCLUSION: Our study found potential new AEs signals and might provide important support for clinical monitoring and risk identification of axitinib. FAU - Shu, Yamin AU - Shu Y AD - Department of Pharmacy, Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China. FAU - Ding, Yufeng AU - Ding Y AD - Department of Pharmacy, Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China. FAU - Dai, Bing AU - Dai B AD - West China Pharmaceutical College, Sichuan University, Chengdu, China. FAU - Zhang, Qilin AU - Zhang Q AD - Department of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. LA - eng PT - Journal Article DEP - 20211231 PL - England TA - Expert Opin Drug Saf JT - Expert opinion on drug safety JID - 101163027 RN - C9LVQ0YUXG (Axitinib) SB - IM MH - Adverse Drug Reaction Reporting Systems MH - Axitinib/adverse effects MH - Bayes Theorem MH - Data Mining MH - Databases, Factual MH - *Drug-Related Side Effects and Adverse Reactions/epidemiology MH - Humans MH - *Pharmacovigilance MH - United States MH - United States Food and Drug Administration OTO - NOTNLM OT - Axitinib OT - FAERS OT - adverse event OT - data mining OT - pharmacovigilance OT - renal carcinoma EDAT- 2021/12/18 06:00 MHDA- 2022/03/23 06:00 CRDT- 2021/12/17 08:39 PHST- 2021/12/18 06:00 [pubmed] PHST- 2022/03/23 06:00 [medline] PHST- 2021/12/17 08:39 [entrez] AID - 10.1080/14740338.2022.2016696 [doi] PST - ppublish SO - Expert Opin Drug Saf. 2022 Apr;21(4):563-572. doi: 10.1080/14740338.2022.2016696. Epub 2021 Dec 31.