PMID- 35316861 OWN - NLM STAT- MEDLINE DCOM- 20220824 LR - 20220824 IS - 1365-2710 (Electronic) IS - 0269-4727 (Linking) VI - 47 IP - 8 DP - 2022 Aug TI - Comprehensive analysis of everolimus-induced adverse events using the Japanese real-world database. PG - 1173-1180 LID - 10.1111/jcpt.13648 [doi] AB - WHAT IS KNOWN AND OBJECTIVES: As for adverse events (AEs) caused by everolimus, findings from clinical trials and post-marketing surveillance have reported interstitial lung disease, hyperglycaemia, cardiovascular disease, etc. However, these reports are limited to incidence, and detailed studies on the risk of occurrence, time to onset and post-event clinical outcomes are only related to hyperglycaemia. The purpose of this study was to perform a comprehensive analysis of adverse events during everolimus therapy in patients with renal cell carcinoma (RCC) using the Japanese Adverse Event Report database. METHODS: Data reported between April 2004 and June 2021 in the Japanese Adverse Drug Event Report database were extracted for use. The reported odds ratio, time to onset and post-event course were analysed for the top 30 adverse events reported. RESULTS AND DISCUSSION: Among the top 30 adverse events, 23 adverse event signals were detected and classified into seven categories: lung-related AEs, haematological-related AEs, cancer progression, blood glucose-related AEs, hepatic-related AEs, renal-related AEs and others. The lung-related adverse events category was the most common, and the proportion of fatal outcomes after the occurrence of two adverse events related to infectious pneumonia was more than 10%. WHAT IS NEW AND CONCLUSION: A comprehensive survey of adverse events associated with everolimus administration using the pharmacovigilance database revealed that pulmonary and haematological AEs are frequently reported. The results suggest that attention should be paid to the occurrence of lung disorders because they may lead to fatal outcomes. CI - (c) 2022 John Wiley & Sons Ltd. FAU - Uchida, Mayako AU - Uchida M AUID- ORCID: 0000-0003-0507-7309 AD - Department of Education and Research Center for Pharmacy Practice, Faculty of Pharmaceutical Sciences, Doshisha Women's College of Liberal Arts, Kyotanabe, Kyoto, Japan. FAU - Nakano, Kana AU - Nakano K AD - Department of Education and Research Center for Pharmacy Practice, Faculty of Pharmaceutical Sciences, Doshisha Women's College of Liberal Arts, Kyotanabe, Kyoto, Japan. FAU - Fujiwara, Masaki AU - Fujiwara M AD - School of Pharmacy, Hyogo University of Health Sciences, Kobe, Hyogo, Japan. FAU - Uesawa, Yoshihiro AU - Uesawa Y AD - Department of Medical Molecular Informatics, Meiji Pharmaceutical University, Tokyo, Japan. FAU - Shimizu, Tadashi AU - Shimizu T AUID- ORCID: 0000-0002-5563-6730 AD - School of Pharmacy, Hyogo University of Health Sciences, Kobe, Hyogo, Japan. LA - eng PT - Journal Article DEP - 20220322 PL - England TA - J Clin Pharm Ther JT - Journal of clinical pharmacy and therapeutics JID - 8704308 RN - 9HW64Q8G6G (Everolimus) SB - IM MH - *Carcinoma, Renal Cell/drug therapy MH - *Drug-Related Side Effects and Adverse Reactions/drug therapy/epidemiology MH - Everolimus/adverse effects MH - Humans MH - *Hyperglycemia/chemically induced MH - Japan MH - *Kidney Neoplasms/drug therapy MH - *Lung Diseases, Interstitial/drug therapy OTO - NOTNLM OT - Japanese Adverse Drug Event Report database OT - everolimus OT - post-event outcomes OT - renal cell carcinoma OT - time to onset EDAT- 2022/03/23 06:00 MHDA- 2022/08/25 06:00 CRDT- 2022/03/22 20:11 PHST- 2022/02/21 00:00 [revised] PHST- 2022/02/05 00:00 [received] PHST- 2022/03/04 00:00 [accepted] PHST- 2022/03/23 06:00 [pubmed] PHST- 2022/08/25 06:00 [medline] PHST- 2022/03/22 20:11 [entrez] AID - 10.1111/jcpt.13648 [doi] PST - ppublish SO - J Clin Pharm Ther. 2022 Aug;47(8):1173-1180. doi: 10.1111/jcpt.13648. Epub 2022 Mar 22.