PMID- 37568126 OWN - NLM STAT- MEDLINE DCOM- 20230814 LR - 20231120 IS - 1471-2407 (Electronic) IS - 1471-2407 (Linking) VI - 23 IP - 1 DP - 2023 Aug 11 TI - A real-world disproportionality analysis of Rucaparib: Post-marketing Pharmacovigilance Data. PG - 745 LID - 10.1186/s12885-023-11201-w [doi] LID - 745 AB - BACKGROUND: Rucaparib has been approved for the maintenance treatment of adult patients with recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer. However, the long-term safety of rucaparib in large sample population was unknown. The presented study aimed to evaluate rucaparib-associated adverse events (AEs) according to the real-world pharmacovigilance database. METHODS: Disproportionality analysis was conducted to assess the association between rucaparib and its AEs. Data were collected from the international pharmacovigilance database of US FDA Adverse Event Reporting System (FAERS) between January 2017 and June 2022. The characteristics of rucaparib-related AEs, and the onset time were further analyzed. RESULTS: A total of 9,296,694 AE reports were recorded in the FAERS during the study period, among which 7,087 reports were associated with rucaparib. About 135 rucaparib-related AE signals in 15 system organ class (SOCs) were identified. The most common AEs included anaemia, thrombocytopenia, nausea, vomiting, fatigue, blood creatinine increase, alanine aminotransferase increase, and aspartate aminotransferase increase, which were listed in the label for rucaparib. Of note, 21 new and unexpected significant AEs that off-label were also found in our study, such as preferred term (PTs) of intestinal obstruction, gastrooesophageal reflux disease, blood iron decreased, dehydration, and hypersomnia. The median onset time of rucaparib-related AEs was 12 days (interquartile range [IQR] 1-62 days), and had early failure types. CONCLUSION: Our study demonstrated potential new AEs of rucaparib, and further studies were expected to confirm the results. CI - (c) 2023. BioMed Central Ltd., part of Springer Nature. FAU - Zhang, Qilin AU - Zhang Q AD - Department of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. FAU - Ding, Yiling AU - Ding Y AD - Graduate School of Pharmaceutical Sciences, University of Tokyo, Tokyo, 113-0033, Japan. FAU - Shu, Yamin AU - Shu Y AD - Department of Pharmacy, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No.1095 Jiefang Avenue, Wuhan, 430030, China. shuyamin1990hust@163.com. FAU - Chen, Jing AU - Chen J AD - Department of Pharmacy, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No.1095 Jiefang Avenue, Wuhan, 430030, China. cj8004@163.com. LA - eng GR - 82104476/National Natural Science Foundation of China/ PT - Journal Article DEP - 20230811 PL - England TA - BMC Cancer JT - BMC cancer JID - 100967800 RN - 8237F3U7EH (rucaparib) RN - 0 (Indoles) SB - IM MH - Adult MH - Female MH - United States MH - Humans MH - *Pharmacovigilance MH - *Indoles/adverse effects MH - Databases, Factual MH - United States Food and Drug Administration PMC - PMC10416473 OTO - NOTNLM OT - Adverse event OT - Data mining OT - Disproportionality analysis OT - FAERS OT - Pharmacovigilance OT - Rucaparib COIS- The authors declare no competing interests. EDAT- 2023/08/12 10:41 MHDA- 2023/08/14 06:42 PMCR- 2023/08/11 CRDT- 2023/08/11 23:33 PHST- 2023/05/18 00:00 [received] PHST- 2023/07/20 00:00 [accepted] PHST- 2023/08/14 06:42 [medline] PHST- 2023/08/12 10:41 [pubmed] PHST- 2023/08/11 23:33 [entrez] PHST- 2023/08/11 00:00 [pmc-release] AID - 10.1186/s12885-023-11201-w [pii] AID - 11201 [pii] AID - 10.1186/s12885-023-11201-w [doi] PST - epublish SO - BMC Cancer. 2023 Aug 11;23(1):745. doi: 10.1186/s12885-023-11201-w.