PMID- 37578751 OWN - NLM STAT- MEDLINE DCOM- 20231129 LR - 20231129 IS - 1744-764X (Electronic) IS - 1474-0338 (Linking) VI - 22 IP - 11 DP - 2023 Jul-Dec TI - A real-world disproportionality analysis of ospemifene: data mining of the public version of FDA adverse event reporting system. PG - 1133-1142 LID - 10.1080/14740338.2023.2247971 [doi] AB - BACKGROUND: Ospemifene has been authorized for the treatment of vulvovaginal atrophy (VVA). This study wasto evaluate adverse events (AEs) associated with ospemifene by data mining the US Food and Drug Administration Adverse Event Reporting System (FAERS). METHODS: The signals of AEs linked to ospemifene were measured using disproportionality analyses, such as 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. RESULTS: There were 2283 events of ospemifene being the 'primary suspected (PS)' AE out of the 12,692,824 reports from the FAERS database. Ospemifene-induced AEs hit 25 organ systems. There were 726 severely disproportional preferred terms (PTs) that complied with the four algorithms. The investigation turned up a number of anticipated adverse drug reactions (ADRs), and significant unanticipated ADRs linked to eye and renal problems were found, indicating potential side effects not yet included in the prescription instructions. CONCLUSION: We detected novel AEs signals for ospemifene, and the results of our investigation were compatible with clinical observations. This suggests that further prospective clinical trials are required to confirm these findings and demonstrate their link. Our findings might be useful supporting data for ospemifene safety research in the future. FAU - Wen, Haixiao AU - Wen H AD - Department of Obstetrics and Gynecology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China. FAU - Lu, Chong AU - Lu C AD - Department of Integration of Western and Traditional Medicine, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China. FAU - Zhang, Meng AU - Zhang M AD - Department of Integration of Western and Traditional Medicine, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China. FAU - Qi, Xingling AU - Qi X AD - Department of Integration of Western and Traditional Medicine, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China. LA - eng PT - Journal Article DEP - 20230824 PL - England TA - Expert Opin Drug Saf JT - Expert opinion on drug safety JID - 101163027 RN - B0P231ILBK (Ospemifene) SB - IM MH - United States MH - Humans MH - *Adverse Drug Reaction Reporting Systems MH - Bayes Theorem MH - *Drug-Related Side Effects and Adverse Reactions/epidemiology/etiology MH - Data Mining MH - United States Food and Drug Administration OTO - NOTNLM OT - BCPNN OT - EBGM OT - PRR OT - ROR OT - ospemifene EDAT- 2023/08/14 12:42 MHDA- 2023/11/29 06:43 CRDT- 2023/08/14 11:33 PHST- 2023/11/29 06:43 [medline] PHST- 2023/08/14 12:42 [pubmed] PHST- 2023/08/14 11:33 [entrez] AID - 10.1080/14740338.2023.2247971 [doi] PST - ppublish SO - Expert Opin Drug Saf. 2023 Jul-Dec;22(11):1133-1142. doi: 10.1080/14740338.2023.2247971. Epub 2023 Aug 24.