PMID- 37581403 OWN - NLM STAT- MEDLINE DCOM- 20240214 LR - 20240214 IS - 1744-764X (Electronic) IS - 1474-0338 (Linking) VI - 23 IP - 2 DP - 2024 Feb TI - A pharmacovigilance study of adverse event profiles and haemorrhagic safety of bevacizumab based on the FAERS database. PG - 213-220 LID - 10.1080/14740338.2023.2248876 [doi] AB - BACKGROUND: Bevacizumab is used for the treatment of advanced malignant tumors; it acts by inhibiting angiogenesis. This study aimed to examine adverse events (AEs) of bevacizumab, especially hemorrhage, using the Food and Drug Administration Adverse Event Reporting System (FAERS) database. RESEARCH DESIGN AND METHODS: The reporting odds ratio (ROR) and proportional reporting ratio (PRR) were used to analyze the AEs of bevacizumab using FAERS registration data from January 2004 to September 2022. Clinical information regarding hemorrhagic signals was further analyzed. RESULTS: The number of bevacizumab-associated AE reports was 96,477. Our study found that 892 significant preferred terms (PTs) were spread throughout 25 organ systems. The system organ classes (SOCs) focus on general disorders, administration site conditions, blood and lymphatic system disorders, injury, poisoning, and procedural complications. A total of 2,847 bevacizumab-related hemorrhage cases were reported, and 37 hemorrhagic signals were identified. Hemorrhagic signals were focused on SOC levels in vascular, gastrointestinal, and nervous system disorders. Colorectal, lung, and breast cancers are the three most common malignancies associated with BV-induced hemorrhage. CONCLUSION: The AE report from the present study confirms the majority of label information for bevacizumab, while also identifying new AEs. In addition, this was a large descriptive study of bevacizumab-induced hemorrhage. FAU - Tang, Linlin AU - Tang L AD - Department of Pharmacy, Affiliated Hospital of Weifang Medical University, Weifang, Shandong Province, China. FAU - Ding, Chuanhua AU - Ding C AD - Department of Pharmacy, Affiliated Hospital of Weifang Medical University, Weifang, Shandong Province, China. FAU - Li, Hongying AU - Li H AD - Department of Pharmacy, Affiliated Hospital of Weifang Medical University, Weifang, Shandong Province, China. FAU - Yin, Guoqiang AU - Yin G AD - Department of Pharmacy, Affiliated Hospital of Weifang Medical University, Weifang, Shandong Province, China. FAU - Zhang, Haixia AU - Zhang H AD - Department of Pharmacy, Affiliated Hospital of Weifang Medical University, Weifang, Shandong Province, China. FAU - Liu, Wen Shan AU - Liu WS AD - Department of Pharmacy, Affiliated Hospital of Weifang Medical University, Weifang, Shandong Province, China. FAU - Ji, Yinghui AU - Ji Y AD - Department of Pharmacy, Affiliated Hospital of Weifang Medical University, Weifang, Shandong Province, China. FAU - Li, Hui AU - Li H AD - Department of Pharmacy, Affiliated Hospital of Weifang Medical University, Weifang, Shandong Province, China. LA - eng PT - Journal Article DEP - 20230820 PL - England TA - Expert Opin Drug Saf JT - Expert opinion on drug safety JID - 101163027 RN - 2S9ZZM9Q9V (Bevacizumab) SB - IM MH - United States MH - Humans MH - Female MH - Bevacizumab/adverse effects MH - United States Food and Drug Administration MH - Pharmacovigilance MH - *Drug-Related Side Effects and Adverse Reactions/epidemiology/etiology MH - Hemorrhage/chemically induced/epidemiology MH - *Breast Neoplasms MH - Adverse Drug Reaction Reporting Systems OTO - NOTNLM OT - Adverse event OT - FAERS OT - bevacizumab OT - data mining OT - pharmacovigilance EDAT- 2023/08/15 12:42 MHDA- 2024/02/12 15:42 CRDT- 2023/08/15 08:32 PHST- 2024/02/12 15:42 [medline] PHST- 2023/08/15 12:42 [pubmed] PHST- 2023/08/15 08:32 [entrez] AID - 10.1080/14740338.2023.2248876 [doi] PST - ppublish SO - Expert Opin Drug Saf. 2024 Feb;23(2):213-220. doi: 10.1080/14740338.2023.2248876. Epub 2023 Aug 20.