PMID- 37781696 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231003 IS - 1663-9812 (Print) IS - 1663-9812 (Electronic) IS - 1663-9812 (Linking) VI - 14 DP - 2023 TI - Epirubicin and gait apraxia: a real-world data analysis of the FDA Adverse Event Reporting System database. PG - 1249845 LID - 10.3389/fphar.2023.1249845 [doi] LID - 1249845 AB - Introduction: Epirubicin is widely used in many malignancies with good efficacy and tolerability. However, investigations about adverse events (AEs) using real-world information are still insufficient. Methods: We extracted Epirubicin-related reports submitted between the first quarter of 2014 and first quarter of 2023 from FAERS database. Four algorithms were utilized to evaluate whether there was a significant correlation between Epirubicin and AEs. Results: After de-duplicating, a total of 3919 cases were extracted. Among the 3919 cases, we identified 1472 AEs, 253 of which were found to be adverse drug reactions (ADRs) associated with Epirubicin. We analysed the occurrence of Epirubicin-induced ADRs and found several unexpected significant ADRs, such as hepatic artery stenosis, hepatic artery occlusion, intestinal atresia and so on. Interestingly, we found gait apraxia, a neurological condition, was also significantly associated with Epirubicin. To our knowledge, there haven't studies that have reported an association between gait disorders and the usage of epirubicin. Discussion: Our study identified new unexpected significant ADRs related to Epirubicin, providing new perspectives to the clinical use of Epirubicin. CI - Copyright (c) 2023 Wang, Guan, Wang, Shi, Zhu, Hua, Guo and Wang. FAU - Wang, Wei AU - Wang W AD - Department of Urology, Second Hospital of Shanxi Medical University, Taiyuan, China. FAU - Guan, Xin AU - Guan X AD - Department of Cardiology, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China. FAU - Wang, Shuang AU - Wang S AD - Department of Gastroenterology, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China. FAU - Shi, Lipeng AU - Shi L AD - Department of General Surgery, Second Hospital of Shanxi Medical University, Taiyuan, China. FAU - Zhu, Yanfei AU - Zhu Y AD - Department of General Surgery, Second Hospital of Shanxi Medical University, Taiyuan, China. FAU - Hua, Pengbo AU - Hua P AD - Department of Urology, Second Hospital of Shanxi Medical University, Taiyuan, China. FAU - Guo, Qiang AU - Guo Q AD - Department of Urology, Second Hospital of Shanxi Medical University, Taiyuan, China. FAU - Wang, Jingqi AU - Wang J AD - Department of Urology, Second Hospital of Shanxi Medical University, Taiyuan, China. LA - eng PT - Journal Article DEP - 20230914 PL - Switzerland TA - Front Pharmacol JT - Frontiers in pharmacology JID - 101548923 PMC - PMC10536159 OTO - NOTNLM OT - FDA Adverse Event Reporting System database OT - bayesian confidence propagation neural network (BCPNN) OT - empirical Bayes geometric mean (EBGM) OT - epirubicin OT - proportional reporting ratio (PRR) OT - reporting odds ratio (ROR) OT - safety COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/10/02 06:42 MHDA- 2023/10/02 06:43 PMCR- 2023/09/14 CRDT- 2023/10/02 04:50 PHST- 2023/06/30 00:00 [received] PHST- 2023/08/24 00:00 [accepted] PHST- 2023/10/02 06:43 [medline] PHST- 2023/10/02 06:42 [pubmed] PHST- 2023/10/02 04:50 [entrez] PHST- 2023/09/14 00:00 [pmc-release] AID - 1249845 [pii] AID - 10.3389/fphar.2023.1249845 [doi] PST - epublish SO - Front Pharmacol. 2023 Sep 14;14:1249845. doi: 10.3389/fphar.2023.1249845. eCollection 2023.