PMID- 37837355 OWN - NLM STAT- MEDLINE DCOM- 20240308 LR - 20240308 IS - 1744-764X (Electronic) IS - 1474-0338 (Linking) VI - 23 IP - 3 DP - 2024 Mar TI - Data mining and analysis of the adverse events derived signals of 4 gadolinium-based contrast agents based on the US Food and drug administration adverse event reporting system. PG - 339-352 LID - 10.1080/14740338.2023.2271834 [doi] AB - BACKGROUND: To detect and analyze risk signals of the drug-related adverse events (AEs) of 4 gadolinium-based contrast agents (GBCAs) (gadopentetate dimeglumine (Gd-DTPA), gadobenate dimeglumine (Gd-BOPTA), gadoteridol (Gd-HP-DO3A), and gadobutrol (Gd-BT-DO3A)) according to the US Food and Drug Administration Adverse Event Reporting System (FAERS) database and ensure the clinical safety. RESEARCH DESIGN AND METHODS: The AEs that are associated with the 4 GBCAs were collected from the FAERS database from 2004Q1 to 2022Q3. The risk signals were mined using reporting odds ratio (ROR) and proportional reporting ratio (PRR). RESULTS: 424 risk signals were excavated, in which 151 risk signals were associated with Gd-DTPA, 93 risk signals were related to Gd-BOPTA, 79 risk signals were relevant to Gd-HP-DO3A, and 101 risk signals were associated with Gd-BT-DO3A. The AE signals involved 20 system organ classes (SOCs). Two of the top four SOCs were identical, namely 'skin and subcutaneous tissue disorders' and 'general disorders and administration site conditions.' CONCLUSIONS: The safety signals of 4 GBCAs were detected, and the SOCs associated with the AEs of the 4 GBCAs were different. Besides, some AEs obtained in this study were not mentioned in the package inserts, which need more attention and research to ensure the clinical safety. FAU - Wang, Lu AU - Wang L AUID- ORCID: 0000-0002-2752-2234 AD - Department of Pharmacy, Yantai Yuhuangding Hospital, Yantai, Shandong, P. R. China. FAU - Wang, Yinglin AU - Wang Y AUID- ORCID: 0000-0001-5013-9834 AD - Department of Pharmacy, Yantai Yuhuangding Hospital, Yantai, Shandong, P. R. China. FAU - Zhao, Quan AU - Zhao Q AUID- ORCID: 0000-0001-8861-9868 AD - Department of Pharmacy, Yantai Yuhuangding Hospital, Yantai, Shandong, P. R. China. LA - eng PT - Journal Article DEP - 20231024 PL - England TA - Expert Opin Drug Saf JT - Expert opinion on drug safety JID - 101163027 RN - 0199MV609F (gadoteridol) RN - 0 (Contrast Media) RN - 15G12L5X8K (gadobenic acid) RN - K2I13DR72L (Gadolinium DTPA) RN - AU0V1LM3JT (Gadolinium) RN - 0 (Heterocyclic Compounds) RN - 6HG8UB2MUY (Meglumine) RN - 0 (Organometallic Compounds) SB - IM MH - United States MH - Humans MH - *Contrast Media/adverse effects MH - *Gadolinium DTPA/adverse effects MH - Gadolinium/adverse effects MH - United States Food and Drug Administration MH - Data Mining MH - *Heterocyclic Compounds MH - Meglumine/*analogs & derivatives MH - *Organometallic Compounds OTO - NOTNLM OT - FAERS OT - Gadolinium-based contrast agent OT - drug-related adverse events OT - potential risk signal OT - system organ class EDAT- 2023/10/15 05:43 MHDA- 2024/03/08 06:43 CRDT- 2023/10/14 07:12 PHST- 2024/03/08 06:43 [medline] PHST- 2023/10/15 05:43 [pubmed] PHST- 2023/10/14 07:12 [entrez] AID - 10.1080/14740338.2023.2271834 [doi] PST - ppublish SO - Expert Opin Drug Saf. 2024 Mar;23(3):339-352. doi: 10.1080/14740338.2023.2271834. Epub 2023 Oct 24.