PMID- 37873598 OWN - NLM STAT- MEDLINE DCOM- 20240308 LR - 20240308 IS - 1744-764X (Electronic) IS - 1474-0338 (Linking) VI - 23 IP - 3 DP - 2024 Mar TI - Real-world safety of icosapent ethyl: analysis based on spontaneous reports in FAERS database. PG - 373-383 LID - 10.1080/14740338.2023.2274946 [doi] AB - BACKGROUND: The triglyceride-lowering drug, icosapent ethyl (IPE), was granted a new indication for the reduction of atherosclerotic cardiovascular disease risk in 2019. This study aimed to investigate the safety profile of IPE by mining the FDA Adverse Event Reporting System (FAERS) database. METHODS: The reporting odds ratio was used to analyze IPE's adverse events (AEs) based on the FAERS data from July 2012 to December 2022. We described the characteristics of AE reports and evaluated the clinical prioritization of AEs. Then we defined and analyzed nine interested adverse drug reactions (ADRs) in both overall and subgroups, and investigated the times to onset. RESULTS: The findings of our study strengthen the evidence for an increased risk of atrial fibrillation using IPE. IPE alone may not increase the risk of bleeding unless combined with antithrombotic drugs. Similar to statins, IPE alone can increase the risk of musculoskeletal pain, drug-related hepatic disorders, and hyperglycemia, but the risk could not double when IPE was combined with statins. Most ADRs occur in the early stage of treatment. CONCLUSIONS: This study provides a comprehensive real-world safety profile of IPE, which indicates that IPE is well-tolerated. FAU - Cai, Haixia AU - Cai H AUID- ORCID: 0000-0002-0075-879X AD - Department of Pharmacy, Henan Provincial People's Hospital, Zhengzhou, China. FAU - Jia, Beixi AU - Jia B AD - Department of Pharmacognosy, School of Pharmaceutical Science, Zhengzhou University, Zhengzhou, China. FAU - Fu, Zhonghua AU - Fu Z AD - Department of Pharmacy, Henan Provincial People's Hospital, Zhengzhou, China. FAU - Chen, Boya AU - Chen B AD - Department of Pharmacy, Henan Provincial People's Hospital, Zhengzhou, China. FAU - Liu, Yinping AU - Liu Y AD - Department of Pharmacy, Henan Provincial People's Hospital, Zhengzhou, China. FAU - Zhao, Shujuan AU - Zhao S AUID- ORCID: 0000-0003-2835-3601 AD - Department of Pharmacy, Henan Provincial People's Hospital, Zhengzhou, China. LA - eng PT - Journal Article DEP - 20231027 PL - England TA - Expert Opin Drug Saf JT - Expert opinion on drug safety JID - 101163027 RN - 6GC8A4PAYH (eicosapentaenoic acid ethyl ester) RN - 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors) RN - AAN7QOV9EA (Eicosapentaenoic Acid) SB - IM MH - Humans MH - United States/epidemiology MH - *Hydroxymethylglutaryl-CoA Reductase Inhibitors/adverse effects MH - Adverse Drug Reaction Reporting Systems MH - Eicosapentaenoic Acid/adverse effects/*analogs & derivatives MH - *Drug-Related Side Effects and Adverse Reactions MH - United States Food and Drug Administration OTO - NOTNLM OT - FAERS OT - Icosapent ethyl OT - adverse event OT - data mining OT - pharmacovigilance EDAT- 2023/10/24 06:41 MHDA- 2024/03/08 06:43 CRDT- 2023/10/24 04:23 PHST- 2024/03/08 06:43 [medline] PHST- 2023/10/24 06:41 [pubmed] PHST- 2023/10/24 04:23 [entrez] AID - 10.1080/14740338.2023.2274946 [doi] PST - ppublish SO - Expert Opin Drug Saf. 2024 Mar;23(3):373-383. doi: 10.1080/14740338.2023.2274946. Epub 2023 Oct 27.