PMID- 38496864 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240319 IS - 2405-8440 (Print) IS - 2405-8440 (Electronic) IS - 2405-8440 (Linking) VI - 10 IP - 6 DP - 2024 Mar 30 TI - A real-world disproportionality analysis of FDA adverse event reporting system (FAERS) events for alpelisib. PG - e27529 LID - 10.1016/j.heliyon.2024.e27529 [doi] LID - e27529 AB - In this study, we delved into the safety profile of alpelisib, an FDA-approved treatment for hormone receptor-positive, HER2-negative, PIK3CA-mutated advanced or metastatic breast cancer, and PIK3CA-Related Overgrowth Spectrum (PROS). Despite its approval, real-world, long-term safety data is lacking. Our research scrutinizes the FDA database to assess alpelisib 's safety. We retrospectively analyzed data from April 2019 to June 2023 using four algorithms. Among 7,609,450 reports, 6692 implicated alpelisib as the primary suspected drug, uncovering adverse events (AEs) across 26 organ systems. Notably, we identified 21 previously unlisted AEs. Furthermore, differences in AEs emerged between patients with PIK3CA-mutated breast cancer and those with PROS. This study provides vital insights for healthcare professionals to navigate AEs in clinical practice and informs future research for enhancing alpelisib 's safety profile. CI - (c) 2024 The Authors. Published by Elsevier Ltd. FAU - Lin, Yu AU - Lin Y AD - Department of Orthopedics, Pingtan Comprehensive Experimental Area Hospital, Pingtan Comprehensive Experimental Area, 350400, PR China. AD - Department of Orthopedics, Fujian Medical University Union Hospital, NO.29 Xinquan road, Fuzhou, 350001, PR China. FAU - Zheng, Xinlei AU - Zheng X AD - Department of Pharmacy, Pingtan Comprehensive Experimental Area Hospital, Pingtan Comprehensive Experimental Area, 350400, PR China. FAU - Chen, Yan AU - Chen Y AD - Department of Pharmacy, Pingtan Comprehensive Experimental Area Hospital, Pingtan Comprehensive Experimental Area, 350400, PR China. FAU - Nian, Qichun AU - Nian Q AD - Department of Pharmacy, Pingtan Comprehensive Experimental Area Hospital, Pingtan Comprehensive Experimental Area, 350400, PR China. FAU - Lin, Li AU - Lin L AD - Department of Medical Oncology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, NO.134 Dongjie Street, Fuzhou, 350001, Fujian, PR China. FAU - Chen, Maohua AU - Chen M AD - Department of Pharmacy, Pingtan Comprehensive Experimental Area Hospital, Pingtan Comprehensive Experimental Area, 350400, PR China. LA - eng PT - Journal Article DEP - 20240308 PL - England TA - Heliyon JT - Heliyon JID - 101672560 PMC - PMC10944239 OTO - NOTNLM OT - Adverse event OT - Alpelisib OT - Disproportionality analysis OT - FAERS database OT - Pharmacovigilance COIS- The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2024/03/18 06:42 MHDA- 2024/03/18 06:43 PMCR- 2024/03/08 CRDT- 2024/03/18 04:44 PHST- 2023/10/09 00:00 [received] PHST- 2024/02/29 00:00 [revised] PHST- 2024/03/01 00:00 [accepted] PHST- 2024/03/18 06:43 [medline] PHST- 2024/03/18 06:42 [pubmed] PHST- 2024/03/18 04:44 [entrez] PHST- 2024/03/08 00:00 [pmc-release] AID - S2405-8440(24)03560-6 [pii] AID - e27529 [pii] AID - 10.1016/j.heliyon.2024.e27529 [doi] PST - epublish SO - Heliyon. 2024 Mar 8;10(6):e27529. doi: 10.1016/j.heliyon.2024.e27529. eCollection 2024 Mar 30.