A real-world disproportionality analysis of FDA Adverse Event Reporting System (FAERS) events for baricitinib.
Author(s)
Peng, Ling
Xiao, Kui
Ottaviani, Silvia
Stebbing, Justin
Wang, Ying-Jie
Type
Journal Article
Abstract
BACKGROUND: Baricitinib is approved for the treatment of rheumatoid arthritis (RA). The authors retrospectively investigated adverse events (AEs) by data-mining a self-reporting database to better understand toxicities, especially since it has been used during the coronavirus disease 2019 (COVID-19) pandemic. METHODS: A reporting odds ratio (ROR) was used to detect the risk signals from the data in the US Food and Drug Administration (FDA) adverse event reporting system database (FAERS). The definition relied on system organ class (SOCs) and preferred terms (PTs) by the Medical Dictionary for Regulatory Activities (MedDRA). RESULTS: The search retrieved 1,598 baricitinib-associated cases within the reporting period: 86 PTs with significant disproportionality were retained. Infections including 'herpes zoster,' 'oral herpes,' and 'herpes virus infection' were found at a similar rate to those reported in trials, and such events were rare. Reports emerged for several thrombotic adverse events, while these events were also rare. Unexpected safety signals as opportunistic infections were detected. Serious outcomes as death and life-threatening outcomes accounted for 9.76% of the reported cases. CONCLUSIONS: The incidence of these AEs does not appear above the background expected. These data are consistent with routine clinical observations and suggest the importance of pharmacovigilance.
Date Issued
2020-07-31
Date Acceptance
2020-07-20
Citation
Expert Opinion on Drug Safety, 2020, 19 (11), pp.1505-1511
ISSN
1474-0338
Publisher
Taylor and Francis
Start Page
1505
End Page
1511
Journal / Book Title
Expert Opinion on Drug Safety
Volume
19
Issue
11
Copyright Statement
© 2020 Informa UK Limited, trading as Taylor & Francis Group. This is an Accepted Manuscript of an article published by Taylor & Francis in
Expert Opinion on Drug Safety on 21 July 2020, available online: https://doi.org/10.1080/14740338.2020.1799975
Expert Opinion on Drug Safety on 21 July 2020, available online: https://doi.org/10.1080/14740338.2020.1799975
Sponsor
National Institute for Health Research
Imperial College Healthcare NHS Trust- BRC Funding
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/32693646
Grant Number
NIHR-RP-011-053
RDB01 79560
Subjects
Baricitinib
FAERS
JAK inhibitor
adverse event
pharmacovigilance
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2020-07-21