| アブストラクト | AIMS: Cilostazol is used for the treatment of intermittent claudication, but long-term efficacy and safety data are predominantly derived from case reports or clinical trials, with a notable absence of large-scale, real-world comprehensive safety data. In this study, we applied data mining algorithms to identify adverse drug reaction signals associated with cilostazol that are not currently listed on its drug label, with the objective of enhancing drug safety. METHODS: From 2004 to 2024, adverse event (AE) reports associated with cilostazol were examined in the FDA Adverse Event Reporting System (FAERS) database. For signal detection, three disproportionality metrics were calculated: the Reporting Odds Ratio (ROR), the United Kingdom Medicines and Healthcare Products Regulatory Agency omnbius standard (MHRA), and Bayesian Confidence Propagation Neural Network (BCPNN). The identified signals were compared against the adverse drug reactions (ADRs) listed on the drug label. RESULTS: A total of 513 reports identified cilostazol as the primary suspect, with 774 AEs associated with cilostazol. Twenty-eight AE signals were detected that met the data mining criteria for ROR, MHRA, and BCPNN. These signals belonging to 10 different System Organ Classes (SOCs). The majority of the AEs were related to cardiac disorders and investigations. The detected signals were compared against the drug label, revealing 11 new signals not previously listed. Of these, six were included in the important medical event terms (IME ) list,namely cerebral infarction, thrombosis in medical devices, ventricular fibrillation (VF), lacunar infarction, shock, and disseminated intravascular coagulation (DIC). CONCLUSIONS: This study offers critical support for the clinical monitoring and risk identification of cilostazol-related AEs. |
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| ジャーナル名 | Annals of vascular surgery |
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| Pubmed追加日 | 2026/2/20 |
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| 投稿者 | Zhang, Hong-Yue; Xiao, Lun; Chen, Ke; Du, Xiao-Long; Tang, Tao; Li, Wen-Dong; Liu, Peng-Cheng; Li, Xiao-Qiang |
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| 組織名 | Department of Vascular Surgery, Nanjing Drum Tower Hospital Clinical College of;Nanjing University of Chinese Medicine, Nanjing, 210008, Jiangsu, China.;Department of Vascular Surgery, Nanjing Drum Tower Hospital, The Affiliated;Hospital of Nanjing University Medical School, Nanjing, 210008, Jiangsu, China.;Department of Vascular Surgery, The First Affiliated Hospital of Anhui Medical;University, Anhui,230022, China.;Nanjing University of Chinese Medicine, Nanjing, 210008, Jiangsu, China;;Electronic address: vasculars@126.com.;School of International Pharmaceutical Business, China Pharmaceutical University,;Nanjing, 211198, Jiangsu, China. Electronic address: liupcmail@163.com.;Electronic address: focus@njucm.edu.cn. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/41713801/ |
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