| アブストラクト | AIM: This study aimed to analyze the current trends of drug-induced liver-related adverse events in the Food and Drug Administration Adverse Event Reporting System (FAERS) and Japanese Adverse Drug Event Report (JADER) databases. METHODS: The characteristics of implicated drugs were investigated by analyzing big data on drug-induced liver-related adverse events over the past 20 years in FAERS, comparing drug rankings between the JADER and FAERS databases, and calculating rankings of drugs inducing liver-related adverse events using the Medical Dictionary for Regulatory Activities Terminology. RESULTS: In the 452 272 cases registered in FAERS from 1997 to 2019, warfarin, paracetamol, and adalimumab were the drugs most related to drug-induced liver injury (DILI). In the 38 919 cases registered in JADER from 2004 to 2019, sorafenib, nivolumab, and herbal extracts were the drugs most related to DILI. No associations were found between the top 30 drugs in either of the two databases. Notably, the number of drug-induced liver-related adverse event reports and total adverse events has sharply increased in recent years. CONCLUSIONS: Although liver-related adverse events are largely caused by host immunity and other constitutional factors, differences in primary diseases, countries, and historical backgrounds lead to differences in the number of reports. Securing an appropriate database and a mechanism to collect real-time information on the frequency of adverse drug reactions is warranted. |
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| ジャーナル名 | Hepatology research : the official journal of the Japan Society of Hepatology |
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| 投稿日 | 2023/1/22 |
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| 投稿者 | Kamimura, Hiroteru; Setsu, Toru; Kimura, Naruhiro; Miyazawa, Makoto; Kaneko, Shota; Kamimura, Kenya; Tsuchiya, Atsunori; Uesawa, Yoshihiro; Terai, Shuji |
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| 組織名 | Division of Gastroenterology and Hepatology, Niigata University Graduate School;of Medical and Dental Sciences, Niigata, Japan.;Department of Network Medicine for Digestive Diseases, Niigata University School;of Medicine, Niigata, Japan.;Division of Pharmacy, Niigata University Medical & Dental Hospital, Niigata,;Japan.;Department of Medical Molecular Informatics, Meiji Pharmaceutical University,;Tokyo, Japan. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/36680351/ |
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