Evidence map›Paper›PMID 40285824›Full record

ArticleInternational journal of clinical pharmacy2025

Post-marketing safety of pralsetinib: a real-world disproportionality analysis based on the FDA adverse event reporting system database.

Zheng Shi, Keda Shao, Ke Wang, Manyi Xu, Xiayao Yu, Chunwei Xu, Qin Li, Zhengbo Song

Abstract read
PubMed Publisher
In one paragraph

Article in International journal of clinical pharmacy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Adverse drug events associated with tiotropium: a real-world pharmacovigilance study of FDA adverse event reporting system database.Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Zheng Shi *Department of Clinical Trial, Zhejiang Cancer Hospital, No. 1 Banshan East Road, Gongshu District, Hangzhou, 310022, China.ORCID http://orcid.org/0000-0001-8282-3913
Keda Shao *Department of Clinical Trial, Zhejiang Cancer Hospital, No. 1 Banshan East Road, Gongshu District, Hangzhou, 310022, China.
Ke Wang *Department of Clinical Trial, Zhejiang Cancer Hospital, No. 1 Banshan East Road, Gongshu District, Hangzhou, 310022, China.
Manyi XuDepartment of Clinical Trial, Zhejiang Cancer Hospital, No. 1 Banshan East Road, Gongshu District, Hangzhou, 310022, China.
Xiayao YuDepartment of Clinical Trial, Zhejiang Cancer Hospital, No. 1 Banshan East Road, Gongshu District, Hangzhou, 310022, China.
Chunwei XuHangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.
Qin LiDepartment of Clinical Trial, Zhejiang Cancer Hospital, No. 1 Banshan East Road, Gongshu District, Hangzhou, 310022, China.
Zhengbo SongDepartment of Clinical Trial, Zhejiang Cancer Hospital, No. 1 Banshan East Road, Gongshu District, Hangzhou, 310022, China. songzb@zjcc.org.cn.

Funding

China Postdoctoral Science Foundation 2022M723207Medical Scientific Research Foundation of Zhejiang Province 2022KY639Medical Scientific Research Foundation of Zhejiang Province 2022KY653Medical Scientific Research Foundation of Zhejiang Province of China 2023KY666Qiantang Cross Fund Project 2023-16Zhejiang Traditional Chinese Medicine Science Fund Project 2024ZL372
6 · The paper itself

Abstract

backgroundPralsetinib is a novel rearranged during transfection (RET) inhibitor that is approved for treating non-small cell lung cancer and thyroid cancer. Although clinical trials have established its efficacy, real-world data on its safety profile remain limited.

aimThis study aimed to analyze pralsetinib-related adverse events (AEs) reported in the Food and Drug Administration adverse event reporting system (FAERS) database to identify potential safety signals.

methodWe conducted a retrospective pharmacovigilance analysis using FAERS database from Q3 2020 to Q2 2024. After deduplication, disproportionality analysis was performed using four algorithms: reporting odds ratio (ROR), proportional reporting ratio, Bayesian confidence propagation neural network, and empirical Bayes geometric mean.

resultsA total of 1064 pralsetinib-related reports were identified, encompassing 3608 AEs. The most common AEs were hypertension (n = 80), asthenia (n = 79), anemia (n = 65), white blood cell count decreased (n = 63), and constipation (n = 58). We also detected new and unexpected AE signals, including blood calcitonin increased (ROR: 853.54), myocardial necrosis marker increased (ROR: 201.79), cystitis bacterial (ROR: 134.84), fungal foot infection (ROR: 51.83), pulmonary tuberculosis (ROR: 39.5), and myocardial injury (ROR: 30.36). Additionally, hypertension was more prevalent among female patients (Female/Male = 53/19, ROR: 1.8 [1.06-3.05]) and olderpatients (≥ 65/ < 65 = 34/18, ROR: 1.8 [1.01-3.2]).

conclusionOur study identified some known and new significant AE signals associated with pralsetinib, emphasizing the importance of continued pharmacovigilance. While the findings provide valuable insights for clinical practice, further validation through large-scale prospective studies is needed.

Indexed as

Adverse Drug Reaction Reporting SystemsAntineoplastic AgentsDrug-Related Side Effects and Adverse ReactionsProduct Surveillance, PostmarketingPyrazolesUnited States Food and Drug AdministrationAdolescentAdultAgedAged, 80 and overDatabases, FactualFemaleHumansMaleMiddle AgedPharmacovigilanceAntineoplastic AgentspralsetinibPyrazolesPyridinesPyrimidinesAdverse eventsData miningDisproportionality analysisFAERSPralsetinibRearranged during transfection

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.