Evidence map›Paper›PMID 40294980›Full record

ArticleIn vivo (Athens, Greece)

Adverse Reactions With VEGF Inhibitors in Combination With NSAIDs: Disproportionality Analysis Using JADRE and FAERS.

Kazuki Saito, Satoru Nihei, Junichi Asaka, Kenzo Kudo

Abstract read
In one paragraph

Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Kazuki SaitoDepartment of Pharmacy, Iwate Medical University Hospital, Iwate, Japan; kazuki.saito@j.iwate-med.ac.jp.
Satoru NiheiDepartment of Pharmacy, Iwate Medical University Hospital, Iwate, Japan.
Junichi AsakaDepartment of Pharmacy, Iwate Medical University Hospital, Iwate, Japan.
Kenzo KudoDepartment of Pharmacy, Iwate Medical University Hospital, Iwate, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimThe concurrent use of vascular endothelial growth factor (VEGF) inhibitors and nonsteroidal anti-inflammatory drugs (NSAIDs) raises concerns regarding the increased risk of adverse drug reactions (ADRs) due to potential pharmacodynamic interactions. However, no studies have specifically addressed this issue. The objective of this study was to investigate whether the combination of these drugs increased the risk of ADRs. PATIENTS AND

methodsDisproportionality analysis was conducted on ADR reports from the Japanese Adverse Drug Event Report (JADER) and FDA Adverse Event Reporting System (FAERS) databases. The concomitant signal score and Ω shrinkage measure were used to identify safety signals associated with the drug combination. Additionally, logistic regression analysis focused on reports of ADRs related to cancer treatment and assessed the significance of the adjusted reporting odds ratio (aROR) for the interaction between these drugs.

resultsDisproportionality analysis included ADR data from the JADER (

conclusionThe combination of VEGF inhibitors and NSAIDs is associated with an increased risk of gastrointestinal perforation, a serious and potentially fatal ADR. Therefore, caution is warranted when prescribing a combination of these drugs.

Indexed as

Adverse Drug Reaction Reporting SystemsAnti-Inflammatory Agents, Non-SteroidalDrug-Related Side Effects and Adverse ReactionsVascular Endothelial Growth Factor AAdultAgedDatabases, FactualDrug InteractionsDrug Therapy, CombinationFemaleHumansMaleMiddle AgedOdds RatioUnited StatesAnti-Inflammatory Agents, Non-SteroidalVascular Endothelial Growth Factor Adisproportionality analysisnon-steroidal anti-inflammatory drugspontaneous reporting databasesVascular endothelial growth factor inhibitor

Identifiers

PMID40294980
PMCPMC12041964

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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.