Evidence map›Paper›PMID 40598639›Full record

ArticleBMC pharmacology & toxicology2025

A real-world data analysis of montelukast in FDA Adverse Event Reporting System (FAERS) database.

Hesen Huang, Kaiqin Chen, Yu Du, Jing Gao, Yixian Ye, Wei Lin

Abstract read
In one paragraph

Article in BMC pharmacology & toxicology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Hesen HuangDepartment of Otolaryngology-Head and Neck Surgery, Xiang'an Hospital of Xiamen University, Xia Men, Fu Jian, 361102, China.ORCID 0000-0003-4375-995X
Kaiqin ChenDepartment of Neurosurgery, Xiang'an Hospital of Xiamen University, Xia Men, Fu Jian, 361100, China.ORCID 0000-0003-1502-9300
Yu DuDepartment of Otolaryngology-Head and Neck Surgery, Xiang'an Hospital of Xiamen University, Xia Men, Fu Jian, 361102, China.ORCID 0000-0001-5267-8903
Jing GaoDepartment of Otolaryngology-Head and Neck Surgery, Xiang'an Hospital of Xiamen University, Xia Men, Fu Jian, 361102, China.ORCID 0000-0001-9613-8482
Yixian YeDepartment of Otolaryngology, Zhongshan Hospital (Xiamen), Fudan University, Xia Men, Fu Jian, 361006, China.ORCID 0009-0008-4671-0469
Wei LinDepartment of Otolaryngology-Head and Neck Surgery, The First Affiliated Hospital, Fujian Medical University, FuZhou, 350005, China. guaguatong@126.com.ORCID 0000-0001-9348-7054

Funding

Guidance in Medical and Health Program of Xiamen, China 3502Z20224ZD1155Xiamen Health High Quality Development Project 2024GZL-QN087Young Investigator Research Program of Xiang'an Hospital of Xiamen University XAH23003
6 · The paper itself

Abstract

backgroundMontelukast(MTK) is a leukotriene receptor antagonist widely used clinically for treating asthma and rhinitis. However, many adverse events (AEs) have been reported. In this study, we aimed to investigate MTK's adverse drug reactions (ADRs) using real data from the U.S. Food and Drug Administration Adverse Event Reporting System (FAERS) database.

methodsWe assessed the disproportionality of MTK-associated AEs by calculating metrics such as the ratio of reported ratios (ROR), proportional reporting ratios (PRR), Bayesian Belief Propagation Neural Networks (BCPNN), and Gamma-Poisson Shrinkers (GPS).

resultsFrom 2004 to the third quarter of 2023, of the 20,340,254 case reports in the FAERS database, 86,732 MTK reports were recorded as "principal suspect (PS)" AEs.Disproportionate analyses identified 431 preferred terms (PTs) associated with MTK in 27 organ systems. Unexpected major AEs were noted, such as Suffocation feeling, Adrenal suppression, Sudden visual loss and Endocardial fibrosis, none of which were mentioned in the drug insert.

conclusionOur findings are consistent with clinical observations highlighting potential new and unexpected ADR signals associated with MTK. Further prospective clinical studies are needed to confirm and elucidate the relationship between MTK and these ADRs. This study provides a fresh and unique perspective on the study of adverse drug events.

Indexed as

AcetatesAdverse Drug Reaction Reporting SystemsAnti-Asthmatic AgentsLeukotriene AntagonistsQuinolinesAdolescentAdultChildCyclopropanesData AnalysisDatabases, FactualDrug-Related Side Effects and Adverse ReactionsFemaleHumansMaleMiddle AgedAcetatesAnti-Asthmatic AgentsCyclopropanesLeukotriene AntagonistsmontelukastQuinolinesSulfidesAdverse eventsDisproportionality analysisMTKPharmacovigilanceReal-world data analysis

Identifiers

PMID40598639
PMCPMC12220754

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Registered trials

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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.