Evidence map›Paper›PMID 40781661›Full record

ArticleBMC cancer2025

Adverse drug reaction to tremelimumab and durvalumab in hepatocellular carcinoma patients: an analysis of the food and drug administration adverse event reporting system database.

Wei Fan Sui, Yu Xin Duan, Ze Feng Cai, Yi Mao Xia, Jian Yun Li, Jian Hua Fu

Abstract read
In one paragraph

Article in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Wei Fan SuiDepartment of Interventional Radiology, Zhenjiang First People's Hospital, No.8 of Dianli Road, Zhenjiang City, 212000, Jiangsu Province, China.
Yu Xin DuanDepartment of Interventional Radiology, Zhenjiang First People's Hospital, No.8 of Dianli Road, Zhenjiang City, 212000, Jiangsu Province, China.
Ze Feng CaiDepartment of Interventional Radiology, Zhenjiang First People's Hospital, No.8 of Dianli Road, Zhenjiang City, 212000, Jiangsu Province, China.
Yi Mao XiaDepartment of Interventional Radiology, Zhenjiang First People's Hospital, No.8 of Dianli Road, Zhenjiang City, 212000, Jiangsu Province, China.
Jian Yun LiDepartment of Interventional Radiology, Zhenjiang First People's Hospital, No.8 of Dianli Road, Zhenjiang City, 212000, Jiangsu Province, China.
Jian Hua FuDepartment of Interventional Radiology, Zhenjiang First People's Hospital, No.8 of Dianli Road, Zhenjiang City, 212000, Jiangsu Province, China. fjhzjyy@sina.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study sought to comprehensively evaluate the safety profile of tremelimumab and durvalumab in patients with hepatocellular carcinoma (HCC) by examining adverse drug reaction (ADR) documented in the Food and Drug Administration's Adverse Event Reporting System (FAERS) database.

methodsData from the FAERS database spanning from the first quarter of 2004 to the first quarter of 2025 were extracted, filtered, and standardized. The Reporting Odds Ratio (ROR) and Bayesian Confidence Propagation Neural Network (BCPNN) method were utilized to analyze the signal strength and identify potential ADRs.

resultsA total of 574 cases and 1,021 ADR reports were identified. Gastrointestinal disorders (15.65%, n = 188), hepatobiliary disorders (12.16%, n = 146), and general disorders and administration site conditions (11.74%, n = 141) emerged as the most frequently reported categories by system organ class (SOC). Death, diarrhea, and malignant neoplasm progression were identified as the three most common preferred terms (PT) based on reporting frequency. Immune-mediated ADRs with elevated ROR and BCPNN values were prevalent across multiple systems, particularly within the gastrointestinal (528.22, 9.03), hepatic (863.82, 9.70), cardiac (365.24, 8.49), endocrine (321.26, 8.31), and dermatological (744.71, 9.51) domains.

conclusionThe study underscored the intricate safety profile of tremelimumab and durvalumab in HCC patients, characterized predominantly by immune-mediated toxicities and significant gastrointestinal and hepatobiliary risks. Utilization of drugs necessitated meticulous patient selection and a multidisciplinary management approach to optimize patient outcomes and mitigate ADRs.

Indexed as

Adverse Drug Reaction Reporting SystemsAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalCarcinoma, HepatocellularDrug-Related Side Effects and Adverse ReactionsLiver NeoplasmsAdultAgedAged, 80 and overBayes TheoremDatabases, FactualFemaleHumansMaleMiddle AgedAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicaldurvalumabtremelimumabAdverse drug reactionsDurvalumabFAERSHepatocellular carcinomaTremelimumab

Identifiers

PMID40781661
PMCPMC12335178

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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.