Evidence map›Paper›PMID 40858694›Full record

ArticleScientific reports2025

A real-world safety signal detection study of ondansetron based on FAERS reports from 2014 to 2024.

Fan Yang, Liyan Xu, Xiaona Lang, Xin Feng

Abstract read
In one paragraph

Article in Scientific reports, 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
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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.

Fan Yang *Department of Pharmacy, Tianjin Hospital, Tianjin, China.
Liyan Xu *Department of Orthopedics, Tianjin Hospital, Tianjin, China.
Xiaona LangDepartment of Pharmacy, Tianjin Hospital, Tianjin, China.
Xin Feng *Department of Pharmacy, Tianjin Hospital, Tianjin, China. drfxtong@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ondansetron is widely acknowledged for its effectiveness in preventing and treating postoperative nausea and vomiting. Nevertheless, comprehensive research on its adverse effects is still limited. This study intends to explore the adverse events (AEs) related to Ondansetron, making use of data from the FDA Adverse Event Reporting System (FAERS) in the past decade. A pharmacovigilance analysis was carried out using FAERS data from January 2014 to March 2024. Disproportionality analysis was utilized with four algorithms-proportional reporting ratio (PRR), reporting odds ratio (ROR), information component (IC), and empirical Bayesian geometric mean (EBGM)-to detect signals related to Ondansetron-related AEs. From Q1 2014 to Q1 2024, 9,413 adverse event (AE) reports were linked to Ondansetron as the primary suspect drug in the FAERS database, with a higher proportion in females (59.7%) than males (27.0%). Disproportionality analysis identified strong signals in several system organ classes (SOCs), most notably congenital, familial, and genetic disorders (n = 4725; ROR 30.33) and pregnancy-related conditions (n = 1277; ROR 5.53). At the preferred term (PT) level, congenital heart disease and fetal exposure during pregnancy were among the most frequently reported and strongly associated events. Additionally, previously underrecognized signals emerged, including infections (ROR 1.24), psychiatric disorders (ROR 1.14), and metabolic disturbances (ROR 1.29). Sex-stratified analysis revealed distinct patterns: injury, congenital heart disease predominated in males, while pregnancy-related and emotional disorders are more common in females. Our study synthesizes the adverse effects of Ondansetron, which have been reported in the FAERS database for nearly a decade. The vast majority of adverse effects are known and reported, yet some new ones deserve attention and some are controversial. These results will support the use of clinical agents.

Indexed as

Adverse Drug Reaction Reporting SystemsAntiemeticsDrug-Related Side Effects and Adverse ReactionsOndansetronAdolescentAdultAgedBayes TheoremChildDatabases, FactualFemaleHumansMaleMiddle AgedPharmacovigilancePregnancyAntiemeticsOndansetronAdverse eventsDisproportionality analysisFDA adverse event reporting system (FAERS)Ondansetron

Identifiers

PMID40858694
PMCPMC12381205

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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.