Evidence map›Paper›PMID 41822321›Full record

ArticleWorld journal of oncology2026

Strong Signals of Adverse Events in Tyrosine Kinase Inhibitor Therapy for Liver Cancer Treatment.

Wen Xuan Zhou, Jun Hao Fan, Qian Wen Ni, Ming Kai Liu, Zhen Peng, Yuan Xu, Su Su Luo

Abstract read
In one paragraph

Article in World journal of oncology, 2026. 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. Review
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

7 authors.

Wen Xuan ZhouThe Third Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital (Second Military Medical University), Naval Medical University, Shanghai 200438, China.
Jun Hao FanThe Third Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital (Second Military Medical University), Naval Medical University, Shanghai 200438, China.
Qian Wen NiThe Third Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital (Second Military Medical University), Naval Medical University, Shanghai 200438, China.
Ming Kai LiuProof of Concept Center, Eastern Hepatobiliary Surgery Hospital (Second Military Medical University), Naval Medical University, Shanghai 200438, China.
Zhen PengDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei 230032, China.
Yuan XuProof of Concept Center, Eastern Hepatobiliary Surgery Hospital (Second Military Medical University), Naval Medical University, Shanghai 200438, China.
Su Su LuoThe Third Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital (Second Military Medical University), Naval Medical University, Shanghai 200438, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study was to identify strong adverse event (AE) signals associated with four tyrosine kinase inhibitors (TKIs) (sorafenib, regorafenib, lenvatinib, and cabozantinib), and compare these signals with regulatory drug facts from multiple global agencies. Methods: Data from the US Food and Drug Administration (FDA) Adverse Event Reporting System (FAERS, 2007 - 2024) were analyzed. Each AE was treated as a binary variable, and logistic regression with robust error estimation was used to identify strong signals (odds ratio > 2, lower 95% confidence interval > 1). AE signals were compared with drug facts from the FDA (USA), European Medicines Agency (EMA, European Union), Pharmaceuticals and Medical Devices Agency (PMDA, Japan), and National Medical Products Administration (NMPA, China). Results: Among 33,801 identifiers (137,345 records), 816 strong AE signals were found. Sorafenib had the most (373), followed by regorafenib (207), lenvatinib (126), and cabozantinib (110). Notable AEs included pharyngeal hemorrhage (sorafenib), retinal artery occlusion (regorafenib), intracranial aneurysm (lenvatinib), and mood swings (cabozantinib). Thirty-two signals had a 100% likelihood of critical outcomes, with no overlap across drugs. AEs were more frequent in males and older populations. Significant discrepancies in AE profiles were observed among regulatory agencies, with low overlap between FAERS and agency data. Conclusions: This study provides a comprehensive analysis of AE signals for four TKIs in liver cancer, identifying associations rather than causal relationships. The findings highlight significant variation in AE profiles and discrepancies between clinical trial data and real-world evidence. These results are hypothesis-generating and emphasize the need for personalized treatments, enhanced monitoring and intervention, and improved global AE reporting, while acknowledging the inherent limitations of spontaneous reporting systems.

Indexed as

Adverse eventsFDA Adverse Event Reporting SystemHepatocellular carcinomaLiver cancerStrong signalsTyrosine kinase inhibitors

Identifiers

PMID41822321
PMCPMC12978382

What OpenQuestion holds

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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.