Evidence map›Paper›PMID 42317370›Full record

ArticleFrontiers in immunology2026

A pharmacovigilance study of sirolimus-associated adverse events in organ transplantation.

Da-Zhuang Yi, Yan Jiao, Cai-Feng Xiu, Lu Han, Shi-Long Li, Xiao-Feng Sun, Bo Liu

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Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Da-Zhuang YiDepartment of Scientific Research, The First Hospital of Jilin University, Changchun, Jilin, China.
Yan JiaoDepartment of Hepatobiliary and Pancreatic Surgery, General Surgery Center, The First Hospital of Jilin University, Changchun, Jilin, China.
Cai-Feng XiuDepartment of Cadre's Wards Ultrasound Diagnostics, Ultrasound Diagnostic Center, The First Hospital of Jilin University, Changchun, Jilin, China.
Lu HanDepartment of Cadre's Wards Ultrasound Diagnostics, Ultrasound Diagnostic Center, The First Hospital of Jilin University, Changchun, Jilin, China.
Shi-Long LiDepartment of Orthopedic, Jilin Province Tumor Hospital, Changchun, Jilin, China.
Xiao-Feng SunDepartment of Cadre's Wards Ultrasound Diagnostics, Ultrasound Diagnostic Center, The First Hospital of Jilin University, Changchun, Jilin, China.
Bo LiuDepartment of Cadre's Wards Ultrasound Diagnostics, Ultrasound Diagnostic Center, The First Hospital of Jilin University, Changchun, Jilin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Sirolimus (rapamycin), an antibiotic discovered in the 1970s, can effectively reduce allograft rejection, and plays an important role in the fields of immunosuppressive therapy and organ transplantation. Therefore, this study aimed to analyze adverse drug reactions (ADRs) associated with sirolimus using the FDA Adverse Event Reporting System (FAERS) database to inform clinical risk minimization strategies and guide safer therapeutic use. Methods: ADRs associated with sirolimus were retrospectively extracted from the FAERS database. Following the removal of duplicate entries, the final analytical dataset comprised 8,150,023 unique reports. Statistical analyses for signal detection of disproportionate reporting were performed using established pharmacovigilance metrics. Results: A total of 4,821 FAERS reports associated with sirolimus as the primary suspect drug were identified. Injury, poisoning and procedural complications (ROR = 1.61) \are the most common reports, followed by investigation (ROR = 2.19), infections and infestations (ROR = 1.74). The top ADRs matched known profiles, including kidney transplant rejection (ROR = 230.41). The analysis also revealed signals not prominently described in current prescribing information, including ovarian adenoma (ROR = 56.6), which should be interpreted cautiously as a hypothesis-generating pharmacovigilance signal rather than evidence of causality. Conclusion: This analysis details the ADR profile of sirolimus, revealing both known and potentially novel clinically significant adverse event signals that augment its known safety profile. Ongoing pharmacovigilance and targeted investigations are necessary to confirm these pharmacovigilance signals and inform optimal safety management strategies for sirolimus.

Indexed as

Drug-Related Side Effects and Adverse ReactionsImmunosuppressive AgentsOrgan TransplantationPharmacovigilanceSirolimusAdultAdverse Drug Reaction Reporting SystemsDatabases, FactualFemaleGraft RejectionHumansMaleMiddle AgedRetrospective StudiesUnited StatesImmunosuppressive AgentsSirolimusadverse drug reactionsFAERS databasepharmacovigilance signalsrapamycinsirolimus

Identifiers

PMID42317370
PMCPMC13272002

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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.