Evidence map›Paper›PMID 42670080›Full record

ArticleCardiovascular therapeutics2026

Anthracycline Cardiotoxicity: A Real-World Study Based on FDA Adverse Event Reporting System Database.

Maoxia Fan, Huimin Lu, Jiacheng Zheng, Yawen Wang, Meng Li, Lijing Zhang

Abstract read
In one paragraph

Article in Cardiovascular therapeutics, 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. 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.

Maoxia FanDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.ORCID https://orcid.org/0000-0003-4917-096X
Huimin LuShanghai Shuguang Hospital Affiliated to Shanghai Uiversity of traditional Chinese medicine, Shanghai, China.ORCID https://orcid.org/0009-0004-5015-4523
Jiacheng ZhengChina Academy of Chinese Medical Sciences Wangjing Hospital, Beijing, China.
Yawen WangBeijing University of Chinese Medicine, Beijing, China, bucm.edu.cn.ORCID https://orcid.org/0009-0000-3492-3717
Meng LiDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Lijing ZhangDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.ORCID https://orcid.org/0000-0002-4717-5348

Funding

A Clinical Study of Chinese Materia Medica for Preventing anthracycline-induced cardiotoxicity and Replenishing Qi-Nourishing Yin Therapy for Anthracycline-Related Frequent Ventricular Premature Beats 2023ZD0502604National Key Research and Development Program of China SQ2023AAA032386, 2022YFC3500101National Key Science and Technology Project of China SQ2023AAA032386
6 · The paper itself

Abstract

objectiveBased on the FDA Adverse Event Reporting System (FAERS) database, data mining of adverse event (AE) signals related to anthracyclines was conducted to explore their potential medication risks, especially cardiotoxicity, in order to promote the rational and safe use of these drugs in clinical practice.

methodsAE data for anthracyclines (represented by aclarubicin, daunorubicin, doxorubicin, and epirubicin) commonly used to treat hematologic malignancies and solid tumors were retrieved from the FAERS database from January 1, 2004, to June 30, 2025. Disproportionation analysis was primarily used to mine signals of AEs related to anthracyclines.

resultsA total of 324 AE reports related to aclarubicin, 298 related to daunorubicin, 822 related to doxorubicin, and 334 related to epirubicin were extracted from the FAERS database. Based on risk signal detection using the Bayesian confidence propagation neural network (BCPNN) for cardiac AEs: For aclarubicin, left ventricular dysfunction exhibited the strongest risk signal among AEs with positive risk signals, whereas cardiac failure had the largest number of reports. For daunorubicin, supraventricular arrhythmia represented the strongest risk signal among AEs with positive risk signals, and tachycardia had the highest reporting count. For doxorubicin, acute cardiomyopathy showed the strongest risk signal among AEs with positive risk signals, whereas cardiac failure possessed the greatest number of reports. For epirubicin, heart failure with midrange ejection fraction yielded the strongest risk signal among AEs with positive risk signals, and cardiac failure had the largest number of reports.

conclusionThis study provides a more comprehensive insight into the monitoring, supervision, and management of adverse reactions related to anthracyclines. Clinicians should further focus on the impact of various AEs related to anthracyclines and their corresponding signal strengths, especially the cardiotoxicity of anthracyclines, which is of great value for improving the clinical safety of anthracyclines.

Indexed as

Adverse Drug Reaction Reporting SystemsAnthracyclinesAntibiotics, AntineoplasticHeart DiseasesUnited States Food and Drug AdministrationCardiotoxicityDatabases, FactualData MiningFemaleHumansPharmacovigilanceRisk AssessmentRisk FactorsTime FactorsUnited StatesAnthracyclinesAntibiotics, AntineoplasticanthracyclinescancercardiotoxicityFAERSpharmacovigilance

Identifiers

PMID42670080
PMCPMC13527228

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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.