Evidence map›Paper›PMID 42851367›Full record

ArticleFrontiers in pharmacology2026

Detection of adverse event signals associated with key immunosuppressants for autoimmune hepatitis: insights from the food and drug administration adverse event reporting system database.

Luyuan Ma, Yize Fan, Ruolan Gu, Ziyue Li, Yuexia Liu, Kaixuan Zhang, Xiaochao Gao, Caiyan Zhao

Abstract read
In one paragraph

Article in Frontiers in pharmacology, 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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Luyuan Ma *Department of Infectious Diseases, Hebei Medical University Third Hospital, Shijiazhuang, China.
Yize Fan *Department of Burn and Plastic Surgery Department, Hebei Medical University Third Hospital, Shijiazhuang, China.
Ruolan GuDepartment of Infectious Diseases, Hebei Medical University Third Hospital, Shijiazhuang, China.
Ziyue LiDepartment of Infectious Diseases, Hebei Medical University Third Hospital, Shijiazhuang, China.
Yuexia LiuDepartment of Infectious Diseases, Hebei Medical University Third Hospital, Shijiazhuang, China.
Kaixuan ZhangDepartment of Infectious Diseases, Hebei Medical University Third Hospital, Shijiazhuang, China.
Xiaochao GaoDepartment of Allergy Department, Hebei Medical University First Hospital, Shijiazhuang, China.
Caiyan ZhaoDepartment of Infectious Diseases, Hebei Medical University Third Hospital, Shijiazhuang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Autoimmune hepatitis (AIH) requires long-term immunosuppressive therapy, yet the comparative safety profiles of key drugs remain incompletely characterized. The objective of this study was to conduct a systematic evaluation of the adverse drug event (ADE) signals associated with glucocorticoids, specifically dexamethasone, methylprednisolone, and prednisolone, in addition to azathioprine and mycophenolate mofetil, in the treatment of AIH. Methods: Disproportionality analysis was performed on ADE reports from the Food and Drug Administration (FDA) Adverse Event Reporting System (FAERS) database, covering the most recent data available from the first quarter of 2004 through the fourth quarter of 2024. Reporting odds ratios (RORs), proportional reporting ratios (PRRs), and Bayesian confidence propagation neural network metrics were calculated to identify significant ADE signals. Stratified analyses examined demographic and reporting factors influencing ADE patterns. Results: Among 720 reports, females accounted for a higher proportion of ADE reports (62.9%). Infections and gastrointestinal disorders were predominant signals across therapies. Glucocorticoid monotherapy showed strong SOC signals for infections, endocrine disorders, and metabolism and nutrition disorders, with opportunistic infections at the PT level. Azathioprine monotherapy exhibited gastrointestinal and neoplasm signals, alongside drug intolerance. Glucocorticoid-azathioprine showed gastrointestinal, infection, and drug intolerance signals; glucocorticoid-mycophenolate mofetil linked to infections. Mycophenolate mofetil monotherapy exhibited medication management failures. Stratified analyses revealed higher ADE reporting frequencies in females, patients ≥65 years, and differential reporting patterns by occupation. Conclusion: This study identified distinct ADE profiles for AIH therapies. These findings underscore the need for personalized monitoring strategies to mitigate treatment-specific ADEs in AIH management.

Indexed as

adverse drug eventsautoimmune hepatitisazathioprineFAERS, pharmacovigilanceglucocorticoidsmycophenolate mofetil

Identifiers

PMID42851367
PMCPMC13645583

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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.