Comprehensive analysis of adverse events associated with T-cell engagers using the FAERS database

<p>T-cell engagers (TCEs) are transformative immunotherapies with significant potential in treating hematologic malignancies and solid tumors. However, their real-world safety profiles remain inadequately characterized.</p> <p>Using the FDA Adverse Event Reporting System (FAERS) da...

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Main Author: Xiangyang Le (8769839) (author)
Other Authors: Yefu Zhang (20765237) (author), Junlong Ma (8769845) (author)
Published: 2025
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_version_ 1852022551668064256
author Xiangyang Le (8769839)
author2 Yefu Zhang (20765237)
Junlong Ma (8769845)
author2_role author
author
author_facet Xiangyang Le (8769839)
Yefu Zhang (20765237)
Junlong Ma (8769845)
author_role author
dc.creator.none.fl_str_mv Xiangyang Le (8769839)
Yefu Zhang (20765237)
Junlong Ma (8769845)
dc.date.none.fl_str_mv 2025-02-21T15:40:04Z
dc.identifier.none.fl_str_mv 10.6084/m9.figshare.28458680.v1
dc.relation.none.fl_str_mv https://figshare.com/articles/dataset/Comprehensive_analysis_of_adverse_events_associated_with_T-cell_engagers_using_the_FAERS_database/28458680
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Medicine
Pharmacology
Biotechnology
Immunology
Cancer
Mental Health
Biological Sciences not elsewhere classified
T-cell engagers
pharmacovigilance
FAERS
disproportionality analysis
adverse events
dc.title.none.fl_str_mv Comprehensive analysis of adverse events associated with T-cell engagers using the FAERS database
dc.type.none.fl_str_mv Dataset
info:eu-repo/semantics/publishedVersion
dataset
description <p>T-cell engagers (TCEs) are transformative immunotherapies with significant potential in treating hematologic malignancies and solid tumors. However, their real-world safety profiles remain inadequately characterized.</p> <p>Using the FDA Adverse Event Reporting System (FAERS) database (October 2019 – September 2024, 8,747,158 reports), we analyzed adverse events (AEs) associated with nine TCEs. Disproportionality analysis identified overreported AEs, with 11,963 unique reports analyzed after deduplication.</p> <p>Blinatumomab was the most reported TCE (<i>n</i> = 4,950), and Tarlatamab the least (<i>n</i> = 185). Predominant AEs included immune system disorders, particularly cytokine release syndrome (IC<sub>025</sub> range: 6.08–7.47). Drug-specific signals included reproductive system and breast disorders (IC<sub>025</sub>: 2.74) and vascular disorders (IC<sub>025</sub>: 2.25) with Tebentafusp, renal and urinary disorders with Epcoritamab (IC<sub>025</sub>: 1.84), and eye disorders with Elranatamab (IC<sub>025</sub>: 1.81). Novel AEs were also uncovered, including second malignant neoplasms, vasogenic cerebral edema with Mosunetuzumab (IC<sub>025</sub>: 5.77, ROR<sub>025</sub>: 56.29), and hydronephrosis with Epcoritamab (IC<sub>025</sub>: 7.50, ROR<sub>025</sub>: 180.70). Early-onset events (0.5–9.5 days) were linked to four TCEs, while delayed-onset events (>20 days) were linked to five others.</p> <p>This study highlights diverse AE profiles of TCEs, providing insights for clinicians to optimize their safe use in practice.</p>
eu_rights_str_mv openAccess
id Manara_0856bc5cebf70dab6dd7e2e1e498b430
identifier_str_mv 10.6084/m9.figshare.28458680.v1
network_acronym_str Manara
network_name_str ManaraRepo
oai_identifier_str oai:figshare.com:article/28458680
publishDate 2025
repository.mail.fl_str_mv
repository.name.fl_str_mv
repository_id_str
rights_invalid_str_mv CC BY 4.0
spelling Comprehensive analysis of adverse events associated with T-cell engagers using the FAERS databaseXiangyang Le (8769839)Yefu Zhang (20765237)Junlong Ma (8769845)MedicinePharmacologyBiotechnologyImmunologyCancerMental HealthBiological Sciences not elsewhere classifiedT-cell engagerspharmacovigilanceFAERSdisproportionality analysisadverse events<p>T-cell engagers (TCEs) are transformative immunotherapies with significant potential in treating hematologic malignancies and solid tumors. However, their real-world safety profiles remain inadequately characterized.</p> <p>Using the FDA Adverse Event Reporting System (FAERS) database (October 2019 – September 2024, 8,747,158 reports), we analyzed adverse events (AEs) associated with nine TCEs. Disproportionality analysis identified overreported AEs, with 11,963 unique reports analyzed after deduplication.</p> <p>Blinatumomab was the most reported TCE (<i>n</i> = 4,950), and Tarlatamab the least (<i>n</i> = 185). Predominant AEs included immune system disorders, particularly cytokine release syndrome (IC<sub>025</sub> range: 6.08–7.47). Drug-specific signals included reproductive system and breast disorders (IC<sub>025</sub>: 2.74) and vascular disorders (IC<sub>025</sub>: 2.25) with Tebentafusp, renal and urinary disorders with Epcoritamab (IC<sub>025</sub>: 1.84), and eye disorders with Elranatamab (IC<sub>025</sub>: 1.81). Novel AEs were also uncovered, including second malignant neoplasms, vasogenic cerebral edema with Mosunetuzumab (IC<sub>025</sub>: 5.77, ROR<sub>025</sub>: 56.29), and hydronephrosis with Epcoritamab (IC<sub>025</sub>: 7.50, ROR<sub>025</sub>: 180.70). Early-onset events (0.5–9.5 days) were linked to four TCEs, while delayed-onset events (>20 days) were linked to five others.</p> <p>This study highlights diverse AE profiles of TCEs, providing insights for clinicians to optimize their safe use in practice.</p>2025-02-21T15:40:04ZDatasetinfo:eu-repo/semantics/publishedVersiondataset10.6084/m9.figshare.28458680.v1https://figshare.com/articles/dataset/Comprehensive_analysis_of_adverse_events_associated_with_T-cell_engagers_using_the_FAERS_database/28458680CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/284586802025-02-21T15:40:04Z
spellingShingle Comprehensive analysis of adverse events associated with T-cell engagers using the FAERS database
Xiangyang Le (8769839)
Medicine
Pharmacology
Biotechnology
Immunology
Cancer
Mental Health
Biological Sciences not elsewhere classified
T-cell engagers
pharmacovigilance
FAERS
disproportionality analysis
adverse events
status_str publishedVersion
title Comprehensive analysis of adverse events associated with T-cell engagers using the FAERS database
title_full Comprehensive analysis of adverse events associated with T-cell engagers using the FAERS database
title_fullStr Comprehensive analysis of adverse events associated with T-cell engagers using the FAERS database
title_full_unstemmed Comprehensive analysis of adverse events associated with T-cell engagers using the FAERS database
title_short Comprehensive analysis of adverse events associated with T-cell engagers using the FAERS database
title_sort Comprehensive analysis of adverse events associated with T-cell engagers using the FAERS database
topic Medicine
Pharmacology
Biotechnology
Immunology
Cancer
Mental Health
Biological Sciences not elsewhere classified
T-cell engagers
pharmacovigilance
FAERS
disproportionality analysis
adverse events