Data Sheet 1_Disproportionality analysis of biliary adverse events associated with fibrates using the JADER and FAERS databases.pdf

Introduction<p>Fibrates are effective triglyceride-lowering drugs, but they may affect bile acid metabolism, raising concerns about biliary adverse drug events (ADEs).</p>Objective<p>In this study, we used spontaneous reporting system databases to evaluate the association between f...

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1. autor: Satoko Watanabe (59124) (author)
Kolejni autorzy: Kyosuke Nagura (22675574) (author), Naoto Okada (7836800) (author), Taro Watanabe (15278960) (author), Hidenori Sagara (22675577) (author)
Wydane: 2025
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_version_ 1849927644294938624
author Satoko Watanabe (59124)
author2 Kyosuke Nagura (22675574)
Naoto Okada (7836800)
Taro Watanabe (15278960)
Hidenori Sagara (22675577)
author2_role author
author
author
author
author_facet Satoko Watanabe (59124)
Kyosuke Nagura (22675574)
Naoto Okada (7836800)
Taro Watanabe (15278960)
Hidenori Sagara (22675577)
author_role author
dc.creator.none.fl_str_mv Satoko Watanabe (59124)
Kyosuke Nagura (22675574)
Naoto Okada (7836800)
Taro Watanabe (15278960)
Hidenori Sagara (22675577)
dc.date.none.fl_str_mv 2025-11-24T15:43:07Z
dc.identifier.none.fl_str_mv 10.3389/fphar.2025.1700589.s001
dc.relation.none.fl_str_mv https://figshare.com/articles/dataset/Data_Sheet_1_Disproportionality_analysis_of_biliary_adverse_events_associated_with_fibrates_using_the_JADER_and_FAERS_databases_pdf/30695711
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Pharmacology
fibrates
pemafibrate
biliary adverse events
pharmacovigilance
disproportionality analysis
time-to-onset analysis
JADER
FAERS
dc.title.none.fl_str_mv Data Sheet 1_Disproportionality analysis of biliary adverse events associated with fibrates using the JADER and FAERS databases.pdf
dc.type.none.fl_str_mv Dataset
info:eu-repo/semantics/publishedVersion
dataset
description Introduction<p>Fibrates are effective triglyceride-lowering drugs, but they may affect bile acid metabolism, raising concerns about biliary adverse drug events (ADEs).</p>Objective<p>In this study, we used spontaneous reporting system databases to evaluate the association between fibrates and biliary ADEs. This study has been reported in accordance with the Reporting of a Disproportionality Analysis for Drug Safety Signal Detection Using Individual Case Safety Reports in PharmacoVigilance guidelines.</p>Methods<p>We used data from the Japanese Adverse Drug–Event Report (JADER) and the U.S. Food and Drug Administration Adverse Event Reporting System (FAERS) databases. The signal detection metrics employed were reporting odds ratio (ROR), proportional reporting ratio, Bayesian confidence propagation neural network, and Gamma–Poisson Shrinker. We also conducted stratified disproportionality and time-to-onset analyses.</p>Results<p>We identified 58 and 260 unique individual case safety reports from the JADER and FAERS databases, respectively. Primary disproportionality analysis of all fibrates in the JADER dataset revealed an ROR of 3.74 [2.88–4.85]. All other signal detection metrics also exhibited statistically significant associations. In the stratified disproportionality analysis, pemafibrate showed significant signals across all strata, confirming the robustness of the signal. In the Weibull analysis for pemafibrate, the shape parameter (β) was 1.59 [1.17–2.56], indicating an increasing trend in ADE reporting with continued pemafibrate use.</p>Conclusion<p>A significant signal for biliary ADEs was detected for fibrates in both databases, with a particularly consistent association for pemafibrate. Regular hepatobiliary monitoring and individualized patient management are recommended.</p>
eu_rights_str_mv openAccess
id Manara_9f0ab1b2513a4664d467895837384805
identifier_str_mv 10.3389/fphar.2025.1700589.s001
network_acronym_str Manara
network_name_str ManaraRepo
oai_identifier_str oai:figshare.com:article/30695711
publishDate 2025
repository.mail.fl_str_mv
repository.name.fl_str_mv
repository_id_str
rights_invalid_str_mv CC BY 4.0
spelling Data Sheet 1_Disproportionality analysis of biliary adverse events associated with fibrates using the JADER and FAERS databases.pdfSatoko Watanabe (59124)Kyosuke Nagura (22675574)Naoto Okada (7836800)Taro Watanabe (15278960)Hidenori Sagara (22675577)Pharmacologyfibratespemafibratebiliary adverse eventspharmacovigilancedisproportionality analysistime-to-onset analysisJADERFAERSIntroduction<p>Fibrates are effective triglyceride-lowering drugs, but they may affect bile acid metabolism, raising concerns about biliary adverse drug events (ADEs).</p>Objective<p>In this study, we used spontaneous reporting system databases to evaluate the association between fibrates and biliary ADEs. This study has been reported in accordance with the Reporting of a Disproportionality Analysis for Drug Safety Signal Detection Using Individual Case Safety Reports in PharmacoVigilance guidelines.</p>Methods<p>We used data from the Japanese Adverse Drug–Event Report (JADER) and the U.S. Food and Drug Administration Adverse Event Reporting System (FAERS) databases. The signal detection metrics employed were reporting odds ratio (ROR), proportional reporting ratio, Bayesian confidence propagation neural network, and Gamma–Poisson Shrinker. We also conducted stratified disproportionality and time-to-onset analyses.</p>Results<p>We identified 58 and 260 unique individual case safety reports from the JADER and FAERS databases, respectively. Primary disproportionality analysis of all fibrates in the JADER dataset revealed an ROR of 3.74 [2.88–4.85]. All other signal detection metrics also exhibited statistically significant associations. In the stratified disproportionality analysis, pemafibrate showed significant signals across all strata, confirming the robustness of the signal. In the Weibull analysis for pemafibrate, the shape parameter (β) was 1.59 [1.17–2.56], indicating an increasing trend in ADE reporting with continued pemafibrate use.</p>Conclusion<p>A significant signal for biliary ADEs was detected for fibrates in both databases, with a particularly consistent association for pemafibrate. Regular hepatobiliary monitoring and individualized patient management are recommended.</p>2025-11-24T15:43:07ZDatasetinfo:eu-repo/semantics/publishedVersiondataset10.3389/fphar.2025.1700589.s001https://figshare.com/articles/dataset/Data_Sheet_1_Disproportionality_analysis_of_biliary_adverse_events_associated_with_fibrates_using_the_JADER_and_FAERS_databases_pdf/30695711CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/306957112025-11-24T15:43:07Z
spellingShingle Data Sheet 1_Disproportionality analysis of biliary adverse events associated with fibrates using the JADER and FAERS databases.pdf
Satoko Watanabe (59124)
Pharmacology
fibrates
pemafibrate
biliary adverse events
pharmacovigilance
disproportionality analysis
time-to-onset analysis
JADER
FAERS
status_str publishedVersion
title Data Sheet 1_Disproportionality analysis of biliary adverse events associated with fibrates using the JADER and FAERS databases.pdf
title_full Data Sheet 1_Disproportionality analysis of biliary adverse events associated with fibrates using the JADER and FAERS databases.pdf
title_fullStr Data Sheet 1_Disproportionality analysis of biliary adverse events associated with fibrates using the JADER and FAERS databases.pdf
title_full_unstemmed Data Sheet 1_Disproportionality analysis of biliary adverse events associated with fibrates using the JADER and FAERS databases.pdf
title_short Data Sheet 1_Disproportionality analysis of biliary adverse events associated with fibrates using the JADER and FAERS databases.pdf
title_sort Data Sheet 1_Disproportionality analysis of biliary adverse events associated with fibrates using the JADER and FAERS databases.pdf
topic Pharmacology
fibrates
pemafibrate
biliary adverse events
pharmacovigilance
disproportionality analysis
time-to-onset analysis
JADER
FAERS