Safety assessment of cabozantinib in patients with renal cell carcinoma: retrospective pharmacovigilance study based

Zhipeng Wang1,2, Fuchun Zheng1,2, Liangwei Wan1,2

  • 1Department of Urology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, China.

PubMed
Abstract

Insights

This study analyzed Food and Drug Administration Adverse Event Reporting System data to identify adverse events (AEs) linked to cabozantinib for renal cell carcinoma. Gastrointestinal, general, and skin disorders were the most frequently reported AEs.

Area of Science:

  • Pharmacovigilance
  • Oncology
  • Data Mining

Background:

  • Cabozantinib is a targeted therapy used for renal cell carcinoma.
  • Post-marketing surveillance is crucial for understanding drug safety profiles.
  • The Food and Drug Administration Adverse Event Reporting System (FAERS) is a valuable resource for pharmacovigilance.

Purpose of the Study:

  • To perform data mining on the FAERS database to assess adverse events (AEs) associated with cabozantinib in renal cell carcinoma treatment.
  • To identify potential safety signals and provide a comprehensive long-term post-marketing safety assessment of cabozantinib.

Main Methods:

  • Utilized data mining techniques on the FAERS database from 2016 to 2024.
  • Employed statistical algorithms including Reporting Odds Ratio (ROR), Proportional Reporting Ratio (PRR), Bayesian Confidence Propagation Neural Network (BCPNN), and Multi-item Gamma Poisson Shrinker (MGPS) to detect AE signals.
  • Retrieved 32,129 AE reports where cabozantinib was the primary suspect, with 21,549 related to renal cell carcinoma.

Main Results:

  • Identified 215 adverse event signals across 16 system organ classes (SOCs).
  • The most common AE signals were related to gastrointestinal disorders, general disorders, and skin and subcutaneous tissue disorders.
  • The median time to onset for adverse events was 38 days (IQR 14-116 days).

Conclusions:

  • This study offers new insights into monitoring, surveillance, and management of cabozantinib-related adverse drug reactions.
  • Provides a comprehensive long-term post-marketing safety assessment for cabozantinib in renal cell carcinoma treatment.
  • Highlights the importance of continued pharmacovigilance for targeted cancer therapies.