Factors Affecting the Timing of Signal Detection of Adverse Drug Reactions.

We investigated factors affecting the timing of signal detection by comparing variations in reporting time of known and unknown ADRs after initial drug release in the USA. Data on adverse event reactions (AERs) submitted to U.S. FDA was used. Six ADRs associated with 6 drugs (rosuvastatin, aripipraz...

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Main Authors: Masayuki Hashiguchi, Shungo Imai, Keiko Uehara, Junya Maruyama, Mikiko Shimizu, Mayumi Mochizuki
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4671724?pdf=render
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author Masayuki Hashiguchi
Shungo Imai
Keiko Uehara
Junya Maruyama
Mikiko Shimizu
Mayumi Mochizuki
author_facet Masayuki Hashiguchi
Shungo Imai
Keiko Uehara
Junya Maruyama
Mikiko Shimizu
Mayumi Mochizuki
author_sort Masayuki Hashiguchi
collection DOAJ
description We investigated factors affecting the timing of signal detection by comparing variations in reporting time of known and unknown ADRs after initial drug release in the USA. Data on adverse event reactions (AERs) submitted to U.S. FDA was used. Six ADRs associated with 6 drugs (rosuvastatin, aripiprazole, teriparatide, telithromycin, exenatide, varenicline) were investigated: Changes in the proportional reporting ratio, reporting odds ratio, and information component as indexes of signal detection were followed every 3 months after each drugs release, and the time for detection of signals was investigated. The time for the detection of signal to be detected after drug release in the USA was 2-10 months for known ADRs and 19-44 months for unknown ones. The median lag time for known and unknown ADRs was 99.0-122.5 days and 185.5-306.0 days, respectively. When the FDA released advisory information on rare but potentially serious health risks of an unknown ADR, the time lag to report from the onset of ADRs to the FDA was shorter. This study suggested that one factor affecting signal detection time is whether an ADR was known or unknown at release.
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spelling doaj.art-798efe35a243476db959e5403e640c322022-12-21T23:52:32ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-011012e014426310.1371/journal.pone.0144263Factors Affecting the Timing of Signal Detection of Adverse Drug Reactions.Masayuki HashiguchiShungo ImaiKeiko UeharaJunya MaruyamaMikiko ShimizuMayumi MochizukiWe investigated factors affecting the timing of signal detection by comparing variations in reporting time of known and unknown ADRs after initial drug release in the USA. Data on adverse event reactions (AERs) submitted to U.S. FDA was used. Six ADRs associated with 6 drugs (rosuvastatin, aripiprazole, teriparatide, telithromycin, exenatide, varenicline) were investigated: Changes in the proportional reporting ratio, reporting odds ratio, and information component as indexes of signal detection were followed every 3 months after each drugs release, and the time for detection of signals was investigated. The time for the detection of signal to be detected after drug release in the USA was 2-10 months for known ADRs and 19-44 months for unknown ones. The median lag time for known and unknown ADRs was 99.0-122.5 days and 185.5-306.0 days, respectively. When the FDA released advisory information on rare but potentially serious health risks of an unknown ADR, the time lag to report from the onset of ADRs to the FDA was shorter. This study suggested that one factor affecting signal detection time is whether an ADR was known or unknown at release.http://europepmc.org/articles/PMC4671724?pdf=render
spellingShingle Masayuki Hashiguchi
Shungo Imai
Keiko Uehara
Junya Maruyama
Mikiko Shimizu
Mayumi Mochizuki
Factors Affecting the Timing of Signal Detection of Adverse Drug Reactions.
PLoS ONE
title Factors Affecting the Timing of Signal Detection of Adverse Drug Reactions.
title_full Factors Affecting the Timing of Signal Detection of Adverse Drug Reactions.
title_fullStr Factors Affecting the Timing of Signal Detection of Adverse Drug Reactions.
title_full_unstemmed Factors Affecting the Timing of Signal Detection of Adverse Drug Reactions.
title_short Factors Affecting the Timing of Signal Detection of Adverse Drug Reactions.
title_sort factors affecting the timing of signal detection of adverse drug reactions
url http://europepmc.org/articles/PMC4671724?pdf=render
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