Recombinant human growth hormone and brain neoplasm association: a pharmacovigilance and Mendelian randomization analysis based on US FAERS, Japanese JADER, and Canadian CVARD
ObjectiveThis study aimed to analyze the statistical association between recombinant human growth hormone (rhGH) and brain neoplasm adverse events (AEs) by mining data from the US Food and Drug Administration Adverse Event Reporting System (FAERS) database, the Japanese Adverse Drug Event Report (JA...
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Frontiers Media S.A.
2025-07-01
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| Series: | Frontiers in Pharmacology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fphar.2025.1630843/full |
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| author | Li Huang Mei Zhang Fang Li Yinpeng Xu |
| author_facet | Li Huang Mei Zhang Fang Li Yinpeng Xu |
| author_sort | Li Huang |
| collection | DOAJ |
| description | ObjectiveThis study aimed to analyze the statistical association between recombinant human growth hormone (rhGH) and brain neoplasm adverse events (AEs) by mining data from the US Food and Drug Administration Adverse Event Reporting System (FAERS) database, the Japanese Adverse Drug Event Report (JADER) database, and the Canada Vigilance Adverse Reaction Online Database (CVARD). Furthermore, Mendelian randomization (MR) was utilized to evaluate the potential causal link between rhGH and brain neoplasm, thereby providing a reference for safe clinical medication use.MethodsReports of brain neoplasm associated with rhGH originated from the FAERS database (Q1 2004 - Q4 2024), the JADER database (April 2004 - December 2024), and the CVARD database (January 1991 - December 2024). Disproportionality analysis methods, including the Reporting Odds Ratio (ROR), Proportional Reporting Ratio (PRR), and Information Component (IC), were used to detect pharmacovigilance signals. Subsequently, a two-sample Mendelian randomization analysis was conducted, treating rhGH as the exposure and brain neoplasm as the outcome, to evaluate the causal relationship.ResultsA total of 323 reports of rhGH-associated brain neoplasms AEs were identified (FAERS: n = 282; JADER: n = 14; CVARD: n = 27). Brain neoplasm was detected as a positive signal in all three databases by all three signal detection methods, consistently classified as medium clinical priority. Multivariable logistic regression analysis demonstrated an independent association between age and the increased risk of rhGH-induced brain tumors. Specifically, age groups 18–45 years and 46–65 years showed significantly elevated risks [OR (95% CI): 3.71 (1.09–13.34), P = 0.048; and 3.78 (1.02–14.62), P = 0.049, respectively]. The two-sample MR analysis, using the Inverse Variance Weighted (IVW) method, yielded an OR of 1.415 (95% CI: 1.005, 1.991, P = 0.046), suggestive of causal relationship between rhGH and brain neoplasms.ConclusionPharmacovigilance analysis revealed a significant statistical association between rhGH and brain neoplasms. Mendelian randomization analysis further suggested a causal relationship between them. These findings highlight the need to consider the potential risk of brain neoplasm adverse events during treatment with rhGH. |
| format | Article |
| id | doaj-art-2ac15ea6485d402d8aecbb597a376a43 |
| institution | DOAJ |
| issn | 1663-9812 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Pharmacology |
| spelling | doaj-art-2ac15ea6485d402d8aecbb597a376a432025-08-20T03:08:46ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122025-07-011610.3389/fphar.2025.16308431630843Recombinant human growth hormone and brain neoplasm association: a pharmacovigilance and Mendelian randomization analysis based on US FAERS, Japanese JADER, and Canadian CVARDLi Huang0Mei Zhang1Fang Li2Yinpeng Xu3Department of Pharmacy, Women and Infants Hospital of Zhengzhou, Zhengzhou, Henan, ChinaDepartment of Pharmacy, Women and Infants Hospital of Zhengzhou, Zhengzhou, Henan, ChinaDepartment of Pharmacy, The Ninth People’s Hospital of Zhengzhou, Zhengzhou, Henan, ChinaDepartment of Pharmacy, The Ninth People’s Hospital of Zhengzhou, Zhengzhou, Henan, ChinaObjectiveThis study aimed to analyze the statistical association between recombinant human growth hormone (rhGH) and brain neoplasm adverse events (AEs) by mining data from the US Food and Drug Administration Adverse Event Reporting System (FAERS) database, the Japanese Adverse Drug Event Report (JADER) database, and the Canada Vigilance Adverse Reaction Online Database (CVARD). Furthermore, Mendelian randomization (MR) was utilized to evaluate the potential causal link between rhGH and brain neoplasm, thereby providing a reference for safe clinical medication use.MethodsReports of brain neoplasm associated with rhGH originated from the FAERS database (Q1 2004 - Q4 2024), the JADER database (April 2004 - December 2024), and the CVARD database (January 1991 - December 2024). Disproportionality analysis methods, including the Reporting Odds Ratio (ROR), Proportional Reporting Ratio (PRR), and Information Component (IC), were used to detect pharmacovigilance signals. Subsequently, a two-sample Mendelian randomization analysis was conducted, treating rhGH as the exposure and brain neoplasm as the outcome, to evaluate the causal relationship.ResultsA total of 323 reports of rhGH-associated brain neoplasms AEs were identified (FAERS: n = 282; JADER: n = 14; CVARD: n = 27). Brain neoplasm was detected as a positive signal in all three databases by all three signal detection methods, consistently classified as medium clinical priority. Multivariable logistic regression analysis demonstrated an independent association between age and the increased risk of rhGH-induced brain tumors. Specifically, age groups 18–45 years and 46–65 years showed significantly elevated risks [OR (95% CI): 3.71 (1.09–13.34), P = 0.048; and 3.78 (1.02–14.62), P = 0.049, respectively]. The two-sample MR analysis, using the Inverse Variance Weighted (IVW) method, yielded an OR of 1.415 (95% CI: 1.005, 1.991, P = 0.046), suggestive of causal relationship between rhGH and brain neoplasms.ConclusionPharmacovigilance analysis revealed a significant statistical association between rhGH and brain neoplasms. Mendelian randomization analysis further suggested a causal relationship between them. These findings highlight the need to consider the potential risk of brain neoplasm adverse events during treatment with rhGH.https://www.frontiersin.org/articles/10.3389/fphar.2025.1630843/fullrecombinant human growth hormone(rhGH)brain neoplasmFAERSJADERCVARDMendelian randomization analysis(MR) |
| spellingShingle | Li Huang Mei Zhang Fang Li Yinpeng Xu Recombinant human growth hormone and brain neoplasm association: a pharmacovigilance and Mendelian randomization analysis based on US FAERS, Japanese JADER, and Canadian CVARD Frontiers in Pharmacology recombinant human growth hormone(rhGH) brain neoplasm FAERS JADER CVARD Mendelian randomization analysis(MR) |
| title | Recombinant human growth hormone and brain neoplasm association: a pharmacovigilance and Mendelian randomization analysis based on US FAERS, Japanese JADER, and Canadian CVARD |
| title_full | Recombinant human growth hormone and brain neoplasm association: a pharmacovigilance and Mendelian randomization analysis based on US FAERS, Japanese JADER, and Canadian CVARD |
| title_fullStr | Recombinant human growth hormone and brain neoplasm association: a pharmacovigilance and Mendelian randomization analysis based on US FAERS, Japanese JADER, and Canadian CVARD |
| title_full_unstemmed | Recombinant human growth hormone and brain neoplasm association: a pharmacovigilance and Mendelian randomization analysis based on US FAERS, Japanese JADER, and Canadian CVARD |
| title_short | Recombinant human growth hormone and brain neoplasm association: a pharmacovigilance and Mendelian randomization analysis based on US FAERS, Japanese JADER, and Canadian CVARD |
| title_sort | recombinant human growth hormone and brain neoplasm association a pharmacovigilance and mendelian randomization analysis based on us faers japanese jader and canadian cvard |
| topic | recombinant human growth hormone(rhGH) brain neoplasm FAERS JADER CVARD Mendelian randomization analysis(MR) |
| url | https://www.frontiersin.org/articles/10.3389/fphar.2025.1630843/full |
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