A real-world pharmacovigilance analysis of omadacycline in FDA adverse event reporting system (FAERS) database

ObjectiveOmadacycline is a newly launched drug of tetracycline. Therefore, it is necessary to comprehensive evaluate reports on the safety of omadacycline in large, real-world populations. This study aimed to mine the adverse event (AE) signals related to omadacycline through the Food and Drug Admin...

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Main Authors: Xueping Shi, Chen Wang, Xiang Liu, Li Zou, Pei Guo
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Pharmacology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2025.1558868/full
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author Xueping Shi
Chen Wang
Xiang Liu
Li Zou
Pei Guo
author_facet Xueping Shi
Chen Wang
Xiang Liu
Li Zou
Pei Guo
author_sort Xueping Shi
collection DOAJ
description ObjectiveOmadacycline is a newly launched drug of tetracycline. Therefore, it is necessary to comprehensive evaluate reports on the safety of omadacycline in large, real-world populations. This study aimed to mine the adverse event (AE) signals related to omadacycline through the Food and Drug Administration Adverse Event Reporting System (FAERS) database.MethodsData from the FAERS database from 1 January 2004 and 31 March 2024 were queried through OpenVigil 2.1. After the completion of data mapping, we collated and summarized key demographic and clinical characteristics of the reported cases. During the analysis, both Reporting odds ratio (ROR) and Bayesian confidence propagation neural network (BCPNN) were employed for the detection of AE signals.ResultsWe extracted a total of 452 suspected AE cases with omadacycline from the FAERS database. Among them, 69 positive signals were obtained using the ROR and BCPNN. The highest frequency reported systemic organ class (SOC) was gastrointestinal disorders. Common clinical AEs of omadacycline were detected in the FAERS database, such as nausea, vomiting, tongue discolouration, hepatic enzyme increased, and hypersensitivity. In addition, we identified potential unexpected serious AEs through disproportionality analysis, including eosinophilia, pancytopenia, internal haemorrhage, restless legs syndrome, hypoacusis, and tinnitus.ConclusionIn light of the growing use of omadacycline in clinical practice, routinely reviewing data from the FAERS database for signals of AE can help to ensure patient medication safety and enhance overall medical quality.
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spelling doaj-art-57e1473ffbd6448f8ccfcea192aff5ac2025-08-20T03:04:34ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122025-04-011610.3389/fphar.2025.15588681558868A real-world pharmacovigilance analysis of omadacycline in FDA adverse event reporting system (FAERS) databaseXueping Shi0Chen Wang1Xiang Liu2Li Zou3Pei Guo4College of Medical Technology, Chongqing Medical and Pharmaceutical College, Chongqing, ChinaDepartment of Pharmacy, The First Affiliated Hospital of Chongqing Medical and Pharmaceutical College, Chongqing, ChinaDepartment of Pharmacy, The First Affiliated Hospital of Chongqing Medical and Pharmaceutical College, Chongqing, ChinaDepartment of Pharmacy, The First Affiliated Hospital of Chongqing Medical and Pharmaceutical College, Chongqing, ChinaDepartment of Pharmacy, The First Affiliated Hospital of Chongqing Medical and Pharmaceutical College, Chongqing, ChinaObjectiveOmadacycline is a newly launched drug of tetracycline. Therefore, it is necessary to comprehensive evaluate reports on the safety of omadacycline in large, real-world populations. This study aimed to mine the adverse event (AE) signals related to omadacycline through the Food and Drug Administration Adverse Event Reporting System (FAERS) database.MethodsData from the FAERS database from 1 January 2004 and 31 March 2024 were queried through OpenVigil 2.1. After the completion of data mapping, we collated and summarized key demographic and clinical characteristics of the reported cases. During the analysis, both Reporting odds ratio (ROR) and Bayesian confidence propagation neural network (BCPNN) were employed for the detection of AE signals.ResultsWe extracted a total of 452 suspected AE cases with omadacycline from the FAERS database. Among them, 69 positive signals were obtained using the ROR and BCPNN. The highest frequency reported systemic organ class (SOC) was gastrointestinal disorders. Common clinical AEs of omadacycline were detected in the FAERS database, such as nausea, vomiting, tongue discolouration, hepatic enzyme increased, and hypersensitivity. In addition, we identified potential unexpected serious AEs through disproportionality analysis, including eosinophilia, pancytopenia, internal haemorrhage, restless legs syndrome, hypoacusis, and tinnitus.ConclusionIn light of the growing use of omadacycline in clinical practice, routinely reviewing data from the FAERS database for signals of AE can help to ensure patient medication safety and enhance overall medical quality.https://www.frontiersin.org/articles/10.3389/fphar.2025.1558868/fullFAERS databaseomadacyclineadverse eventspharmacovigilance analysisantiinfective drug
spellingShingle Xueping Shi
Chen Wang
Xiang Liu
Li Zou
Pei Guo
A real-world pharmacovigilance analysis of omadacycline in FDA adverse event reporting system (FAERS) database
Frontiers in Pharmacology
FAERS database
omadacycline
adverse events
pharmacovigilance analysis
antiinfective drug
title A real-world pharmacovigilance analysis of omadacycline in FDA adverse event reporting system (FAERS) database
title_full A real-world pharmacovigilance analysis of omadacycline in FDA adverse event reporting system (FAERS) database
title_fullStr A real-world pharmacovigilance analysis of omadacycline in FDA adverse event reporting system (FAERS) database
title_full_unstemmed A real-world pharmacovigilance analysis of omadacycline in FDA adverse event reporting system (FAERS) database
title_short A real-world pharmacovigilance analysis of omadacycline in FDA adverse event reporting system (FAERS) database
title_sort real world pharmacovigilance analysis of omadacycline in fda adverse event reporting system faers database
topic FAERS database
omadacycline
adverse events
pharmacovigilance analysis
antiinfective drug
url https://www.frontiersin.org/articles/10.3389/fphar.2025.1558868/full
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