Real-world assessment of sparsentan’s drug safety framework

Background Sparsentan has been approved for reducing proteinuria in adult patients with primary IgA nephropathy (IgAN) at risk of rapid disease progression, yet comprehensive studies evaluating its drug safety framework are lacking.Methods Adverse event (AE) reports following the market release of s...

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Main Authors: Wenjing Fu, Jingyu Wang, Yuzhou Xue, Dikang Pan
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Renal Failure
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Online Access:https://www.tandfonline.com/doi/10.1080/0886022X.2025.2461668
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author Wenjing Fu
Jingyu Wang
Yuzhou Xue
Dikang Pan
author_facet Wenjing Fu
Jingyu Wang
Yuzhou Xue
Dikang Pan
author_sort Wenjing Fu
collection DOAJ
description Background Sparsentan has been approved for reducing proteinuria in adult patients with primary IgA nephropathy (IgAN) at risk of rapid disease progression, yet comprehensive studies evaluating its drug safety framework are lacking.Methods Adverse event (AE) reports following the market release of sparsentan were collected from the U.S. Food and Drug Administration AE Reporting System. Disproportionate analysis was used to identify previously unrecognized positive novel signals at both the system organ class and preferred term levels. Additionally, analysis on clinical priorities and subgroup analysis were conducted.Results A total of 504 patients with IgAN were included. Two novel system organ classes and 14 novel preferred terms were identified. Hypotension and dizziness were established as moderate clinical priority events. Males had a higher relative risk of nausea, peripheral edema, feeling abnormal, decreased blood pressure, and hypotension, while females were at greater risk for fatigue, pain, increased blood creatinine, dizziness, and somnolence. Among those aged 18–45, the relative risk of experiencing fatigue, pain, and dizziness was higher, individuals aged 45 and older had a higher relative risk of peripheral edema, decreased blood pressure, and hypotension.Conclusions Based on the available AE reporting data, sparsentan exhibits a favorable safety profile, with no high-priority clinical events identified. Our findings offer valuable insights to optimize the use of sparsentan and understand its potential side effects.
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spelling doaj-art-99b26dfc93e740c3bd3609cd89fe42532025-08-20T03:05:46ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492025-12-0147110.1080/0886022X.2025.2461668Real-world assessment of sparsentan’s drug safety frameworkWenjing Fu0Jingyu Wang1Yuzhou Xue2Dikang Pan3Department of Nephrology, Mianyang Central Hospital, Mianyang, ChinaRenal Division, Peking University First Hospital, Beijing, ChinaDepartment of Cardiology, Peking University Third Hospital, Beijing, ChinaVascular Surgery Department, Xuanwu Hospital, Capital Medical University, Beijing, ChinaBackground Sparsentan has been approved for reducing proteinuria in adult patients with primary IgA nephropathy (IgAN) at risk of rapid disease progression, yet comprehensive studies evaluating its drug safety framework are lacking.Methods Adverse event (AE) reports following the market release of sparsentan were collected from the U.S. Food and Drug Administration AE Reporting System. Disproportionate analysis was used to identify previously unrecognized positive novel signals at both the system organ class and preferred term levels. Additionally, analysis on clinical priorities and subgroup analysis were conducted.Results A total of 504 patients with IgAN were included. Two novel system organ classes and 14 novel preferred terms were identified. Hypotension and dizziness were established as moderate clinical priority events. Males had a higher relative risk of nausea, peripheral edema, feeling abnormal, decreased blood pressure, and hypotension, while females were at greater risk for fatigue, pain, increased blood creatinine, dizziness, and somnolence. Among those aged 18–45, the relative risk of experiencing fatigue, pain, and dizziness was higher, individuals aged 45 and older had a higher relative risk of peripheral edema, decreased blood pressure, and hypotension.Conclusions Based on the available AE reporting data, sparsentan exhibits a favorable safety profile, with no high-priority clinical events identified. Our findings offer valuable insights to optimize the use of sparsentan and understand its potential side effects.https://www.tandfonline.com/doi/10.1080/0886022X.2025.2461668IgA nephropathysparsentanadverse eventspharmacovigilanceFAERS
spellingShingle Wenjing Fu
Jingyu Wang
Yuzhou Xue
Dikang Pan
Real-world assessment of sparsentan’s drug safety framework
Renal Failure
IgA nephropathy
sparsentan
adverse events
pharmacovigilance
FAERS
title Real-world assessment of sparsentan’s drug safety framework
title_full Real-world assessment of sparsentan’s drug safety framework
title_fullStr Real-world assessment of sparsentan’s drug safety framework
title_full_unstemmed Real-world assessment of sparsentan’s drug safety framework
title_short Real-world assessment of sparsentan’s drug safety framework
title_sort real world assessment of sparsentan s drug safety framework
topic IgA nephropathy
sparsentan
adverse events
pharmacovigilance
FAERS
url https://www.tandfonline.com/doi/10.1080/0886022X.2025.2461668
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AT dikangpan realworldassessmentofsparsentansdrugsafetyframework