Hepatitis B infection reported with cancer chemotherapy: analyzing the US FDA Adverse Event Reporting System

Abstract We conducted data mining using the US Food and Drug Administration (FDA) Adverse Event Reporting System (FAERS) database on spontaneously reported adverse events to evaluate the association between anticancer drug therapy and hepatitis B infection. Reports of hepatitis B infection were retr...

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Main Authors: Akimasa Sanagawa, Yuji Hotta, Tomoya Kataoka, Yasuhiro Maeda, Masahiro Kondo, Yoshihiro Kawade, Yoshihiro Ogawa, Ryohei Nishikawa, Masahiro Tohkin, Kazunori Kimura
Format: Article
Language:English
Published: Wiley 2018-06-01
Series:Cancer Medicine
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Online Access:https://doi.org/10.1002/cam4.1429
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author Akimasa Sanagawa
Yuji Hotta
Tomoya Kataoka
Yasuhiro Maeda
Masahiro Kondo
Yoshihiro Kawade
Yoshihiro Ogawa
Ryohei Nishikawa
Masahiro Tohkin
Kazunori Kimura
author_facet Akimasa Sanagawa
Yuji Hotta
Tomoya Kataoka
Yasuhiro Maeda
Masahiro Kondo
Yoshihiro Kawade
Yoshihiro Ogawa
Ryohei Nishikawa
Masahiro Tohkin
Kazunori Kimura
author_sort Akimasa Sanagawa
collection DOAJ
description Abstract We conducted data mining using the US Food and Drug Administration (FDA) Adverse Event Reporting System (FAERS) database on spontaneously reported adverse events to evaluate the association between anticancer drug therapy and hepatitis B infection. Reports of hepatitis B infection were retrieved from the FAERS database. The reporting odds ratio (ROR) was used to estimate the association between hepatitis B infection and various anticancer agents and drug combinations. We detected statistically significant risk signals of hepatitis B for 33 of 64 anticancer agents by ROR (26 cytotoxicity drugs and seven molecular‐targeted drugs). We focused on molecular‐targeted drugs and assessed the risk of hepatitis B from specific anticancer drug combinations. The frequency of hepatitis B infection was significantly high for drugs such as rituximab, bortezomib, imatinib, and everolimus. The addition of cyclophosphamide, doxorubicin, and fludarabine to drug combinations additively enhanced the frequency of hepatitis B infection. There were no reports on hepatitis B infection associated with trastuzumab or azacitidine monotherapy. However, trastuzumab‐containing regimens (e.g., combinations with docetaxel or paclitaxel) were correlated with the incidence of hepatitis B infection, similar to azacitidine monotherapy. Our findings suggest that the concomitant use of anticancer drugs, such as trastuzumab, taxane, and azacitidine, may contribute to the risk of hepatitis B infection. The unique signals detected from the public database might provide clues to eliminate the threat of HBV in oncology.
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spelling doaj-art-db93cafd62364a07a0c13e5ec3db82122025-08-20T03:15:03ZengWileyCancer Medicine2045-76342018-06-01762269227910.1002/cam4.1429Hepatitis B infection reported with cancer chemotherapy: analyzing the US FDA Adverse Event Reporting SystemAkimasa Sanagawa0Yuji Hotta1Tomoya Kataoka2Yasuhiro Maeda3Masahiro Kondo4Yoshihiro Kawade5Yoshihiro Ogawa6Ryohei Nishikawa7Masahiro Tohkin8Kazunori Kimura9Department of Pharmacy Nagoya City University Hospital Nagoya JapanDepartment of Hospital Pharmacy Graduate School of Pharmaceutical Sciences Nagoya City University Nagoya JapanDepartment of Clinical Pharmaceutics Graduate School of Medical Sciences Nagoya City University Nagoya JapanDepartment of Hospital Pharmacy Graduate School of Pharmaceutical Sciences Nagoya City University Nagoya JapanDepartment of Pharmacy Nagoya City University Hospital Nagoya JapanDepartment of Hospital Pharmacy Graduate School of Pharmaceutical Sciences Nagoya City University Nagoya JapanDepartment of Regulatory Science Graduate School of Pharmaceutical Sciences Nagoya City University Nagoya JapanDepartment of Regulatory Science Graduate School of Pharmaceutical Sciences Nagoya City University Nagoya JapanDepartment of Regulatory Science Graduate School of Pharmaceutical Sciences Nagoya City University Nagoya JapanDepartment of Pharmacy Nagoya City University Hospital Nagoya JapanAbstract We conducted data mining using the US Food and Drug Administration (FDA) Adverse Event Reporting System (FAERS) database on spontaneously reported adverse events to evaluate the association between anticancer drug therapy and hepatitis B infection. Reports of hepatitis B infection were retrieved from the FAERS database. The reporting odds ratio (ROR) was used to estimate the association between hepatitis B infection and various anticancer agents and drug combinations. We detected statistically significant risk signals of hepatitis B for 33 of 64 anticancer agents by ROR (26 cytotoxicity drugs and seven molecular‐targeted drugs). We focused on molecular‐targeted drugs and assessed the risk of hepatitis B from specific anticancer drug combinations. The frequency of hepatitis B infection was significantly high for drugs such as rituximab, bortezomib, imatinib, and everolimus. The addition of cyclophosphamide, doxorubicin, and fludarabine to drug combinations additively enhanced the frequency of hepatitis B infection. There were no reports on hepatitis B infection associated with trastuzumab or azacitidine monotherapy. However, trastuzumab‐containing regimens (e.g., combinations with docetaxel or paclitaxel) were correlated with the incidence of hepatitis B infection, similar to azacitidine monotherapy. Our findings suggest that the concomitant use of anticancer drugs, such as trastuzumab, taxane, and azacitidine, may contribute to the risk of hepatitis B infection. The unique signals detected from the public database might provide clues to eliminate the threat of HBV in oncology.https://doi.org/10.1002/cam4.1429Cancer chemotherapydata miningFDA Adverse Event Reporting Systemhepatitis B virussignal detection
spellingShingle Akimasa Sanagawa
Yuji Hotta
Tomoya Kataoka
Yasuhiro Maeda
Masahiro Kondo
Yoshihiro Kawade
Yoshihiro Ogawa
Ryohei Nishikawa
Masahiro Tohkin
Kazunori Kimura
Hepatitis B infection reported with cancer chemotherapy: analyzing the US FDA Adverse Event Reporting System
Cancer Medicine
Cancer chemotherapy
data mining
FDA Adverse Event Reporting System
hepatitis B virus
signal detection
title Hepatitis B infection reported with cancer chemotherapy: analyzing the US FDA Adverse Event Reporting System
title_full Hepatitis B infection reported with cancer chemotherapy: analyzing the US FDA Adverse Event Reporting System
title_fullStr Hepatitis B infection reported with cancer chemotherapy: analyzing the US FDA Adverse Event Reporting System
title_full_unstemmed Hepatitis B infection reported with cancer chemotherapy: analyzing the US FDA Adverse Event Reporting System
title_short Hepatitis B infection reported with cancer chemotherapy: analyzing the US FDA Adverse Event Reporting System
title_sort hepatitis b infection reported with cancer chemotherapy analyzing the us fda adverse event reporting system
topic Cancer chemotherapy
data mining
FDA Adverse Event Reporting System
hepatitis B virus
signal detection
url https://doi.org/10.1002/cam4.1429
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