Table 3 Signal strength of AEs of immune checkpoint inhibitors at the preferred terms level in FAERS database.
System Organ Class (SOC) | Preferred terms (PTs) | Cases (n) | ROR (95% two-sided CI) | PRR (χ2) | IC (IC025) | EBGM (EBGM05) |
---|---|---|---|---|---|---|
Gastrointestinal disorders | Diarrhoea Nausea Vomiting Stomatitis Constipation Abdominal Pain Colitis Abdominal Pain Upper Dry Mouth Abdominal Discomfort Dysphagia Oral Pain Abdominal Distension Dyspepsia Ascites Intestinal Perforation Intestinal Obstruction Glossodynia Pancreatitis Large Intestine Perforation Haematochezia Gastrointestinal Disorder | 242 128 84 77 63 60 45 32 29 26 22 22 20 19 15 14 13 13 12 10 10 10 | 1.14 (0.98,1.32) 0.65 (0.53,0.79) 0.58 (0.46,0.73) 1.60 (1.21,2.11) * 0.89 (0.67,1.17) 0.66 (0.50,0.88) 1.39 (0.98,1.98) 1.02 (0.68,1.52) 1.20 (0.78,1.85) 1.68 (1.04,2.71) * 2.30 (1.32,4.00) * 1.21 (0.74,1.99) 1.73 (1.00,3.00) * 1.55 (0.89,2.70) 0.77 (0.44,1.36) 0.64 (0.36,1.14) 0.89 (0.48,1.66) 2.07 (1.02,4.20) * 0.53 (0.28,0.97) 1.01 (0.49,2.06) 2.33 (1.02,5.31) * 1.32 (0.63,2.76) | 1.14 (2.96) 0.65 (19.85) 0.58 (21.76) 1.60 (11.27) 0.89 (0.72) 0.67 (8.24) 1.39 (3.37) 1.02 (0.01) 1.20 (0.70) 1.67 (4.54) 2.29 (9.15) * 1.21 (0.57) 1.73 (3.91) 1.55 (2.48) 0.77 (0.83) 0.64 (2.32) 0.89 (0.13) 2.07 (4.27) * 0.53 (4.38) 1.01 (0.00) 2.33 (4.28) * 1.32 (0.53) | 0.14 (−1.53) −0.49 (−2.15) −0.63 (−2.30) 0.47 (−1.20) −0.13 (−1.81) −0.46 (−2.13) 0.34 (−1.34) 0.02 (−1.67) 0.19 (−1.50) 0.52 (−1.18) 0.80 (−0.92) 0.20 (−1.50) 0.55 (−1.16) 0.45 (−1.26) −0.29 (−1.99) −0.51 (−2.20) −0.12 (−1.83) 0.71 (−1.03) −0.75 (−2.44) 0.01 (−1.72) 0.81 (−0.96) 0.29 (−1.45) | 1.10 (0.95) 0.71 (0.59) 0.65 (0.51) 1.39 (1.05) 0.91 (0.69) 0.73 (0.55) 1.27 (0.89) 1.01 (0.68) 1.14 (0.74) 1.43 (0.89) 1.74 (1.00) 1.15 (0.70) 1.46 (0.84) 1.37 (0.78) 0.82 (0.46) 0.70 (0.40) 0.92 (0.49) 1.63 (0.81) 0.60 (0.32) 1.01 (0.49) 1.75 (0.77) 1.22 (0.58) |
Metabolism and Nutrition Disorders | Decreased appetite Dehydration Hyponatraemia Diabetes mellitus Feeding disorder Type 1 diabetes mellitus Hypophagia Hyperkalaemia | 128 51 16 13 13 11 10 10 | 0.92 (0.76,1.13) 0.51 (0.38,0.69) 0.47 (0.28,0.79) 1.64 (0.83,3.22) 2.62 (1.25,5.52) * 0.92 (0.47,1.82) 1.12 (0.54,2.32) 1.89 (0.86,4.17) | 0.92 (0.62) 0.52 (19.78) 0.47 (8.31) 1.64 (2.10) 2.62 (6.99) * 0.92 (0.05) 1.12 (0.09) 1.89 (2.58) | −0.09 (−1.76) −0.77 (−2.44) −0.89 (−2.57) 0.50 (−1.23) 0.90 (−0.85) −0.09 (−1.80) 0.12 (−1.61) 0.63 (−1.13) | 0.94 (0.77) 0.59 (0.44) 0.54 (0.32) 1.41 (0.72) 1.87 (0.89) 0.94 (0.48) 1.09 (0.53) 1.55 (0.70) |
Neoplasms Benign, Malignant and Unspecified (Incl Cysts and Polyps) | Malignant neoplasm progression | 195 | 1.35 (1.14,1.60) * | 1.34 (12.08) | 0.31 (−1.36) | 1.24 (1.04) |
Injury, Poisoning and Procedural Complications | Product use issue Inappropriate schedule of product administration Product use in unapproved indication Off label use Incorrect dose administered Product dose omission issue Intentional product use issue Product prescribing issue Fall | 315 232 124 67 52 29 27 24 14 | 15.92 (12.11,20.93) * 20.01 (14.07,28.45) * 1.69 (1.36,2.11) * 0.36 (0.28,0.46) 12.17 (6.62,22.35) * 3.38 (1.99,5.74) * 2.27 (1.38,3.75) * 24.26 (7.30,80.59) * 0.74 (0.41,1.33) | 15.37 (703.59) * 19.49 (551.04) * 1.68 (22.25) 0.36 (67.77) 12.10 (106.08) * 3.37 (22.93) * 2.27 (10.96) * 24.20 (59.35) * 0.74 (1.00) | 1.75 (0.08) * 1.80 (0.13) 0.52 (−1.15) −1.21 (−2.88) 1.69 (−0.02) 1.09 (−0.62) 0.79 (−0.92) 1.84 (0.09) −0.33 (−2.03) | 3.36 (2.56) * 3.48 (2.45) * 1.44 (1.15) 0.43 (0.33) 3.22 (1.75) 2.12 (1.25) 1.72 (1.05) 3.58 (1.08) 0.79 (0.44) |
Hepatobiliary disorders | Hepatitis Liver disorder Drug-induced liver injury | 15 12 12 | 1.19 (0.66,2.17) 1.13 (0.58,2.20) 2.59 (1.20,5.61) * | 1.19 (0.34) 1.13 (0.14) 2.59 (6.33) * | 0.19 (−1.52) 0.13 (−1.59) 0.89 (−0.86) | 1.14 (0.63) 1.10 (0.57) 1.86 (0.86) |
Nervous system disorders | Headache Neuropathy peripheral Dizziness Somnolence Cerebrovascular accident Balance disorder Memory impairment Hypoaesthesia Cerebral haemorrhage Paraesthesia Posterior reversible encephalopathy syndrome Tremor Taste disorder Seizure Hypersomnia | 96 40 32 22 18 17 15 14 12 12 11 11 11 10 10 | 1.17 (0.92,1.48) 1.26 (0.87,1.83) 0.73 (0.50,1.08) 0.82 (0.51,1.32) 0.62 (0.38,1.04) 1.77 (0.97,3.23) 1.62 (0.87,3.04) 1.37 (0.73,2.57) 1.30 (0.66,2.55) 0.98 (0.51,1.88) 0.79 (0.41,1.54) 0.63 (0.33,1.20) 0.88 (0.45,1.71) 0.56 (0.28,1.10) 1.59 (0.74,3.43) | 1.17 (1.66) 1.26 (1.52) 0.73 (2.51) 0.82 (0.67) 0.63 (3.35) 1.77 (3.62) 1.62 (2.32) 1.37 (0.95) 1.30 (0.57) 0.98 (0.00) 0.79 (0.48) 0.63 (2.01) 0.88 (0.15) 0.56 (2.92) 1.59 (1.44) | 0.16 (−1.51) 0.24 (−1.44) −0.35 (−2.03) −0.22 (−1.91) −0.54 (−2.22) 0.57 (−1.15) 0.49 (−1.23) 0.32 (−1.40) 0.27 (−1.45) −0.02 (−1.74) −0.26 (−1.97) −0.53 (−2.24) −0.15 (−1.86) −0.67 (−2.37) 0.47 (−1.27) | 1.12 (0.88) 1.18 (0.82) 0.79 (0.53) 0.86 (0.54) 0.69 (0.42) 1.49 (0.82) 1.40 (0.75) 1.25 (0.67) 1.21 (0.61) 0.99 (0.51) 0.84 (0.43) 0.69 (0.36) 0.90 (0.46) 0.63 (0.32) 1.39 (0.65) |
Renal and Urinary Disorders | Proteinuria Acute kidney injury Renal impairment Renal failure | 56 25 17 14 | 1.23 (0.90,1.68) 0.71 (0.46,1.10) 0.29 (0.18,0.48) 0.55 (0.31,0.97) | 1.23 (1.69) 0.71 (2.34) 0.30 (26.16) 0.55 (4.38) | 0.22 (−1.46) −0.38 (−2.07) −1.48 (−3.16) −0.69 (−2.38) | 1.16 (0.85) 0.77 (0.50) 0.36 (0.22) 0.62 (0.35) |
Infections and Infestations | Urinary tract infection Sepsis Pneumonia Covid-19 | 30 22 16 15 | 0.59 (0.40,0.87) 0.76 (0.47,1.21) 0.71 (0.41,1.23) 1.46 (0.79,2.71) | 0.59 (7.23) 0.76 (1.39) 0.71 (1.52) 1.46 (1.49) | −0.61 (−2.29) −0.31 (−2.00) −0.38 (−2.08) 0.39 (−1.33) | 0.66 (0.44) 0.80 (0.50) 0.77 (0.44) 1.31 (0.71) |
Endocrine disorders | Hypothyroidism Thyroid disorder Hyperthyroidism Adrenal insufficiency Immune-mediated hypothyroidism | 85 46 29 13 12 | 0.82 (0.65,1.05) 3.10 (2.06,4.68) * 1.37 (0.88,2.13) 0.32 (0.18,0.57) 18.17 (4.07,81.21) | 0.82 (2.54) 3.09 (32.28) * 1.37 (2.00) 0.32 (16.81) 18.15 (27.79) * | −0.21 (−1.89) 1.02 (−0.67) 0.33 (−1.36) −1.37 (−3.05) 1.79 (−0.04) | 0.86 (0.68) 2.03 (1.35) 1.25 (0.81) 0.39 (0.22) 3.45 (0.77) |
Immune system disorders | Hypersensitivity | 10 | 0.37 (0.19,0.72) | 0.37 (9.38) | −1.18 (−2.87) | 0.44 (0.23) |
General Disorders and Administration Site Conditions | Fatigue Asthenia Death Pyrexia Drug ineffective Pain Malaise Adverse event Ill-defined disorder Feeling abnormal Peripheral swelling Gait disturbance Illness Chills Drug intolerance No adverse event General physical health deterioration Oedema peripheral Adverse drug reaction Mucosal inflammation Swelling Gait inability Drug interaction Treatment failure Feeling cold | 328 100 73 67 66 63 49 41 40 34 31 24 16 15 15 14 14 14 14 12 10 10 10 10 10 | 1.58 (1.38,1.81) * 0.94 (0.75,1.18) 1.05 (0.80,1.37) 0.50 (0.38,0.65) 1.87 (1.38,2.55) * 1.15 (0.86,1.54) 0.48 (0.35,0.64) 12.46 (6.24,24.88) * 12.15 (6.07,24.31) * 1.98 (1.29,3.06) * 1.40 (0.91,2.15) 1.65 (1.00,2.72) * 2.31 (1.20,4.42) * 0.73 (0.42,1.29) 0.59 (0.34,1.02) 1.41 (0.75,2.66) 0.80 (0.44,1.44) 0.90 (0.50,1.64) 2.65 (1.29,5.43) * 0.77 (0.41,1.46) 4.32 (1.65,11.37) * 3.36 (1.37,8.28) * 1.16 (0.56,2.41) 4.32 (1.65,11.37) * 1.78 (0.81,3.89) | 1.55 (44.16) 0.94 (0.30) 1.05 (0.11) 0.50 (28.63) 1.87 (16.48) 1.15 (0.88) 0.48 (24.13) 12.40 (84.39) * 12.10 (81.57) * 1.98 (9.96) 1.40 (2.42) 1.65 (3.98) 2.30 (6.71) * 0.73 (1.19) 0.59 (3.61) 1.41 (1.15) 0.80 (0.56) 0.90 (0.12) 2.65 (7.66) * 0.77 (0.64) 4.32 (10.51) * 3.36 (7.86) * 1.16 (0.17) 4.32 (10.51) * 1.78 (2.15) | 0.45 (−1.22) −0.07 (−1.74) 0.05 (−1.63) −0.80 (−2.47) 0.62 (−1.06) 0.15 (−1.53) −0.86 (−2.53) 1.69 (−0.02) 1.69 (−0.03) 0.67 (−1.02) 0.35 (−1.34) 0.51 (−1.20) 0.80 (−0.93) −0.35 (−2.05) −0.61 (−2.30) 0.36 (−1.36) −0.25 (−1.95) −0.11 (−1.82) 0.91 (−0.84) −0.29 (−2.00) 1.24 (−0.56) 1.08 (−0.70) 0.16 (−1.57) 1.24 (−0.56) 0.58 (−1.18) | 1.37 (1.19) 0.95 (0.76) 1.03 (0.79) 0.57 (0.44) 1.54 (1.13) 1.11 (0.83) 0.55 (0.41) 3.24 (1.62) 3.22 (1.61) 1.59 (1.03) 1.27 (0.83) 1.42 (0.86) 1.74 (0.91) 0.78 (0.45) 0.66 (0.38) 1.28 (0.68) 0.84 (0.47) 0.92 (0.51) 1.88 (0.92) 0.82 (0.43) 2.37 (0.90) 2.12 (0.86) 1.12 (0.54) 2.37 (0.90) 1.49 (0.68) |
Skin and Subcutaneous Tissue Disorders | Rash Palmar-plantar erythrodysaesthesia syndrome Pruritus Blister Rash pruritic Urticaria Skin exfoliation Dry skin Erythema Rash macular Skin lesion | 125 47 38 24 21 18 17 11 11 10 10 | 1.74 (1.39,2.17) * 0.95 (0.69,1.33) 1.35 (0.92,1.99) 3.03 (1.72,5.34) * 3.35 (1.80,6.23) * 1.43 (0.82,2.51) 2.24 (1.20,4.19) * 1.45 (0.71,2.97) 0.29 (0.16,0.55) 4.32 (1.65,11.37) * 6.06 (2.07,17.72) * | 1.73 (24.57) 0.95 (0.08) 1.35 (2.42) 3.02 (16.29) * 3.34 (16.40) * 1.43 (1.60) 2.24 (6.68) * 1.45 (1.03) 0.29 (17.01) 4.32 (10.51) * 6.05 (14.05) * | 0.55 (−1.12) −0.05 (−1.73) 0.31 (−1.37) 1.01 (−0.71) 1.08 (−0.65) 0.37 (−1.34) 0.77 (−0.95) 0.38 (−1.36) −1.49 (−3.17) 1.24 (−0.56) 1.42 (−0.39) | 1.46 (1.17) 0.97 (0.69) 1.24 (0.85) 2.01 (1.14) 2.11 (1.14) 1.29 (0.74) 1.71 (0.91) 1.30 (0.63) 0.36 (0.19) 2.37 (0.90) 2.68 (0.92) |
Musculoskeletal and Connective Tissue Disorders | Arthralgia Myalgia Pain in extremity Back pain Muscle spasms Muscular weakness Bone pain Arthritis Myositis Musculoskeletal stiffness Limb discomfort | 135 68 66 37 30 24 20 14 13 12 11 | 2.09 (1.68,2.61) * 2.35 (1.71,3.23) * 2.00 (1.47,2.74) * 0.73 (0.51,1.05) 2.02 (1.27,3.21) * 1.19 (0.74,1.91) 1.64 (0.95,2.82) 2.12 (1.07,4.20) * 2.07 (1.02,4.20) * 2.79 (1.27,6.13) * 4.16 (1.67,10.35) * | 2.07 (44.91) * 2.34 (29.48) * 2.00 (19.86) * 0.73 (2.95) 2.02 (9.24) * 1.19 (0.52) 1.63 (3.21) 2.12 (4.86) * 2.07 (4.27) * 2.79 (7.18) * 4.16 (11.12) * | 0.71 (−0.96) 0.81 (−0.87) 0.68 (−1.00) −0.35 (−2.03) 0.69 (−1.01) 0.18 (−1.51) 0.50 (−1.21) 0.73 (−1.01) 0.71 (−1.03) 0.95 (−0.81) 1.22 (−0.57) | 1.64 (1.31) 1.75 (1.28) 1.60 (1.17) 0.78 (0.55) 1.61 (1.01) 1.14 (0.71) 1.41 (0.82) 1.66 (0.84) 1.63 (0.81) 1.93 (0.88) 2.33 (0.94) |
Respiratory, Thoracic and Mediastinal Disorders | Dysphonia Dyspnoea Cough Pneumonitis Pulmonary embolism Pleural effusion | 81 44 37 21 20 14 | 1.40 (1.08,1.83) * 0.44 (0.32,0.60) 1.05 (0.72,1.52) 1.41 (0.84,2.37) 0.51 (0.32,0.82) 0.78 (0.44,1.41) | 1.40 (6.37) 0.44 (27.30) 1.05 (0.06) 1.41 (1.72) 0.51 (7.96) 0.78 (0.66) | 0.35 (−1.33) −0.96 (−2.64) 0.05 (−1.63) 0.36 (−1.35) −0.78 (−2.46) −0.27 (−1.97) | 1.27 (0.98) 0.51 (0.37) 1.03 (0.71) 1.28 (0.76) 0.58 (0.36) 0.83 (0.46) |
Investigations | Blood pressure increased Weight decreased Platelet count decreased Blood pressure abnormal Hepatic enzyme increased Blood thyroid stimulating hormone increased Thyroid function test abnormal White blood cell count decreased Thyroid hormones increased Aspartate aminotransferase increased Blood magnesium decreased Alanine aminotransferase increased Thyroid hormones decreased Liver function test increased Blood glucose increased Blood creatinine increased Red blood cell count decreased Liver function test abnormal | 148 110 51 43 28 25 21 20 16 14 14 13 13 12 12 11 11 10 | 1.17 (0.97,1.42) 1.60 (1.27,2.02) * 0.48 (0.36,0.65) 7.68 (4.38,13.48) * 2.12 (1.31,3.44) * 2.05 (1.23,3.40) * 3.74 (1.97,7.10) * 0.55 (0.34,0.88) 8.08 (3.16,20.65) * 1.14 (0.62,2.12) 1.25 (0.67,2.32) 0.98 (0.53,1.84) 4.37 (1.87,10.24) * 3.03 (1.36,6.74) * 1.51 (0.76,3.03) 0.79 (0.41,1.54) 1.33 (0.65,2.71) 2.02 (0.91,4.49) | 1.17 (2.73) 1.59 (16.01) 0.49 (24.29) 7.65 (70.56) * 2.12 (9.73) * 2.04 (7.97) * 3.74 (18.85) * 0.55 (6.26) 8.07 (27.03) * 1.14 (0.19) 1.25 (0.48) 0.98 (0.00) 4.37 (13.82) * 3.02 (8.14) * 1.51 (1.39) 0.79 (0.48) 1.33 (0.63) 2.02 (3.08) * | 0.17 (−1.50) 0.47 (−1.20) −0.85 (−2.52) 1.53 (−0.18) 0.73 (−0.97) 0.70 (−1.01) 1.15 (−0.58) −0.69 (−2.38) 1.55 (−0.22) 0.14 (−1.57) 0.23 (−1.48) −0.02 (−1.73) 1.25 (−0.52) 1.01 (−0.75) 0.42 (−1.31) −0.26 (−1.97) 0.30 (−1.43) 0.69 (−1.07) | EBGM新增 1.12 (0.93) 1.39 (1.10) 0.56 (0.41) 2.88 (1.64) 1.66 (1.02) 1.62 (0.98) 2.22 (1.17) 0.62 (0.38) 2.93 (1.14) 1.10 (0.60) 1.17 (0.63) 0.99 (0.53) 2.38 (1.02) 2.01 (0.90) 1.34 (0.67) 0.84 (0.43) 1.23 (0.60) |
Reproductive System and Breast Disorders | Vaginal haemorrhage | 16 | 0.83 (0.48,1.45) | 0.83 (0.41) | −0.20 (−1.90) | 0.87 (0.50) |
Vascular disorders | Hypertension Hypotension Blood pressure fluctuation | 182 30 20 | 0.76 (0.64,0.89) 0.63 (0.43,0.94) 1.41 (0.83,2.39) | 0.76 (10.94) 0.63 (5.25) 1.41 (1.61) | −0.30 (−1.97) −0.52 (−2.20) 0.35 (−1.35) | 0.81 (0.69) 0.70 (0.47) 1.28 (0.75) |
Blood and Lymphatic System Disorders | Thrombocytopenia Anaemia Neutropenia Lymphadenopathy | 34 28 11 10 | 0.74 (0.51,1.08) 0.43 (0.29,0.65) 0.39 (0.21,0.73) 2.75 (1.17,6.48) * | 0.74 (2.51) 0.44 (17.91) 0.39 (9.24) 2.75 (5.84) * | −0.34 (−2.02) −0.98 (−2.66) −1.12 (−2.81) 0.94 (−0.84) | 0.79 (0.54) 0.51 (0.34) 0.46 (0.25) 1.92 (0.81) |
Eye disorders | Visual impairment Vision blurred | 277 | 1.37 (1.06,1.76) * | 1.36 (5.75) | 0.32 (−1.35) | 1.25 (0.97) |
Cardiac disorders | Cardiac disorder Myocarditis | 11 10 | 1.59 (0.76,3.29) 0.44 (0.23,0.85) | 1.58 (1.56) 0.44 (6.30) | 0.47 (−1.27) −0.97 (−2.67) | 1.38 (0.67) 0.51 (0.26) |
Psychiatric disorders | Insomnia Confusional state Anxiety | 23 16 13 | 1.02 (0.64,1.64) 0.60 (0.35,1.02) 0.73 (0.40,1.33) | 1.02 (0.01) 0.60 (3.63) 0.73 (1.07) | 0.02 (−1.67) −0.59 (−2.28) −0.36 (−2.06) | 1.02 (0.63) 0.66 (0.39) 0.78 (0.43) |