Table 4 Signal strength of top 30 reports of Pembrolizumab plus Lenvatinib at the PTs and SOC levels in FAERS database.

From: A real-world drug safety surveillance study from the FAERS database of hepatocellular carcinoma patients receiving pembrolizumab alone and plus lenvatinib

PTs

SOC

Case reports

ROR (95% CI)

PRR (95% CI)

χ2

IC (IC025)

EBGM (EBGM05)

Hepatic encephalopathy

Nervous system disorders

36

375.63 (268.32-525.85)

356.42 (254.71-498.73)

12678.74

4.58 (5.56)

252.96 (495.75)

Blood bilirubin increased

Investigations

35

145.52 (103.55–204.50)

138.31 (98.46–194.30)

4760.94

4.35 (5.34)

98.17 (193.89)

Diarrhoea

Gastrointestinal disorders

31

4.25 (2.97–6.09)

4.11 (2.87–5.89)

73.65

1.38 (2.42)

2.86 (5.89)

Ascites

Gastrointestinal disorders

21

68.67 (44.47-106.04)

66.65 (43.17-102.89)

1356.85

3.44 (4.69)

43.11 (102.79)

Acute kidney injury

Renal and urinary disorders

15

6.88 (4.13–11.48)

6.76 (4.05–11.27)

73.82

1.58 (3.04)

4.05 (11.27)

Alanine aminotransferase increased

Investigations

14

26.33 (15.51–44.71)

25.83 (15.22–43.84)

334.24

2.53 (4.03)

15.21 (43.83)

Malignant neoplasm progression

Malignant and unspecified (incl cysts and polyps)

14

11.33 (6.67–19.23)

11.12 (6.55–18.88)

129.15

1.98 (3.48)

6.55 (18.87)

Hepatic function abnormal

Hepatobiliary disorders

11

30.09 (16.58–54.59)

29.63 (16.33–53.76)

304.33

2.29 (3.97)

16.32 (53.74)

Adverse event

General disorders and administration site conditions

10

9.37 (5.02–17.50)

9.26 (4.96–17.28)

73.74

1.52 (3.28)

4.96 (17.28)

Gastrointestinal haemorrhage

Gastrointestinal disorders

10

9.79 (5.24–18.27)

9.66 (5.18–18.04)

77.76

1.56 (3.31)

5.17 (18.04)

Hypotension

Vascular disorders

10

4.56 (2.44–8.51)

4.51 (2.41–8.41)

27.37

0.89 (2.65)

2.41 (8.41)

Adrenal insufficiency

Endocrine disorders

9

71.82 (37.20-138.68)

70.91 (36.73-136.92)

619.66

2.23 (4.07)

36.68 (136.75)

Hypertension

Vascular disorders

9

3.97 (2.06–7.67)

3.93 (2.04–7.59)

19.75

0.68 (2.52)

2.04 (7.59)

Platelet count decreased

Investigations

9

7.53 (3.90-14.53)

7.44 (3.86–14.37)

50.28

1.26 (3.10)

3.86 (14.36)

Aspartate aminotransferase increased

Investigations

8

18.11 (9.02–36.36)

17.91 (8.92–35.96)

127.79

1.67 (3.60)

8.92 (35.95)

General physical health deterioration

General disorders and administration site conditions

8

6.82 (3.40–13.69)

6.75 (3.36–13.56)

39.26

1.07 (3.01)

3.36 (13.55)

Palmar-plantar erythrodysaesthesia syndrome

Skin and subcutaneous tissue disorders

8

30.03 (14.95–60.29)

29.69 (14.79–59.62)

221.79

1.86 (3.79)

14.78 (59.60)

Urinary tract infection

Infections and infestations

8

4.11 (2.05–8.25)

4.07 (2.03–8.18)

18.60

0.63 (2.57)

2.03 (8.18)

Dehydration

Metabolism and nutrition disorders

7

5.05 (2.40-10.63)

5.01 (2.38–10.55)

22.50

0.71 (2.76)

2.38 (10.55)

Immune-mediated hepatitis

Hepatobiliary disorders

7

370.77 (175.67-782.56)

367.08 (173.93-774.75)

2538.71

1.94 (4.00)

172.77 (769.65)

Proteinuria

Renal and urinary disorders

7

34.49 (16.38–72.63)

34.16 (16.22–71.93)

225.23

1.70 (3.76)

16.21 (71.89)

Upper gastrointestinal haemorrhage

Gastrointestinal disorders

7

32.65 (15.51–68.77)

32.34 (15.36–68.10)

212.53

1.69 (3.74)

15.35 (68.06)

Colitis

Gastrointestinal disorders

6

14.46 (6.47–32.30)

14.35 (6.42–32.05)

74.52

1.21 (3.40)

6.42 (32.04)

Acute myocardial infarction

Cardiac disorders

5

16.46 (6.83–39.67)

16.35 (6.78–39.40)

72.05

1.02 (3.38)

6.78 (39.39)

Oesophageal varices haemorrhage

Gastrointestinal disorders

5

210.46 (87.18-508.07)

208.96 (86.56-504.45)

1030.96

1.37 (3.74)

86.23 (502.56)

Cholangitis

Hepatobiliary disorders

4

63.56 (23.78-169.93)

63.21 (23.64-168.97)

244.63

0.94 (3.53)

23.62 (168.79)

Hyperkalaemia

Metabolism and nutrition disorders

4

11.11 (4.16–29.69)

11.05 (4.14–29.54)

36.59

0.58 (3.17)

4.14 (29.53)

Hyponatraemia

Metabolism and nutrition disorders

4

6.71 (2.51–17.94)

6.68 (2.50-17.85)

19.33

0.35 (2.94)

2.50 (17.85)

Hypothyroidism

Endocrine disorders

4

12.30 (4.60-32.87)

12.24 (4.58–32.70)

41.28

0.62 (3.21)

4.58 (32.69)

Acute respiratory failure

Thoracic and mediastinal disorders

3

13.82 (4.45–42.97)

13.77 (4.43–42.80)

35.52

0.27 (3.16)

4.43 (42.79)

  1. SOC system organ class, PTs preferred terms, ROR reporting odds ratio, CI confidence interval, PRR proportional reporting ratio, IC information component, IC 025 the lower limit of 95% CI of the IC, EBGM empirical Bayesian geometric mean, EBGM 05 the lower limit of 95% CI of EBGM.