Table 2 Positive signal strength for liver injuries associated with taxanes based on PT levels of FAERS.
soc | pt | Paclitaxel | Docetaxel | Nab-Paclitaxel | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
N | ROR (95% CI) | IC (IC025) | N | ROR (95% CI) | IC (IC025) | N | ROR (95% CI) | IC (IC025) | ||
Hepatobiliary disorders | Pseudocirrhosis | 30 | 61.77 (42.04, 90.77) | 5.74 (5.2) | – | – | – | 7 | 18.81 (8.85, 39.98) | 4.18 (3.16) |
Hepatic atrophy | 41 | 49.81 (35.94, 69.04) | 5.45 (4.99) | – | – | – | – | – | – | |
Hypertransaminasaemia | 99 | 10.51 (8.56, 12.91) | 3.28 (2.99) | – | – | – | 24 | 3.52 (2.35, 5.29) | 1.79 (1.21) | |
Immune-mediated hepatitis | 17 | 6.81 (4.21, 11.02) | 2.74 (2.06) | – | – | – | 22 | 13.07 (8.53, 20.03) | 3.65 (3.05) | |
Hepatic cytolysis | 60 | 4.36 (3.37, 5.65) | 2.07 (1.7) | – | – | – | – | – | – | |
Mixed liver injury | 15 | 3.4 (2.04, 5.67) | 1.75 (1.04) | – | – | – | – | – | – | |
Hepatitis acute | 41 | 3.3 (2.42, 4.5) | 1.69 (1.25) | – | – | – | 4 | 0.51 (0.19, 1.36) | − 0.97 (− 2.23) | |
Hepatitis fulminant | 15 | 2.53 (1.52, 4.22) | 1.33 (0.61) | 5 | 3.38 (1.4, 8.18) | 1.74(0.58) | 3 | 0.86 (0.28, 2.68) | − 0.21 (− 1.63) | |
Hepatocellular injury | 68 | 2.36 (1.85, 3.01) | 1.2 (0.85) | 13 | 1.75 (1.01, 3.05) | 0.79 (0.02) | 4 | 0.2 (0.07, 0.52) | − 2.32 (− 3.59) | |
Hyperbilirubinaemia | 41 | 2.11 (1.55, 2.89) | 1.06 (0.61) | 7 | 1.46 (0.69, 3.08) | 0.53 (− 0.48) | 19 | 1.52 (0.96, 2.39) | 0.59 (− 0.05) | |
Jaundice cholestatic | 11 | 1.55 (0.86, 2.81) | 0.63 (− 0.19) | – | – | – | 11 | 2.6 (1.43, 4.72) | 1.37 (0.54) | |
Cholestasis | 56 | 1.55 (1.19, 2.03) | 0.62 (0.23) | 5 | 0.54 (0.23, 1.32) | − 0.86 (− 2.02) | 14 | 0.61 (0.36, 1.03) | − 0.7 (− 1.44) | |
Hepatotoxicity | 63 | 1.52 (1.18, 1.96) | 0.59 (0.22) | 3 | 0.3 (0.09, 0.92) | − 1.73 (− 3.15) | 36 | 1.35 (0.97, 1.88) | 0.42 (− 0.06) | |
Hepatic failure | 87 | 1.47 (1.18, 1.83) | 0.53 (0.22) | 32 | 2.19 (1.52, 3.14) | 1.06 (0.55) | 64 | 1.82 (1.41, 2.35) | 0.82 (0.46) | |
Hepatic function abnormal | 85 | 1.23 (0.98, 1.53) | 0.28 (− 0.03) | 20 | 1.18 (0.76, 1.86) | 0.23 (− 0.4) | 80 | 1.89 (1.51, 2.38) | 0.86 (0.54) | |
Hepatic lesion | 9 | 1.09 (0.57, 2.1) | 0.12 (− 0.77) | – | – | – | 10 | 1.89 (1.01, 3.52) | 0.91 (0.05) | |
Hepatic pain | 8 | 0.96 (0.48, 1.92) | − 0.06 (− 1.01) | 4 | 1.99 (0.74, 5.33) | 0.98 (− 0.29) | 3 | 0.55 (0.18, 1.7) | − 0.86 (− 2.28) | |
Liver injury | 35 | 0.89 (0.64, 1.25) | − 0.16 (− 0.63) | 4 | 0.46 (0.17, 1.22) | − 1.11 (− 2.39) | 10 | 0.38 (0.2, 0.7) | − 1.38 (− 2.24) | |
Drug-induced liver injury | 44 | 0.87 (0.64, 1.17) | − 0.2 (− 0.63) | 4 | 0.35 (0.13, 0.93) | − 1.5 (− 2.78) | 19 | 0.54 (0.34, 0.85) | − 0.87 (− 1.51) | |
Hepatitis | 40 | 0.8 (0.59, 1.1) | − 0.31 (− 0.75) | – | – | – | 24 | 0.8 (0.53, 1.19) | − 0.32 (− 0.89) | |
Acute hepatic failure | 18 | 0.7 (0.44, 1.12) | − 0.5 (− 1.15) | – | – | – | 3 | 0.17 (0.06, 0.54) | − 2.49 (− 3.91) | |
Jaundice | 39 | 0.7 (0.51, 0.96) | − 0.5 (− 0.95) | 19 | 1.36 (0.86, 2.15) | 0.42 (− 0.23) | 47 | 1.43 (1.07, 1.92) | 0.5 (0.08) | |
Hepatomegaly | 13 | 0.63 (0.37, 1.09) | − 0.65 (− 1.41) | 9 | 1.76 (0.91, 3.4) | 0.8 (− 0.11) | 8 | 0.67 (0.33, 1.33) | − 0.58 (− 1.53) | |
Autoimmune hepatitis | 8 | 0.61 (0.31, 1.23) | − 0.7 (− 1.65) | – | – | – | 14 | 1.69 (1, 2.86) | 0.75 (0.01) | |
Hepatitis cholestatic | 7 | 0.61 (0.29, 1.28) | − 0.71 (− 1.71) | – | – | – | – | – | – | |
Hepatic cirrhosis | 21 | 0.6 (0.39, 0.92) | − 0.73 (− 1.33) | 10 | 1.19 (0.63, 2.22) | 0.24 (− 0.62) | 9 | 0.4 (0.21, 0.77) | − 1.3 (− 2.2) | |
Hepatitis toxic | 3 | 0.56 (0.18, 1.74) | − 0.83 (− 2.25) | – | – | – | – | – | – | |
Hepatic necrosis | 4 | 0.5 (0.19, 1.34) | − 0.98 (− 2.25) | 4 | 1.94 (0.72, 5.2) | 0.95 (− 0.33) | – | – | – | |
Hepatic steatosis | 17 | 0.46 (0.29, 0.75) | − 1.09 (− 1.76) | 4 | 0.44 (0.17, 1.19) | − 1.15 (− 2.42) | 8 | 0.36 (0.18, 0.71) | − 1.47 (− 2.42) | |
Liver disorder | 25 | 0.28 (0.19, 0.42) | − 1.76 (− 2.32) | 15 | 0.72 (0.43, 1.2) | − 0.46 (− 1.18) | 50 | 0.93 (0.7, 1.24) | − 0.1 (− 0.5) | |
Liver tenderness | – | – | – | 4 | 26.33 (9.75, 71.1) | 4.68 (3.4) | – | – | – | |
Hepatobiliary disease | – | – | – | – | – | – | 5 | 6.67 (2.76, 16.14) | 2.72 (1.55) | |
Ocular icterus | – | – | – | – | – | – | 3 | 0.55 (0.18, 1.72) | − 0.85 (− 2.26) | |
Investigations | Transaminases increased | 81 | 1.9 (1.52, 2.38) | 0.89 (0.57) | 6 | 0.54 (0.24, 1.21) | − 0.87 (− 1.95) | 57 | 2.1 (1.61, 2.75) | 1.03 (0.64) |
Aspartate aminotransferase increased | 123 | 1.16 (0.97, 1.4) | 0.2 (− 0.06) | 45 | 1.75 (1.28, 2.39) | 0.73 (0.29) | 106 | 1.84 (1.5, 2.25) | 0.81 (0.52) | |
Gamma-glutamyltransferase increased | 51 | 1.12 (0.84, 1.47) | 0.15 (− 0.25) | 10 | 0.84 (0.45, 1.57) | − 0.24 (− 0.11) | 27 | 1.03 (0.7, 1.51) | 0.04 (− 0.5) | |
Alanine aminotransferase increased | 136 | 1.11 (0.93, 1.33) | 0.14 (− 0.11) | 53 | 1.81 (1.36, 2.42) | 0.77 (0.36) | 113 | 1.66 (1.36, 2.02) | 0.66 (0.38) | |
Alanine aminotransferase abnormal | 4 | 1.05 (0.39, 2.79) | 0.06 (− 1.2) | – | – | – | – | – | – | |
Blood bilirubin increased | 37 | 0.67 (0.48, 0.93) | − 0.56 (− 1.03) | 37 | 2.83 (2.02, 3.98) | 1.41 (0.93) | 77 | 2.5 (1.98, 3.16) | 1.25 (0.92) | |
Liver function test abnormal | 30 | 0.48 (0.33, 0.69) | − 1.03 (− 1.54) | 8 | 0.5 (0.25, 1) | − 0.91 (− 1.93) | 28 | 0.76 (0.52, 1.11) | − 0.38 (− 0.91) | |
Liver function test increased | 17 | 0.45 (0.28, 0.73) | − 1.12 (− 1.79) | 3 | 0.34 (0.11, 1.07) | − 1.52 (− 2.94) | 17 | 0.67 (0.41, 1.08) | − 0.57 (− 1.25) | |
Hepatic enzyme increased | 53 | 0.4 (0.3, 0.52) | − 1.26 (− 1.65) | 13 | 0.41 (0.24, 0.72) | − 1.21 (− 1.98) | 18 | 0.21 (0.13, 0.33) | − 2.18 (− 2.83) | |
Blood bilirubin decreased | – | – | – | 3 | 11.86 (3.79, 37.08) | 3.55 (2.12) | – | – | – | |
Bilirubin conjugated increased | – | – | – | 5 | 4.23 (1.75, 10.23) | 2.06 (0.9) | – | – | – | |
Hepatic enzyme abnormal | – | – | – | 4 | 1.76 (0.66, 4.7) | 0.8 (− 0.47) | 4 | 0.64 (0.24, 1.7) | 0.65 (− 1.92) | |
Ammonia increased | – | – | – | 3 | 1.13 (0.36, 3.53) | 0.18 (− 1.24) | – | – | – | |
Blood bilirubin abnormal | – | – | – | – | – | – | 7 | 4.6 (2.18, 9.69) | 2.18 (1.18) | |
Aspartate aminotransferase abnormal | – | – | – | – | – | – | 3 | 1.81 (0.58, 5.64) | 0.86 (− 0.56) | |
Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Hepatic cancer metastatic | 3 | 1.71 (0.55, 5.32) | 0.77 (− 0.65) | – | – | – | – | – | – |
Hepatic neoplasm | – | – | – | – | – | – | 5 | 1.2 (0.5, 2.89) | 0.26 (− 0.9) | |
Blood and lymphatic system disorders | Acquired haemophilia | 3 | 1.66 (0.53, 5.17) | 0.73 (− 0.69) | – | – | – | – | – | – |