Disproportionate adverse event signals of selumetinib in neurofibromatosis type I: insights from FAERS

BackgroundNeurofibromatosis type 1 (NF1) is a rare neurogenetic disorder with limited treatment options. Selumetinib, a MEK1/2 inhibitor, has emerged as a promising therapy for inoperable NF1-related plexiform neurofibromas.MethodsOur retrospective pharmacovigilance study utilized the FDA Adverse Ev...

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Main Author: Lin Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Pharmacology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2024.1454418/full
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author Lin Li
author_facet Lin Li
author_sort Lin Li
collection DOAJ
description BackgroundNeurofibromatosis type 1 (NF1) is a rare neurogenetic disorder with limited treatment options. Selumetinib, a MEK1/2 inhibitor, has emerged as a promising therapy for inoperable NF1-related plexiform neurofibromas.MethodsOur retrospective pharmacovigilance study utilized the FDA Adverse Event Reporting System (FAERS) to comprehensively evaluate Selumetinib’s safety profile in real-world settings. Data from the third quarter of 2020 to the fourth quarter of 2023 were analyzed, identifying 498 adverse event reports with Selumetinib as the primary suspect drug.ResultsStatistical analysis revealed disproportionate signals for skin and subcutaneous tissue disorders, eye disorders, and various congenital, familial, and genetic disorders. The most common adverse events were elevated blood creatine phosphokinase, rash, and acneiform dermatitis. Notably, several adverse events, including rhabdomyolysis, were identified but not listed on the Selumetinib product label, based on a comparison with the FDA drug labeling.ConclusionThe study underscores the importance of early detection and management of adverse reactions associated with Selumetinib, particularly within the initial month of treatment. These findings provide valuable insights for clinicians and regulators to ensure the safe and effective use of Selumetinib in NF1 patients.
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spelling doaj-art-bdcaa78d6ef14efd9fdb53268c372c5a2025-01-07T06:46:43ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122025-01-011510.3389/fphar.2024.14544181454418Disproportionate adverse event signals of selumetinib in neurofibromatosis type I: insights from FAERSLin LiBackgroundNeurofibromatosis type 1 (NF1) is a rare neurogenetic disorder with limited treatment options. Selumetinib, a MEK1/2 inhibitor, has emerged as a promising therapy for inoperable NF1-related plexiform neurofibromas.MethodsOur retrospective pharmacovigilance study utilized the FDA Adverse Event Reporting System (FAERS) to comprehensively evaluate Selumetinib’s safety profile in real-world settings. Data from the third quarter of 2020 to the fourth quarter of 2023 were analyzed, identifying 498 adverse event reports with Selumetinib as the primary suspect drug.ResultsStatistical analysis revealed disproportionate signals for skin and subcutaneous tissue disorders, eye disorders, and various congenital, familial, and genetic disorders. The most common adverse events were elevated blood creatine phosphokinase, rash, and acneiform dermatitis. Notably, several adverse events, including rhabdomyolysis, were identified but not listed on the Selumetinib product label, based on a comparison with the FDA drug labeling.ConclusionThe study underscores the importance of early detection and management of adverse reactions associated with Selumetinib, particularly within the initial month of treatment. These findings provide valuable insights for clinicians and regulators to ensure the safe and effective use of Selumetinib in NF1 patients.https://www.frontiersin.org/articles/10.3389/fphar.2024.1454418/fullselumetinibneurofibromatosis type IFAERSadverse reactionsrare diseases
spellingShingle Lin Li
Disproportionate adverse event signals of selumetinib in neurofibromatosis type I: insights from FAERS
Frontiers in Pharmacology
selumetinib
neurofibromatosis type I
FAERS
adverse reactions
rare diseases
title Disproportionate adverse event signals of selumetinib in neurofibromatosis type I: insights from FAERS
title_full Disproportionate adverse event signals of selumetinib in neurofibromatosis type I: insights from FAERS
title_fullStr Disproportionate adverse event signals of selumetinib in neurofibromatosis type I: insights from FAERS
title_full_unstemmed Disproportionate adverse event signals of selumetinib in neurofibromatosis type I: insights from FAERS
title_short Disproportionate adverse event signals of selumetinib in neurofibromatosis type I: insights from FAERS
title_sort disproportionate adverse event signals of selumetinib in neurofibromatosis type i insights from faers
topic selumetinib
neurofibromatosis type I
FAERS
adverse reactions
rare diseases
url https://www.frontiersin.org/articles/10.3389/fphar.2024.1454418/full
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