Evaluating Ubrogepant-related adverse events using the FDA adverse event reporting system

Expert Opin Drug Saf. 2024 Mar;23(3):297-303. doi: 10.1080/14740338.2023.2251390. Epub 2023 Aug 24.

Abstract

Background: Migraine has a high prevalence in the population and accounts for 12% of primary headaches. Ubrogepant is used for the treatment of acute migraine, and although some clinical trials have demonstrated the safety of Ubrogepant, its long-term safety in a large sample of the population remains to be investigated.

Methods: We collected data from the US Food and Drug Administration Adverse Event Reporting System (FAERS) database. We used reporting odds ratio (ROR), the proportional reporting ratio (PRR), the information component (IC) and the empirical Bayes geometric mean (EBGM) to evaluate Ubrogepant-induced adverse events (AEs).

Results: We screened out 2,067 reports of Ubrogepant as primary suspected (PS) and 6,190 reports of Ubrogepant-induced AEs as PS. Our results showed that Ubrogepant-induced AEs targeted 4 system organ classes (SOCs), detected 32 Preferred terms (PTs) signals in 9 SOCs, including common Ubrogepant label consistent with Migraine, Nausea, Somnolence, Paraesthesia oral and Dizziness, It also includes the AEs of Hemiparesis, Mental impairment, Dysstasia, Tinnitus, Chest pain, Cold sweat, Neck pain, etc. that have not been demonstrated in previous studies.

Conclusions: Our study identified new AEs that have not been reported, which provides a new guidance to deepen the comprehension of the safety of Ubrogepant.

Keywords: Food and Drug Administration Adverse Event Reporting System; Ubrogepant; adverse event; pharmacovigilance; system organ classe.

MeSH terms

  • Adverse Drug Reaction Reporting Systems
  • Bayes Theorem
  • Drug-Related Side Effects and Adverse Reactions* / epidemiology
  • Drug-Related Side Effects and Adverse Reactions* / etiology
  • Humans
  • Migraine Disorders* / drug therapy
  • Pharmacovigilance
  • Pyridines / adverse effects
  • Pyrroles / adverse effects
  • United States / epidemiology
  • United States Food and Drug Administration

Substances

  • ubrogepant
  • Pyridines
  • Pyrroles