Informing selection of drugs for COVID-19 treatment through adverse events analysis
Abstract Coronavirus disease 2019 (COVID-19) is an ongoing pandemic and there is an urgent need for safe and effective drugs for COVID-19 treatment. Since developing a new drug is time consuming, many approved or investigational drugs have been repurposed for COVID-19 treatment in clinical trials. T...
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2021
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oai:doaj.org-article:cec1715e9fd24f53a1ff4e77983d08f92021-12-02T15:23:16ZInforming selection of drugs for COVID-19 treatment through adverse events analysis10.1038/s41598-021-93500-52045-2322https://doaj.org/article/cec1715e9fd24f53a1ff4e77983d08f92021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-93500-5https://doaj.org/toc/2045-2322Abstract Coronavirus disease 2019 (COVID-19) is an ongoing pandemic and there is an urgent need for safe and effective drugs for COVID-19 treatment. Since developing a new drug is time consuming, many approved or investigational drugs have been repurposed for COVID-19 treatment in clinical trials. Therefore, selection of safe drugs for COVID-19 patients is vital for combating this pandemic. Our goal was to evaluate the safety concerns of drugs by analyzing adverse events reported in post-market surveillance. We collected 296 drugs that have been evaluated in clinical trials for COVID-19 and identified 28,597,464 associated adverse events at the system organ classes (SOCs) level in the FDA adverse events report systems (FAERS). We calculated Z-scores of SOCs that statistically quantify the relative frequency of adverse events of drugs in FAERS to quantitatively measure safety concerns for the drugs. Analyzing the Z-scores revealed that these drugs are associated with different significantly frequent adverse events. Our results suggest that this safety concern metric may serve as a tool to inform selection of drugs with favorable safety profiles for COVID-19 patients in clinical practices. Caution is advised when administering drugs with high Z-scores to patients who are vulnerable to associated adverse events.Wenjing GuoBohu PanSugunadevi SakkiahZuowei JiGokhan YavasYanhui LuTakashi E. KomatsuMadhu Lal-NagWeida TongTucker A. PattersonHuixiao HongNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021) |
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Medicine R Science Q Wenjing Guo Bohu Pan Sugunadevi Sakkiah Zuowei Ji Gokhan Yavas Yanhui Lu Takashi E. Komatsu Madhu Lal-Nag Weida Tong Tucker A. Patterson Huixiao Hong Informing selection of drugs for COVID-19 treatment through adverse events analysis |
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Abstract Coronavirus disease 2019 (COVID-19) is an ongoing pandemic and there is an urgent need for safe and effective drugs for COVID-19 treatment. Since developing a new drug is time consuming, many approved or investigational drugs have been repurposed for COVID-19 treatment in clinical trials. Therefore, selection of safe drugs for COVID-19 patients is vital for combating this pandemic. Our goal was to evaluate the safety concerns of drugs by analyzing adverse events reported in post-market surveillance. We collected 296 drugs that have been evaluated in clinical trials for COVID-19 and identified 28,597,464 associated adverse events at the system organ classes (SOCs) level in the FDA adverse events report systems (FAERS). We calculated Z-scores of SOCs that statistically quantify the relative frequency of adverse events of drugs in FAERS to quantitatively measure safety concerns for the drugs. Analyzing the Z-scores revealed that these drugs are associated with different significantly frequent adverse events. Our results suggest that this safety concern metric may serve as a tool to inform selection of drugs with favorable safety profiles for COVID-19 patients in clinical practices. Caution is advised when administering drugs with high Z-scores to patients who are vulnerable to associated adverse events. |
format |
article |
author |
Wenjing Guo Bohu Pan Sugunadevi Sakkiah Zuowei Ji Gokhan Yavas Yanhui Lu Takashi E. Komatsu Madhu Lal-Nag Weida Tong Tucker A. Patterson Huixiao Hong |
author_facet |
Wenjing Guo Bohu Pan Sugunadevi Sakkiah Zuowei Ji Gokhan Yavas Yanhui Lu Takashi E. Komatsu Madhu Lal-Nag Weida Tong Tucker A. Patterson Huixiao Hong |
author_sort |
Wenjing Guo |
title |
Informing selection of drugs for COVID-19 treatment through adverse events analysis |
title_short |
Informing selection of drugs for COVID-19 treatment through adverse events analysis |
title_full |
Informing selection of drugs for COVID-19 treatment through adverse events analysis |
title_fullStr |
Informing selection of drugs for COVID-19 treatment through adverse events analysis |
title_full_unstemmed |
Informing selection of drugs for COVID-19 treatment through adverse events analysis |
title_sort |
informing selection of drugs for covid-19 treatment through adverse events analysis |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/cec1715e9fd24f53a1ff4e77983d08f9 |
work_keys_str_mv |
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