Bullous Pemphigoid and Diabetes medications: A disproportionality analysis based on the FDA Adverse Event Reporting System

Huang, Liting; Liu, Ying; Li, Huijun; Huang, Weicun; Geng, Ruirui; Tang, Zaixiang; Jiang, Yiguo

doi:10.7150/ijms.55421



Theranostics

International Journal of Biological Sciences

Nanotheranostics

Journal of Cancer

Journal of Genomics

Global reach, higher impact

Full Text | PDF

Int J Med Sci 2021; 18(9):1946-1952. doi:10.7150/ijms.55421 This issue Cite

Research Paper

Bullous Pemphigoid and Diabetes medications: A disproportionality analysis based on the FDA Adverse Event Reporting System

Liting Huang^1,2#, Ying Liu^3#, Huijun Li^1,2, Weicun Huang^1,2, Ruirui Geng^1,2, Zaixiang Tang^1,2✉, Yiguo Jiang^4✉

1. Department of Biostatistics, School of Public Health, Medical College of Soochow University, Suzhou, 215123, China.
2. Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, Medical College of Soochow University, Suzhou, 215123, China.
3. National Institute for Food and Drug Control, Beijing, 102629, China.
4. Department of pharmacy, The Affiliated Suzhou Science & Technology Town Hospital of Nanjing Medical University, Suzhou, 215153, China.
#These authors contributed equally to this work.

Citation:

Huang L, Liu Y, Li H, Huang W, Geng R, Tang Z, Jiang Y. Bullous Pemphigoid and Diabetes medications: A disproportionality analysis based on the FDA Adverse Event Reporting System. Int J Med Sci 2021; 18(9):1946-1952. doi:10.7150/ijms.55421. https://www.medsci.org/v18p1946.htm

Other styles

Abstract

Background: The world's first Diabetes Medications (Insulin) was marketed in October 1923. Some studies suggested the association of diabetes medications with Bullous Pemphigoid (BP), especially the Dipeptidyl Peptidase 4 (DPP-4) inhibitors. The study aims to detect an association between diabetes medications (focusing on DPP-4 inhibitors) and bullous pemphigoid based on FDA Adverse Event Reporting System (FAERS).

Methods: All spontaneous reports of diabetes medications inhibitors-related BP recorded in the FAERS between March 2004 and August 2020 were included in the present study. Disproportionality analysis was performed to find the signal between diabetes medications and BP. The Chi-Squared with Yates' correction (χ²_Yates), proportional reporting ratio (PRR) and the lower limit of the 95% confidence interval of the Reporting Odds Ratio (ROR₀₂₅) were calculated as a measure. A signal was detected when ROR₀₂₅ > 1, PRR > 2, χ²_Yates > 4 and at least 3 cases.

Results: There were 3770 reports for BP in FAERS. The strongest signal for diabetes medications-BP association were DDP-4 inhibitors (ROR₀₂₅: 13.700, PRR: 15.408), followed by Meglitinides (ROR₀₂₅: 12.708, PRR: 16.777), Non-sulfonylureas (ROR₀₂₅: 6.434, PRR: 7.016), Alpha-glucosidase inhibitors (ROR₀₂₅: 6.105, PRR: 10.738), Sulfonylureas (ROR₀₂₅:2.655, PRR: 3.200).

Conclusions: This study detected a strong signal between BP and DDP-4 inhibitors, alpha-glucosidase inhibitors, meglitinides, non-sulfonylureas, and sulfonylureas in FAERS. The signal was significantly higher with alogliptin than with the other DPP-4 inhibitors. The study doesn't suggest the association between the incretin mimetics, insulin, SGLT-2 inhibitors, thiazolidinediones and BP in FAERS.

Keywords: diabetes medications, dipeptidyl peptidase 4 inhibitors, Bullous Pemphigoid, FAERS, drug safety

Citation styles

APA

Huang, L., Liu, Y., Li, H., Huang, W., Geng, R., Tang, Z., Jiang, Y. (2021). Bullous Pemphigoid and Diabetes medications: A disproportionality analysis based on the FDA Adverse Event Reporting System. International Journal of Medical Sciences, 18(9), 1946-1952. https://doi.org/10.7150/ijms.55421.

ACS

Huang, L.; Liu, Y.; Li, H.; Huang, W.; Geng, R.; Tang, Z.; Jiang, Y. Bullous Pemphigoid and Diabetes medications: A disproportionality analysis based on the FDA Adverse Event Reporting System. Int. J. Med. Sci. 2021, 18 (9), 1946-1952. DOI: 10.7150/ijms.55421.

NLM

CSE

Huang L, Liu Y, Li H, Huang W, Geng R, Tang Z, Jiang Y. 2021. Bullous Pemphigoid and Diabetes medications: A disproportionality analysis based on the FDA Adverse Event Reporting System. Int J Med Sci. 18(9):1946-1952.

This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/). See http://ivyspring.com/terms for full terms and conditions.