Evidence map›Paper›PMID 41550941›Full record

ArticleFrontiers in immunology2025

Disproportionality analysis of drug-associated progressive multifocal leukoencephalopathy: roles of underlying diseases and immunomodulatory therapies in FAERS.

Xiaozhen Lin, Naishen Qin, Baoxia He, Jinhua Chen, Yajuan Zhang, Hui Wang, Weiling Liu

Abstract read
In one paragraph

Article in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Xiaozhen Lin *Department of Pharmacy, The Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, HNHC Key Laboratory of Anti-tumor Drug Research (Henan Cancer Hospital), Henan Engineering Research Center for Tumor Precision Medicine and Comprehensive Evaluation, Zhengzhou, China.
Naishen Qin *School of Pharmacy, Guangxi Medical University, Nanning, Guangxi, China.
Baoxia HeDepartment of Pharmacy, The Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, HNHC Key Laboratory of Anti-tumor Drug Research (Henan Cancer Hospital), Henan Engineering Research Center for Tumor Precision Medicine and Comprehensive Evaluation, Zhengzhou, China.
Jinhua ChenDepartment of Pharmacy, The Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, HNHC Key Laboratory of Anti-tumor Drug Research (Henan Cancer Hospital), Henan Engineering Research Center for Tumor Precision Medicine and Comprehensive Evaluation, Zhengzhou, China.
Yajuan ZhangDepartment of Pharmacy, Xixia County People's Hospital, Nanyang, China.
Hui WangSchool of Pharmacy, Guangxi Medical University, Nanning, Guangxi, China.
Weiling LiuDepartment of Medical Oncology, The Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, Zhengzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Progressive multifocal leukoencephalopathy (PML), a rare and often fatal JC virus-mediated disease, is a significant concern in immunocompromised patients. Objective: Following READUS-PV guidelines, this study evaluated disproportionality signals for PML associated with specific drugs and underlying diseases using the FDA Adverse Event Reporting System (FAERS). Methods: We identified PML cases in FAERS (2004 Q1-2024 Q4) and excluded those associated with HIV/AIDS. For drugs with ≥3 PML reports, disproportionality was assessed using the reporting odds ratio (ROR) and proportional reporting ratio (PRR), reported with 95% confidence intervals and χ² statistics, respectively. Subgroup analyses were conducted by age, sex, reporting region, and patient outcome. We also characterized the spectrum of underlying diseases and time to onset (TTO). Results: We analyzed 6,864 PML reports; in a sensitivity analysis excluding cases with TTO ≤60 days, 6,258 reports remained. Fifty-four drugs showed significant signals in primary analysis with the exception of acalabrutinib in the analysis restricted to 6,258 cases, including established high-risk agents and potential novel associations. Notably, we observed signals with four monoclonal antibodies (daratumumab, elotuzumab, epcoritamab, and isatuximab); isatuximab had no previous mentions in regulatory labels or published literature to our knowledge. Among established agents, natalizumab had the highest number of reports (n=1,848; ROR 40.7), and rituximab also showed a strong signal (n=1,296; ROR 41.8). PML was most frequently reported in multiple sclerosis (32.28%) and B-cell non-Hodgkin lymphomas (9.44%). TTO varied by agent; natalizumab showed the longest median TTO (44.0 months; 95% CI: 41.8-46.7). Median TTO for antineoplastic drugs (13.6 months; 95% CI: 11.5-15.9) was significantly shorter than for non-antineoplastic drugs (42.4 months; 95% CI: 39.7-44.1). Conclusions: These findings reinforce established and emerging PML reporting signals with immunomodulatory therapies and support heightened pharmacovigilance-particularly for novel monoclonal antibodies used in hematologic malignancies.

Indexed as

Adverse Drug Reaction Reporting SystemsJC VirusLeukoencephalopathy, Progressive MultifocalAdolescentAdultAgedFemaleHumansMaleMiddle AgedUnited StatesYoung Adultdisproportionality analysisFAERSimmunosuppressive therapymonoclonal antibodiespharmacovigilanceprogressive multifocal leukoencephalopathytime to onset

Identifiers

PMID41550941
PMCPMC12807927

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.