Evidence map›Paper›PMID 41703146›Full record

ArticleEuropean journal of clinical pharmacology2026

Selective oestrogen receptor modulators and Alzheimer´s disease: a real-world pharmacovigilance study.

María Teresa Yuste, Elena Badillo, Juan Sebastián Galecio, Pedro Marín

Abstract read
In one paragraph

Article in European journal of clinical pharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

María Teresa YusteDepartment of Pharmacology, University of Murcia, Campus de Espinardo, Murcia, 30100, Spain. mariateresa.yuste1@um.es.ORCID http://orcid.org/0000-0002-9897-8140
Elena BadilloDepartment of Pharmacology, University of Murcia, Campus de Espinardo, Murcia, 30100, Spain.ORCID http://orcid.org/0000-0003-0888-4851
Juan Sebastián GalecioEscuela de Medicina Veterinaria. Colegio de Ciencias de la Salud, Universidad San Francisco de Quito, Cumbayá, EC 170157, Ecuador.ORCID http://orcid.org/0000-0002-5532-9888
Pedro MarínDepartment of Pharmacology, University of Murcia, Campus de Espinardo, Murcia, 30100, Spain.ORCID http://orcid.org/0000-0003-4849-4452

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSelective oestrogen receptor modulators (SERMs) are a standard treatment for breast cancer and osteoporosis. Alzheimer’s disease (AD) is a progressive neurodegenerative disorder that is a serious public health concern. This study aimed to identify potential pharmacovigilance signals related to dementia and AD for SERMs in menopausal and postmenopausal women.

methodsTo investigate this possible association, a disproportionality analysis was performed in VigiBase, the World Health Organization’s (WHO) global database of individual case safety reports (ICSRs). Disproportionality was quantified using the reporting odds ratio (ROR).

resultsWe found risk of reporting dementia for tamoxifen [ROR = 1.74 (1.23–2.45)] and raloxifene [ROR = 1.63 (1.05–2.53)] and AD for raloxifene [ROR = 5.12 (3.26–8.05)]. No statistically significant association was detected for fulvestrant and bazedoxifene with dementia or AD. Most of the reports were severe and affected women over the age of 75. The latency of the reactions was predominantly long, suggesting that dementia is a late-onset reaction. The duration of treatment varied from a few months to more than three years, which may indicate that long-term exposure to SERMs is not necessary to develop dementia associated with these drugs.

conclusionSignals of disproportionate reporting have been observed between the incidence of dementia and AD with SERMs. There are conflicting results from the different studies that have been conducted on the relationship between these drugs and AD. More research is needed to find out what factors determine the risk of cognitive impairment associated with SERMs.

Indexed as

Alzheimer DiseaseDementiaPharmacovigilanceSelective Estrogen Receptor ModulatorsAgedAged, 80 and overFemaleFulvestrantHumansIndolesMiddle AgedRaloxifene HydrochlorideTamoxifenbazedoxifeneFulvestrantIndolesRaloxifene HydrochlorideSelective Estrogen Receptor ModulatorsTamoxifenAlzheimer’s diseaseDementiaPharmacovigilanceSelective oestrogen receptor modulators

Identifiers

PMID41703146
PMCPMC12913319

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.