Pancreatitis induced by Pegaspargase in children: a real-world
pharmacovigilance analysis based on Food and Drug Administration Adverse
Event Reporting System
Abstract
Pegaspargase, a pegylated form of native Escherichia coli-derived
L-asparaginase, is indicated for treating acute lymphoblastic leukemia
(ALL) as a component of multi-agent chemotherapy. Although it has been
approved for marketing, real-world, long-term safety information in
children is still lacking. We aimed to investigate the adverse events
(AEs) caused by Pegaspargase through data mining of the Food and Drug
Administration Adverse Event Reporting System (FAERS) database, thereby
providing a reference for clinical safety in pediatric populations. A
disproportionality analysis was conducted to quantify the correlation
between Pegaspargase and AEs, using four algorithms. Subgroup analyses
were performed to identify differences between AEs in different clinical
characteristics, aiming to assess the risk factors in
Pegaspargase-associated pancreatitis. Among 21,161,817 reports, 847
implicated Pegasparagase as the primary suspected drug, uncovering AEs
across 26 organ systems. Notably, we identified four previously unlisted
AEs. Furthermore, the occurrence of pancreatitis-related is closely
related to the age (χ 2 = 8.219, p < 0.05).
This research offers a new viewpoint on clinical safety evaluations
related to Pegasparagase and provides some references for improving the
safety of clinical medication in pediatric populations.