DATA-DRIVEN SIGNAL DETECTION OF ADVERSE DRUG REACTIONS USING FAERS: A PRR AND ROR-BASED PHARMACOVIGILANCE STUDY

Authors

  • Dr. Y. Karen Chen
  • Dr. Saad Shakir
  • Dr. Marie Lindquist
  • Dr. Fatheya Al Awadi

Abstract

Pharmacovigilance plays a crucial role in ensuring drug safety through the detection of adverse drug reactions (ADRs) in real-world settings. This study aimed to perform a data-driven signal detection analysis using the FDA Adverse Event Reporting System (FAERS) database by applying two widely used disproportionality methods: Proportional Reporting Ratio (PRR) and Reporting Odds Ratio (ROR). A retrospective observational design was employed, analyzing 392,550 drug-adverse event pairs after data preprocessing. Signal detection was conducted using standard thresholds (PRR ≥ 2 and ROR > 1), followed by comparative and statistical analyses. The results showed that PRR identified 247,220 signals,
whereas ROR detected 313,936 signals, with 247,220 signals common to both methods and 66,716 uniquely identified by ROR. A near-perfect correlation (r = 0.9999) was observed between log-transformed PRR and ROR values, indicating strong methodological consistency. Distribution analysis revealed a right-skewed pattern with extreme outliers, suggesting the presence of rare but high-risk drug–event associations. Frequently reported adverse events included drug ineffectiveness and off-label use. Despite inherent limitations of spontaneous reporting systems, the findings highlight the
effectiveness of FAERS-based analyses and demonstrate that ROR provides greater sensitivity, while PRR offers more conservative signal detection. These insights support improved pharmacovigilance practices and data-driven drug safety monitoring.

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References

Alomar, M., Tawfiq, A. M., Hassan, N., & Palaian, S. (2020). Post marketing surveillance of suspected adverse drug

reactions through spontaneous reporting: current status, challenges and the future. Therapeutic advances in drug

safety, 11, 2042098620938595.

Al-Worafi, Y. M. (Ed.). (2020). Drug safety in developing countries: Achievements and challenges.

Andam, J. B. (2025). FAERS drug event signal dataset. Kaggle. https://www.kaggle.com/datasets/anurmi/faers-drugevent-signal

Caldito, N. G., Shirani, A., Salter, A., & Stuve, O. (2021). Adverse event profile differences between rituximab and

ocrelizumab: Findings from the FDA Adverse Event Reporting Database. Multiple Sclerosis Journal, 27(7), 1066-

Cave, A., Kurz, X., & Arlett, P. (2019). Real‐world data for regulatory decision making: challenges and possible

solutions for Europe. Clinical pharmacology and therapeutics, 106(1), 36.

Fusaroli, M., Raschi, E., Poluzzi, E., & Hauben, M. (2024). The evolving role of disproportionality analysis in

pharmacovigilance. Expert opinion on drug safety, 23(8), 981-994.

Gambardella, V., Tarazona, N., Cejalvo, J. M., Lombardi, P., Huerta, M., Roselló, S., ... & Cervantes, A. (2020).

Personalized medicine: recent progress in cancer therapy. Cancers, 12(4), 1009.

Goetz, L. H., & Schork, N. J. (2018). Personalized medicine: motivation, challenges, and progress. Fertility and

sterility, 109(6), 952-963.

Iriart, J. A. B. (2019). Precision medicine/personalized medicine: a critical analysis of movements in the

transformation of biomedicine in the early 21st century. Cadernos de saúde publica, 35, e00153118.

Kesharwani, V., Farooqui, M. A., Kushwaha, N., Singh, R. K., & Jaiswal, P. K. (2018). An overview on

pharmacovigilance: a key for drug safety and monitoring. Journal of Drug Delivery and Therapeutics, 8(5), 130-135.

Kesharwani, V., Farooqui, M. A., Kushwaha, N., Singh, R. K., & Jaiswal, P. K. (2018). An overview on

pharmacovigilance: a key for drug safety and monitoring. Journal of Drug Delivery and Therapeutics, 8(5), 130-135.

Lee, S., Lee, J. H., Kim, G. J., Kim, J. Y., Shin, H., Ko, I., ... & Kim, J. H. (2022). A data-driven reference standard

for adverse drug reaction (RS-ADR) signal assessment: development and validation. Journal of Medical Internet

Research, 24(10), e35464.

Lin, W., Zeng, Y., Weng, L., Yang, J., & Zhuang, W. (2024). Comparative analysis of adverse events associated with

CDK4/6 inhibitors based on FDA’s adverse event reporting system: a case control pharmacovigilance study. BMC

Pharmacology and Toxicology, 25(1), 47.

Liu, W., Du, Q., Guo, Z., Ye, X., & Liu, J. (2023). Post-marketing safety surveillance of sacituzumab govitecan: an

observational, pharmacovigilance study leveraging FAERS database. Frontiers in pharmacology, 14, 1283247.

Ma, H., Kang, J., Fan, W., He, H., & Huang, F. (2021). ROR: nuclear receptor for melatonin or not?. Molecules, 26(9),

Maqbool, M., Dar, M. A., Rasool, S., Bhat, A. U., & Geer, M. I. (2019). Drug safety and Pharmacovigilance: An

overview. J Drug Deliv Ther, 9(2), 543-8.

Sartori, D., Aronson, J. K., Norén, G. N., & Onakpoya, I. J. (2023). Signals of adverse drug reactions communicated

by pharmacovigilance stakeholders: a scoping review of the global literature. Drug safety, 46(2), 109-120.

Schork, N. J. (2019). Artificial intelligence and personalized medicine. In Precision medicine in Cancer therapy (pp.

-283). Cham: Springer International Publishing.

SHETTY, A., DUBEY, A., MATCHESWALA, A., & BANGERA, S. (2023). Pharmacovigilance systems and

strategies: importance of post-marketing surveillance for ensuring drug safety and patient health in Europe, united

States, and India. Authorea Preprints.

Undela, K. (2024). 8 Disproportionality Methods. Signal Analysis in Pharmacovigilance: Principles and Processes,

Wu, Z., Zhou, P., He, N., & Zhai, S. (2022). Drug-induced torsades de pointes: Disproportionality analysis of the

United States Food and Drug Administration adverse event reporting system. Frontiers in Cardiovascular

Medicine, 9, 966331.

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Published

2025-12-28

How to Cite

Chen, D. Y. K., Shakir, D. S., Lindquist, D. M., & Al Awadi, D. F. (2025). DATA-DRIVEN SIGNAL DETECTION OF ADVERSE DRUG REACTIONS USING FAERS: A PRR AND ROR-BASED PHARMACOVIGILANCE STUDY. International Journal For Research In Biology & Pharmacy, 10(4), 20–28. Retrieved from https://ijrbp.com/index.php/bp/article/view/2499