Hand-foot skin reaction associated with vascular endothelial growth factor receptor tyrosine kinase inhibitors: a FAERS-based pharmacovigilance study - Summary - MDSpire

Hand-foot skin reaction associated with vascular endothelial growth factor receptor tyrosine kinase inhibitors: a FAERS-based pharmacovigilance study

  • By

  • Jinhan Chen

  • Qian Xu

  • Bozhou Wang

  • Huiwen Sun

  • Qijin Shu

  • June 4, 2026

  • 0 min

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Objective:

To analyze the association between vascular endothelial growth factor receptor tyrosine kinase inhibitors (VEGFR-TKIs) and hand-foot skin reactions (HFSR) using FAERS data.

Key Findings:
  • A total of 8,668 HFSR reports were analyzed.
  • Eight VEGFR-TKIs showed positive HFSR signals across all four algorithms.
  • Sorafenib and regorafenib exhibited greater disproportionality.
  • The median time to HFSR onset was 16 days, with female patients reporting earlier onset than male patients.
  • Hospitalization was the most frequently reported serious outcome.
Interpretation:

The analysis confirmed a significant association between VEGFR-TKIs and HFSR, highlighting differences in signal values among specific drugs.

Limitations:
  • The study relies on spontaneous reporting data, which may be subject to underreporting or reporting bias.
  • The analysis does not establish causality between VEGFR-TKIs and HFSR.
Conclusion:

Proactive, individualized monitoring during the initial weeks of therapy is crucial for managing HFSR.

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