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. 2026 Sep 15;17:1947521. doi: 10.3389/fimmu.2026.1947521

Table 4.

Top 30 antineoplastics implicated in haematological adverse reactions.

Ranking Drug Cases ROR (95% CI) PRR (χ²) EBGM (EBGM05) IC (IC025)
1 Lenalidomide* 21246 1.51 (1.49-1.53) 1.48 (3331) 1.47 (1.44) 0.55 (0.53)
2 Methotrexate* 14837 2.98 (2.93-3.04) 2.77 (17114.68) 2.73 (2.69) 1.45 (1.43)
3 Rituximab 14439 3.69 (3.63-3.76) 3.34 (24210.50) 3.30 (3.24) 1.72 (1.70)
4 Carboplatin* 11119 7.46 (7.31-7.62) 5.95 (47014.76) 5.88 (5.76) 2.56 (2.52)
5 Palbociclib* 8936 3.08 (3.01-3.15) 2.85 (11026.35) 2.83 (2.76) 1.50 (1.47)
6 Doxorubicin* 8528 8.13 (7.93-8.33) 6.34 (39543.31) 6.29 (6.13) 2.65 (2.62)
7 Bevacizumab 8390 3.17 (3.09-3.24) 2.92 (10882.87) 2.90 (2.83) 1.53 (1.50)
8 Ruxolitinib* 8108 3.46 (3.38-3.54) 3.15 (12270.23) 3.13 (3.06) 1.65 (1.61)
9 Gemcitabine* 7502 9.02 (8.79-9.27) 6.85 (38681.14) 6.80 (6.62) 2.76 (2.73)
10 Venetoclax* 7351 4.94 (4.82-5.06) 4.27 (19014.82) 4.24 (4.14) 2.08 (2.05)
11 Cyclophosphamide* 7342 7.39 (7.20-7.58) 5.90 (30823.86) 5.85 (5.70) 2.55 (2.51)
12 Pembrolizumab 5562 2.70 (2.62-2.77) 2.53 (5307.30) 2.52 (2.45) 1.33 (1.29)
13 Paclitaxel* 5554 4.19 (4.07-4.31) 3.72 (11414.05) 3.70 (3.59) 1.89 (1.84)
14 Oxaliplatin* 5481 4.68 (4.54-4.81) 4.08 (13185.56) 4.06 (3.94) 2.02 (1.98)
15 Ibrutinib* 5370 2.06 (2.01-2.12) 1.98 (2694.13) 1.97 (1.92) 0.98 (0.94)
16 Imatinib* 5149 2.37 (2.30-2.44) 2.25 (3678.95) 2.24 (2.17) 1.16 (1.12)
17 Cisplatin* 5101 8.77 (8.49-9.06) 6.71 (25632.09) 6.67 (6.46) 2.74 (2.69)
18 Trastuzumab 4982 3.96 (3.84-4.08) 3.54 (9412.33) 3.53 (3.42) 1.82 (1.77)
19 Capecitabine* 4809 2.18 (2.12-2.25) 2.09 (2810.86) 2.08 (2.02) 1.06 (1.01)
20 Cytarabine* 4754 14.82 (14.29-15.36) 9.58 (37808.39) 9.53 (9.19) 3.25 (3.20)
21 Docetaxel* 4727 2.41 (2.34-2.48) 2.28 (3527.78) 2.28 (2.21) 1.19 (1.14)
22 Peginterferon Alfa 2A* 4576 4.12 (3.99-4.25) 3.67 (9195.13) 3.65 (3.54) 1.87 (1.82)
23 Azacitidine* 4495 8.60 (8.31-8.90) 6.61 (22158.43) 6.58 (6.36) 2.72 (2.67)
24 Fluorouracil* 4427 6.55 (6.33-6.77) 5.37 (16289.21) 5.34 (5.17) 2.42 (2.37)
25 Pomalidomide* 4358 1.30 (1.26-1.34) 1.28 (284.39) 1.28 (1.24) 0.36 (0.31)
26 Nivolumab 4232 1.65 (1.60-1.70) 1.61 (1007.46) 1.60 (1.56) 0.68 (0.64)
27 Bortezomib* 3848 3.12 (3.02-3.23) 2.88 (4892.40) 2.87 (2.78) 1.52 (1.47)
28 Letrozole 3835 5.38 (5.20-5.57) 4.58 (11138.16) 4.57 (4.41) 2.19 (2.14)
29 Etoposide* 3480 9.19 (8.83-9.55) 6.94 (18326.34) 6.91 (6.64) 2.79 (2.73)
30 Sunitinib* 3346 2.39 (2.31-2.48) 2.27 (2453.14) 2.26 (2.18) 1.18 (1.12)

ADE, adverse drug event; CI, confidence interval; ROR, Reporting Odds Ratio; PRR, Proportional Reporting Ratio; BCPNN, Bayesian Confidence Propagation Neural Network; MGPS, Multi - item Gamma Poisson Shrinker; *warnings related to haematological toxicity risk.