Table 1.
Pharmacodynamic and structural categories associate with frequency of report of undesired events for clinically available hMOR ligands#
Undesired events associated with | Type of side effect | Preferred term | R square | p-value |
---|---|---|---|---|
Functional categories defined by Log(τ)–Emax–Log(τ/KA) | Gastrointestinal/nutrition | Cachexia | 0.66 | 0.05 |
Faecaloma | 0.86 | 0.01 | ||
Gastrointestinal motility disorder | 0.81 | 0.01 | ||
Respiratory events | Respiratory depression | 0.62 | 0.11 | |
Respiratory rate decreased | 0.60 | 0.13 | ||
Sleep disorder | Somnolence | 0.60 | 0.12 | |
Functional categories defined by Log(τ)-Emax | Gastrointestinal/nutrition | Cachexia | 0.66 | 0.05 |
Faecaloma | 0.92 | 0.00 | ||
Gastrointestinal motility disorder | 0.62 | 0.06 | ||
Respiratory events | Hypoventilation | 0.68 | 0.08 | |
Oxygen saturation decreased | 0.61 | 0.12 | ||
Respiratory depression | 0.78 | 0.05 | ||
Respiratory rate decreased | 0.69 | 0.08 | ||
Sleep disorder | Somnolence | 0.75 | 0.06 | |
Structural categories | Respiratory events | Hypopnoea | 0.65 | 0.10 |
Yawning | 0.79 | 0.04 | ||
Neuropsychiatric | Withdrawal syndrome | 0.74 | 0.06 | |
Change in drug response | Analgesic drug level increased | 0.70 | 0.08 | |
Drug effect decreased | 0.64 | 0.10 | ||
Drug effect increased | 0.90 | 0.01 | ||
Therapeutic response increased | 0.89 | 0.02 | ||
Therapeutic response decreased | 0.74 | 0.06 | ||
Pain | Breakthrough pain | 0.69 | 0.08 | |
Complex regional pain syndrome | 0.64 | 0.11 | ||
Itching | Pruritus generalized | 0.86 | 0.02 | |
Others | Therapy cessation | 0.76 | 0.05 |
#Only significant correlations, and correlations that explained 60% or more of the variance were considered; full information in Supplementary Data 2. Similarity and SD gamma scores for Buprenorphine, Fentanyl, Morphine, Oxycodone, and Tramadol were used to establish correlations. Loperamide was additionally included in correlations for gastrointestinal reports. Source data provided in Supplementary Data 2 and source data files