Table 2.
Concordance between sex-biased PKs and VigiBase sex ratios
| WHO ATC category | Drug name/PK biasa | PK measureb | VB ratioc | Concordance |
|---|---|---|---|---|
| Alimentary tract, metabolism | Ondansetron | AUC, Cmax | 2.14 | Concordant |
| Blood and blood forming organs | Icatibant | AUC, Cmax | 3.18 | Concordant |
| Cardiovascular system | Metoprolol | AUC, Cmax | 1.26 | Concordant |
| Labetalol | Cmax, ClT | 1.50 | Concordant | |
| Nifedipine | ClT | 1.29 | Discordant1 | |
| Pitavastatin | AUC, Cmax | 1.12 | Discordant2 | |
| Systemic hormonal preparations | Methylprednisolone | AUC, t1/2, ClT | 1.38 | Discordant1 |
| Musculoskeletal | Ibuprofen | AUC,Cmax, t1/2, ClT | 1.46 | Discordant1 |
| Anesthetics, analgesics | Lignocaine | ClT | 1.64 | Condordant |
| Propofol | AUC,ClT | 1.45 | Concordant | |
| Butorphanol | AUC, Cmax | 3.23 | Concordant | |
| Paracetamol | ClT | 1.68 | Concordant | |
| Anti-epileptics | Ezogabine | AUC, Cmax, ClT | 0.90 | Discordant2 |
| Psycholeptics | Clobazam | t1/2 | 1.11 | Discordant2 |
| Sertindole | AUC, Cmax | 1.06 | Discordant2 | |
| Thiothixene | ClT | 1.35 | Concordant | |
| Oxazepam | ClT | 1.31 | Concordant | |
| Temazepam | t1/2, ClT | 1.34 | Concordant | |
| Zopiclone | AUC, Cmax | 1.55 | Concordant | |
| Psychoanaleptics | Memantine | SysExp | 1.50 | Condordant |
| Desipramine | AUC, ClT | 1.59 | Concordant | |
| Clomipramine | ClT | 1.57 | Concordant | |
| Paroxetine | ClT | 2.00 | Concordant | |
| Fluvoxamine | ClT | 1.73 | Concordant | |
| Mirtazapine | ClT | 1.53 | Concordant | |
| Respiratory | Cetirizine | ClT | 1.76 | Concordant |
PK abbreviations: AUC area under the curve, Cmax maximum circulating concentration, Tmax time required to reach Cmax value, t1/2 elimination half-life, ClT clearance time, exposure, or plasma concentration after a fixed time interval, SysExp systemic exposure, DurAbs duration of absorption
aFont style of drug name indicates direction of PK drug exposure bias: (normal: F > M; bold: M > F)
bFont style of PK measure indicates direction of greater PK drug exposure: (normal: F > M; bold: M > F; italic: inconsistent)
cF-to-M reporting ratio of suspected ADRs. Threshold for designation of sex bias = ± 20%
1False positive
2False negative