Article · 2026

Real-world safety of aliskiren in primary hypertension: A cross-database study

PLOS One

Meirong Shan; Qian Guo; Ruofei Li; Ni Li; Yanhua Fu; Huanyu Qi; Ge Zhang; Qian Wang; Xingli Xu; Jinchuan Lai

Cite this paper

Plain citation

Meirong Shan, Qian Guo, Ruofei Li, Ni Li, Yanhua Fu, Huanyu Qi, Ge Zhang, Qian Wang, Xingli Xu, Jinchuan Lai. Real-world safety of aliskiren in primary hypertension: A cross-database study. PLOS One. 2026. https://doi.org/10.1371/journal.pone.0346326

Author-controlled citation; verify against the publisher version of record.

Research context and source limits

Limited evidence note. Only the source material identified below has been reviewed; this is not a complete Paper GEO V2 assessment.

Spontaneous-report study design, descriptive evidence and explicit corpus/counting uncertainty; no validated adverse-event incidence or causal estimate.

Study and evidence unit

This pharmacovigilance study examines aliskiren-associated spontaneous reports in FAERS and VigiAccess. The article summarizes 5,596 and 5,549 reports, respectively, and describes disproportionality analyses rather than a cohort of exposed patients. Its clinical question concerns possible reporting signals; these databases do not supply the treated-population denominator needed to estimate adverse-event incidence or comparative treatment risk.

Source: Methods: Data sources and Statistical analysis (sec003, sec005); Results: Tables 1–2 (sec007)

What the supplementary report clarifies

The official FAERS mining supplement contains annual entries from 2005 through 2025, alongside report characteristics and signal tables. This directly demonstrates a broader reporting period than the main Table 1 caption, which states Q4 2023–Q4 2024. It does not establish the exact extraction quarters or authorize silently replacing the published caption with the Methods window.

Source: S3 Table, FAERS Database Mining Report: TABLE 1, Report year rows 2005–2025

Evidence boundary

The audit therefore retains study context without endorsing quantitative signal ranking or a clinical safety recommendation. The printed Serious count of 1,037 and Hospitalization count of 1,735 remain unreconciled at the report-versus-outcome level. Author clarification must identify the analytic window and counting rules; reporting associations cannot establish that aliskiren caused an event.

Source: Table 1, AE severity and Serious outcome rows; Discussion limitations

Evidence limits

Provenance

Source review: 2026-10-27.

Author-controlled academic record for Ge Zhang (张格; ORCID 0000-0002-3116-3246). This page identifies the work as part of Ge Zhang’s publication record. It does not replace the publisher version or assert a complete author list.

Verify publication identity

These records identify the same original work; database inclusion is not evidence of scientific validity or clinical benefit.