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Research themes

AsPEN's portfolio grouped into seven clinical and methodological strands. Each card links to the full chronological list of papers in that theme.

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43 papers · 10 themes · 2013–2026

Infrastructure

9 papers · 2013–2023 · 11countries

The methodological scaffolding every AsPEN study sits on — PSSA, SCCS, target-trial emulation, common data models, and the NeuroGEN platform that now spans 15 databases on four continents.

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Cross-Regional Data Initiative for the Assessment and Development of Treatment for Neurological and Mental Disorders (NeuroGEN)

2023 · Clinical Epidemiology

See all 9 papers

Neuropsychiatry

6 papers · 2018–2025 · 20countries

Medication safety in older and vulnerable populations. The 2021 BMJ self-controlled case series on antipsychotics, cholinesterase inhibitors, and the risk of falls and fractures typifies AsPEN's approach in this area — anchored by the 2013 PSSA on antipsychotics and acute hyperglycaemia, the thread now spans dementia survival trajectories, ADHD / methylphenidate utilisation, and post-COVID neuropsychiatric sequelae.

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Use of antipsychotic drugs and cholinesterase inhibitors and risk of falls and fractures: self-controlled case series

2021 · BMJ

See all 6 papers

Diabetes

5 papers · 2018–2026 · 13countries

Real-world safety and utilisation of diabetes drugs in Asian populations — from the second PSSA on thiazolidinediones through current GLP-1 and 5α-reductase × T2DM studies where the underlying epidemiology often differs from Western trial cohorts.

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Emulating six cardiovascular outcome trials of antidiabetic drugs using real-world databases from Korea and Taiwan

2026 · Clinical Pharmacology & Therapeutics

See all 5 papers

Pregnancy & Paediatrics

3 papers · 2024–2025 · 16countries

Drug safety in populations that are chronically under-represented in trials. The 2024 Nature Medicine study of 3.6 million mother–child pairs across AsPEN sites is the clearest demonstration to date of what multi-country observational data can do for this question.

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Maternal diabetes and risk of attention-deficit/hyperactivity disorder in offspring in a multinational cohort of 3.6 million mother–child pairs

2024 · Nature Medicine

See all 3 papers

Pain & Opioids

2 papers · 2016–2018 · 8countries

Comparative drug utilisation across health systems with very different prescribing cultures — opioids, gabapentinoids, NSAIDs, and the downstream gastrointestinal effects (PPIs, C. difficile) that follow.

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Comparative safety of NSAIDs for gastrointestinal events in Asia-Pacific populations: A multi-database, international cohort study

2018 · Pharmacoepidemiol Drug Saf

See all 2 papers

Oncology

3 papers · 2021–2022 · 6countries

Long-tail safety questions in cancer and endocrine therapy where AsPEN's claims data captures real-world prescribing patterns that single-trial datasets miss — androgen deprivation, biologics, GLP-1–thyroid associations, and bone-targeting agents.

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Monoclonal antibodies and Fc-fusion protein biologic medicines: A multinational cross-sectional investigation of accessibility and affordability in Asia Pacific regions between 2010 and 2020

2022 · Lancet Reg Health West Pac

See all 3 papers

Older adults

3 papers · 2021–2023 · 17countries

Polypharmacy, falls, and hip fracture — questions where Asian healthcare systems with universal coverage offer some of the cleanest population-level evidence anywhere.

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Trends of polypharmacy among older people in Asia, Australia and the United Kingdom: a multinational population-based study

2023 · Age and Ageing

See all 3 papers

Cardiovascular diseases

2 papers · 2015–2021 · 6countries

Cardiovascular safety as a downstream outcome — heart failure, myocardial infarction, and broader cardiometabolic risk associated with psychotropics, ADHD medications, and antidiabetic drugs studied across AsPEN sites.

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Cardiovascular and metabolic risk of antipsychotics in children and young adults: a multinational self-controlled case series study

2021 · Epidemiol Psychiatr Sci

See all 2 papers

Infection & Vaccine

3 papers · 2021–2025 · 11countries

AsPEN's pandemic work — vaccine-safety surveillance across 19 Asia-Pacific countries (2021), multi-organ COVID-19 outcomes, and post-acute sequelae studies that needed multi-country denominators to be statistically tractable.

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Suitability of databases in the Asia-Pacific for collaborative monitoring of vaccine safety

2021 · Pharmacoepidemiology and Drug Safety

See all 3 papers

Policy & Utilisation

7 papers · 2021–2025 · 20countries

International prescribing-trend comparisons — opioids, gabapentinoids, antipsychotics, dementia medications, antiseizure drugs, antidiabetics and ADHD medications across 60+ countries and regions, often co-led with the WHO Collaborating Centre framework.

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International trends in opioid prescribing by age and sex from 2001 to 2019: a population-based study from 18 countries and one special administrative region

2025 · CNS Drugs

See all 7 papers