Promising drug development efforts may frequently fail due to unintended adverse reactions. Several methods have been developed to analyze such data, aiming to improve pharmacovigilance and drug safety. In this work, we provide a brief review of key directions to quantitatively analyzing adverse events and explore the potential of augmenting these methods using additional molecular data descriptors. We argue that molecular expansion of adverse event data may provide a path to improving the insights gained through more traditional pharmacovigilance approaches. Examples include the ability to assess statistical relevance with respect to underlying biomolecular mechanisms, the ability to generate plausible causative hypotheses and/or confirmation where possible, the ability to computationally study potential clinical trial designs and/or results, as well as the further provision of advanced features incorporated in innovative methods, such as machine learning. In summary, molecular data expansion provides an elegant way to extend mechanistic modeling, systems pharmacology, and patient-centered approaches for the assessment of drug safety. We anticipate that such advances in real-world data informatics and outcome analytics will help to better inform public health, via the improved ability to prospectively understand and predict various types of drug-induced molecular perturbations and adverse events. | 541 MOLECULAR KNOWLEDGE FOR ADVANCED DRUG SAFETY (inter-)national regulatory authorities worldwide. Major instances of such safety data collections include: • The Sentinel Initiative of the US Food and Drug Administration (FDA), 2,3 • The FDA Adverse Event Reporting System (FAERS; formerly AERS), maintained by the FDA, 4 • The Vaccine Adverse Event Reporting System (VAERS), maintained by the FDA, co-managed by the Centers for Disease Control and Prevention, 5 • The European database of suspected adverse drug reaction reports (EudraVigilance), maintained by the European Medicines Agency (EMA), 6 and • VigiBase -the global database of individual case safety reports (ICSRs), maintained by the World Health Organization's (WHO) Uppsala Monitoring Center (UMC). 7How to cite this article: Soldatos TG, Kim S, Schmidt S, Lesko LJ, Jackson DB. Advancing drug safety science by integrating molecular knowledge with post-marketing adverse event reports. CPT