Reported Reactions

Drug classes

Pharmacologic class (EPC) · 2 drug pages

Nuclear export inhibitor: adverse event reports filed with FDA

8,145 reports list a drug in this class as a suspect or interacting product, 2015–2026.

8,145
reports across the class
0% of all reports
947
reports, 12 months to June 2026
999 in the 12 months before
54.3%
marked serious by the reporter
57.4% across all reports
2
drugs with a page
brand and generic names counted separately

Nuclear export inhibitor is a pharmacologic class (an FDA Established Pharmacologic Class) with 2 drug pages on this site. Together those drugs are listed as a suspect or interacting product in 8,145 adverse event reports received by FDA, 0% of the database, from January 2015 to June 2026.

947 reports arrived in the 12 months to June 2026, close to the 999 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. 54.3% of the class's reports are marked serious, 17% record death among the outcomes and 31.1% record hospitalisation, as reported.

Across the class the reactions recorded most often are nausea (31.2%), fatigue (23.7%) and decreased appetite (16.7%). The class median share shown beside each term is the middle value across the member drugs; it is the comparison used on every drug page in this class.

The members table is ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Drugs in the class

DrugName typeReportsLatest 12 monthsMarked seriousTop term recorded
XpovioSelinexorbrand4,5282742.5%Nausea
Selinexorgeneric3,61792069.1%Nausea

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Reports by month, five years

093186Jul 2021: 186Aug 2021: 60Sep 2021: 73Oct 2021: 112Nov 2021: 71Dec 2021: 1702022Jan 2022: 95Feb 2022: 94Mar 2022: 120Apr 2022: 99May 2022: 74Jun 2022: 118Jul 2022: 82Aug 2022: 87Sep 2022: 116Oct 2022: 86Nov 2022: 107Dec 2022: 862023Jan 2023: 94Feb 2023: 99Mar 2023: 126Apr 2023: 165May 2023: 139Jun 2023: 112Jul 2023: 116Aug 2023: 64Sep 2023: 63Oct 2023: 61Nov 2023: 70Dec 2023: 572024Jan 2024: 80Feb 2024: 120Mar 2024: 119Apr 2024: 79May 2024: 57Jun 2024: 67Jul 2024: 69Aug 2024: 77Sep 2024: 127Oct 2024: 75Nov 2024: 130Dec 2024: 972025Jan 2025: 57Feb 2025: 61Mar 2025: 95Apr 2025: 71May 2025: 85Jun 2025: 55Jul 2025: 101Aug 2025: 87Sep 2025: 92Oct 2025: 81Nov 2025: 77Dec 2025: 752026Jan 2026: 71Feb 2026: 61Mar 2026: 89Apr 2026: 84May 2026: 89Jun 2026: 40

FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

Reactions recorded across the class

share of class reports recording the termmedian drug in the class

  1. Nauseafeeling sick31.2%2,544
  2. Fatiguetiredness23.7%1,930
  3. Decreased appetitereduced appetite16.7%1,359
  4. Diarrhoealoose or frequent stools15.8%1,289
  5. Vomitingbeing sick11.4%925
  6. Astheniaweakness or lack of energy10.3%839
  7. Deaththe patient died; cause not stated by this term10%818
  8. Thrombocytopenialow platelets9%736
  9. Platelet count decreasedlow platelet count8.1%663
  10. Weight decreasedweight loss7.8%634
  11. Off label useused for a purpose or in a way not on the label6.1%493
  12. Dizzinesslight-headedness or unsteadiness5.5%449
  13. Pneumonialung infection5.5%449
  14. Anaemialow red blood cells5.4%442
  15. Constipationconstipation5.3%432
  16. Drug ineffectivethe medicine did not work as expected4.9%399
  17. White blood cell count decreasedlow white cell count3.7%304
  18. Dyspnoeashortness of breath3.5%289
  19. Falla fall3.5%282
  20. Dehydrationdehydration3.4%275
  21. Pyrexiafever3%242
  22. Product dose omission issuea dose was missed2.9%240
  23. Headachehead pain2.8%229
  24. Confusional stateconfusion2.8%228

Solid bar: share of all class reports. Hollow bar: the median share across the 2 member drugs, the reference used on each member's page. One report can record several terms.

Outcomes, patients and reporters

Outcomes recorded

Death17%1,385
Life-threatening2%159
Hospitalisation (initial or prolonged)31.1%2,535
Disability0.5%39
Congenital anomaly0%0
Other serious18.2%1,482
Not serious45.7%3,723

Patient age

Under 20%3
2 to 110.2%19
12 to 170.1%6
18 to 441.5%120
45 to 6412%979
65 to 749.8%798
75 and over6.1%497
Age not given70.3%5,723

Who reported

Physician27.2%2,217
Pharmacist1.6%134
Other health professional14.7%1,194
Lawyer0%0
Consumer or non-health professional55.8%4,542
Not given0.7%58

Grey bar: all 20,646,523 reports in the database. Outcome flags are as the reporter set them and are not verified by FDA.

Questions about Nuclear export inhibitor reports

Which drugs are in the Nuclear export inhibitor class on this site?

Xpovio and Selinexor. Class membership comes from the pharmacologic class (EPC) on the drug's FDA label.

How many reports does the class have?

8,145 reports through June 2026, 947 of them in the latest 12 months. A report listing two drugs of the class counts once for each.

What reactions are recorded most often?

nausea (31.2%), fatigue (23.7%), decreased appetite (16.7%), diarrhoea (15.8%) and plasma cell myeloma (13.9%).

Can the members table be used to rank the drugs?

No. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." Drugs differ in how many people take them, in the conditions they treat, in time on the market and in how diligently reports are collected.

How do I report an adverse event?

Through FDA MedWatch (Form FDA 3500, or 1-800-FDA-1088) or to the manufacturer. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A class is the Established Pharmacologic Class most often attached to a drug's reports by openFDA's label harmonisation, or from the NDC Directory where reports carry none. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.