Reported Reactions

Drugs › Microtubule inhibitor

Brand name · Paclitaxel

Abraxane: adverse event reports filed with FDA

15,105 reports list it as a suspect or interacting product, 2005–2026. Class: Microtubule inhibitor. Also reported as Abraxane /01116001/, Abraxane /01116004/.

15,105
reports as suspect product
0.1% of all reports · about 711 a year
483
reports, 12 months to June 2026
533 in the 12 months before
93.8%
marked serious by the reporter
88.7% across the class
29.5%
record death among outcomes, as reported
4,449 reports · not verified by FDA

Between April 2005 and June 2026, 15,105 adverse event reports received by FDA list the brand name Abraxane (paclitaxel) as a suspect or interacting product. Reports that mention it only as a concomitant medication (1,873) are left out of every figure here.

In the 12 months to June 2026, 483 reports listed it, close to the 533 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 711 reports a year and 0.1% of the 20,646,523 reports in the database, and 10.3% of the reports for the microtubule inhibitor class. How many people take it is not in the data, so a count is not a rate of occurrence.

The MedDRA terms listed most often are death (13.6%), neutropenia (5.8%) and anaemia (5.2%). A report can list several reactions, so shares add to more than 100%; 1,138 different terms appear across these reports. Death is recorded in 13.6% of these reports, a larger share than in the median microtubule inhibitor drug (2.3%).

93.8% of the reports are marked serious by the reporter (88.7% across the class); 29.5% record death among the outcomes and 45% record hospitalisation, as reported. 40.8% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (30.9%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

062123Jul 2021: 98Aug 2021: 103Sep 2021: 85Oct 2021: 76Nov 2021: 105Dec 2021: 772022Jan 2022: 63Feb 2022: 61Mar 2022: 60Apr 2022: 44May 2022: 65Jun 2022: 70Jul 2022: 49Aug 2022: 63Sep 2022: 60Oct 2022: 61Nov 2022: 80Dec 2022: 622023Jan 2023: 34Feb 2023: 49Mar 2023: 63Apr 2023: 42May 2023: 123Jun 2023: 57Jul 2023: 46Aug 2023: 38Sep 2023: 35Oct 2023: 62Nov 2023: 53Dec 2023: 482024Jan 2024: 48Feb 2024: 39Mar 2024: 54Apr 2024: 49May 2024: 67Jun 2024: 57Jul 2024: 67Aug 2024: 30Sep 2024: 46Oct 2024: 42Nov 2024: 54Dec 2024: 472025Jan 2025: 63Feb 2025: 42Mar 2025: 50Apr 2025: 32May 2025: 24Jun 2025: 36Jul 2025: 50Aug 2025: 30Sep 2025: 41Oct 2025: 59Nov 2025: 28Dec 2025: 312026Jan 2026: 29Feb 2026: 39Mar 2026: 44Apr 2026: 54May 2026: 48Jun 2026: 30

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

08441,6872005: 1820052006: 542007: 722008: 10420082009: 1042010: 1472011: 28820112012: 3262013: 4542014: 78920142015: 1,4632016: 1,4732017: 1,19920172018: 1,5652019: 1,6872020: 1,41720202021: 1,2272022: 7382023: 65020232024: 6002025: 4862026: 2442026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Abraxane reports recording the termmedian drug in microtubule inhibitor

  1. Deaththe patient died; cause not stated by this term13.6%2,052
  2. Neutropenialow neutrophils, a type of white blood cell5.8%883
  3. Anaemialow red blood cells5.2%793
  4. Diarrhoealoose or frequent stools5.2%782
  5. Nauseafeeling sick5.1%769
  6. Pyrexiafever4.6%694
  7. Fatiguetiredness4.5%678
  8. Thrombocytopenialow platelets4.5%676
  9. Vomitingbeing sick4.2%627
  10. Off label useused for a purpose or in a way not on the label4%610
  11. Febrile neutropeniafever with low white blood cells4%605
  12. Neuropathy peripheralnerve damage in hands or feet3.9%586
  13. Pneumonialung infection3.1%462
  14. Sepsisa severe body-wide response to infection3%449
  15. Leukopenialow white blood cells2.9%436
  16. Dyspnoeashortness of breath2.8%430
  17. Decreased appetitereduced appetite2.6%394
  18. Abdominal painstomach or belly pain2.5%372
  19. Astheniaweakness or lack of energy2.4%366
  20. Alopeciahair loss2.3%340
  21. Dehydrationdehydration2.2%329
  22. Disease progressionthe disease advanced2.1%313
  23. Interstitial lung diseasescarring or inflammation of lung tissue2%300
  24. White blood cell count decreasedlow white cell count1.9%291
  25. General physical health deteriorationgeneral decline in health1.8%270
  26. Pancreatic carcinoma metastatic1.7%262
  27. Painpain, site not specified1.7%258

Top 30 of 1,138 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 4 drugs in the microtubule inhibitor class; it describes the reports, not the patients. 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."

Outcomes recorded

Death29.5%4,449
Life-threatening6.9%1,036
Hospitalisation (initial or prolonged)45%6,800
Disability2%304
Congenital anomaly0.1%12
Other serious40.8%6,164
Not serious6.2%942

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 147,067 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20%4
2 to 110.1%10
12 to 170.1%8
18 to 444.6%690
45 to 6430.9%4,670
65 to 7426.8%4,048
75 and over12.7%1,922
Age not given24.8%3,753

Patient sex

Female47.7%7,200
Male42.5%6,416
Not given9.9%1,489

Who reported

Physician40.5%6,116
Pharmacist5.9%885
Other health professional40.8%6,166
Lawyer0%3
Consumer or non-health professional11.5%1,733
Not given1.3%202

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 38.4% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Pancreatic carcinoma2,60817.3%
Pancreatic carcinoma metastatic1,88112.5%
Breast cancer1,1107.3%
Non-small cell lung cancer9296.2%
Breast cancer metastatic8355.5%
Adenocarcinoma pancreas5433.6%

The indication field is filled in by the reporter and is often blank; shares are of all 15,105 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Abraxane reports
Gemcitabine3,82525.3%
Carboplatin2,38615.8%
Gemcitabine hydrochloride1,0416.9%
Dexamethasone1,0146.7%
Ondansetron8405.6%
Durvalumab6864.5%
Pantoprazole5593.7%
Acetaminophen5443.6%
Aspirin4903.2%
Omeprazole4863.2%

Other products listed in reports where Abraxane is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureAbraxaneMicrotubule inhibitorAll reports
Reports as suspect product15,105147,06720,646,523
Share of that pool—10.3%0.1%
Reports, latest 12 months483—1,332,454
Marked serious93.8%88.7%57.4%
Death recorded among outcomes, per 1,000 reports29514791
Hospitalisation recorded, per 1,000 reports450374213
Consumer-filed share11.5%8.6%45.8%
Top term, share of reportsDeath 13.6%median 2.3%4.1%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. 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."

Other drugs in the microtubule inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Paclitaxelgeneric69,3958,41797.4%
Docetaxelgeneric59,4113,17376.9%
Halavenbrand3,1566693.1%

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." A brand and its generic are separate rows because reporters name them separately.

Questions about Abraxane reports

How many adverse event reports has FDA received for Abraxane?

15,105 reports list Abraxane as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 483 of them arrived in the latest 12 months. Another 1,873 list it only as a concomitant medication.

What reactions are recorded in Abraxane reports?

death (13.6%), neutropenia (5.8%), anaemia (5.2%), diarrhoea (5.2%) and nausea (5.1%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Abraxane was responsible.

How serious are the reports?

93.8% are marked serious by the reporter. Among the outcomes recorded, 29.5% of reports include death and 45% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

other health professional (40.8%), physician (40.5%) and consumer or non-health professional (11.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Abraxane rising?

483 reports in the 12 months to June 2026, close to the 533 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Abraxane was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Abraxane?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. 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 report counts here when it lists Abraxane as a suspect or interacting product; reports listing it only as a concomitant medication (1,873) are excluded. 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.