Reported Reactions

Drugs › Kinase inhibitor

Generic name

Afatinib: adverse event reports filed with FDA

872 reports list it as a suspect or interacting product, 2012–2026. Class: Kinase inhibitor.

872
reports as suspect product
0% of all reports · about 63 a year
97
reports, 12 months to June 2026
63 in the 12 months before
98.2%
marked serious by the reporter
70.8% across the class
24.4%
record death among outcomes, as reported
213 reports · not verified by FDA

Between October 2012 and June 2026, 872 adverse event reports received by FDA list afatinib, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (306) are left out of every figure here.

In the 12 months to June 2026, 97 reports listed it, up 54% from 63 in 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 63 reports a year and 0% of the 20,646,523 reports in the database, and 0.1% of the reports for the kinase inhibitor class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded diarrhoea (28.4%), malignant neoplasm progression (25%) and rash (9.9%). A report can list several reactions, so shares add to more than 100%; 204 different terms appear across these reports. Diarrhoea is recorded in 28.4% of these reports, a larger share than in the median kinase inhibitor drug (6.9%).

98.2% of the reports are marked serious by the reporter (70.8% across the class); 24.4% record death among the outcomes and 36.8% record hospitalisation, as reported. 50.5% of the reports came from physicians, and the largest patient age group is 45 to 64 (36.7%). 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

0815Jul 2021: 6Aug 2021: 4Sep 2021: 2Oct 2021: 2Nov 2021: 3Dec 2021: 42022Jan 2022: 11Feb 2022: 14Mar 2022: 5Apr 2022: 3May 2022: 8Jun 2022: 10Jul 2022: 7Aug 2022: 4Sep 2022: 12Oct 2022: 11Nov 2022: 8Dec 2022: 132023Jan 2023: 6Feb 2023: 9Mar 2023: 9Apr 2023: 9May 2023: 8Jun 2023: 8Jul 2023: 10Aug 2023: 6Sep 2023: 6Oct 2023: 4Nov 2023: 3Dec 2023: 122024Jan 2024: 11Feb 2024: 9Mar 2024: 3Apr 2024: 2May 2024: 10Jun 2024: 5Jul 2024: 12Aug 2024: 4Sep 2024: 4Oct 2024: 1Nov 2024: 7Dec 2024: 52025Jan 2025: 3Feb 2025: 4Mar 2025: 5Apr 2025: 11May 2025: 4Jun 2025: 3Jul 2025: 6Aug 2025: 9Sep 2025: 14Oct 2025: 12Nov 2025: 3Dec 2025: 22026Jan 2026: 3Feb 2026: 13Mar 2026: 5Apr 2026: 15May 2026: 8Jun 2026: 7

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

0531062012: 420122013: 232014: 6920142015: 462016: 8120162017: 652018: 6620182019: 582020: 2920202021: 352022: 10620222023: 902024: 7320242025: 762026: 512026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Afatinib reports recording the termmedian drug in kinase inhibitor

  1. Diarrhoealoose or frequent stools28.4%248
  2. Rashskin rash9.9%86
  3. Disease progressionthe disease advanced7.9%69
  4. Nauseafeeling sick7.8%68
  5. Drug ineffectivethe medicine did not work as expected6.8%59
  6. Vomitingbeing sick6.7%58
  7. Deaththe patient died; cause not stated by this term6.1%53
  8. Decreased appetitereduced appetite5.8%51
  9. Fatiguetiredness5.4%47
  10. Anaemialow red blood cells4.7%41
  11. Paronychia4.2%37
  12. Dyspnoeashortness of breath3.8%33
  13. Pleural effusionfluid around the lung3.8%33
  14. Pyrexiafever3.7%32
  15. Off label useused for a purpose or in a way not on the label3.6%31
  16. Dehydrationdehydration3.3%29
  17. Stomatitissore mouth3.1%27
  18. Blood creatinine increasedraised creatinine, a kidney test3%26
  19. Thrombocytopenialow platelets2.6%23
  20. Abdominal painstomach or belly pain2.4%21
  21. Hypokalaemialow blood potassium2.4%21
  22. Neutropenialow neutrophils, a type of white blood cell2.4%21
  23. Pneumonialung infection2.3%20
  24. Acute kidney injurysudden loss of kidney function2.1%18

Top 30 of 204 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 100 drugs in the kinase 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

Death24.4%213
Life-threatening4.6%40
Hospitalisation (initial or prolonged)36.8%321
Disability0.7%6
Congenital anomaly0.1%1
Other serious66.3%578
Not serious1.8%16

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 849,161 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%0
2 to 110.7%6
12 to 170.9%8
18 to 447.1%62
45 to 6436.7%320
65 to 7422%192
75 and over9.5%83
Age not given23.1%201

Patient sex

Female48.5%423
Male34.4%300
Not given17.1%149

Who reported

Physician50.5%440
Pharmacist1.4%12
Other health professional41.6%363
Lawyer0%0
Consumer or non-health professional5.6%49
Not given0.9%8

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 15.8% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Non-small cell lung cancer26530.4%
Lung adenocarcinoma10912.5%
Egfr gene mutation475.4%
Lung adenocarcinoma stage iv455.2%
Lung neoplasm malignant182.1%
Squamous cell carcinoma of head and neck151.7%

The indication field is filled in by the reporter and is often blank; shares are of all 872 reports.

In context

MeasureAfatinibKinase inhibitorAll reports
Reports as suspect product872849,16120,646,523
Share of that pool—0.1%0%
Reports, latest 12 months97—1,332,454
Marked serious98.2%70.8%57.4%
Death recorded among outcomes, per 1,000 reports24419091
Hospitalisation recorded, per 1,000 reports368264213
Consumer-filed share5.6%42.3%45.8%
Top term, share of reportsDiarrhoea 28.4%median 6.9%3.1%

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 kinase inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Ibrancebrand81,9122,38047.1%
Imbruvicabrand67,0392,28374.4%
Cabometyxbrand41,8184,90440.4%
Sutentbrand33,21517574.5%
Afinitorbrand30,70616171.3%
Sprycelbrand27,25555749.7%
Tasignabrand24,91132870.9%
Kisqalibrand24,6033,41379.2%
Ofevbrand23,9072,43466.9%
Gleevecbrand23,1328174.7%
Tagrissobrand23,0851,41092.3%
Lenvimabrand22,3502,64387.3%
Votrientbrand22,08411960.9%
Mekinistbrand17,07091664%
Inlytabrand15,69638860.9%

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 Afatinib reports

How many adverse event reports has FDA received for Afatinib?

872 reports list Afatinib as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 97 of them arrived in the latest 12 months. Another 306 list it only as a concomitant medication.

What reactions are recorded in Afatinib reports?

diarrhoea (28.4%), malignant neoplasm progression (25%), rash (9.9%), disease progression (7.9%) and nausea (7.8%). 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 Afatinib was responsible.

How serious are the reports?

98.2% are marked serious by the reporter. Among the outcomes recorded, 24.4% of reports include death and 36.8% 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?

physician (50.5%), other health professional (41.6%) and consumer or non-health professional (5.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Afatinib rising?

97 reports in the 12 months to June 2026, up 54% from 63 in 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 Afatinib 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 Afatinib?

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 Afatinib as a suspect or interacting product; reports listing it only as a concomitant medication (306) 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.