Reported Reactions

Drugs › Kinase inhibitor

Generic name

Cabozantinib: adverse event reports filed with FDA

2,790 reports list it as a suspect or interacting product, 2013–2026. Class: Kinase inhibitor.

2,790
reports as suspect product
0% of all reports · about 207 a year
139
reports, 12 months to June 2026
201 in the 12 months before
95.4%
marked serious by the reporter
70.8% across the class
20.6%
record death among outcomes, as reported
574 reports · not verified by FDA

Between January 2013 and June 2026, 2,790 adverse event reports received by FDA list cabozantinib, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (333) are left out of every figure here.

In the 12 months to June 2026, 139 reports listed it, down 31% from 201 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 207 reports a year and 0% of the 20,646,523 reports in the database, and 0.3% 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 (13.5%), fatigue (8.4%) and malignant neoplasm progression (8.3%). A report can list several reactions, so shares add to more than 100%; 542 different terms appear across these reports. Diarrhoea is recorded in 13.5% of these reports, a larger share than in the median kinase inhibitor drug (6.9%).

95.4% of the reports are marked serious by the reporter (70.8% across the class); 20.6% record death among the outcomes and 67% record hospitalisation, as reported. 64% of the reports came from physicians, and the largest patient age group is 45 to 64 (29%). 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

03060Jul 2021: 45Aug 2021: 38Sep 2021: 36Oct 2021: 55Nov 2021: 60Dec 2021: 512022Jan 2022: 27Feb 2022: 36Mar 2022: 45Apr 2022: 57May 2022: 50Jun 2022: 48Jul 2022: 47Aug 2022: 35Sep 2022: 38Oct 2022: 38Nov 2022: 43Dec 2022: 402023Jan 2023: 36Feb 2023: 30Mar 2023: 34Apr 2023: 31May 2023: 45Jun 2023: 42Jul 2023: 33Aug 2023: 30Sep 2023: 39Oct 2023: 38Nov 2023: 19Dec 2023: 142024Jan 2024: 7Feb 2024: 12Mar 2024: 15Apr 2024: 18May 2024: 12Jun 2024: 14Jul 2024: 19Aug 2024: 12Sep 2024: 6Oct 2024: 25Nov 2024: 12Dec 2024: 102025Jan 2025: 20Feb 2025: 37Mar 2025: 15Apr 2025: 23May 2025: 10Jun 2025: 12Jul 2025: 15Aug 2025: 10Sep 2025: 8Oct 2025: 6Nov 2025: 11Dec 2025: 192026Jan 2026: 9Feb 2026: 7Mar 2026: 12Apr 2026: 4May 2026: 13Jun 2026: 25

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

02525042013: 1620132014: 1042015: 8520152016: 92017: 3020172018: 1762019: 29820192020: 3032021: 45620212022: 5042023: 39120232024: 1622025: 18620252026: 70

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Cabozantinib reports recording the termmedian drug in kinase inhibitor

  1. Diarrhoealoose or frequent stools13.5%376
  2. Fatiguetiredness8.4%233
  3. Off label useused for a purpose or in a way not on the label7.6%211
  4. Nauseafeeling sick6.7%186
  5. Decreased appetitereduced appetite6.3%175
  6. Hypertensionhigh blood pressure5.5%153
  7. Astheniaweakness or lack of energy5.1%141
  8. Vomitingbeing sick4.9%136
  9. Deaththe patient died; cause not stated by this term4.8%133
  10. Stomatitissore mouth4.4%123
  11. General physical health deteriorationgeneral decline in health3.8%107
  12. Weight decreasedweight loss3.7%104
  13. Pyrexiafever3.7%103
  14. Dyspnoeashortness of breath3.6%101
  15. Pulmonary embolisma blood clot in the lung3.5%99
  16. Anaemialow red blood cells3.5%97
  17. Drug ineffectivethe medicine did not work as expected3.3%93
  18. Abdominal painstomach or belly pain3.1%87
  19. Pneumonialung infection3%84
  20. Alanine aminotransferase increasedraised liver enzyme (ALT)3%83
  21. Hypothyroidismunderactive thyroid2.9%82
  22. Sepsisa severe body-wide response to infection2.9%80
  23. Disease progressionthe disease advanced2.8%77
  24. Aspartate aminotransferase increasedraised liver enzyme (AST)2.7%74
  25. Acute kidney injurysudden loss of kidney function2.6%73
  26. Dehydrationdehydration2.4%66
  27. Hyponatraemialow blood sodium2.3%65

Top 30 of 542 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

Death20.6%574
Life-threatening8.5%237
Hospitalisation (initial or prolonged)67%1,870
Disability2.1%59
Congenital anomaly0%0
Other serious49.7%1,387
Not serious4.6%128

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%1
2 to 110.4%11
12 to 170.3%8
18 to 445.3%149
45 to 6429%810
65 to 7423.1%644
75 and over10.2%284
Age not given31.6%883

Patient sex

Female21.5%600
Male52.1%1,453
Not given26.4%737

Who reported

Physician64%1,785
Pharmacist1.4%40
Other health professional27.8%775
Lawyer0%0
Consumer or non-health professional5.9%166
Not given0.9%24

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 38.1% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Renal cell carcinoma94533.9%
Metastatic renal cell carcinoma27810%
Hepatocellular carcinoma1635.8%
Hormone-refractory prostate cancer1114%
Clear cell renal cell carcinoma692.5%
Renal cancer582.1%

The indication field is filled in by the reporter and is often blank; shares are of all 2,790 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Cabozantinib reports
Nivolumab96334.5%
Atezolizumab50918.2%
Ipilimumab41714.9%
Levothyroxine1906.8%
Acetaminophen1746.2%
Omeprazole1655.9%
Aspirin1525.4%
Amlodipine1374.9%
Prednisone1344.8%
Levothyroxine sodium1103.9%

Other products listed in reports where Cabozantinib 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

MeasureCabozantinibKinase inhibitorAll reports
Reports as suspect product2,790849,16120,646,523
Share of that pool—0.3%0%
Reports, latest 12 months139—1,332,454
Marked serious95.4%70.8%57.4%
Death recorded among outcomes, per 1,000 reports20619091
Hospitalisation recorded, per 1,000 reports670264213
Consumer-filed share5.9%42.3%45.8%
Top term, share of reportsDiarrhoea 13.5%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 Cabozantinib reports

How many adverse event reports has FDA received for Cabozantinib?

2,790 reports list Cabozantinib as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 139 of them arrived in the latest 12 months. Another 333 list it only as a concomitant medication.

What reactions are recorded in Cabozantinib reports?

diarrhoea (13.5%), fatigue (8.4%), malignant neoplasm progression (8.3%), off label use (7.6%) and nausea (6.7%). 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 Cabozantinib was responsible.

How serious are the reports?

95.4% are marked serious by the reporter. Among the outcomes recorded, 20.6% of reports include death and 67% 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 (64%), other health professional (27.8%) and consumer or non-health professional (5.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Cabozantinib rising?

139 reports in the 12 months to June 2026, down 31% from 201 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 Cabozantinib 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 Cabozantinib?

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 Cabozantinib as a suspect or interacting product; reports listing it only as a concomitant medication (333) 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.