Reported Reactions

Drugs › Kinase inhibitor

Brand name · Cabozantinib

Cometriq: adverse event reports filed with FDA

2,578 reports list it as a suspect or interacting product, 2013–2026. Class: Kinase inhibitor. Also reported as Cometriq Capsule.

2,578
reports as suspect product
0% of all reports · about 191 a year
42
reports, 12 months to June 2026
55 in the 12 months before
37.5%
marked serious by the reporter
70.8% across the class
12.8%
record death among outcomes, as reported
329 reports · not verified by FDA

Between January 2013 and June 2026, 2,578 adverse event reports received by FDA list the brand name Cometriq (cabozantinib) as a suspect or interacting product. Reports that mention it only as a concomitant medication (15) are left out of every figure here.

In the 12 months to June 2026, 42 reports listed it, down 24% from 55 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 191 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.

The MedDRA terms listed most often are off label use (34.7%), diarrhoea (26.4%) and fatigue (20.1%). A report can list several reactions, so shares add to more than 100%; 452 different terms appear across these reports. Off label use is recorded in 34.7% of these reports, a larger share than in the median kinase inhibitor drug (4.1%).

37.5% of the reports are marked serious by the reporter (70.8% across the class); 12.8% record death among the outcomes and 18.7% record hospitalisation, as reported. 69.4% of the reports came from consumers, and the largest patient age group is 45 to 64 (21.5%). 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

04386Jul 2021: 1Aug 2021: 3Sep 2021: 0Oct 2021: 2Nov 2021: 2Dec 2021: 22022Jan 2022: 0Feb 2022: 86Mar 2022: 2Apr 2022: 0May 2022: 0Jun 2022: 1Jul 2022: 1Aug 2022: 2Sep 2022: 0Oct 2022: 1Nov 2022: 1Dec 2022: 22023Jan 2023: 0Feb 2023: 47Mar 2023: 2Apr 2023: 2May 2023: 2Jun 2023: 1Jul 2023: 0Aug 2023: 1Sep 2023: 0Oct 2023: 0Nov 2023: 0Dec 2023: 12024Jan 2024: 0Feb 2024: 53Mar 2024: 0Apr 2024: 5May 2024: 0Jun 2024: 0Jul 2024: 2Aug 2024: 1Sep 2024: 0Oct 2024: 1Nov 2024: 3Dec 2024: 02025Jan 2025: 2Feb 2025: 43Mar 2025: 0Apr 2025: 2May 2025: 0Jun 2025: 1Jul 2025: 0Aug 2025: 3Sep 2025: 1Oct 2025: 1Nov 2025: 0Dec 2025: 22026Jan 2026: 1Feb 2026: 33Mar 2026: 0Apr 2026: 0May 2026: 0Jun 2026: 1

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

02404802013: 34420132014: 2602015: 21520152016: 1362017: 48020172018: 4342019: 18820192020: 932021: 12120212022: 962023: 5620232024: 652025: 5520252026: 35

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Cometriq reports recording the termmedian drug in kinase inhibitor

  1. Off label useused for a purpose or in a way not on the label34.7%894
  2. Diarrhoealoose or frequent stools26.4%680
  3. Fatiguetiredness20.1%518
  4. Nauseafeeling sick13.5%347
  5. Decreased appetitereduced appetite11.1%285
  6. Stomatitissore mouth9%232
  7. Weight decreasedweight loss8.7%224
  8. Pain in extremitypain in an arm or leg7.8%202
  9. Astheniaweakness or lack of energy7.5%193
  10. Blistera blister6.9%178
  11. Vomitingbeing sick6.5%167
  12. Deaththe patient died; cause not stated by this term6.1%158
  13. Oral pain5.8%149
  14. Constipationconstipation5.1%132
  15. Dysphoniaa hoarse voice5.1%131
  16. Rashskin rash5.1%131
  17. Dysgeusiaaltered taste5%128
  18. Blood pressure increaseda raised blood pressure reading4.9%127
  19. Painpain, site not specified4.9%126
  20. Malaisegeneral feeling of being unwell4.8%125
  21. Dizzinesslight-headedness or unsteadiness4.5%116
  22. Dry mouthdry mouth4.4%113
  23. Dehydrationdehydration3.8%97
  24. Hypertensionhigh blood pressure3.8%97
  25. Oropharyngeal painsore throat3.6%94
  26. Dry skindry skin3.4%88
  27. Headachehead pain3.4%88
  28. Dyspnoeashortness of breath3.4%87

Top 30 of 452 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

Death12.8%329
Life-threatening0.5%14
Hospitalisation (initial or prolonged)18.7%481
Disability0.3%9
Congenital anomaly0%0
Other serious13.7%352
Not serious62.5%1,611

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 110.2%5
12 to 170.5%14
18 to 446.4%166
45 to 6421.5%554
65 to 7413.3%343
75 and over6.8%176
Age not given51.2%1,320

Patient sex

Female38%980
Male59.6%1,537
Not given2.4%61

Who reported

Physician9.9%256
Pharmacist2.1%54
Other health professional11.9%308
Lawyer0%0
Consumer or non-health professional69.4%1,789
Not given6.6%171

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 93.8% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Thyroid cancer1,01139.2%
Renal cancer34813.5%
Prostate cancer1365.3%
Medullary thyroid cancer1274.9%
Lung neoplasm malignant783%
Thyroid cancer metastatic230.9%

The indication field is filled in by the reporter and is often blank; shares are of all 2,578 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Cometriq reports
Levothyroxine34413.3%
Synthroid25710%
Aspirin1546%
Oxycodone1525.9%
Amlodipine1505.8%
Lisinopril1505.8%
Gabapentin1455.6%
Omeprazole1445.6%
Vitamin d1445.6%
Calcium1415.5%

Other products listed in reports where Cometriq 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

MeasureCometriqKinase inhibitorAll reports
Reports as suspect product2,578849,16120,646,523
Share of that pool—0.3%0%
Reports, latest 12 months42—1,332,454
Marked serious37.5%70.8%57.4%
Death recorded among outcomes, per 1,000 reports12819091
Hospitalisation recorded, per 1,000 reports187264213
Consumer-filed share69.4%42.3%45.8%
Top term, share of reportsOff label use 34.7%median 4.1%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 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 Cometriq reports

How many adverse event reports has FDA received for Cometriq?

2,578 reports list Cometriq as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 42 of them arrived in the latest 12 months. Another 15 list it only as a concomitant medication.

What reactions are recorded in Cometriq reports?

off label use (34.7%), diarrhoea (26.4%), fatigue (20.1%), nausea (13.5%) and decreased appetite (11.1%). 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 Cometriq was responsible.

How serious are the reports?

37.5% are marked serious by the reporter. Among the outcomes recorded, 12.8% of reports include death and 18.7% 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?

consumer or non-health professional (69.4%), other health professional (11.9%) and physician (9.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Cometriq rising?

42 reports in the 12 months to June 2026, down 24% from 55 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 Cometriq 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 Cometriq?

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 Cometriq as a suspect or interacting product; reports listing it only as a concomitant medication (15) 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.