Reported Reactions

Drugs › Alkylating drug

Generic name

Dacarbazine: adverse event reports filed with FDA

6,431 reports list it as a suspect or interacting product, 2004–2026. Class: Alkylating drug. Also reported as Dacarbazine Injection, Dacarbazine /00372802/.

6,431
reports as suspect product
0% of all reports · about 286 a year
511
reports, 12 months to June 2026
681 in the 12 months before
96.3%
marked serious by the reporter
93.5% across the class
17.1%
record death among outcomes, as reported
1,102 reports · not verified by FDA

Between January 2004 and June 2026, 6,431 adverse event reports received by FDA list dacarbazine, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (1,085) are left out of every figure here.

In the 12 months to June 2026, 511 reports listed it, down 25% from 681 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 286 reports a year and 0% of the 20,646,523 reports in the database, and 2.5% of the reports for the alkylating drug 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 febrile neutropenia (9.4%), off label use (8%) and neutropenia (7%). A report can list several reactions, so shares add to more than 100%; 1,000 different terms appear across these reports. Febrile neutropenia is recorded in 9.4% of these reports, a larger share than in the median alkylating drug drug (4.9%).

96.3% of the reports are marked serious by the reporter (93.5% across the class); 17.1% record death among the outcomes and 37.8% record hospitalisation, as reported. 46.4% of the reports came from physicians, and the largest patient age group is 18 to 44 (27.5%). 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

062123Jul 2021: 43Aug 2021: 23Sep 2021: 60Oct 2021: 35Nov 2021: 29Dec 2021: 372022Jan 2022: 30Feb 2022: 25Mar 2022: 52Apr 2022: 43May 2022: 72Jun 2022: 49Jul 2022: 35Aug 2022: 21Sep 2022: 29Oct 2022: 22Nov 2022: 38Dec 2022: 222023Jan 2023: 37Feb 2023: 53Mar 2023: 55Apr 2023: 29May 2023: 19Jun 2023: 47Jul 2023: 31Aug 2023: 65Sep 2023: 21Oct 2023: 17Nov 2023: 30Dec 2023: 352024Jan 2024: 37Feb 2024: 30Mar 2024: 34Apr 2024: 27May 2024: 48Jun 2024: 52Jul 2024: 123Aug 2024: 75Sep 2024: 108Oct 2024: 58Nov 2024: 52Dec 2024: 592025Jan 2025: 60Feb 2025: 32Mar 2025: 24Apr 2025: 30May 2025: 33Jun 2025: 27Jul 2025: 49Aug 2025: 29Sep 2025: 44Oct 2025: 46Nov 2025: 35Dec 2025: 392026Jan 2026: 47Feb 2026: 29Mar 2026: 52Apr 2026: 37May 2026: 38Jun 2026: 66

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

03527032004: 2420042005: 812006: 1092007: 8520072008: 1062009: 912010: 9120102011: 2182012: 1852013: 15520132014: 1512015: 2382016: 25520162017: 3582018: 4662019: 57920192020: 5252021: 4172022: 43820222023: 4392024: 7032025: 44820252026: 269

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Dacarbazine reports recording the termmedian drug in alkylating drug

  1. Febrile neutropeniafever with low white blood cells9.4%607
  2. Off label useused for a purpose or in a way not on the label8%515
  3. Neutropenialow neutrophils, a type of white blood cell7%451
  4. Pyrexiafever5.1%329
  5. Drug ineffectivethe medicine did not work as expected4.3%279
  6. Disease progressionthe disease advanced4.3%275
  7. Neuropathy peripheralnerve damage in hands or feet4.1%265
  8. Nauseafeeling sick3.7%235
  9. Anaemialow red blood cells3.5%222
  10. Product use in unapproved indicationused for a purpose not on the label3.4%217
  11. Vomitingbeing sick3.3%210
  12. Thrombocytopenialow platelets3%196
  13. Diarrhoealoose or frequent stools3%192
  14. Sepsisa severe body-wide response to infection3%192
  15. Pneumonialung infection2.6%166
  16. Abdominal painstomach or belly pain2.6%165
  17. Fatiguetiredness2.6%165
  18. Hodgkin's disease2.4%154
  19. Dyspnoeashortness of breath2.3%150
  20. Leukopenialow white blood cells1.9%120
  21. Deaththe patient died; cause not stated by this term1.9%119
  22. Respiratory failurethe lungs could not supply enough oxygen1.7%109
  23. Pancytopenialow counts of all blood cells1.7%108
  24. White blood cell count decreasedlow white cell count1.7%107
  25. Infectionan infection, type not specified1.6%103

Top 30 of 1,000 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 23 drugs in the alkylating drug 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

Death17.1%1,102
Life-threatening7.6%488
Hospitalisation (initial or prolonged)37.8%2,433
Disability1.4%92
Congenital anomaly0.5%33
Other serious68.6%4,413
Not serious3.7%240

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 253,205 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 20.8%49
2 to 112.1%134
12 to 172.7%174
18 to 4427.5%1,771
45 to 6419.5%1,251
65 to 749.5%612
75 and over4.7%305
Age not given33.2%2,135

Patient sex

Female34.4%2,213
Male40.7%2,616
Not given24.9%1,602

Who reported

Physician46.4%2,985
Pharmacist3.9%254
Other health professional40.6%2,609
Lawyer0%3
Consumer or non-health professional4.5%289
Not given4.5%291

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 32% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hodgkin's disease3,36552.3%
Hodgkin's disease3355.2%
Malignant melanoma2343.6%
Metastatic malignant melanoma1973.1%
Lymphoma811.3%
Neuroblastoma691.1%

The indication field is filled in by the reporter and is often blank; shares are of all 6,431 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Dacarbazine reports
Vinblastine3,03447.2%
Doxorubicin2,64641.1%
Bleomycin1,95630.4%
Doxorubicin hydrochloride1,87729.2%
Cyclophosphamide1,40021.8%
Etoposide1,39821.7%
Vinblastine sulfate1,05616.4%
Adcetris1,02616%
Brentuximab vedotin97115.1%
Dexamethasone93914.6%

Other products listed in reports where Dacarbazine 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

MeasureDacarbazineAlkylating drugAll reports
Reports as suspect product6,431253,20520,646,523
Share of that pool—2.5%0%
Reports, latest 12 months511—1,332,454
Marked serious96.3%93.5%57.4%
Death recorded among outcomes, per 1,000 reports17120891
Hospitalisation recorded, per 1,000 reports378333213
Consumer-filed share4.5%6.3%45.8%
Top term, share of reportsFebrile neutropenia 9.4%median 4.9%0.3%

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 alkylating drug class

DrugName typeReportsLatest 12 monthsMarked serious
Cyclophosphamidegeneric141,09912,36097.8%
Ifosfamidegeneric18,6581,32598.2%
Melphalangeneric17,19095698.5%
Temozolomidegeneric15,3241,05582.3%
Busulfangeneric11,8251,09594.9%
Thiotepageneric7,8531,03598.8%
Bendamustine hydrochloridegeneric6,94125396%
Temodarbrand4,6522456.1%
Matulanebrand3,84528415.9%
Carmustinegeneric3,37818099%
Treandabrand3,330366.5%
Chlorambucilgeneric2,4867598.5%
Valchlorbrand2,1141628.4%
Mitomycingeneric2,04111792.4%
Lomustinegeneric1,1009294.8%

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 Dacarbazine reports

How many adverse event reports has FDA received for Dacarbazine?

6,431 reports list Dacarbazine as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 511 of them arrived in the latest 12 months. Another 1,085 list it only as a concomitant medication.

What reactions are recorded in Dacarbazine reports?

febrile neutropenia (9.4%), off label use (8%), neutropenia (7%), pyrexia (5.1%) and drug ineffective (4.3%). 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 Dacarbazine was responsible.

How serious are the reports?

96.3% are marked serious by the reporter. Among the outcomes recorded, 17.1% of reports include death and 37.8% 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 (46.4%), other health professional (40.6%) and not given (4.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Dacarbazine rising?

511 reports in the 12 months to June 2026, down 25% from 681 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 Dacarbazine 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 Dacarbazine?

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 Dacarbazine as a suspect or interacting product; reports listing it only as a concomitant medication (1,085) 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.