Reported Reactions

Drugs › Erythropoiesis-stimulating agent

Generic name

Darbepoetin alfa: adverse event reports filed with FDA

3,770 reports list it as a suspect or interacting product, 2004–2026. Class: Erythropoiesis-stimulating agent.

3,770
reports as suspect product
0% of all reports · about 168 a year
299
reports, 12 months to June 2026
343 in the 12 months before
93.6%
marked serious by the reporter
78.3% across the class
24.5%
record death among outcomes, as reported
923 reports · not verified by FDA

Between February 2004 and June 2026, 3,770 adverse event reports received by FDA list darbepoetin alfa, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (2,968) are left out of every figure here.

In the 12 months to June 2026, 299 reports listed it, down 13% from 343 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 168 reports a year and 0% of the 20,646,523 reports in the database, and 5.7% of the reports for the erythropoiesis-stimulating agent class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded hospitalisation (15.6%), off label use (7.9%) and death (6.5%). A report can list several reactions, so shares add to more than 100%; 671 different terms appear across these reports. Hospitalisation is recorded in 15.6% of these reports, a larger share than in the median erythropoiesis-stimulating agent drug (3.5%).

93.6% of the reports are marked serious by the reporter (78.3% across the class); 24.5% record death among the outcomes and 61.1% record hospitalisation, as reported. 58.2% of the reports came from physicians, and the largest patient age group is 75 and over (33.1%). 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

02244Jul 2021: 15Aug 2021: 15Sep 2021: 28Oct 2021: 16Nov 2021: 30Dec 2021: 212022Jan 2022: 13Feb 2022: 32Mar 2022: 22Apr 2022: 21May 2022: 9Jun 2022: 14Jul 2022: 36Aug 2022: 10Sep 2022: 28Oct 2022: 22Nov 2022: 25Dec 2022: 232023Jan 2023: 17Feb 2023: 30Mar 2023: 27Apr 2023: 26May 2023: 17Jun 2023: 32Jul 2023: 19Aug 2023: 38Sep 2023: 17Oct 2023: 27Nov 2023: 35Dec 2023: 262024Jan 2024: 20Feb 2024: 27Mar 2024: 18Apr 2024: 34May 2024: 16Jun 2024: 17Jul 2024: 25Aug 2024: 26Sep 2024: 19Oct 2024: 16Nov 2024: 31Dec 2024: 352025Jan 2025: 16Feb 2025: 23Mar 2025: 44Apr 2025: 35May 2025: 42Jun 2025: 31Jul 2025: 41Aug 2025: 25Sep 2025: 26Oct 2025: 31Nov 2025: 26Dec 2025: 302026Jan 2026: 23Feb 2026: 22Mar 2026: 15Apr 2026: 19May 2026: 24Jun 2026: 17

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

02124242004: 2520042005: 292006: 152007: 2320072008: 102009: 52010: 4820102011: 452012: 892013: 16320132014: 592015: 412016: 37620162017: 3712018: 4242019: 18620192020: 2292021: 2922022: 25520222023: 3112024: 2842025: 37020252026: 120

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Darbepoetin alfa reports recording the termmedian drug in erythropoiesis-stimulating agent

  1. Hospitalisationadmission to hospital15.6%588
  2. Off label useused for a purpose or in a way not on the label7.9%297
  3. Deaththe patient died; cause not stated by this term6.5%245
  4. Pneumonialung infection6.5%244
  5. Anaemialow red blood cells5.6%210
  6. Arteriovenous fistula site complication5.5%209
  7. No adverse eventno adverse event was reported3.6%134
  8. Sepsisa severe body-wide response to infection3.6%134
  9. Cardiac failureheart failure3.3%126
  10. Drug ineffectivethe medicine did not work as expected3.3%123
  11. Aplasia pure red cell3.1%115
  12. Hypertensionhigh blood pressure3%112
  13. Vomitingbeing sick2.8%107
  14. Nauseafeeling sick2.8%106
  15. Constipationconstipation2.8%105
  16. Cardiac failure congestivecongestive heart failure2.5%96
  17. Pyrexiafever2.4%92
  18. Gastrointestinal haemorrhagebleeding in the stomach or bowel2.4%91
  19. Haemoglobin decreasedlow haemoglobin2.3%86
  20. End stage renal diseasekidney failure needing dialysis or transplant2.2%83
  21. Abdominal painstomach or belly pain2.2%82
  22. Diarrhoealoose or frequent stools2.2%82
  23. Abdominal distensiona bloated abdomen2%76
  24. Pulmonary embolisma blood clot in the lung2%75
  25. Renal impairmentreduced kidney function2%74
  26. Dyspnoeashortness of breath1.9%73
  27. Ascitesfluid in the abdomen1.9%72

Top 30 of 671 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 9 drugs in the erythropoiesis-stimulating agent 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

Death24.5%923
Life-threatening7.4%278
Hospitalisation (initial or prolonged)61.1%2,304
Disability3.7%140
Congenital anomaly0.8%30
Other serious52.7%1,985
Not serious6.4%241

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 66,386 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 20.5%19
2 to 110.4%14
12 to 170.7%26
18 to 445.2%195
45 to 6415.3%576
65 to 7419.4%732
75 and over33.1%1,248
Age not given25.5%960

Patient sex

Female32%1,207
Male48.9%1,844
Not given19.1%719

Who reported

Physician58.2%2,194
Pharmacist10.3%389
Other health professional29.3%1,105
Lawyer0%1
Consumer or non-health professional1.6%62
Not given0.5%19

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 9.2% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Nephrogenic anaemia81121.5%
Myelodysplastic syndrome3719.8%
Anaemia3288.7%
Renal failure chronic671.8%
Anaemia of malignant disease631.7%
Chronic kidney disease481.3%

The indication field is filled in by the reporter and is often blank; shares are of all 3,770 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Darbepoetin alfa reports
Furosemide2426.4%
Allopurinol1834.9%
Amlodipine1734.6%
Lansoprazole1734.6%
Folic acid1694.5%
Epoetin alfa1473.9%
Calcitriol1373.6%
Sodium bicarbonate1293.4%
Lasix1273.4%
Simvastatin1263.3%

Other products listed in reports where Darbepoetin alfa 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

MeasureDarbepoetin alfaErythropoiesis-stimulating agentAll reports
Reports as suspect product3,77066,38620,646,523
Share of that pool—5.7%0%
Reports, latest 12 months299—1,332,454
Marked serious93.6%78.3%57.4%
Death recorded among outcomes, per 1,000 reports24534091
Hospitalisation recorded, per 1,000 reports611342213
Consumer-filed share1.6%22.3%45.8%
Top term, share of reportsHospitalisation 15.6%median 3.5%0.7%

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 erythropoiesis-stimulating agent class

DrugName typeReportsLatest 12 monthsMarked serious
Aranespbrand37,27782688.2%
Mircerabrand8,86528165.8%
Procritbrand8,2246657%
Epogenbrand4,3172741.8%
Retacritbrand1,42910661%
Epoetin alfageneric9454391.5%
Methoxy polyethylene glycol-epoetin betageneric911199.7%
Erythropoietingeneric6486497.2%

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 Darbepoetin alfa reports

How many adverse event reports has FDA received for Darbepoetin alfa?

3,770 reports list Darbepoetin alfa as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 299 of them arrived in the latest 12 months. Another 2,968 list it only as a concomitant medication.

What reactions are recorded in Darbepoetin alfa reports?

hospitalisation (15.6%), off label use (7.9%), death (6.5%), pneumonia (6.5%) and anaemia (5.6%). 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 Darbepoetin alfa was responsible.

How serious are the reports?

93.6% are marked serious by the reporter. Among the outcomes recorded, 24.5% of reports include death and 61.1% 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 (58.2%), other health professional (29.3%) and pharmacist (10.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Darbepoetin alfa rising?

299 reports in the 12 months to June 2026, down 13% from 343 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 Darbepoetin alfa 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 Darbepoetin alfa?

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 Darbepoetin alfa as a suspect or interacting product; reports listing it only as a concomitant medication (2,968) 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.