Reported Reactions

Drugs › CD38-directed cytolytic antibody

Brand name · Daratumumab and hyaluronidase-fihj (human recombinant)

Darzalex Faspro: adverse event reports filed with FDA

2,076 reports list it as a suspect or interacting product, 2016–2026. Class: CD38-directed cytolytic antibody. Also reported as Darzalex Inj Faspro.

2,076
reports as suspect product
0% of all reports · about 209 a year
365
reports, 12 months to June 2026
381 in the 12 months before
42.8%
marked serious by the reporter
89.1% across the class
4.2%
record death among outcomes, as reported
87 reports · not verified by FDA

2,076 adverse event reports received by FDA list the brand name Darzalex Faspro (daratumumab and hyaluronidase-fihj (human recombinant)) as a suspect or interacting product, from August 2016 to June 2026. A further 822 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 365 reports listed it, close to the 381 of 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 209 reports a year and 0% of the 20,646,523 reports in the database, and 5.6% of the reports for the CD38-directed cytolytic antibody class. How many people take it is not in the data, so a count is not a rate of occurrence.

The reactions recorded most often are product dose omission issue (9.4%), off label use (4.7%) and fatigue (4.1%). A report can list several reactions, so shares add to more than 100%; 304 different terms appear across these reports. Product dose omission issue is recorded in 9.4% of these reports, a larger share than in the median CD38-directed cytolytic antibody drug (0.8%).

42.8% of the reports are marked serious by the reporter (89.1% across the class); 4.2% record death among the outcomes and 14.2% record hospitalisation, as reported. 41.8% of the reports came from other health professionals, and the largest patient age group is 65 to 74 (14.5%). 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

02550Jul 2021: 27Aug 2021: 21Sep 2021: 33Oct 2021: 22Nov 2021: 32Dec 2021: 202022Jan 2022: 29Feb 2022: 35Mar 2022: 46Apr 2022: 21May 2022: 23Jun 2022: 26Jul 2022: 41Aug 2022: 43Sep 2022: 42Oct 2022: 40Nov 2022: 21Dec 2022: 262023Jan 2023: 22Feb 2023: 35Mar 2023: 35Apr 2023: 44May 2023: 27Jun 2023: 21Jul 2023: 24Aug 2023: 38Sep 2023: 21Oct 2023: 31Nov 2023: 32Dec 2023: 282024Jan 2024: 27Feb 2024: 24Mar 2024: 43Apr 2024: 37May 2024: 34Jun 2024: 40Jul 2024: 25Aug 2024: 28Sep 2024: 24Oct 2024: 27Nov 2024: 32Dec 2024: 102025Jan 2025: 22Feb 2025: 32Mar 2025: 47Apr 2025: 48May 2025: 50Jun 2025: 36Jul 2025: 31Aug 2025: 36Sep 2025: 27Oct 2025: 25Nov 2025: 19Dec 2025: 222026Jan 2026: 22Feb 2026: 43Mar 2026: 39Apr 2026: 34May 2026: 25Jun 2026: 42

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

01983952016: 120162020: 9720202021: 27620212022: 39320222023: 35820232024: 35120242025: 39520252026: 2052026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Darzalex Faspro reports recording the termmedian drug in cd38-directed cytolytic antibody

  1. Product dose omission issuea dose was missed9.4%195
  2. Off label useused for a purpose or in a way not on the label4.7%98
  3. Fatiguetiredness4.1%85
  4. Rashskin rash4%83
  5. Dyspnoeashortness of breath3.7%77
  6. Chillschills or shivering3.1%64
  7. Nauseafeeling sick3%62
  8. Pyrexiafever3%62
  9. Infusion related reactiona reaction during or soon after an infusion2.9%60
  10. Deaththe patient died; cause not stated by this term2.7%57
  11. Diarrhoealoose or frequent stools2.7%57
  12. Neuropathy peripheralnerve damage in hands or feet2.6%53
  13. Injection site reactiona reaction where the injection was given2.1%43
  14. Pneumonialung infection2%41
  15. Painpain, site not specified1.9%40
  16. Headachehead pain1.9%39
  17. Neutropenialow neutrophils, a type of white blood cell1.9%39
  18. Injection site erythemaredness where the injection was given1.8%37
  19. Injection site painpain where the injection was given1.8%37
  20. Dizzinesslight-headedness or unsteadiness1.7%35
  21. Platelet count decreasedlow platelet count1.6%34
  22. Inappropriate schedule of product administrationthe product was taken at the wrong times1.6%33
  23. Intentional product use issuedeliberate use not as intended1.6%33
  24. Vomitingbeing sick1.6%33
  25. Back painback pain1.5%31
  26. Hypotensionlow blood pressure1.5%31
  27. Pruritusitching1.5%31
  28. Malaisegeneral feeling of being unwell1.4%29

Top 30 of 304 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 5 drugs in the cd38-directed cytolytic antibody 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

Death4.2%87
Life-threatening2%41
Hospitalisation (initial or prolonged)14.2%295
Disability0.4%8
Congenital anomaly0%0
Other serious28%582
Not serious57.2%1,187

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 37,241 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%0
12 to 170%0
18 to 441%20
45 to 6413.2%275
65 to 7414.5%301
75 and over11.1%231
Age not given60.2%1,249

Patient sex

Female29.4%610
Male34.2%709
Not given36.5%757

Who reported

Physician13%270
Pharmacist23.3%483
Other health professional41.8%868
Lawyer0%0
Consumer or non-health professional21.5%446
Not given0.4%9

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 88.1% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Plasma cell myeloma93845.2%
Amyloidosis231.1%
Primary amyloidosis201%
Plasma cell myeloma refractory140.7%
Immune thrombocytopenia30.1%
Neoplasm malignant30.1%

The indication field is filled in by the reporter and is often blank; shares are of all 2,076 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Darzalex Faspro reports
Dexamethasone35016.9%
Velcade21110.2%
Revlimid1909.2%
Bortezomib854.1%
Lenalidomide763.7%
Acyclovir592.8%
Pomalyst502.4%
Darzalex492.4%
Pomalidomide492.4%
Acetaminophen381.8%

Other products listed in reports where Darzalex Faspro 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

MeasureDarzalex FasproCD38-directed cytolytic antibodyAll reports
Reports as suspect product2,07637,24120,646,523
Share of that pool—5.6%0%
Reports, latest 12 months365—1,332,454
Marked serious42.8%89.1%57.4%
Death recorded among outcomes, per 1,000 reports4213291
Hospitalisation recorded, per 1,000 reports142378213
Consumer-filed share21.5%9.7%45.8%
Top term, share of reportsProduct dose omission issue 9.4%median 0.8%1.4%

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 cd38-directed cytolytic antibody class

DrugName typeReportsLatest 12 monthsMarked serious
Darzalexbrand16,6061,62387.1%
Daratumumabgeneric13,5111,47597%
Isatuximabgeneric4,31154597.8%
Sarclisabrand73714469.2%

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 Darzalex Faspro reports

How many adverse event reports has FDA received for Darzalex Faspro?

2,076 reports list Darzalex Faspro as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 365 of them arrived in the latest 12 months. Another 822 list it only as a concomitant medication.

What reactions are recorded in Darzalex Faspro reports?

product dose omission issue (9.4%), off label use (4.7%), fatigue (4.1%), rash (4%) and dyspnoea (3.7%). 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 Darzalex Faspro was responsible.

How serious are the reports?

42.8% are marked serious by the reporter. Among the outcomes recorded, 4.2% of reports include death and 14.2% 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?

other health professional (41.8%), pharmacist (23.3%) and consumer or non-health professional (21.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Darzalex Faspro rising?

365 reports in the 12 months to June 2026, close to the 381 of 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 Darzalex Faspro 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 Darzalex Faspro?

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 Darzalex Faspro as a suspect or interacting product; reports listing it only as a concomitant medication (822) 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.