Reported Reactions

Drugs

Brand name · Trofinetide

Daybue: adverse event reports filed with FDA

6,484 reports list it as a suspect or interacting product, 2023–2026.

6,484
reports as suspect product
0% of all reports · about 2,049 a year
2,167
reports, 12 months to June 2026
2,758 in the 12 months before
28.5%
marked serious by the reporter
57.4% across all reports
0.6%
record death among outcomes, as reported
38 reports · not verified by FDA

Between May 2023 and June 2026, 6,484 adverse event reports received by FDA list the brand name Daybue (trofinetide) as a suspect or interacting product. Reports that mention it only as a concomitant medication (10) are left out of every figure here.

In the 12 months to June 2026, 2,167 reports listed it, down 21% from 2,758 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 2,049 reports a year and 0% of the 20,646,523 reports in the database. 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 diarrhoea (54.6%), underdose (30.5%) and vomiting (17.5%). A report can list several reactions, so shares add to more than 100%; 659 different terms appear across these reports. Diarrhoea is recorded in 54.6% of these reports, against 3.1% of all reports in the database.

28.5% of the reports are marked serious by the reporter; 0.6% record death among the outcomes and 11.8% record hospitalisation, as reported. 96.1% of the reports came from consumers, and the largest patient age group is 2 to 11 (13.8%). 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

0166331Jul 2021: 0Aug 2021: 0Sep 2021: 0Oct 2021: 0Nov 2021: 0Dec 2021: 02022Jan 2022: 0Feb 2022: 0Mar 2022: 0Apr 2022: 0May 2022: 0Jun 2022: 0Jul 2022: 0Aug 2022: 0Sep 2022: 0Oct 2022: 0Nov 2022: 0Dec 2022: 02023Jan 2023: 0Feb 2023: 0Mar 2023: 0Apr 2023: 0May 2023: 7Jun 2023: 72Jul 2023: 179Aug 2023: 170Sep 2023: 165Oct 2023: 184Nov 2023: 177Dec 2023: 1622024Jan 2024: 106Feb 2024: 74Mar 2024: 70Apr 2024: 54May 2024: 87Jun 2024: 52Jul 2024: 167Aug 2024: 327Sep 2024: 195Oct 2024: 170Nov 2024: 253Dec 2024: 2592025Jan 2025: 144Feb 2025: 138Mar 2025: 331Apr 2025: 273May 2025: 287Jun 2025: 214Jul 2025: 212Aug 2025: 167Sep 2025: 201Oct 2025: 158Nov 2025: 183Dec 2025: 2002026Jan 2026: 223Feb 2026: 207Mar 2026: 181Apr 2026: 147May 2026: 130Jun 2026: 158

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

01,2542,5082023: 1,11620232024: 1,81420242025: 2,50820252026: 1,0462026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Daybue reports recording the termall reports in the database

  1. Diarrhoealoose or frequent stools54.6%3,539
  2. Underdoseless than the intended dose30.5%1,979
  3. Vomitingbeing sick17.5%1,133
  4. Product dose omission issuea dose was missed14%906
  5. Seizurea fit or convulsion12.5%812
  6. Constipationconstipation10.2%663
  7. Weight decreasedweight loss8.8%571
  8. Drug ineffectivethe medicine did not work as expected7.1%463
  9. Decreased appetitereduced appetite6.4%414
  10. Nasopharyngitisa cold5.8%376
  11. Flatulencewind5.6%361
  12. Inappropriate schedule of product administrationthe product was taken at the wrong times5.3%343
  13. Influenzaflu4.7%305
  14. Abdominal discomfortstomach discomfort4.6%298
  15. Pneumonialung infection4.3%281
  16. Retching4.3%277
  17. Illness4%260
  18. Pyrexiafever3.7%241
  19. Fatiguetiredness3.4%220
  20. Insomniadifficulty sleeping3.4%219
  21. Irritabilityirritability3.1%203
  22. Somnolencedrowsiness3%196
  23. Nauseafeeling sick3%194
  24. Hypophagia2.9%188
  25. Cryingcrying2.9%187

Top 30 of 659 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 share of all reports in the database; 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

Death0.6%38
Life-threatening0.5%30
Hospitalisation (initial or prolonged)11.8%768
Disability0%0
Congenital anomaly0%0
Other serious25.8%1,672
Not serious71.5%4,637

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 20,646,523 reports. 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%9
2 to 1113.8%894
12 to 175.3%346
18 to 449%583
45 to 640.5%32
65 to 740%1
75 and over0%0
Age not given71.2%4,619

Patient sex

Female89.5%5,804
Male4%259
Not given6.5%421

Who reported

Physician1.3%87
Pharmacist0.5%31
Other health professional2%132
Lawyer0%0
Consumer or non-health professional96.1%6,234
Not given0%0

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 99.9% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Rett syndrome5,97192.1%
Disease susceptibility70.1%
Product use in unapproved indication20%

The indication field is filled in by the reporter and is often blank; shares are of all 6,484 reports.

In context

MeasureDaybueAll reports
Reports as suspect product6,48420,646,523
Share of that pool—0%
Reports, latest 12 months2,1671,332,454
Marked serious28.5%57.4%
Death recorded among outcomes, per 1,000 reports691
Hospitalisation recorded, per 1,000 reports118213
Consumer-filed share96.1%45.8%
Top term, share of reportsDiarrhoea 54.6%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."

Questions about Daybue reports

How many adverse event reports has FDA received for Daybue?

6,484 reports list Daybue as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 2,167 of them arrived in the latest 12 months. Another 10 list it only as a concomitant medication.

What reactions are recorded in Daybue reports?

diarrhoea (54.6%), underdose (30.5%), vomiting (17.5%), product dose omission issue (14%) and seizure (12.5%). 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 Daybue was responsible.

How serious are the reports?

28.5% are marked serious by the reporter. Among the outcomes recorded, 0.6% of reports include death and 11.8% 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?

consumer or non-health professional (96.1%), other health professional (2%) and physician (1.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Daybue rising?

2,167 reports in the 12 months to June 2026, down 21% from 2,758 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 Daybue 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 Daybue?

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 Daybue as a suspect or interacting product; reports listing it only as a concomitant medication (10) 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.