Brand name · Defibrotide sodium
Defitelio: adverse event reports filed with FDA
3,468 reports list it as a suspect or interacting product, 2016–2026.
- 3,468
- reports as suspect product
- 0% of all reports · about 339 a year
- 89
- reports, 12 months to June 2026
- 258 in the 12 months before
- 84.3%
- marked serious by the reporter
- 57.4% across all reports
- 48.8%
- record death among outcomes, as reported
- 1,692 reports · not verified by FDA
3,468 adverse event reports received by FDA list the brand name Defitelio (defibrotide sodium) as a suspect or interacting product, from April 2016 to June 2026. A further 30 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, 89 reports listed it, down 66% from 258 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 339 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 MedDRA terms listed most often are off label use (35.1%), venoocclusive disease (15.9%) and death (13.1%). A report can list several reactions, so shares add to more than 100%; 356 different terms appear across these reports. Off label use is recorded in 35.1% of these reports, against 4.1% of all reports in the database.
84.3% of the reports are marked serious by the reporter; 48.8% record death among the outcomes and 21.4% record hospitalisation, as reported. 45.9% of the reports came from physicians, and the largest patient age group is 45 to 64 (20.2%). 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
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
2026 covers reports received through June 2026 only.
Reactions recorded in the reports
share of Defitelio reports recording the termall reports in the database
- Off label useused for a purpose or in a way not on the label35.1%1,216
- Venoocclusive disease15.9%552
- Deaththe patient died; cause not stated by this term13.1%454
- Multiple organ dysfunction syndromeseveral organs failing9.8%339
- Venoocclusive liver disease9.3%322
- Intentional product use issuedeliberate use not as intended5.7%196
- Hypotensionlow blood pressure4.5%157
- Haemorrhagebleeding4.3%149
- Acute graft versus host disease4%139
- Gastrointestinal haemorrhagebleeding in the stomach or bowel3.5%123
- Sepsisa severe body-wide response to infection3.5%121
- Disease progressionthe disease advanced2.8%98
- Renal failurekidney failure2.8%96
- Septic shockshock arising from infection2.7%93
- Cystitis haemorrhagic2.6%90
- Drug ineffectivethe medicine did not work as expected2.3%79
- Pneumonialung infection2.2%75
- Condition aggravatedthe condition being treated got worse2.1%72
- Infectionan infection, type not specified2%69
- Haematuriablood in the urine1.8%63
- Epistaxisnosebleed1.8%62
- Respiratory failurethe lungs could not supply enough oxygen1.7%60
- Interstitial lung diseasescarring or inflammation of lung tissue1.7%59
- Thrombocytopenialow platelets1.7%59
- Acute myeloid leukaemia1.5%53
- Melaenablack tarry stools1.4%49
- Graft versus host disease in gastrointestinal tract1.4%48
- Pulmonary haemorrhage1.4%48
Top 30 of 356 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
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
Patient sex
Who reported
Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 11.6% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Venoocclusive liver disease | 1,107 | 31.9% |
| Venoocclusive disease | 989 | 28.5% |
| Prophylaxis | 845 | 24.4% |
| Thrombotic microangiopathy | 24 | 0.7% |
| Thrombosis | 5 | 0.1% |
| Pulmonary veno-occlusive disease | 3 | 0.1% |
The indication field is filled in by the reporter and is often blank; shares are of all 3,468 reports.
Drugs most often listed in the same reports
| Drug (any role in the report) | Reports | Share of Defitelio reports |
|---|---|---|
| Ursodiol | 266 | 7.7% |
| Busulfan | 229 | 6.6% |
| Methylprednisolone | 226 | 6.5% |
| Cyclophosphamide | 151 | 4.4% |
| Ursodeoxycholic acid | 138 | 4% |
| Fludarabine | 133 | 3.8% |
| Furosemide | 118 | 3.4% |
| Tacrolimus | 106 | 3.1% |
| Heparin sodium | 93 | 2.7% |
| Aciclovir | 85 | 2.5% |
Other products listed in reports where Defitelio 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
| Measure | Defitelio | All reports |
|---|---|---|
| Reports as suspect product | 3,468 | 20,646,523 |
| Share of that pool | — | 0% |
| Reports, latest 12 months | 89 | 1,332,454 |
| Marked serious | 84.3% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 488 | 91 |
| Hospitalisation recorded, per 1,000 reports | 214 | 213 |
| Consumer-filed share | 25% | 45.8% |
| Top term, share of reports | Off label use 35.1% | 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."
Questions about Defitelio reports
How many adverse event reports has FDA received for Defitelio?
3,468 reports list Defitelio as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 89 of them arrived in the latest 12 months. Another 30 list it only as a concomitant medication.
What reactions are recorded in Defitelio reports?
off label use (35.1%), venoocclusive disease (15.9%), death (13.1%), multiple organ dysfunction syndrome (9.8%) and venoocclusive liver disease (9.3%). 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 Defitelio was responsible.
How serious are the reports?
84.3% are marked serious by the reporter. Among the outcomes recorded, 48.8% of reports include death and 21.4% 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 (45.9%), other health professional (26.4%) and consumer or non-health professional (25%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Defitelio rising?
89 reports in the 12 months to June 2026, down 66% from 258 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 Defitelio 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 Defitelio?
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 Defitelio as a suspect or interacting product; reports listing it only as a concomitant medication (30) 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.