Drugs › Interleukin-4 receptor alpha antagonist
Brand name · Dupilumab
Dupixent: adverse event reports filed with FDA
462,188 reports list it as a suspect or interacting product, 2017–2026. Class: Interleukin-4 receptor alpha antagonist.
- 462,188
- reports as suspect product
- 2.2% of all reports · about 50,437 a year
- 122,091
- reports, 12 months to June 2026
- 102,531 in the 12 months before
- 9.8%
- marked serious by the reporter
- 10.7% across the class
- 0.4%
- record death among outcomes, as reported
- 1,804 reports · not verified by FDA
462,188 adverse event reports received by FDA list the brand name Dupixent (dupilumab) as a suspect or interacting product, from May 2017 to June 2026. A further 3,621 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, 122,091 reports listed it, up 19% from 102,531 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 50,437 reports a year and 2.2% of the 20,646,523 reports in the database, and 97.3% of the reports for the interleukin-4 receptor alpha antagonist class. How many people take it is not in the data, so a count is not a rate of occurrence.
Reporters most often recorded pruritus (12.3%), dermatitis atopic (9.5%) and product use in unapproved indication (8.8%). A report can list several reactions, so shares add to more than 100%; 3,618 different terms appear across these reports. Pruritus is recorded in 12.3% of these reports, about the same share as in the median interleukin-4 receptor alpha antagonist drug (12%).
9.8% of the reports are marked serious by the reporter (10.7% across the class); 0.4% record death among the outcomes and 4.2% record hospitalisation, as reported. 44.3% of the reports came from physicians, and the largest patient age group is 45 to 64 (22.2%). 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 Dupixent reports recording the termmedian drug in interleukin-4 receptor alpha antagonist
- Pruritusitching12.3%57,011
- Dermatitis atopic9.5%44,092
- Product use in unapproved indicationused for a purpose not on the label8.8%40,458
- Rashskin rash8.1%37,279
- Injection site painpain where the injection was given7.7%35,533
- Drug ineffectivethe medicine did not work as expected6.2%28,677
- Eczemaeczema5.6%25,900
- Dry skindry skin5.5%25,447
- Product dose omission issuea dose was missed5.3%24,549
- Condition aggravatedthe condition being treated got worse4.3%19,824
- Arthralgiajoint pain4%18,474
- Inappropriate schedule of product administrationthe product was taken at the wrong times3.9%18,033
- Asthmaasthma3.3%15,469
- Accidental exposure to product3.3%15,376
- Skin exfoliationpeeling skin3.1%14,311
- Exposure via skin contact2.9%13,585
- Dyspnoeashortness of breath2.9%13,579
- Dry eyedry eye2.8%13,006
- Erythemaskin redness2.8%12,969
- Off label useused for a purpose or in a way not on the label2.7%12,493
- Incorrect dose administeredthe wrong dose was given2.6%12,173
- Injection site swellingswelling where the injection was given2.5%11,517
- Coughcough2.3%10,568
- Injection site erythemaredness where the injection was given2.3%10,540
- Product use issuea problem in how the product was used2.2%9,993
- Product dose omission in error2.1%9,643
- Eye pruritus2.1%9,549
- Therapeutic response decreasedthe medicine worked less well1.9%8,968
- Painpain, site not specified1.9%8,915
Top 30 of 3,618 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 2 drugs in the interleukin-4 receptor alpha antagonist 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
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 474,914 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
Patient sex
Who reported
Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 98.7% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Dermatitis atopic | 199,999 | 43.3% |
| Asthma | 60,743 | 13.1% |
| Eczema | 29,329 | 6.3% |
| Nasal polyps | 23,994 | 5.2% |
| Eosinophilic oesophagitis | 18,712 | 4% |
| Neurodermatitis | 11,580 | 2.5% |
The indication field is filled in by the reporter and is often blank; shares are of all 462,188 reports.
Drugs most often listed in the same reports
| Drug (any role in the report) | Reports | Share of Dupixent reports |
|---|---|---|
| Albuterol sulfate | 11,827 | 2.6% |
| Prednisone | 8,385 | 1.8% |
| Ergocalciferol | 8,172 | 1.8% |
| Zyrtec | 6,727 | 1.5% |
| Omeprazole | 6,697 | 1.4% |
| Triamcinolone acetonide | 4,981 | 1.1% |
| Gabapentin | 4,940 | 1.1% |
| Singulair | 4,795 | 1% |
| Aspirin | 4,604 | 1% |
| Montelukast sodium | 4,487 | 1% |
Other products listed in reports where Dupixent 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 | Dupixent | Interleukin-4 receptor alpha antagonist | All reports |
|---|---|---|---|
| Reports as suspect product | 462,188 | 474,914 | 20,646,523 |
| Share of that pool | — | 97.3% | 2.2% |
| Reports, latest 12 months | 122,091 | — | 1,332,454 |
| Marked serious | 9.8% | 10.7% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 4 | 4 | 91 |
| Hospitalisation recorded, per 1,000 reports | 42 | 46 | 213 |
| Consumer-filed share | 31.2% | 31.5% | 45.8% |
| Top term, share of reports | Pruritus 12.3% | median 12% | 1.8% |
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 interleukin-4 receptor alpha antagonist class
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Dupilumab | generic | 12,726 | 1,844 | 44.4% |
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 Dupixent reports
How many adverse event reports has FDA received for Dupixent?
462,188 reports list Dupixent as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 122,091 of them arrived in the latest 12 months. Another 3,621 list it only as a concomitant medication.
What reactions are recorded in Dupixent reports?
pruritus (12.3%), dermatitis atopic (9.5%), product use in unapproved indication (8.8%), rash (8.1%) and injection site pain (7.7%). 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 Dupixent was responsible.
How serious are the reports?
9.8% are marked serious by the reporter. Among the outcomes recorded, 0.4% of reports include death and 4.2% 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?
physician (44.3%), consumer or non-health professional (31.2%) and other health professional (23.2%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Dupixent rising?
122,091 reports in the 12 months to June 2026, up 19% from 102,531 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 Dupixent 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 Dupixent?
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 Dupixent as a suspect or interacting product; reports listing it only as a concomitant medication (3,621) 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.