Reported Reactions

Drugs › Topoisomerase inhibitor

Generic name

Etoposide: adverse event reports filed with FDA

62,291 reports list it as a suspect or interacting product, 2004–2026. Class: Topoisomerase inhibitor. Also reported as Etoposide Injection, Etoposide Injection Usp, Etoposide Cap 50mg.

62,291
reports as suspect product
0.3% of all reports · about 2,769 a year
4,749
reports, 12 months to June 2026
5,129 in the 12 months before
97.9%
marked serious by the reporter
96.8% across the class
23.6%
record death among outcomes, as reported
14,729 reports · not verified by FDA

Between January 2004 and June 2026, 62,291 adverse event reports received by FDA list etoposide, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (12,281) are left out of every figure here.

In the 12 months to June 2026, 4,749 reports listed it, close to the 5,129 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 2,769 reports a year and 0.3% of the 20,646,523 reports in the database, and 72.1% of the reports for the topoisomerase inhibitor 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 febrile neutropenia (11.6%), off label use (11.4%) and neutropenia (7.4%). A report can list several reactions, so shares add to more than 100%; 3,529 different terms appear across these reports. Febrile neutropenia is recorded in 11.6% of these reports, a larger share than in the median topoisomerase inhibitor drug (7.1%).

97.9% of the reports are marked serious by the reporter (96.8% across the class); 23.6% record death among the outcomes and 34.5% record hospitalisation, as reported. 47.6% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (21.3%). 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

0336671Jul 2021: 396Aug 2021: 362Sep 2021: 525Oct 2021: 468Nov 2021: 358Dec 2021: 4372022Jan 2022: 369Feb 2022: 384Mar 2022: 514Apr 2022: 425May 2022: 458Jun 2022: 493Jul 2022: 370Aug 2022: 501Sep 2022: 476Oct 2022: 519Nov 2022: 490Dec 2022: 5332023Jan 2023: 463Feb 2023: 554Mar 2023: 460Apr 2023: 521May 2023: 671Jun 2023: 508Jul 2023: 572Aug 2023: 422Sep 2023: 362Oct 2023: 413Nov 2023: 486Dec 2023: 4212024Jan 2024: 464Feb 2024: 466Mar 2024: 374Apr 2024: 440May 2024: 418Jun 2024: 361Jul 2024: 533Aug 2024: 487Sep 2024: 406Oct 2024: 536Nov 2024: 398Dec 2024: 4482025Jan 2025: 363Feb 2025: 369Mar 2025: 472Apr 2025: 417May 2025: 313Jun 2025: 387Jul 2025: 519Aug 2025: 372Sep 2025: 373Oct 2025: 348Nov 2025: 312Dec 2025: 4152026Jan 2026: 351Feb 2026: 376Mar 2026: 421Apr 2026: 414May 2026: 428Jun 2026: 420

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

02,9275,8532004: 51320042005: 6782006: 6012007: 81820072008: 8682009: 8022010: 94020102011: 1,4652012: 1,6262013: 1,42020132014: 1,6082015: 2,2622016: 2,57520162017: 3,3822018: 4,3562019: 4,30820192020: 5,2772021: 5,0022022: 5,53220222023: 5,8532024: 5,3312025: 4,66020252026: 2,410

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Etoposide reports recording the termmedian drug in topoisomerase inhibitor

  1. Febrile neutropeniafever with low white blood cells11.6%7,217
  2. Off label useused for a purpose or in a way not on the label11.4%7,093
  3. Neutropenialow neutrophils, a type of white blood cell7.4%4,606
  4. Disease progressionthe disease advanced6.4%4,008
  5. Drug ineffectivethe medicine did not work as expected6.3%3,932
  6. Thrombocytopenialow platelets6%3,738
  7. Anaemialow red blood cells4.8%2,993
  8. Pyrexiafever4.8%2,991
  9. Sepsisa severe body-wide response to infection4.5%2,779
  10. Product use in unapproved indicationused for a purpose not on the label4.3%2,693
  11. Pancytopenialow counts of all blood cells4.1%2,573
  12. Nauseafeeling sick3.6%2,247
  13. Pneumonialung infection3.5%2,178
  14. Diarrhoealoose or frequent stools3.2%2,006
  15. Vomitingbeing sick3.2%1,964
  16. Deaththe patient died; cause not stated by this term3.1%1,955
  17. Infectionan infection, type not specified2.9%1,822
  18. Septic shockshock arising from infection2.3%1,460
  19. Dyspnoeashortness of breath2.2%1,362
  20. Fatiguetiredness2.1%1,310
  21. Leukopenialow white blood cells1.9%1,199
  22. Platelet count decreasedlow platelet count1.9%1,173
  23. Respiratory failurethe lungs could not supply enough oxygen1.8%1,149
  24. Acute kidney injurysudden loss of kidney function1.7%1,085

Top 30 of 3,529 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 12 drugs in the topoisomerase inhibitor 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

Death23.6%14,729
Life-threatening9.7%6,061
Hospitalisation (initial or prolonged)34.5%21,508
Disability1.2%751
Congenital anomaly0.2%140
Other serious66.6%41,460
Not serious2.1%1,288

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 86,440 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 22.6%1,625
2 to 119%5,609
12 to 176%3,708
18 to 4416.4%10,202
45 to 6421.3%13,299
65 to 7411.4%7,128
75 and over4.1%2,562
Age not given29.2%18,158

Patient sex

Female32.6%20,309
Male46%28,631
Not given21.4%13,351

Who reported

Physician38.7%24,106
Pharmacist4.1%2,581
Other health professional47.6%29,634
Lawyer0.1%40
Consumer or non-health professional4.6%2,865
Not given4.9%3,065

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 26.7% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Diffuse large b-cell lymphoma4,5737.3%
Small cell lung cancer2,5004%
Hodgkin's disease2,1783.5%
Acute lymphocytic leukaemia1,2892.1%
Small cell lung cancer extensive stage1,2182%
Haemophagocytic lymphohistiocytosis1,1101.8%

The indication field is filled in by the reporter and is often blank; shares are of all 62,291 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Etoposide reports
Cyclophosphamide25,71341.3%
Carboplatin18,43029.6%
Vincristine16,14325.9%
Cisplatin15,94525.6%
Doxorubicin13,60521.8%
Cytarabine13,41521.5%
Dexamethasone12,97020.8%
Ifosfamide12,87720.7%
Rituximab12,72720.4%
Prednisone10,96517.6%

Other products listed in reports where Etoposide 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

MeasureEtoposideTopoisomerase inhibitorAll reports
Reports as suspect product62,29186,44020,646,523
Share of that pool—72.1%0.3%
Reports, latest 12 months4,749—1,332,454
Marked serious97.9%96.8%57.4%
Death recorded among outcomes, per 1,000 reports23623191
Hospitalisation recorded, per 1,000 reports345362213
Consumer-filed share4.6%6.8%45.8%
Top term, share of reportsFebrile neutropenia 11.6%median 7.1%0.3%

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 topoisomerase inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Irinotecan hydrochloridegeneric6,09580096.6%
Mitoxantronegeneric4,06513298.8%
Topotecangeneric3,66818796.6%
Camptosarbrand2,53511085.4%
Onivydebrand1,91161492%
Hycamtinbrand1,5261479.2%
Mitoxantrone hydrochloridegeneric1,2133997.1%
VePesidbrand9002096.7%
Topotecan hydrochloridegeneric8673696.8%
Etoposide phosphategeneric7476396.5%
Etopophosbrand622884.2%

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 Etoposide reports

How many adverse event reports has FDA received for Etoposide?

62,291 reports list Etoposide as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 4,749 of them arrived in the latest 12 months. Another 12,281 list it only as a concomitant medication.

What reactions are recorded in Etoposide reports?

febrile neutropenia (11.6%), off label use (11.4%), neutropenia (7.4%), disease progression (6.4%) and drug ineffective (6.3%). 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 Etoposide was responsible.

How serious are the reports?

97.9% are marked serious by the reporter. Among the outcomes recorded, 23.6% of reports include death and 34.5% 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 (47.6%), physician (38.7%) and not given (4.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Etoposide rising?

4,749 reports in the 12 months to June 2026, close to the 5,129 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 Etoposide 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 Etoposide?

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 Etoposide as a suspect or interacting product; reports listing it only as a concomitant medication (12,281) 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.