Drugs › Gonadotropin releasing hormone receptor agonist
Brand name · Leuprolide acetate
Fensolvi: adverse event reports filed with FDA
748 reports list it as a suspect or interacting product, 2020–2026. Class: Gonadotropin releasing hormone receptor agonist.
- 748
- reports as suspect product
- 0% of all reports · about 127 a year
- 114
- reports, 12 months to June 2026
- 141 in the 12 months before
- 4.4%
- marked serious by the reporter
- 50.5% across the class
- 0%
- record death among outcomes, as reported
- 0 reports · not verified by FDA
Between August 2020 and June 2026, 748 adverse event reports received by FDA list the brand name Fensolvi (leuprolide acetate) as a suspect or interacting product. Reports that mention it only as a concomitant medication (5) are left out of every figure here.
In the 12 months to June 2026, 114 reports listed it, down 19% from 141 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 127 reports a year and 0% of the 20,646,523 reports in the database, and 1.2% of the reports for the gonadotropin releasing hormone receptor agonist class. How many people take it is not in the data, so a count is not a rate of occurrence.
Reporters most often recorded off label use (27.7%), intercepted product preparation error (26.5%) and syringe issue (20.2%). A report can list several reactions, so shares add to more than 100%; 89 different terms appear across these reports. Off label use is recorded in 27.7% of these reports, a larger share than in the median gonadotropin releasing hormone receptor agonist drug (3.8%).
4.4% of the reports are marked serious by the reporter (50.5% across the class); 0% record death among the outcomes and 0.5% record hospitalisation, as reported. 50.5% of the reports came from other health professionals, and the largest patient age group is 2 to 11 (35.3%). 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
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 Fensolvi reports recording the termmedian drug in gonadotropin releasing hormone receptor agonist
- Off label useused for a purpose or in a way not on the label27.7%207
- Syringe issue20.2%151
- Device leakagethe device leaked16.7%125
- Wrong technique in product usage processthe product was used in the wrong way12.3%92
- Drug ineffectivethe medicine did not work as expected10%75
- Injection site painpain where the injection was given6.7%50
- Injection site mass4.5%34
- Product administration errora mistake in giving the product4%30
- Incorrect dose administeredthe wrong dose was given2.8%21
- Device occlusionthe device blocked2.7%20
- Product quality issuea problem with the product itself2.5%19
- Product dose omission issuea dose was missed2.4%18
- Blood luteinising hormone increased1.6%12
- Intermenstrual bleeding1.3%10
- Needle issuea problem with the needle1.3%10
- Breast enlargement1.2%9
- Oestradiol increased1.2%9
- Blood luteinising hormone abnormal1.1%8
- Blood follicle stimulating hormone increased0.9%7
- Weight increasedweight gain0.9%7
- Device breakagethe device broke0.7%5
- Device issuea problem with the device0.7%5
Top 30 of 89 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 7 drugs in the gonadotropin releasing hormone receptor agonist 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 61,409 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. 99.3% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Precocious puberty | 357 | 47.7% |
| Gender dysphoria | 126 | 16.8% |
| Off label use | 13 | 1.7% |
| Endocrine disorder | 10 | 1.3% |
| Trans-sexualism | 9 | 1.2% |
| Pituitary gonadotropin hyperfunction | 3 | 0.4% |
The indication field is filled in by the reporter and is often blank; shares are of all 748 reports.
Drugs most often listed in the same reports
| Drug (any role in the report) | Reports | Share of Fensolvi reports |
|---|---|---|
| Device | 274 | 36.6% |
| Lupron | 19 | 2.5% |
Other products listed in reports where Fensolvi 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 | Fensolvi | Gonadotropin releasing hormone receptor agonist | All reports |
|---|---|---|---|
| Reports as suspect product | 748 | 61,409 | 20,646,523 |
| Share of that pool | — | 1.2% | 0% |
| Reports, latest 12 months | 114 | — | 1,332,454 |
| Marked serious | 4.4% | 50.5% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 0 | 177 | 91 |
| Hospitalisation recorded, per 1,000 reports | 5 | 151 | 213 |
| Consumer-filed share | 6.3% | 47.9% | 45.8% |
| Top term, share of reports | Off label use 27.7% | median 3.8% | 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."
Other drugs in the gonadotropin releasing hormone receptor agonist class
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Eligard | brand | 44,385 | 2,388 | 38.1% |
| Zoladex | brand | 7,058 | 396 | 88.5% |
| Leuprolide acetate | generic | 4,951 | 702 | 90.1% |
| Goserelin | generic | 2,789 | 383 | 95.9% |
| Supprelin | brand | 815 | 12 | 18% |
| Leuprolide | generic | 663 | 106 | 79% |
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 Fensolvi reports
How many adverse event reports has FDA received for Fensolvi?
748 reports list Fensolvi as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 114 of them arrived in the latest 12 months. Another 5 list it only as a concomitant medication.
What reactions are recorded in Fensolvi reports?
off label use (27.7%), intercepted product preparation error (26.5%), syringe issue (20.2%), device leakage (16.7%) and wrong technique in product usage process (12.3%). 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 Fensolvi was responsible.
How serious are the reports?
4.4% are marked serious by the reporter. Among the outcomes recorded, 0% of reports include death and 0.5% 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 (50.5%), physician (38.6%) and consumer or non-health professional (6.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Fensolvi rising?
114 reports in the 12 months to June 2026, down 19% from 141 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 Fensolvi 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 Fensolvi?
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 Fensolvi as a suspect or interacting product; reports listing it only as a concomitant medication (5) 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.