Reported Reactions

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

01631Jul 2021: 2Aug 2021: 10Sep 2021: 10Oct 2021: 8Nov 2021: 9Dec 2021: 82022Jan 2022: 2Feb 2022: 7Mar 2022: 10Apr 2022: 13May 2022: 18Jun 2022: 14Jul 2022: 8Aug 2022: 19Sep 2022: 12Oct 2022: 22Nov 2022: 23Dec 2022: 102023Jan 2023: 11Feb 2023: 14Mar 2023: 25Apr 2023: 16May 2023: 13Jun 2023: 20Jul 2023: 18Aug 2023: 15Sep 2023: 13Oct 2023: 10Nov 2023: 5Dec 2023: 102024Jan 2024: 10Feb 2024: 9Mar 2024: 6Apr 2024: 14May 2024: 16Jun 2024: 9Jul 2024: 9Aug 2024: 14Sep 2024: 16Oct 2024: 8Nov 2024: 10Dec 2024: 112025Jan 2025: 6Feb 2025: 8Mar 2025: 9Apr 2025: 6May 2025: 13Jun 2025: 31Jul 2025: 14Aug 2025: 6Sep 2025: 16Oct 2025: 16Nov 2025: 7Dec 2025: 72026Jan 2026: 5Feb 2026: 9Mar 2026: 9Apr 2026: 5May 2026: 13Jun 2026: 7

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

0851702020: 1720202021: 8420212022: 15820222023: 17020232024: 13220242025: 13920252026: 482026

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

  1. Off label useused for a purpose or in a way not on the label27.7%207
  2. Device leakagethe device leaked16.7%125
  3. Wrong technique in product usage processthe product was used in the wrong way12.3%92
  4. Drug ineffectivethe medicine did not work as expected10%75
  5. Injection site painpain where the injection was given6.7%50
  6. Product administration errora mistake in giving the product4%30
  7. Incorrect dose administeredthe wrong dose was given2.8%21
  8. Device occlusionthe device blocked2.7%20
  9. Product quality issuea problem with the product itself2.5%19
  10. Product dose omission issuea dose was missed2.4%18
  11. Blood luteinising hormone increased1.6%12
  12. Needle issuea problem with the needle1.3%10
  13. Breast enlargement1.2%9
  14. Oestradiol increased1.2%9
  15. Blood luteinising hormone abnormal1.1%8
  16. Blood follicle stimulating hormone increased0.9%7
  17. Weight increasedweight gain0.9%7
  18. Device breakagethe device broke0.7%5
  19. 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

Death0%0
Life-threatening0.1%1
Hospitalisation (initial or prolonged)0.5%4
Disability0%0
Congenital anomaly0%0
Other serious3.7%28
Not serious95.6%715

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

Under 20.1%1
2 to 1135.3%264
12 to 179.8%73
18 to 441.6%12
45 to 640%0
65 to 740%0
75 and over0%0
Age not given53.2%398

Patient sex

Female57.9%433
Male18%135
Not given24.1%180

Who reported

Physician38.6%289
Pharmacist4.4%33
Other health professional50.5%378
Lawyer0%0
Consumer or non-health professional6.3%47
Not given0.1%1

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)ReportsShare
Precocious puberty35747.7%
Gender dysphoria12616.8%
Off label use131.7%
Endocrine disorder101.3%
Trans-sexualism91.2%
Pituitary gonadotropin hyperfunction30.4%

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)ReportsShare of Fensolvi reports
Device27436.6%
Lupron192.5%

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

MeasureFensolviGonadotropin releasing hormone receptor agonistAll reports
Reports as suspect product74861,40920,646,523
Share of that pool—1.2%0%
Reports, latest 12 months114—1,332,454
Marked serious4.4%50.5%57.4%
Death recorded among outcomes, per 1,000 reports017791
Hospitalisation recorded, per 1,000 reports5151213
Consumer-filed share6.3%47.9%45.8%
Top term, share of reportsOff 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

DrugName typeReportsLatest 12 monthsMarked serious
Eligardbrand44,3852,38838.1%
Zoladexbrand7,05839688.5%
Leuprolide acetategeneric4,95170290.1%
Goserelingeneric2,78938395.9%
Supprelinbrand8151218%
Leuprolidegeneric66310679%

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.