Reported Reactions

Drugs › Angiotensin 2 receptor blocker

Brand name · Sparsentan

Filspari: adverse event reports filed with FDA

5,598 reports list it as a suspect or interacting product, 2023–2026. Class: Angiotensin 2 receptor blocker.

5,598
reports as suspect product
0% of all reports · about 1,642 a year
2,908
reports, 12 months to June 2026
1,531 in the 12 months before
16.1%
marked serious by the reporter
67.6% across the class
0.5%
record death among outcomes, as reported
28 reports · not verified by FDA

Between February 2023 and June 2026, 5,598 adverse event reports received by FDA list the brand name Filspari (sparsentan) as a suspect or interacting product. Reports that mention it only as a concomitant medication (194) are left out of every figure here.

In the 12 months to June 2026, 2,908 reports listed it, up 90% from 1,531 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 1,642 reports a year and 0% of the 20,646,523 reports in the database, and 2.3% of the reports for the angiotensin 2 receptor blocker class. 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 dizziness (14.7%), fatigue (13.6%) and hypotension (11.3%). A report can list several reactions, so shares add to more than 100%; 643 different terms appear across these reports. Dizziness is recorded in 14.7% of these reports, a larger share than in the median angiotensin 2 receptor blocker drug (7.1%).

16.1% of the reports are marked serious by the reporter (67.6% across the class); 0.5% record death among the outcomes and 6.7% record hospitalisation, as reported. 84.8% of the reports came from consumers, and the largest patient age group is 45 to 64 (22.7%). 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

0203406Jul 2021: 0Aug 2021: 0Sep 2021: 0Oct 2021: 0Nov 2021: 0Dec 2021: 02022Jan 2022: 0Feb 2022: 0Mar 2022: 0Apr 2022: 0May 2022: 0Jun 2022: 0Jul 2022: 0Aug 2022: 0Sep 2022: 0Oct 2022: 0Nov 2022: 0Dec 2022: 02023Jan 2023: 0Feb 2023: 1Mar 2023: 0Apr 2023: 0May 2023: 63Jun 2023: 2Jul 2023: 3Aug 2023: 1Sep 2023: 186Oct 2023: 3Nov 2023: 262Dec 2023: 882024Jan 2024: 62Feb 2024: 155Mar 2024: 79Apr 2024: 34May 2024: 161Jun 2024: 59Jul 2024: 83Aug 2024: 149Sep 2024: 111Oct 2024: 55Nov 2024: 171Dec 2024: 682025Jan 2025: 176Feb 2025: 131Mar 2025: 69Apr 2025: 165May 2025: 224Jun 2025: 129Jul 2025: 210Aug 2025: 29Sep 2025: 406Oct 2025: 358Nov 2025: 247Dec 2025: 1812026Jan 2026: 311Feb 2026: 138Mar 2026: 348Apr 2026: 190May 2026: 230Jun 2026: 260

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

01,1632,3252023: 60920232024: 1,18720242025: 2,32520252026: 1,4772026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Filspari reports recording the termmedian drug in angiotensin 2 receptor blocker

  1. Dizzinesslight-headedness or unsteadiness14.7%824
  2. Fatiguetiredness13.6%759
  3. Hypotensionlow blood pressure11.3%633
  4. Nauseafeeling sick6.9%387
  5. Product use in unapproved indicationused for a purpose not on the label6.4%359
  6. Off label useused for a purpose or in a way not on the label6%338
  7. Headachehead pain5.8%326
  8. Product administration errora mistake in giving the product5.7%321
  9. Peripheral swellingswelling of the arms or legs5.4%300
  10. Pruritusitching5%280
  11. Product dose omission issuea dose was missed4.1%228
  12. Blood pressure decreaseda low blood pressure reading3.8%211
  13. Glomerular filtration rate decreasedreduced kidney filtering3.7%207
  14. Blood creatinine increasedraised creatinine, a kidney test3.5%194
  15. Drug ineffectivethe medicine did not work as expected3.4%192
  16. Hypertensionhigh blood pressure3.2%180
  17. Abdominal pain upperupper stomach pain3%166
  18. Nasopharyngitisa cold2.9%160
  19. Vomitingbeing sick2.9%160
  20. Joint swellinga swollen joint2.7%152
  21. Renal impairmentreduced kidney function2.7%152
  22. Abdominal discomfortstomach discomfort2.7%151
  23. Feeling abnormalfeeling odd or not right2.7%151
  24. Dyspnoeashortness of breath2.6%146
  25. Illness2.5%141
  26. Diarrhoealoose or frequent stools2.4%135
  27. Arthralgiajoint pain2.4%134
  28. Astheniaweakness or lack of energy2.3%131
  29. Back painback pain2.3%131

Top 30 of 643 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 24 drugs in the angiotensin 2 receptor blocker 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

Death0.5%28
Life-threatening0%1
Hospitalisation (initial or prolonged)6.7%377
Disability0%0
Congenital anomaly0%0
Other serious10.6%592
Not serious83.9%4,698

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 243,200 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%0
2 to 110.2%10
12 to 170.6%34
18 to 4421.8%1,223
45 to 6422.7%1,272
65 to 746.9%386
75 and over2.8%155
Age not given45%2,518

Patient sex

Female42.7%2,390
Male54.6%3,059
Not given2.7%149

Who reported

Physician11.4%638
Pharmacist0.6%36
Other health professional3.2%177
Lawyer0%0
Consumer or non-health professional84.8%4,747
Not given0%0

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 95.7% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Iga nephropathy4,30376.9%
Haematuria1863.3%
Chronic kidney disease1602.9%
Focal segmental glomerulosclerosis891.6%
Proteinuria811.4%
Nephritic syndrome440.8%

The indication field is filled in by the reporter and is often blank; shares are of all 5,598 reports.

In context

MeasureFilspariAngiotensin 2 receptor blockerAll reports
Reports as suspect product5,598243,20020,646,523
Share of that pool—2.3%0%
Reports, latest 12 months2,908—1,332,454
Marked serious16.1%67.6%57.4%
Death recorded among outcomes, per 1,000 reports511191
Hospitalisation recorded, per 1,000 reports67287213
Consumer-filed share84.8%54.2%45.8%
Top term, share of reportsDizziness 14.7%median 7.1%2.4%

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 angiotensin 2 receptor blocker class

DrugName typeReportsLatest 12 monthsMarked serious
Entrestobrand105,1731,28549.3%
Diovanbrand17,17913391.7%
Valsartangeneric16,93592383.8%
Losartangeneric15,1761,13780.1%
Candesartangeneric10,1971,48798.6%
Irbesartangeneric10,05569293.7%
Benicarbrand8,3707969.4%
Losartan potassiumgeneric6,72524673%
Exforgebrand6,26610895.3%
Diovan HCTbrand5,6703095.3%
Candesartan cilexetilgeneric5,31162297.6%
Cozaarbrand4,9136070.2%
Olmesartan medoxomilgeneric4,77716990.6%
Telmisartangeneric4,66635791.2%
Atacandbrand4,5974876.6%

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 Filspari reports

How many adverse event reports has FDA received for Filspari?

5,598 reports list Filspari as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 2,908 of them arrived in the latest 12 months. Another 194 list it only as a concomitant medication.

What reactions are recorded in Filspari reports?

dizziness (14.7%), fatigue (13.6%), hypotension (11.3%), nausea (6.9%) and product use in unapproved indication (6.4%). 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 Filspari was responsible.

How serious are the reports?

16.1% are marked serious by the reporter. Among the outcomes recorded, 0.5% of reports include death and 6.7% 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?

consumer or non-health professional (84.8%), physician (11.4%) and other health professional (3.2%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Filspari rising?

2,908 reports in the 12 months to June 2026, up 90% from 1,531 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 Filspari 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 Filspari?

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 Filspari as a suspect or interacting product; reports listing it only as a concomitant medication (194) 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.