Reported Reactions

Drugs › Kinase inhibitor

Brand name · Ponatinib hydrochloride

Iclusig: adverse event reports filed with FDA

5,072 reports list it as a suspect or interacting product, 2013–2026. Class: Kinase inhibitor. Also reported as Iclusig Tablet 15mg, Iclusig Tablet 45mg, Iclusig Tablet.

5,072
reports as suspect product
0% of all reports · about 378 a year
198
reports, 12 months to June 2026
258 in the 12 months before
85.9%
marked serious by the reporter
70.8% across the class
28.3%
record death among outcomes, as reported
1,435 reports · not verified by FDA

Between February 2013 and June 2026, 5,072 adverse event reports received by FDA list the brand name Iclusig (ponatinib hydrochloride) as a suspect or interacting product. Reports that mention it only as a concomitant medication (244) are left out of every figure here.

In the 12 months to June 2026, 198 reports listed it, down 23% from 258 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 378 reports a year and 0% of the 20,646,523 reports in the database, and 0.6% of the reports for the kinase inhibitor 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 death (14.5%), off label use (6.5%) and rash (5.5%). A report can list several reactions, so shares add to more than 100%; 803 different terms appear across these reports. Death is recorded in 14.5% of these reports, a larger share than in the median kinase inhibitor drug (7.6%).

85.9% of the reports are marked serious by the reporter (70.8% across the class); 28.3% record death among the outcomes and 31.4% record hospitalisation, as reported. 41.9% of the reports came from consumers, and the largest patient age group is 45 to 64 (24.7%). 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

01733Jul 2021: 16Aug 2021: 24Sep 2021: 21Oct 2021: 22Nov 2021: 21Dec 2021: 292022Jan 2022: 9Feb 2022: 16Mar 2022: 14Apr 2022: 16May 2022: 19Jun 2022: 29Jul 2022: 23Aug 2022: 12Sep 2022: 27Oct 2022: 23Nov 2022: 28Dec 2022: 112023Jan 2023: 23Feb 2023: 22Mar 2023: 29Apr 2023: 29May 2023: 21Jun 2023: 15Jul 2023: 20Aug 2023: 19Sep 2023: 20Oct 2023: 19Nov 2023: 19Dec 2023: 92024Jan 2024: 20Feb 2024: 19Mar 2024: 25Apr 2024: 24May 2024: 32Jun 2024: 26Jul 2024: 25Aug 2024: 12Sep 2024: 29Oct 2024: 26Nov 2024: 17Dec 2024: 222025Jan 2025: 17Feb 2025: 18Mar 2025: 19Apr 2025: 18May 2025: 22Jun 2025: 33Jul 2025: 22Aug 2025: 7Sep 2025: 24Oct 2025: 18Nov 2025: 21Dec 2025: 172026Jan 2026: 12Feb 2026: 20Mar 2026: 10Apr 2026: 10May 2026: 21Jun 2026: 16

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

03677332013: 67620132014: 7332015: 35420152016: 6022017: 40520172018: 2882019: 30220192020: 3492021: 28920212022: 2272023: 24520232024: 2772025: 23620252026: 89

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Iclusig reports recording the termmedian drug in kinase inhibitor

  1. Deaththe patient died; cause not stated by this term14.5%734
  2. Off label useused for a purpose or in a way not on the label6.5%330
  3. Rashskin rash5.5%280
  4. Fatiguetiredness5%254
  5. Headachehead pain5%252
  6. Pyrexiafever4.7%237
  7. Hypertensionhigh blood pressure3.9%196
  8. Constipationconstipation3.8%192
  9. Nauseafeeling sick3.4%171
  10. Arthralgiajoint pain3.2%164
  11. Platelet count decreasedlow platelet count3.1%156
  12. Abdominal painstomach or belly pain2.9%149
  13. Drug ineffectivethe medicine did not work as expected2.9%147
  14. Dry skindry skin2.9%147
  15. Thrombocytopenialow platelets2.9%147
  16. Chronic myeloid leukaemia2.8%143
  17. Chest painchest pain2.6%134
  18. Hospitalisationadmission to hospital2.6%133
  19. Astheniaweakness or lack of energy2.5%127
  20. Pneumonialung infection2.5%125
  21. Pain in extremitypain in an arm or leg2.4%122
  22. Dyspnoeashortness of breath2.3%119
  23. Acute lymphocytic leukaemia recurrent2.2%113
  24. Painpain, site not specified2.2%112
  25. Myalgiamuscle pain2.2%111
  26. Diarrhoealoose or frequent stools2.1%109
  27. Anaemialow red blood cells2.1%107
  28. Pancreatitisinflammation of the pancreas2.1%107
  29. Skin exfoliationpeeling skin2.1%107

Top 30 of 803 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 100 drugs in the kinase 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

Death28.3%1,435
Life-threatening2.5%126
Hospitalisation (initial or prolonged)31.4%1,594
Disability1.1%55
Congenital anomaly0.1%6
Other serious62.3%3,160
Not serious14.1%713

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 849,161 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%2
2 to 110.6%31
12 to 170.7%37
18 to 4413.9%707
45 to 6424.7%1,253
65 to 7412.1%614
75 and over7.6%386
Age not given40.3%2,042

Patient sex

Female37.2%1,887
Male44.9%2,275
Not given17.9%910

Who reported

Physician31.9%1,619
Pharmacist5.7%291
Other health professional18.3%930
Lawyer0.1%3
Consumer or non-health professional41.9%2,127
Not given2%102

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 55.6% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Chronic myeloid leukaemia2,41547.6%
Acute lymphocytic leukaemia75114.8%
Philadelphia positive acute lymphocytic leukaemia2014%
Acute myeloid leukaemia992%
Acute lymphocytic leukaemia recurrent691.4%
Chronic myeloid leukaemia transformation320.6%

The indication field is filled in by the reporter and is often blank; shares are of all 5,072 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Iclusig reports
Dexamethasone2154.2%
Cytarabine1993.9%
Methotrexate1873.7%
Cyclophosphamide1503%
Allopurinol1482.9%
Aspirin1362.7%
Dasatinib1252.5%
Vincristine1212.4%
Acyclovir1172.3%
Lisinopril1122.2%

Other products listed in reports where Iclusig 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

MeasureIclusigKinase inhibitorAll reports
Reports as suspect product5,072849,16120,646,523
Share of that pool—0.6%0%
Reports, latest 12 months198—1,332,454
Marked serious85.9%70.8%57.4%
Death recorded among outcomes, per 1,000 reports28319091
Hospitalisation recorded, per 1,000 reports314264213
Consumer-filed share41.9%42.3%45.8%
Top term, share of reportsDeath 14.5%median 7.6%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 kinase inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Ibrancebrand81,9122,38047.1%
Imbruvicabrand67,0392,28374.4%
Cabometyxbrand41,8184,90440.4%
Sutentbrand33,21517574.5%
Afinitorbrand30,70616171.3%
Sprycelbrand27,25555749.7%
Tasignabrand24,91132870.9%
Kisqalibrand24,6033,41379.2%
Ofevbrand23,9072,43466.9%
Gleevecbrand23,1328174.7%
Tagrissobrand23,0851,41092.3%
Lenvimabrand22,3502,64387.3%
Votrientbrand22,08411960.9%
Mekinistbrand17,07091664%
Inlytabrand15,69638860.9%

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 Iclusig reports

How many adverse event reports has FDA received for Iclusig?

5,072 reports list Iclusig as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 198 of them arrived in the latest 12 months. Another 244 list it only as a concomitant medication.

What reactions are recorded in Iclusig reports?

death (14.5%), off label use (6.5%), rash (5.5%), fatigue (5%) and headache (5%). 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 Iclusig was responsible.

How serious are the reports?

85.9% are marked serious by the reporter. Among the outcomes recorded, 28.3% of reports include death and 31.4% 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 (41.9%), physician (31.9%) and other health professional (18.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Iclusig rising?

198 reports in the 12 months to June 2026, down 23% from 258 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 Iclusig 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 Iclusig?

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 Iclusig as a suspect or interacting product; reports listing it only as a concomitant medication (244) 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.