Reported Reactions

Drugs › Hydrolytic lysosomal glycosaminoglycan-specific enzyme

Generic name

Idursulfase: adverse event reports filed with FDA

2,170 reports list it as a suspect or interacting product, 2007–2026. Class: Hydrolytic lysosomal glycosaminoglycan-specific enzyme.

2,170
reports as suspect product
0% of all reports · about 114 a year
133
reports, 12 months to June 2026
119 in the 12 months before
96.2%
marked serious by the reporter
63.8% across the class
17.2%
record death among outcomes, as reported
373 reports · not verified by FDA

2,170 adverse event reports received by FDA list idursulfase, a generic name as a suspect or interacting product, from June 2007 to June 2026. A further 14 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 133 reports listed it, up 12% from 119 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 114 reports a year and 0% of the 20,646,523 reports in the database, and 12.6% of the reports for the hydrolytic lysosomal glycosaminoglycan-specific enzyme class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded product dose omission issue (21.8%), pyrexia (20.2%) and inappropriate schedule of product administration (16.2%). A report can list several reactions, so shares add to more than 100%; 702 different terms appear across these reports. Product dose omission issue is recorded in 21.8% of these reports, a larger share than in the median hydrolytic lysosomal glycosaminoglycan-specific enzyme drug (1.3%).

96.2% of the reports are marked serious by the reporter (63.8% across the class); 17.2% record death among the outcomes and 69.6% record hospitalisation, as reported. 41.4% of the reports came from physicians, and the largest patient age group is 2 to 11 (33.1%). 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

03264Jul 2021: 64Aug 2021: 57Sep 2021: 32Oct 2021: 23Nov 2021: 45Dec 2021: 382022Jan 2022: 22Feb 2022: 29Mar 2022: 31Apr 2022: 27May 2022: 24Jun 2022: 36Jul 2022: 24Aug 2022: 21Sep 2022: 18Oct 2022: 28Nov 2022: 22Dec 2022: 192023Jan 2023: 26Feb 2023: 26Mar 2023: 18Apr 2023: 25May 2023: 19Jun 2023: 43Jul 2023: 19Aug 2023: 13Sep 2023: 20Oct 2023: 15Nov 2023: 15Dec 2023: 132024Jan 2024: 10Feb 2024: 5Mar 2024: 3Apr 2024: 16May 2024: 9Jun 2024: 5Jul 2024: 9Aug 2024: 10Sep 2024: 14Oct 2024: 16Nov 2024: 10Dec 2024: 142025Jan 2025: 5Feb 2025: 6Mar 2025: 5Apr 2025: 11May 2025: 8Jun 2025: 11Jul 2025: 3Aug 2025: 11Sep 2025: 6Oct 2025: 14Nov 2025: 7Dec 2025: 122026Jan 2026: 22Feb 2026: 16Mar 2026: 21Apr 2026: 19May 2026: 0Jun 2026: 2

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

02965922007: 420072010: 232011: 2820112012: 362013: 11120132014: 622015: 7820152016: 362017: 2520172018: 702019: 6620192020: 1862021: 59220212022: 3012023: 25220232024: 1212025: 9920252026: 80

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Idursulfase reports recording the termmedian drug in hydrolytic lysosomal glycosaminoglycan-specific enzyme

  1. Product dose omission issuea dose was missed21.8%473
  2. Pyrexiafever20.2%438
  3. Inappropriate schedule of product administrationthe product was taken at the wrong times16.2%351
  4. Coughcough10.9%236
  5. Pneumonialung infection9.4%203
  6. Product availability issuethe product was not available8.9%194
  7. Influenzaflu8.6%186
  8. Covid-19COVID-19 infection8.2%179
  9. Weight increasedweight gain7.9%171
  10. Seizurea fit or convulsion7.7%167
  11. Dyspnoeashortness of breath7.6%166
  12. Deaththe patient died; cause not stated by this term7%151
  13. Illness6.7%146
  14. Malaisegeneral feeling of being unwell6.7%146
  15. Nasopharyngitisa cold6.5%141
  16. Incorrect dose administeredthe wrong dose was given6.4%139
  17. Infusion related reactiona reaction during or soon after an infusion6.2%134
  18. Diarrhoealoose or frequent stools6%130
  19. Vomitingbeing sick5.6%122
  20. Weight decreasedweight loss5.4%117
  21. Rhinorrhoeaa runny nose5.2%113
  22. Productive cougha cough with phlegm4.7%101
  23. Painpain, site not specified4.4%96
  24. Treatment noncompliancethe treatment was not taken as directed4.4%96
  25. Falla fall3.8%83
  26. Fatiguetiredness3.7%81
  27. Product use issuea problem in how the product was used3.7%81
  28. Ear infectionan ear infection3.6%78
  29. Headachehead pain3.5%77

Top 30 of 702 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 6 drugs in the hydrolytic lysosomal glycosaminoglycan-specific enzyme 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

Death17.2%373
Life-threatening5.3%116
Hospitalisation (initial or prolonged)69.6%1,511
Disability3.9%84
Congenital anomaly0.1%3
Other serious64.7%1,404
Not serious3.8%83

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 17,202 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 21.4%31
2 to 1133.1%719
12 to 1722%477
18 to 4417.2%373
45 to 640.9%19
65 to 740%0
75 and over0%0
Age not given25.4%551

Patient sex

Female0.8%17
Male92.5%2,007
Not given6.7%146

Who reported

Physician41.4%899
Pharmacist1.2%27
Other health professional20.9%453
Lawyer0%0
Consumer or non-health professional36.3%788
Not given0.1%3

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 30% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Mucopolysaccharidosis ii1,83684.6%
Mucopolysaccharidosis371.7%
Enzyme supplementation130.6%
Supplementation therapy120.6%
Fabry's disease40.2%
Mucopolysaccharidosis i40.2%

The indication field is filled in by the reporter and is often blank; shares are of all 2,170 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Idursulfase reports
Acetaminophen26012%
Diphenhydramine1567.2%
Ibuprofen1496.9%
Melatonin1416.5%
Sodium chloride1255.8%
Albuterol1225.6%
Heparin1175.4%
Risperidone1175.4%
Epinephrine1085%
Amoxicillin1044.8%

Other products listed in reports where Idursulfase 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

MeasureIdursulfaseHydrolytic lysosomal glycosaminoglycan-specific enzymeAll reports
Reports as suspect product2,17017,20220,646,523
Share of that pool—12.6%0%
Reports, latest 12 months133—1,332,454
Marked serious96.2%63.8%57.4%
Death recorded among outcomes, per 1,000 reports17210691
Hospitalisation recorded, per 1,000 reports696355213
Consumer-filed share36.3%64.7%45.8%
Top term, share of reportsProduct dose omission issue 21.8%median 1.3%1.4%

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 hydrolytic lysosomal glycosaminoglycan-specific enzyme class

DrugName typeReportsLatest 12 monthsMarked serious
Vimizimbrand5,36943040.4%
Naglazymebrand3,82720165.9%
Aldurazymebrand3,22812870.6%
Elaprasebrand1,7855178.8%
Laronidasegeneric82311162.5%

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 Idursulfase reports

How many adverse event reports has FDA received for Idursulfase?

2,170 reports list Idursulfase as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 133 of them arrived in the latest 12 months. Another 14 list it only as a concomitant medication.

What reactions are recorded in Idursulfase reports?

product dose omission issue (21.8%), pyrexia (20.2%), inappropriate schedule of product administration (16.2%), cough (10.9%) and pneumonia (9.4%). 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 Idursulfase was responsible.

How serious are the reports?

96.2% are marked serious by the reporter. Among the outcomes recorded, 17.2% of reports include death and 69.6% 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?

physician (41.4%), consumer or non-health professional (36.3%) and other health professional (20.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Idursulfase rising?

133 reports in the 12 months to June 2026, up 12% from 119 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 Idursulfase 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 Idursulfase?

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 Idursulfase as a suspect or interacting product; reports listing it only as a concomitant medication (14) 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.