Reported Reactions

Drugs › Interleukin-23 antagonist

Brand name · Tildrakizumab-asmn

Ilumya: adverse event reports filed with FDA

2,290 reports list it as a suspect or interacting product, 2019–2026. Class: Interleukin-23 antagonist.

2,290
reports as suspect product
0% of all reports · about 309 a year
700
reports, 12 months to June 2026
583 in the 12 months before
21.8%
marked serious by the reporter
53.2% across the class
6.9%
record death among outcomes, as reported
158 reports · not verified by FDA

2,290 adverse event reports received by FDA list the brand name Ilumya (tildrakizumab-asmn) as a suspect or interacting product, from February 2019 to June 2026. A further 28 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, 700 reports listed it, up 20% from 583 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 309 reports a year and 0% of the 20,646,523 reports in the database, and 2% of the reports for the interleukin-23 antagonist 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 (21.1%), drug ineffective (13.4%) and intentional dose omission (8.2%). A report can list several reactions, so shares add to more than 100%; 179 different terms appear across these reports. Product dose omission issue is recorded in 21.1% of these reports, about the same share as in the median interleukin-23 antagonist drug (21.1%).

21.8% of the reports are marked serious by the reporter (53.2% across the class); 6.9% record death among the outcomes and 3.9% record hospitalisation, as reported. 61.8% of the reports came from consumers, and the largest patient age group is 65 to 74 (5.4%). 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

0238476Jul 2021: 1Aug 2021: 6Sep 2021: 5Oct 2021: 6Nov 2021: 48Dec 2021: 42022Jan 2022: 2Feb 2022: 3Mar 2022: 4Apr 2022: 6May 2022: 67Jun 2022: 3Jul 2022: 3Aug 2022: 8Sep 2022: 5Oct 2022: 101Nov 2022: 7Dec 2022: 52023Jan 2023: 5Feb 2023: 1Mar 2023: 4Apr 2023: 1May 2023: 99Jun 2023: 2Jul 2023: 3Aug 2023: 7Sep 2023: 11Oct 2023: 3Nov 2023: 7Dec 2023: 82024Jan 2024: 5Feb 2024: 7Mar 2024: 13Apr 2024: 224May 2024: 16Jun 2024: 7Jul 2024: 6Aug 2024: 12Sep 2024: 7Oct 2024: 13Nov 2024: 10Dec 2024: 132025Jan 2025: 8Feb 2025: 12Mar 2025: 6Apr 2025: 8May 2025: 476Jun 2025: 12Jul 2025: 7Aug 2025: 9Sep 2025: 14Oct 2025: 12Nov 2025: 12Dec 2025: 92026Jan 2026: 31Feb 2026: 9Mar 2026: 17Apr 2026: 14May 2026: 469Jun 2026: 97

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

03196372019: 8120192020: 12420202021: 16520212022: 21420222023: 15120232024: 33320242025: 58520252026: 6372026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Ilumya reports recording the termmedian drug in interleukin-23 antagonist

  1. Product dose omission issuea dose was missed21.1%484
  2. Drug ineffectivethe medicine did not work as expected13.4%306
  3. Deaththe patient died; cause not stated by this term6.6%150
  4. Condition aggravatedthe condition being treated got worse5.1%116
  5. Psoriasispsoriasis, a skin condition4.2%97
  6. Self-medication3.9%89
  7. Off label useused for a purpose or in a way not on the label3.8%86
  8. Product storage errorthe product was stored wrongly3.6%82
  9. Pruritusitching3.6%82
  10. Inappropriate schedule of product administrationthe product was taken at the wrong times3.4%78
  11. Rashskin rash3.4%77
  12. Diarrhoealoose or frequent stools1.9%43
  13. Circumstance or information capable of leading to medication errora situation that could lead to a medication error1.6%36
  14. Disease recurrencethe disease came back1.6%36
  15. Therapeutic response decreasedthe medicine worked less well1.4%32
  16. Arthralgiajoint pain1.4%31
  17. Painpain, site not specified1.4%31
  18. Product administration errora mistake in giving the product1%24
  19. Treatment delayed1%23
  20. Fatiguetiredness0.9%20
  21. Covid-19COVID-19 infection0.8%18
  22. Pneumonialung infection0.8%18
  23. Dyspnoeashortness of breath0.7%17
  24. Exposure during pregnancythe medicine was taken during pregnancy0.7%17
  25. Dizzinesslight-headedness or unsteadiness0.7%16
  26. Malaisegeneral feeling of being unwell0.7%16
  27. Myalgiamuscle pain0.7%16

Top 30 of 179 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 5 drugs in the interleukin-23 antagonist 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

Death6.9%158
Life-threatening0.3%6
Hospitalisation (initial or prolonged)3.9%90
Disability0.1%2
Congenital anomaly0.1%2
Other serious19.7%452
Not serious78.2%1,791

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 116,972 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%0
12 to 170%1
18 to 442%45
45 to 644.7%107
65 to 745.4%123
75 and over3.8%86
Age not given84.2%1,928

Patient sex

Female47.6%1,089
Male39.4%902
Not given13.1%299

Who reported

Physician13.4%307
Pharmacist2.6%59
Other health professional21.2%486
Lawyer0%0
Consumer or non-health professional61.8%1,415
Not given1%23

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 96% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Psoriasis1,41962%
Psoriatic arthropathy70.3%
Guttate psoriasis20.1%

The indication field is filled in by the reporter and is often blank; shares are of all 2,290 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Ilumya reports
Atorvastatin301.3%
Amlodipine210.9%
Aspirin210.9%
Metformin210.9%
Lisinopril200.9%
Clobetasol170.7%
Hydrochlorothiazide170.7%
Losartan170.7%
Triamcinolone170.7%
Levothyroxine160.7%

Other products listed in reports where Ilumya 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

MeasureIlumyaInterleukin-23 antagonistAll reports
Reports as suspect product2,290116,97220,646,523
Share of that pool—2%0%
Reports, latest 12 months700—1,332,454
Marked serious21.8%53.2%57.4%
Death recorded among outcomes, per 1,000 reports693091
Hospitalisation recorded, per 1,000 reports39176213
Consumer-filed share61.8%71.4%45.8%
Top term, share of reportsProduct dose omission issue 21.1%median 21.1%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 interleukin-23 antagonist class

DrugName typeReportsLatest 12 monthsMarked serious
Skyrizibrand79,78419,30166.3%
Tremfyabrand32,0296,35124.8%
Guselkumabgeneric2,0931,18123.5%
Omvohbrand77629349.6%

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 Ilumya reports

How many adverse event reports has FDA received for Ilumya?

2,290 reports list Ilumya as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 700 of them arrived in the latest 12 months. Another 28 list it only as a concomitant medication.

What reactions are recorded in Ilumya reports?

product dose omission issue (21.1%), drug ineffective (13.4%), intentional dose omission (8.2%), death (6.6%) and condition aggravated (5.1%). 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 Ilumya was responsible.

How serious are the reports?

21.8% are marked serious by the reporter. Among the outcomes recorded, 6.9% of reports include death and 3.9% 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 (61.8%), other health professional (21.2%) and physician (13.4%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Ilumya rising?

700 reports in the 12 months to June 2026, up 20% from 583 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 Ilumya 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 Ilumya?

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 Ilumya as a suspect or interacting product; reports listing it only as a concomitant medication (28) 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.