Reported Reactions

Drugs › Nucleoside metabolic inhibitor

Brand name · Cedazuridine and decitabine

Inqovi: adverse event reports filed with FDA

677 reports list it as a suspect or interacting product, 2020–2026. Class: Nucleoside metabolic inhibitor.

677
reports as suspect product
0% of all reports · about 118 a year
269
reports, 12 months to June 2026
228 in the 12 months before
81.5%
marked serious by the reporter
92.2% across the class
20.4%
record death among outcomes, as reported
138 reports · not verified by FDA

Between October 2020 and June 2026, 677 adverse event reports received by FDA list the brand name Inqovi (cedazuridine and decitabine) as a suspect or interacting product. Reports that mention it only as a concomitant medication (139) are left out of every figure here.

In the 12 months to June 2026, 269 reports listed it, up 18% from 228 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 118 reports a year and 0% of the 20,646,523 reports in the database, and 0.2% of the reports for the nucleoside metabolic 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 inappropriate schedule of product administration (17.4%), cytopenia (14.9%) and fatigue (14.8%). A report can list several reactions, so shares add to more than 100%; 205 different terms appear across these reports. Inappropriate schedule of product administration is recorded in 17.4% of these reports, with no counterpart in the median nucleoside metabolic inhibitor drug (0%).

81.5% of the reports are marked serious by the reporter (92.2% across the class); 20.4% record death among the outcomes and 38.4% record hospitalisation, as reported. 65.9% of the reports came from consumers, and the largest patient age group is 75 and over (43.1%). 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

02040Jul 2021: 9Aug 2021: 0Sep 2021: 1Oct 2021: 6Nov 2021: 1Dec 2021: 22022Jan 2022: 2Feb 2022: 0Mar 2022: 3Apr 2022: 9May 2022: 3Jun 2022: 3Jul 2022: 5Aug 2022: 2Sep 2022: 0Oct 2022: 5Nov 2022: 13Dec 2022: 02023Jan 2023: 4Feb 2023: 1Mar 2023: 2Apr 2023: 7May 2023: 0Jun 2023: 1Jul 2023: 4Aug 2023: 5Sep 2023: 1Oct 2023: 2Nov 2023: 3Dec 2023: 52024Jan 2024: 10Feb 2024: 4Mar 2024: 7Apr 2024: 1May 2024: 6Jun 2024: 4Jul 2024: 18Aug 2024: 4Sep 2024: 3Oct 2024: 25Nov 2024: 15Dec 2024: 192025Jan 2025: 19Feb 2025: 19Mar 2025: 36Apr 2025: 22May 2025: 23Jun 2025: 25Jul 2025: 22Aug 2025: 14Sep 2025: 27Oct 2025: 22Nov 2025: 17Dec 2025: 222026Jan 2026: 22Feb 2026: 13Mar 2026: 24Apr 2026: 40May 2026: 22Jun 2026: 24

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

01342682020: 2320202021: 4520212022: 4520222023: 3520232024: 11620242025: 26820252026: 1452026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Inqovi reports recording the termmedian drug in nucleoside metabolic inhibitor

  1. Inappropriate schedule of product administrationthe product was taken at the wrong times17.4%118
  2. Cytopenia14.9%101
  3. Fatiguetiredness14.8%100
  4. Product use in unapproved indicationused for a purpose not on the label13.4%91
  5. Platelet count decreasedlow platelet count12.6%85
  6. Deaththe patient died; cause not stated by this term11.1%75
  7. White blood cell count decreasedlow white cell count9.7%66
  8. Nauseafeeling sick7.4%50
  9. Astheniaweakness or lack of energy6.1%41
  10. Neutropenialow neutrophils, a type of white blood cell5.8%39
  11. Haemoglobin decreasedlow haemoglobin5.6%38
  12. Pancytopenialow counts of all blood cells5.6%38
  13. Pyrexiafever5.6%38
  14. Febrile neutropeniafever with low white blood cells5%34
  15. Anaemialow red blood cells4.4%30
  16. Pneumonialung infection4.3%29
  17. Diarrhoealoose or frequent stools4.1%28
  18. Infectionan infection, type not specified4%27
  19. Thrombocytopenialow platelets4%27
  20. Constipationconstipation3.5%24
  21. Disease progressionthe disease advanced3.1%21
  22. Arthralgiajoint pain2.8%19
  23. Off label useused for a purpose or in a way not on the label2.8%19
  24. Decreased appetitereduced appetite2.5%17
  25. Drug ineffectivethe medicine did not work as expected2.5%17
  26. Dyspnoeashortness of breath2.4%16
  27. Painpain, site not specified2.4%16
  28. Falla fall2.2%15

Top 30 of 205 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 19 drugs in the nucleoside metabolic 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

Death20.4%138
Life-threatening1.5%10
Hospitalisation (initial or prolonged)38.4%260
Disability0.4%3
Congenital anomaly0%0
Other serious48%325
Not serious18.5%125

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 313,386 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 110.1%1
12 to 170%0
18 to 441%7
45 to 646.9%47
65 to 7419.2%130
75 and over43.1%292
Age not given29.5%200

Patient sex

Female39%264
Male51.8%351
Not given9.2%62

Who reported

Physician15.8%107
Pharmacist7.1%48
Other health professional10.6%72
Lawyer0%0
Consumer or non-health professional65.9%446
Not given0.6%4

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 79.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Myelodysplastic syndrome27640.8%
Acute myeloid leukaemia10715.8%
Chronic myelomonocytic leukaemia598.7%
Acute leukaemia81.2%
Myelodysplastic syndrome with excess blasts81.2%
Leukaemia30.4%

The indication field is filled in by the reporter and is often blank; shares are of all 677 reports.

In context

MeasureInqoviNucleoside metabolic inhibitorAll reports
Reports as suspect product677313,38620,646,523
Share of that pool—0.2%0%
Reports, latest 12 months269—1,332,454
Marked serious81.5%92.2%57.4%
Death recorded among outcomes, per 1,000 reports20421091
Hospitalisation recorded, per 1,000 reports384380213
Consumer-filed share65.9%11.4%45.8%
Top term, share of reportsInappropriate schedule of product administration 17.4%median 0%0.8%

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 nucleoside metabolic inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Fluorouracilgeneric60,4515,31596.1%
Capecitabinegeneric51,7833,28183.3%
Cytarabinegeneric50,7413,54597.9%
Gemcitabinegeneric33,1982,92097.9%
Xelodabrand32,27928073%
Fludarabinebrand20,2601,90098.7%
Azacitidinegeneric14,9691,83098%
Gemcitabine hydrochloridegeneric12,3991,16497.1%
Mercaptopurinegeneric10,54050795.8%
Vidazabrand9,08735896.9%
Fludarabine phosphategeneric8,42641998.5%
Decitabinegeneric3,02625896.8%
Clofarabinegeneric2,0207796.5%
Purixangeneric7672981.5%
Onuregbrand7556949.8%

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 Inqovi reports

How many adverse event reports has FDA received for Inqovi?

677 reports list Inqovi as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 269 of them arrived in the latest 12 months. Another 139 list it only as a concomitant medication.

What reactions are recorded in Inqovi reports?

inappropriate schedule of product administration (17.4%), cytopenia (14.9%), fatigue (14.8%), product use in unapproved indication (13.4%) and platelet count decreased (12.6%). 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 Inqovi was responsible.

How serious are the reports?

81.5% are marked serious by the reporter. Among the outcomes recorded, 20.4% of reports include death and 38.4% 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 (65.9%), physician (15.8%) and other health professional (10.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Inqovi rising?

269 reports in the 12 months to June 2026, up 18% from 228 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 Inqovi 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 Inqovi?

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 Inqovi as a suspect or interacting product; reports listing it only as a concomitant medication (139) 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.