Reported Reactions

Drugs › Proteasome inhibitor

Generic name

Ixazomib: adverse event reports filed with FDA

11,365 reports list it as a suspect or interacting product, 2013–2026. Class: Proteasome inhibitor.

11,365
reports as suspect product
0.1% of all reports · about 898 a year
449
reports, 12 months to June 2026
824 in the 12 months before
97.1%
marked serious by the reporter
86% across the class
26.1%
record death among outcomes, as reported
2,969 reports · not verified by FDA

11,365 adverse event reports received by FDA list ixazomib, a generic name as a suspect or interacting product, from November 2013 to June 2026. A further 521 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, 449 reports listed it, down 46% from 824 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 898 reports a year and 0.1% of the 20,646,523 reports in the database, and 10.3% of the reports for the proteasome inhibitor class. How many people take it is not in the data, so a count is not a rate of occurrence.

The reactions recorded most often are plasma cell myeloma (19%), death (15.2%) and off label use (15%). A report can list several reactions, so shares add to more than 100%; 1,156 different terms appear across these reports. Plasma cell myeloma is recorded in 19% of these reports, a larger share than in the median proteasome inhibitor drug (12.1%).

97.1% of the reports are marked serious by the reporter (86% across the class); 26.1% record death among the outcomes and 43.1% record hospitalisation, as reported. 42.3% of the reports came from consumers, and the largest patient age group is 65 to 74 (23.8%). 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

0107213Jul 2021: 126Aug 2021: 132Sep 2021: 165Oct 2021: 147Nov 2021: 146Dec 2021: 1312022Jan 2022: 121Feb 2022: 139Mar 2022: 114Apr 2022: 213May 2022: 125Jun 2022: 142Jul 2022: 120Aug 2022: 123Sep 2022: 112Oct 2022: 83Nov 2022: 90Dec 2022: 1142023Jan 2023: 119Feb 2023: 108Mar 2023: 111Apr 2023: 84May 2023: 90Jun 2023: 100Jul 2023: 103Aug 2023: 99Sep 2023: 109Oct 2023: 94Nov 2023: 85Dec 2023: 862024Jan 2024: 87Feb 2024: 89Mar 2024: 100Apr 2024: 84May 2024: 91Jun 2024: 81Jul 2024: 96Aug 2024: 86Sep 2024: 81Oct 2024: 84Nov 2024: 91Dec 2024: 612025Jan 2025: 54Feb 2025: 56Mar 2025: 68Apr 2025: 57May 2025: 49Jun 2025: 41Jul 2025: 59Aug 2025: 43Sep 2025: 51Oct 2025: 57Nov 2025: 54Dec 2025: 682026Jan 2026: 4Feb 2026: 4Mar 2026: 31Apr 2026: 44May 2026: 8Jun 2026: 26

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

08621,7242013: 120132014: 22015: 4520152016: 3452017: 71420172018: 1,1192019: 1,53720192020: 1,3892021: 1,72420212022: 1,4962023: 1,18820232024: 1,0312025: 65720252026: 117

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Ixazomib reports recording the termmedian drug in proteasome inhibitor

  1. Deaththe patient died; cause not stated by this term15.2%1,723
  2. Off label useused for a purpose or in a way not on the label15%1,702
  3. Diarrhoealoose or frequent stools11%1,246
  4. Pneumonialung infection9.4%1,068
  5. Fatiguetiredness6.6%750
  6. Thrombocytopenialow platelets6.4%729
  7. Nauseafeeling sick6.3%720
  8. Neuropathy peripheralnerve damage in hands or feet5.3%597
  9. Vomitingbeing sick4.3%490
  10. Platelet count decreasedlow platelet count4%456
  11. Astheniaweakness or lack of energy4%452
  12. Pyrexiafever3.9%442
  13. Product dose omission issuea dose was missed3.8%432
  14. Constipationconstipation3.8%431
  15. Anaemialow red blood cells3.7%420
  16. Rashskin rash3.5%402
  17. Neutropenialow neutrophils, a type of white blood cell3.5%398
  18. Covid-19COVID-19 infection3.4%386
  19. Malaisegeneral feeling of being unwell3.3%373
  20. Back painback pain3.2%367
  21. Dyspnoeashortness of breath3%337
  22. Drug ineffectivethe medicine did not work as expected2.8%315
  23. Falla fall2.7%304
  24. Coughcough2.3%266
  25. Decreased appetitereduced appetite2.3%256
  26. White blood cell count decreasedlow white cell count2.2%251
  27. Peripheral swellingswelling of the arms or legs2.2%250
  28. Acute kidney injurysudden loss of kidney function2.2%249
  29. Dizzinesslight-headedness or unsteadiness2.1%243

Top 30 of 1,156 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 proteasome 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

Death26.1%2,969
Life-threatening2.8%323
Hospitalisation (initial or prolonged)43.1%4,898
Disability1%109
Congenital anomaly0%2
Other serious68.9%7,835
Not serious2.9%324

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 109,894 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%8
12 to 170%2
18 to 441.4%159
45 to 6418.3%2,079
65 to 7423.8%2,706
75 and over22.2%2,521
Age not given34.2%3,890

Patient sex

Female42.3%4,813
Male52.2%5,936
Not given5.4%616

Who reported

Physician35%3,982
Pharmacist5.5%625
Other health professional17.1%1,947
Lawyer0%2
Consumer or non-health professional42.3%4,803
Not given0.1%6

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 24.7% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Plasma cell myeloma9,52183.8%
Plasma cell myeloma refractory2372.1%
Amyloidosis880.8%
Plasma cell myeloma in remission580.5%
Plasma cell myeloma recurrent550.5%
Waldenstrom's macroglobulinaemia270.2%

The indication field is filled in by the reporter and is often blank; shares are of all 11,365 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Ixazomib reports
Dexamethasone6,98761.5%
Lenalidomide3,34129.4%
Revlimid2,30020.2%
Cyclophosphamide1,14010%
Acyclovir8477.5%
Pomalidomide8337.3%
Aspirin8277.3%
Daratumumab7026.2%
Pomalyst5825.1%
Bortezomib4584%

Other products listed in reports where Ixazomib 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

MeasureIxazomibProteasome inhibitorAll reports
Reports as suspect product11,365109,89420,646,523
Share of that pool—10.3%0.1%
Reports, latest 12 months449—1,332,454
Marked serious97.1%86%57.4%
Death recorded among outcomes, per 1,000 reports26118191
Hospitalisation recorded, per 1,000 reports431336213
Consumer-filed share42.3%15.7%45.8%
Top term, share of reportsPlasma cell myeloma 19%median 12.1%0.2%

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 proteasome inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Velcadebrand37,3641,23985.6%
Bortezomibgeneric26,9083,00197.9%
Carfilzomibgeneric11,69393496.8%
Kyprolisbrand11,56539361.2%
Ninlarobrand10,99916161.2%

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 Ixazomib reports

How many adverse event reports has FDA received for Ixazomib?

11,365 reports list Ixazomib as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 449 of them arrived in the latest 12 months. Another 521 list it only as a concomitant medication.

What reactions are recorded in Ixazomib reports?

plasma cell myeloma (19%), death (15.2%), off label use (15%), diarrhoea (11%) 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 Ixazomib was responsible.

How serious are the reports?

97.1% are marked serious by the reporter. Among the outcomes recorded, 26.1% of reports include death and 43.1% 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 (42.3%), physician (35%) and other health professional (17.1%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Ixazomib rising?

449 reports in the 12 months to June 2026, down 46% from 824 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 Ixazomib 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 Ixazomib?

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 Ixazomib as a suspect or interacting product; reports listing it only as a concomitant medication (521) 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.