Drugs › CD19-directed chimeric antigen receptor
Brand name · Tisagenlecleucel
Kymriah: adverse event reports filed with FDA
3,656 reports list it as a suspect or interacting product, 2015–2026. Class: CD19-directed chimeric antigen receptor.
- 3,656
- reports as suspect product
- 0% of all reports · about 330 a year
- 214
- reports, 12 months to June 2026
- 313 in the 12 months before
- 92.9%
- marked serious by the reporter
- 95.8% across the class
- 30.5%
- record death among outcomes, as reported
- 1,114 reports · not verified by FDA
3,656 adverse event reports received by FDA list the brand name Kymriah (tisagenlecleucel) as a suspect or interacting product, from June 2015 to June 2026. A further 57 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, 214 reports listed it, down 32% from 313 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 330 reports a year and 0% of the 20,646,523 reports in the database, and 26.1% of the reports for the CD19-directed chimeric antigen receptor 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 cytokine release syndrome (39.8%), pyrexia (26%) and malignant neoplasm progression (15.2%). A report can list several reactions, so shares add to more than 100%; 735 different terms appear across these reports. Cytokine release syndrome is recorded in 39.8% of these reports, about the same share as in the median CD19-directed chimeric antigen receptor drug (38.8%).
92.9% of the reports are marked serious by the reporter (95.8% across the class); 30.5% record death among the outcomes and 27.3% record hospitalisation, as reported. 55.6% of the reports came from physicians, and the largest patient age group is 45 to 64 (14.3%). 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
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
2026 covers reports received through June 2026 only.
Reactions recorded in the reports
share of Kymriah reports recording the termmedian drug in cd19-directed chimeric antigen receptor
- Cytokine release syndrome39.8%1,454
- Pyrexiafever26%951
- Malignant neoplasm progression15.2%554
- Hypotensionlow blood pressure10.7%392
- Hypogammaglobulinaemia10.3%375
- Platelet count decreasedlow platelet count10.2%374
- Neurotoxicity10.2%373
- Haemoglobin decreasedlow haemoglobin9.9%362
- White blood cell count decreasedlow white cell count9.8%358
- Lymphocyte count decreased9.7%355
- Acute lymphocytic leukaemia recurrent9.3%341
- Neutrophil count decreased8.9%325
- Deaththe patient died; cause not stated by this term7.5%274
- Haematocrit decreased7.3%268
- Hypoxialow oxygen5.8%213
- Cytopenia5.5%202
- Diffuse large B-cell lymphoma recurrent4.9%178
- Thrombocytopenialow platelets4.7%171
- Headachehead pain4%148
- Neutropenialow neutrophils, a type of white blood cell3.9%142
- Drug ineffectivethe medicine did not work as expected3.9%141
- Second primary malignancy3.8%139
- Tachycardiafast heart rate3.6%133
- Disease progressionthe disease advanced3.2%118
- Fatiguetiredness3.1%113
- Febrile neutropeniafever with low white blood cells2.9%107
- Off label useused for a purpose or in a way not on the label2.8%104
- Confusional stateconfusion2.8%102
Top 30 of 735 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 4 drugs in the cd19-directed chimeric antigen receptor 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
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 14,019 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
Patient sex
Who reported
Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 59.4% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Diffuse large b-cell lymphoma | 1,163 | 31.8% |
| Acute lymphocytic leukaemia | 777 | 21.3% |
| B-cell type acute leukaemia | 296 | 8.1% |
| Acute lymphocytic leukaemia recurrent | 196 | 5.4% |
| Diffuse large b-cell lymphoma recurrent | 95 | 2.6% |
| Follicular lymphoma | 68 | 1.9% |
The indication field is filled in by the reporter and is often blank; shares are of all 3,656 reports.
Drugs most often listed in the same reports
| Drug (any role in the report) | Reports | Share of Kymriah reports |
|---|---|---|
| Cyclophosphamide | 1,008 | 27.6% |
| Fludarabine | 733 | 20% |
| Rituximab | 247 | 6.8% |
| Dexamethasone | 233 | 6.4% |
| Fludarabine phosphate | 216 | 5.9% |
| Cytarabine | 198 | 5.4% |
| Etoposide | 163 | 4.5% |
| Acyclovir | 144 | 3.9% |
| Cisplatin | 126 | 3.4% |
| Vincristine | 114 | 3.1% |
Other products listed in reports where Kymriah 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
| Measure | Kymriah | CD19-directed chimeric antigen receptor | All reports |
|---|---|---|---|
| Reports as suspect product | 3,656 | 14,019 | 20,646,523 |
| Share of that pool | — | 26.1% | 0% |
| Reports, latest 12 months | 214 | — | 1,332,454 |
| Marked serious | 92.9% | 95.8% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 305 | 277 | 91 |
| Hospitalisation recorded, per 1,000 reports | 273 | 336 | 213 |
| Consumer-filed share | 12.3% | 9.2% | 45.8% |
| Top term, share of reports | Cytokine release syndrome 39.8% | median 38.8% | 0.1% |
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 cd19-directed chimeric antigen receptor class
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Yescarta | brand | 6,930 | 1,005 | 95.7% |
| Axicabtagene ciloleucel | generic | 2,709 | 430 | 99.1% |
| Tisagenlecleucel | generic | 724 | 60 | 98.3% |
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 Kymriah reports
How many adverse event reports has FDA received for Kymriah?
3,656 reports list Kymriah as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 214 of them arrived in the latest 12 months. Another 57 list it only as a concomitant medication.
What reactions are recorded in Kymriah reports?
cytokine release syndrome (39.8%), pyrexia (26%), malignant neoplasm progression (15.2%), hypotension (10.7%) and hypogammaglobulinaemia (10.3%). 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 Kymriah was responsible.
How serious are the reports?
92.9% are marked serious by the reporter. Among the outcomes recorded, 30.5% of reports include death and 27.3% 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 (55.6%), other health professional (30%) and consumer or non-health professional (12.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Kymriah rising?
214 reports in the 12 months to June 2026, down 32% from 313 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 Kymriah 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 Kymriah?
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 Kymriah as a suspect or interacting product; reports listing it only as a concomitant medication (57) 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.