Reported Reactions

Drugs › CD52-directed cytolytic antibody

Brand name · Alemtuzumab

Lemtrada: adverse event reports filed with FDA

5,969 reports list it as a suspect or interacting product, 2013–2026. Class: CD52-directed cytolytic antibody.

5,969
reports as suspect product
0% of all reports · about 471 a year
49
reports, 12 months to June 2026
142 in the 12 months before
69.4%
marked serious by the reporter
86% across the class
3.6%
record death among outcomes, as reported
216 reports · not verified by FDA

Between November 2013 and June 2026, 5,969 adverse event reports received by FDA list the brand name Lemtrada (alemtuzumab) as a suspect or interacting product. Reports that mention it only as a concomitant medication (252) are left out of every figure here.

In the 12 months to June 2026, 49 reports listed it, down 65% from 142 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 471 reports a year and 0% of the 20,646,523 reports in the database, and 34.4% of the reports for the CD52-directed cytolytic antibody 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 headache (12.1%), fatigue (11.9%) and pyrexia (8.6%). A report can list several reactions, so shares add to more than 100%; 1,186 different terms appear across these reports. Headache is recorded in 12.1% of these reports, about the same share as in the median CD52-directed cytolytic antibody drug (12.1%).

69.4% of the reports are marked serious by the reporter (86% across the class); 3.6% record death among the outcomes and 29.7% record hospitalisation, as reported. 36.4% of the reports came from consumers, and the largest patient age group is 18 to 44 (38.4%). 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

03060Jul 2021: 48Aug 2021: 38Sep 2021: 34Oct 2021: 33Nov 2021: 24Dec 2021: 322022Jan 2022: 51Feb 2022: 60Mar 2022: 36Apr 2022: 30May 2022: 22Jun 2022: 29Jul 2022: 28Aug 2022: 23Sep 2022: 30Oct 2022: 28Nov 2022: 34Dec 2022: 282023Jan 2023: 18Feb 2023: 16Mar 2023: 17Apr 2023: 19May 2023: 24Jun 2023: 17Jul 2023: 10Aug 2023: 22Sep 2023: 17Oct 2023: 22Nov 2023: 15Dec 2023: 122024Jan 2024: 22Feb 2024: 16Mar 2024: 8Apr 2024: 9May 2024: 12Jun 2024: 7Jul 2024: 13Aug 2024: 8Sep 2024: 14Oct 2024: 16Nov 2024: 7Dec 2024: 142025Jan 2025: 12Feb 2025: 14Mar 2025: 16Apr 2025: 11May 2025: 6Jun 2025: 11Jul 2025: 9Aug 2025: 2Sep 2025: 3Oct 2025: 5Nov 2025: 8Dec 2025: 12026Jan 2026: 1Feb 2026: 5Mar 2026: 1Apr 2026: 5May 2026: 7Jun 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

05141,0272013: 220132014: 682015: 52120152016: 1,0272017: 97820172018: 8162019: 88820192020: 3812021: 41520212022: 3992023: 20920232024: 1462025: 9820252026: 21

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Lemtrada reports recording the termmedian drug in cd52-directed cytolytic antibody

  1. Headachehead pain12.1%723
  2. Fatiguetiredness11.9%709
  3. Pyrexiafever8.6%514
  4. Rashskin rash8.1%482
  5. Multiple sclerosis relapsea flare of multiple sclerosis5.8%347
  6. Dyspnoeashortness of breath5.7%343
  7. Nauseafeeling sick5.4%320
  8. Astheniaweakness or lack of energy5.2%310
  9. Painpain, site not specified4.6%276
  10. Urinary tract infectionbladder or urinary infection4.5%266
  11. Platelet count decreasedlow platelet count4.2%250
  12. Malaisegeneral feeling of being unwell4.1%246
  13. Immune thrombocytopenic purpura4%238
  14. Muscular weaknessmuscle weakness4%237
  15. Chest discomfortchest discomfort3.8%225
  16. Coughcough3.7%220
  17. Gait disturbancedifficulty walking3.6%215
  18. Condition aggravatedthe condition being treated got worse3.5%206
  19. Leukopenialow white blood cells3.5%206
  20. Pruritusitching3%182
  21. Thrombocytopenialow platelets3%178
  22. Vomitingbeing sick3%177
  23. Hypoaesthesianumbness2.9%173
  24. Dizzinesslight-headedness or unsteadiness2.8%170
  25. Contusiona bruise2.7%164
  26. Urticariahives2.7%161
  27. White blood cell count decreasedlow white cell count2.7%161
  28. Feeling abnormalfeeling odd or not right2.6%158

Top 30 of 1,186 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 3 drugs in the cd52-directed cytolytic antibody 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

Death3.6%216
Life-threatening3.1%184
Hospitalisation (initial or prolonged)29.7%1,773
Disability3.1%186
Congenital anomaly0.1%8
Other serious52.9%3,156
Not serious30.6%1,829

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 17,330 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 20.2%9
2 to 110.1%4
12 to 170.3%19
18 to 4438.4%2,293
45 to 6419.6%1,170
65 to 741.4%84
75 and over0.1%6
Age not given39.9%2,384

Patient sex

Female62.1%3,708
Male23%1,374
Not given14.9%887

Who reported

Physician34.8%2,078
Pharmacist2.5%149
Other health professional25.8%1,541
Lawyer0.1%5
Consumer or non-health professional36.4%2,174
Not given0.4%22

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 56.4% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Multiple sclerosis2,42940.7%
Relapsing-remitting multiple sclerosis5088.5%
Multiple sclerosis relapse550.9%
Relapsing multiple sclerosis400.7%
B-cell prolymphocytic leukaemia120.2%
Haemophagocytic lymphohistiocytosis60.1%

The indication field is filled in by the reporter and is often blank; shares are of all 5,969 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Lemtrada reports
Methylprednisolone3826.4%
Acyclovir2975%
Paracetamol2624.4%
Aciclovir2093.5%
Solu-medrol1973.3%
Baclofen1702.8%
Omeprazole1402.3%
Ranitidine1302.2%
Acetaminophen1101.8%
Benadryl1071.8%

Other products listed in reports where Lemtrada 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

MeasureLemtradaCD52-directed cytolytic antibodyAll reports
Reports as suspect product5,96917,33020,646,523
Share of that pool—34.4%0%
Reports, latest 12 months49—1,332,454
Marked serious69.4%86%57.4%
Death recorded among outcomes, per 1,000 reports3614391
Hospitalisation recorded, per 1,000 reports297326213
Consumer-filed share36.4%22.1%45.8%
Top term, share of reportsHeadache 12.1%median 12.1%3%

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 cd52-directed cytolytic antibody class

DrugName typeReportsLatest 12 monthsMarked serious
Alemtuzumabgeneric8,61042695.8%
Campathbrand2,7513891.5%

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 Lemtrada reports

How many adverse event reports has FDA received for Lemtrada?

5,969 reports list Lemtrada as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 49 of them arrived in the latest 12 months. Another 252 list it only as a concomitant medication.

What reactions are recorded in Lemtrada reports?

headache (12.1%), fatigue (11.9%), pyrexia (8.6%), rash (8.1%) and multiple sclerosis relapse (5.8%). 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 Lemtrada was responsible.

How serious are the reports?

69.4% are marked serious by the reporter. Among the outcomes recorded, 3.6% of reports include death and 29.7% 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 (36.4%), physician (34.8%) and other health professional (25.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Lemtrada rising?

49 reports in the 12 months to June 2026, down 65% from 142 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 Lemtrada 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 Lemtrada?

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 Lemtrada as a suspect or interacting product; reports listing it only as a concomitant medication (252) 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.