Reported Reactions

Drugs › Purine antimetabolite

Brand name · Cladribine

Mavenclad: adverse event reports filed with FDA

6,763 reports list it as a suspect or interacting product, 2017–2026. Class: Purine antimetabolite.

6,763
reports as suspect product
0% of all reports · about 788 a year
1,128
reports, 12 months to June 2026
993 in the 12 months before
67.2%
marked serious by the reporter
90.3% across the class
2.4%
record death among outcomes, as reported
163 reports · not verified by FDA

6,763 adverse event reports received by FDA list the brand name Mavenclad (cladribine) as a suspect or interacting product, from December 2017 to June 2026. A further 121 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, 1,128 reports listed it, up 14% from 993 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 788 reports a year and 0% of the 20,646,523 reports in the database, and 13.6% of the reports for the purine antimetabolite class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded fatigue (10.7%), headache (9.1%) and lymphocyte count decreased (6.8%). A report can list several reactions, so shares add to more than 100%; 906 different terms appear across these reports. Fatigue is recorded in 10.7% of these reports, a larger share than in the median purine antimetabolite drug (7.6%).

67.2% of the reports are marked serious by the reporter (90.3% across the class); 2.4% record death among the outcomes and 20.8% record hospitalisation, as reported. 65% of the reports came from consumers, and the largest patient age group is 45 to 64 (28.2%). 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

064128Jul 2021: 60Aug 2021: 79Sep 2021: 81Oct 2021: 58Nov 2021: 63Dec 2021: 602022Jan 2022: 57Feb 2022: 51Mar 2022: 73Apr 2022: 64May 2022: 81Jun 2022: 82Jul 2022: 101Aug 2022: 84Sep 2022: 81Oct 2022: 99Nov 2022: 85Dec 2022: 842023Jan 2023: 72Feb 2023: 74Mar 2023: 94Apr 2023: 76May 2023: 109Jun 2023: 82Jul 2023: 103Aug 2023: 93Sep 2023: 100Oct 2023: 85Nov 2023: 89Dec 2023: 732024Jan 2024: 80Feb 2024: 75Mar 2024: 94Apr 2024: 102May 2024: 95Jun 2024: 79Jul 2024: 97Aug 2024: 68Sep 2024: 66Oct 2024: 86Nov 2024: 89Dec 2024: 722025Jan 2025: 78Feb 2025: 82Mar 2025: 81Apr 2025: 73May 2025: 97Jun 2025: 104Jul 2025: 102Aug 2025: 88Sep 2025: 84Oct 2025: 101Nov 2025: 101Dec 2025: 1282026Jan 2026: 75Feb 2026: 94Mar 2026: 112Apr 2026: 78May 2026: 77Jun 2026: 88

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

05601,1192017: 120172018: 520182019: 56520192020: 71920202021: 83520212022: 94220222023: 1,05020232024: 1,00320242025: 1,11920252026: 5242026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Mavenclad reports recording the termmedian drug in purine antimetabolite

  1. Fatiguetiredness10.7%722
  2. Headachehead pain9.1%615
  3. Multiple sclerosis relapsea flare of multiple sclerosis5.6%382
  4. Nauseafeeling sick5%340
  5. White blood cell count decreasedlow white cell count4.9%329
  6. Pneumonialung infection4.4%299
  7. Urinary tract infectionbladder or urinary infection3.8%255
  8. Astheniaweakness or lack of energy2.8%188
  9. Painpain, site not specified2.5%167
  10. Dizzinesslight-headedness or unsteadiness2.4%161
  11. Falla fall2.3%156
  12. Lower respiratory tract infectiona chest infection2.3%153
  13. Gait disturbancedifficulty walking2.2%150
  14. Covid-19COVID-19 infection2.2%147
  15. Diarrhoealoose or frequent stools2.1%140
  16. Nasopharyngitisa cold1.7%118
  17. Alopeciahair loss1.7%114
  18. Weight decreasedweight loss1.7%113
  19. Malaisegeneral feeling of being unwell1.6%111
  20. Feeling abnormalfeeling odd or not right1.6%108
  21. Vomitingbeing sick1.6%107
  22. Hypoaesthesianumbness1.6%105
  23. Arthralgiajoint pain1.5%103
  24. Alanine aminotransferase increasedraised liver enzyme (ALT)1.4%97
  25. Pyrexiafever1.4%96
  26. Back painback pain1.4%93
  27. Deaththe patient died; cause not stated by this term1.3%91

Top 30 of 906 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 purine antimetabolite 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

Death2.4%163
Life-threatening1.4%92
Hospitalisation (initial or prolonged)20.8%1,410
Disability1.2%82
Congenital anomaly0.2%15
Other serious49.6%3,356
Not serious32.8%2,220

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 49,725 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 20.3%22
2 to 110%0
12 to 170.1%4
18 to 4425.5%1,723
45 to 6428.2%1,908
65 to 745.4%364
75 and over0.7%47
Age not given39.8%2,695

Patient sex

Female76.1%5,149
Male21.2%1,433
Not given2.7%181

Who reported

Physician20.9%1,412
Pharmacist2.2%149
Other health professional11.2%760
Lawyer0%1
Consumer or non-health professional65%4,394
Not given0.7%47

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 59.5% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Multiple sclerosis5,65083.5%
Relapsing-remitting multiple sclerosis5037.4%
Relapsing multiple sclerosis851.3%
Secondary progressive multiple sclerosis270.4%
Multiple sclerosis relapse20%
Primary progressive multiple sclerosis20%

The indication field is filled in by the reporter and is often blank; shares are of all 6,763 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Mavenclad reports
Baclofen801.2%
Ergocalciferol801.2%
Gabapentin801.2%
Omeprazole520.8%
Cholecalciferol510.8%
Pregabalin430.6%
Ibuprofen360.5%
Aspirin310.5%
Metformin300.4%
Vitamin B12300.4%

Other products listed in reports where Mavenclad 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

MeasureMavencladPurine antimetaboliteAll reports
Reports as suspect product6,76349,72520,646,523
Share of that pool—13.6%0%
Reports, latest 12 months1,128—1,332,454
Marked serious67.2%90.3%57.4%
Death recorded among outcomes, per 1,000 reports2414291
Hospitalisation recorded, per 1,000 reports208319213
Consumer-filed share65%18.3%45.8%
Top term, share of reportsFatigue 10.7%median 7.6%3.7%

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 purine antimetabolite class

DrugName typeReportsLatest 12 monthsMarked serious
Azathioprinegeneric33,6392,89094.7%
Imuranbrand5,74940787.3%
Cladribinegeneric2,08320096.2%
Azathioprine sodiumgeneric1,49116699.3%

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 Mavenclad reports

How many adverse event reports has FDA received for Mavenclad?

6,763 reports list Mavenclad as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,128 of them arrived in the latest 12 months. Another 121 list it only as a concomitant medication.

What reactions are recorded in Mavenclad reports?

fatigue (10.7%), headache (9.1%), lymphocyte count decreased (6.8%), multiple sclerosis relapse (5.6%) and nausea (5%). 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 Mavenclad was responsible.

How serious are the reports?

67.2% are marked serious by the reporter. Among the outcomes recorded, 2.4% of reports include death and 20.8% 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%), physician (20.9%) and other health professional (11.2%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Mavenclad rising?

1,128 reports in the 12 months to June 2026, up 14% from 993 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 Mavenclad 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 Mavenclad?

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 Mavenclad as a suspect or interacting product; reports listing it only as a concomitant medication (121) 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.