Reported Reactions

Drugs › Alkylating drug

Generic name

Mitomycin: adverse event reports filed with FDA

2,041 reports list it as a suspect or interacting product, 2004–2026. Class: Alkylating drug. Also reported as Mitomycin Inj 40mg, Mitomycin Inj, Mitomycin Inj 5mg.

2,041
reports as suspect product
0% of all reports · about 91 a year
117
reports, 12 months to June 2026
123 in the 12 months before
92.4%
marked serious by the reporter
93.5% across the class
12%
record death among outcomes, as reported
245 reports · not verified by FDA

2,041 adverse event reports received by FDA list mitomycin, a generic name as a suspect or interacting product, from January 2004 to June 2026. A further 526 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, 117 reports listed it, close to the 123 of 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 91 reports a year and 0% of the 20,646,523 reports in the database, and 0.8% of the reports for the alkylating drug 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 off label use (16.3%), diarrhoea (5.4%) and thrombocytopenia (4.2%). A report can list several reactions, so shares add to more than 100%; 502 different terms appear across these reports. Off label use is recorded in 16.3% of these reports, a larger share than in the median alkylating drug drug (8.5%).

92.4% of the reports are marked serious by the reporter (93.5% across the class); 12% record death among the outcomes and 32.4% record hospitalisation, as reported. 47.3% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (29.9%). 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

01326Jul 2021: 6Aug 2021: 3Sep 2021: 10Oct 2021: 26Nov 2021: 12Dec 2021: 52022Jan 2022: 2Feb 2022: 8Mar 2022: 3Apr 2022: 1May 2022: 12Jun 2022: 6Jul 2022: 0Aug 2022: 5Sep 2022: 4Oct 2022: 6Nov 2022: 13Dec 2022: 162023Jan 2023: 2Feb 2023: 5Mar 2023: 4Apr 2023: 5May 2023: 6Jun 2023: 7Jul 2023: 5Aug 2023: 9Sep 2023: 3Oct 2023: 4Nov 2023: 5Dec 2023: 22024Jan 2024: 4Feb 2024: 8Mar 2024: 3Apr 2024: 6May 2024: 5Jun 2024: 16Jul 2024: 3Aug 2024: 4Sep 2024: 17Oct 2024: 7Nov 2024: 9Dec 2024: 172025Jan 2025: 8Feb 2025: 23Mar 2025: 6Apr 2025: 12May 2025: 10Jun 2025: 7Jul 2025: 9Aug 2025: 11Sep 2025: 18Oct 2025: 13Nov 2025: 6Dec 2025: 122026Jan 2026: 7Feb 2026: 11Mar 2026: 6Apr 2026: 7May 2026: 8Jun 2026: 9

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

0931852004: 3820042005: 672006: 632007: 8620072008: 1012009: 662010: 8420102011: 1072012: 972013: 10920132014: 512015: 912016: 8220162017: 642018: 1092019: 18520192020: 1332021: 932022: 7620222023: 572024: 992025: 13520252026: 48

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Mitomycin reports recording the termmedian drug in alkylating drug

  1. Off label useused for a purpose or in a way not on the label16.3%333
  2. Diarrhoealoose or frequent stools5.4%110
  3. Thrombocytopenialow platelets4.2%85
  4. Nauseafeeling sick4.1%83
  5. Drug ineffectivethe medicine did not work as expected3.9%79
  6. Neutropenialow neutrophils, a type of white blood cell3.7%76
  7. Leukopenialow white blood cells3.2%66
  8. Vomitingbeing sick2.9%60
  9. Disease progressionthe disease advanced2.7%55
  10. Febrile neutropeniafever with low white blood cells2.4%50
  11. Pancytopenialow counts of all blood cells2.4%50
  12. Pulmonary veno-occlusive disease2.3%46
  13. Fatiguetiredness2%41
  14. Anaemialow red blood cells1.9%38
  15. Dyspnoeashortness of breath1.8%37
  16. Dysuriapain on passing urine1.8%36
  17. Product use in unapproved indicationused for a purpose not on the label1.7%35
  18. Interstitial lung diseasescarring or inflammation of lung tissue1.6%33
  19. Sepsisa severe body-wide response to infection1.6%33
  20. Painpain, site not specified1.5%31
  21. Rashskin rash1.5%30
  22. Pyrexiafever1.4%28
  23. Visual acuity reducedreduced sharpness of vision1.3%27
  24. Bladder perforation1.3%26
  25. Hypotony of eye1.3%26
  26. Radiation skin injury1.3%26
  27. Renal failurekidney failure1.3%26
  28. Endophthalmitisinfection inside the eye1.2%25
  29. Hepatic failureliver failure1.2%24

Top 30 of 502 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 23 drugs in the alkylating drug 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

Death12%245
Life-threatening6.5%133
Hospitalisation (initial or prolonged)32.4%661
Disability2.6%53
Congenital anomaly0.1%2
Other serious65.1%1,329
Not serious7.6%156

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 253,205 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%3
12 to 170%1
18 to 449.3%190
45 to 6429.9%611
65 to 7419.5%399
75 and over13%266
Age not given28%571

Patient sex

Female40%817
Male38.5%785
Not given21.5%439

Who reported

Physician27%551
Pharmacist7%142
Other health professional47.3%966
Lawyer0%1
Consumer or non-health professional9.4%192
Not given9.3%189

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 30.4% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Anal cancer1527.4%
Bladder cancer1527.4%
Anal squamous cell carcinoma1075.2%
Trabeculectomy381.9%
Hepatocellular carcinoma331.6%
Colorectal cancer metastatic281.4%

The indication field is filled in by the reporter and is often blank; shares are of all 2,041 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Mitomycin reports
Fluorouracil61230%
Cisplatin27613.5%
Capecitabine1688.2%
Bevacizumab1135.5%
Oxaliplatin974.8%
Doxorubicin924.5%
Gemcitabine864.2%
Carboplatin834.1%
Paclitaxel834.1%
Doxorubicin hydrochloride803.9%

Other products listed in reports where Mitomycin 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

MeasureMitomycinAlkylating drugAll reports
Reports as suspect product2,041253,20520,646,523
Share of that pool—0.8%0%
Reports, latest 12 months117—1,332,454
Marked serious92.4%93.5%57.4%
Death recorded among outcomes, per 1,000 reports12020891
Hospitalisation recorded, per 1,000 reports324333213
Consumer-filed share9.4%6.3%45.8%
Top term, share of reportsOff label use 16.3%median 8.5%4.1%

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 alkylating drug class

DrugName typeReportsLatest 12 monthsMarked serious
Cyclophosphamidegeneric141,09912,36097.8%
Ifosfamidegeneric18,6581,32598.2%
Melphalangeneric17,19095698.5%
Temozolomidegeneric15,3241,05582.3%
Busulfangeneric11,8251,09594.9%
Thiotepageneric7,8531,03598.8%
Bendamustine hydrochloridegeneric6,94125396%
Dacarbazinegeneric6,43151196.3%
Temodarbrand4,6522456.1%
Matulanebrand3,84528415.9%
Carmustinegeneric3,37818099%
Treandabrand3,330366.5%
Chlorambucilgeneric2,4867598.5%
Valchlorbrand2,1141628.4%
Lomustinegeneric1,1009294.8%

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 Mitomycin reports

How many adverse event reports has FDA received for Mitomycin?

2,041 reports list Mitomycin as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 117 of them arrived in the latest 12 months. Another 526 list it only as a concomitant medication.

What reactions are recorded in Mitomycin reports?

off label use (16.3%), diarrhoea (5.4%), thrombocytopenia (4.2%), nausea (4.1%) and drug ineffective (3.9%). 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 Mitomycin was responsible.

How serious are the reports?

92.4% are marked serious by the reporter. Among the outcomes recorded, 12% of reports include death and 32.4% 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?

other health professional (47.3%), physician (27%) and consumer or non-health professional (9.4%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Mitomycin rising?

117 reports in the 12 months to June 2026, close to the 123 of 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 Mitomycin 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 Mitomycin?

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 Mitomycin as a suspect or interacting product; reports listing it only as a concomitant medication (526) 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.