Reported Reactions

Drugs › Proteasome inhibitor

Brand name · Ixazomib

Ninlaro: adverse event reports filed with FDA

10,999 reports list it as a suspect or interacting product, 2015–2026. Class: Proteasome inhibitor.

10,999
reports as suspect product
0.1% of all reports · about 964 a year
161
reports, 12 months to June 2026
231 in the 12 months before
61.2%
marked serious by the reporter
86% across the class
15.7%
record death among outcomes, as reported
1,729 reports · not verified by FDA

10,999 adverse event reports received by FDA list the brand name Ninlaro (ixazomib) as a suspect or interacting product, from February 2015 to June 2026. A further 5,846 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, 161 reports listed it, down 30% from 231 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 964 reports a year and 0.1% of the 20,646,523 reports in the database, and 10% 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 MedDRA terms listed most often are diarrhoea (12.3%), death (10.8%) and off label use (10.7%). A report can list several reactions, so shares add to more than 100%; 784 different terms appear across these reports. Diarrhoea is recorded in 12.3% of these reports, a larger share than in the median proteasome inhibitor drug (5%).

61.2% of the reports are marked serious by the reporter (86% across the class); 15.7% record death among the outcomes and 21.3% record hospitalisation, as reported. 36.8% of the reports came from physicians, and the largest patient age group is 75 and over (20.6%). 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

069138Jul 2021: 104Aug 2021: 113Sep 2021: 94Oct 2021: 108Nov 2021: 138Dec 2021: 1182022Jan 2022: 85Feb 2022: 101Mar 2022: 89Apr 2022: 72May 2022: 85Jun 2022: 85Jul 2022: 88Aug 2022: 86Sep 2022: 126Oct 2022: 55Nov 2022: 60Dec 2022: 722023Jan 2023: 72Feb 2023: 62Mar 2023: 55Apr 2023: 22May 2023: 46Jun 2023: 43Jul 2023: 44Aug 2023: 57Sep 2023: 40Oct 2023: 42Nov 2023: 35Dec 2023: 512024Jan 2024: 35Feb 2024: 60Mar 2024: 57Apr 2024: 27May 2024: 38Jun 2024: 29Jul 2024: 41Aug 2024: 25Sep 2024: 31Oct 2024: 12Nov 2024: 10Dec 2024: 72025Jan 2025: 16Feb 2025: 24Mar 2025: 16Apr 2025: 16May 2025: 11Jun 2025: 22Jul 2025: 23Aug 2025: 12Sep 2025: 6Oct 2025: 17Nov 2025: 12Dec 2025: 142026Jan 2026: 12Feb 2026: 12Mar 2026: 13Apr 2026: 25May 2026: 6Jun 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

09991,9972015: 420152016: 1,0512017: 1,05220172018: 1,4982019: 1,99720192020: 1,6762021: 1,51020212022: 1,0042023: 56920232024: 3722025: 18920252026: 77

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Ninlaro reports recording the termmedian drug in proteasome inhibitor

  1. Diarrhoealoose or frequent stools12.3%1,356
  2. Deaththe patient died; cause not stated by this term10.8%1,192
  3. Off label useused for a purpose or in a way not on the label10.7%1,177
  4. Nauseafeeling sick7.8%856
  5. Fatiguetiredness6.7%732
  6. Neuropathy peripheralnerve damage in hands or feet5.2%576
  7. Pneumonialung infection4.6%502
  8. Vomitingbeing sick4.5%494
  9. No adverse eventno adverse event was reported4.3%476
  10. Rashskin rash4.3%471
  11. Platelet count decreasedlow platelet count3.5%389
  12. Drug ineffectivethe medicine did not work as expected3.2%357
  13. Adverse eventan unwanted medical event, type not specified3.2%356
  14. Constipationconstipation3%335
  15. Product dose omission issuea dose was missed2.7%297
  16. Astheniaweakness or lack of energy2.6%291
  17. Malaisegeneral feeling of being unwell2.5%275
  18. Peripheral swellingswelling of the arms or legs2.5%275
  19. Thrombocytopenialow platelets2.2%244
  20. Decreased appetitereduced appetite2.1%231
  21. Falla fall2%221
  22. Product physical issuea physical defect in the product1.9%211
  23. Pyrexiafever1.9%207
  24. Dizzinesslight-headedness or unsteadiness1.8%194
  25. Back painback pain1.7%187
  26. White blood cell count decreasedlow white cell count1.6%178
  27. Neutropenialow neutrophils, a type of white blood cell1.6%177
  28. Hypoaesthesianumbness1.6%173

Top 30 of 784 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

Death15.7%1,729
Life-threatening1.2%134
Hospitalisation (initial or prolonged)21.3%2,341
Disability0.5%59
Congenital anomaly0%0
Other serious41.9%4,604
Not serious38.8%4,273

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%4
2 to 110%1
12 to 170%0
18 to 440.6%64
45 to 6412.8%1,410
65 to 7418.5%2,033
75 and over20.6%2,264
Age not given47.5%5,223

Patient sex

Female46.4%5,103
Male47.2%5,192
Not given6.4%704

Who reported

Physician36.8%4,046
Pharmacist12.1%1,329
Other health professional24.9%2,738
Lawyer0%2
Consumer or non-health professional24.9%2,743
Not given1.3%141

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 69.6% 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 myeloma7,06664.2%
Plasma cell myeloma refractory1241.1%
Plasma cell myeloma in remission830.8%
Amyloidosis470.4%
Plasma cell myeloma recurrent440.4%
Neoplasm malignant270.2%

The indication field is filled in by the reporter and is often blank; shares are of all 10,999 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Ninlaro reports
Dexamethasone4,18638.1%
Revlimid3,70533.7%
Lenalidomide1,12910.3%
Aspirin1,0419.5%
Acyclovir8447.7%
Pomalyst8167.4%
Omeprazole5374.9%
Gabapentin4414%
Velcade4063.7%
Ergocalciferol4013.6%

Other products listed in reports where Ninlaro 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

MeasureNinlaroProteasome inhibitorAll reports
Reports as suspect product10,999109,89420,646,523
Share of that pool—10%0.1%
Reports, latest 12 months161—1,332,454
Marked serious61.2%86%57.4%
Death recorded among outcomes, per 1,000 reports15718191
Hospitalisation recorded, per 1,000 reports213336213
Consumer-filed share24.9%15.7%45.8%
Top term, share of reportsDiarrhoea 12.3%median 5%3.1%

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 proteasome inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Velcadebrand37,3641,23985.6%
Bortezomibgeneric26,9083,00197.9%
Carfilzomibgeneric11,69393496.8%
Kyprolisbrand11,56539361.2%
Ixazomibgeneric11,36544997.1%

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 Ninlaro reports

How many adverse event reports has FDA received for Ninlaro?

10,999 reports list Ninlaro as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 161 of them arrived in the latest 12 months. Another 5,846 list it only as a concomitant medication.

What reactions are recorded in Ninlaro reports?

diarrhoea (12.3%), death (10.8%), off label use (10.7%), plasma cell myeloma (10.4%) and nausea (7.8%). 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 Ninlaro was responsible.

How serious are the reports?

61.2% are marked serious by the reporter. Among the outcomes recorded, 15.7% of reports include death and 21.3% 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 (36.8%), consumer or non-health professional (24.9%) and other health professional (24.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Ninlaro rising?

161 reports in the 12 months to June 2026, down 30% from 231 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 Ninlaro 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 Ninlaro?

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 Ninlaro as a suspect or interacting product; reports listing it only as a concomitant medication (5,846) 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.