Reported Reactions

Drugs › Selective T cell costimulation modulator

Brand name · Abatacept

Orencia: adverse event reports filed with FDA

108,772 reports list it as a suspect or interacting product, 2006–2026. Class: Selective T cell costimulation modulator.

108,772
reports as suspect product
0.5% of all reports · about 5,372 a year
8,143
reports, 12 months to June 2026
9,463 in the 12 months before
53.1%
marked serious by the reporter
60.2% across the class
6.2%
record death among outcomes, as reported
6,719 reports · not verified by FDA

108,772 adverse event reports received by FDA list the brand name Orencia (abatacept) as a suspect or interacting product, from April 2006 to June 2026. A further 6,664 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, 8,143 reports listed it, down 14% from 9,463 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 5,372 reports a year and 0.5% of the 20,646,523 reports in the database, and 83.1% of the reports for the selective T cell costimulation modulator class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded drug ineffective (31.9%), rheumatoid arthritis (20.1%) and pain (17.8%). A report can list several reactions, so shares add to more than 100%; 2,470 different terms appear across these reports. Drug ineffective is recorded in 31.9% of these reports, a larger share than in the median selective T cell costimulation modulator drug (22%).

53.1% of the reports are marked serious by the reporter (60.2% across the class); 6.2% record death among the outcomes and 15.1% record hospitalisation, as reported. 44.8% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (29.5%). 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

07391,477Jul 2021: 802Aug 2021: 902Sep 2021: 1,016Oct 2021: 871Nov 2021: 1,006Dec 2021: 1,0362022Jan 2022: 809Feb 2022: 724Mar 2022: 888Apr 2022: 809May 2022: 1,470Jun 2022: 1,477Jul 2022: 929Aug 2022: 1,256Sep 2022: 931Oct 2022: 864Nov 2022: 861Dec 2022: 9282023Jan 2023: 759Feb 2023: 638Mar 2023: 792Apr 2023: 668May 2023: 824Jun 2023: 670Jul 2023: 676Aug 2023: 758Sep 2023: 696Oct 2023: 808Nov 2023: 680Dec 2023: 7282024Jan 2024: 661Feb 2024: 720Mar 2024: 832Apr 2024: 818May 2024: 920Jun 2024: 753Jul 2024: 927Aug 2024: 790Sep 2024: 758Oct 2024: 911Nov 2024: 810Dec 2024: 8752025Jan 2025: 686Feb 2025: 692Mar 2025: 802Apr 2025: 699May 2025: 615Jun 2025: 898Jul 2025: 887Aug 2025: 714Sep 2025: 699Oct 2025: 680Nov 2025: 635Dec 2025: 7452026Jan 2026: 603Feb 2026: 589Mar 2026: 627Apr 2026: 586May 2026: 680Jun 2026: 698

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

07,30114,6022006: 31820062007: 3972008: 6802009: 20220092010: 7462011: 3492012: 1,32720122013: 2,2242014: 2,3492015: 2,55320152016: 3,8282017: 6,3772018: 8,35220182019: 10,5812020: 14,6022021: 10,93420212022: 11,9462023: 8,6972024: 9,77520242025: 8,7522026: 3,783

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Orencia reports recording the termmedian drug in selective t cell costimulation modulator

  1. Drug ineffectivethe medicine did not work as expected31.9%34,719
  2. Rheumatoid arthritisrheumatoid arthritis, an inflammatory joint disease20.1%21,884
  3. Painpain, site not specified17.8%19,378
  4. Joint swellinga swollen joint17.6%19,142
  5. Arthralgiajoint pain17.2%18,727
  6. Fatiguetiredness11.7%12,768
  7. Drug intolerancethe medicine was not tolerated11.5%12,554
  8. Rashskin rash11.3%12,333
  9. Off label useused for a purpose or in a way not on the label9.9%10,748
  10. Arthropathy9.4%10,260
  11. Alopeciahair loss9.4%10,197
  12. Synovitis9.1%9,942
  13. Abdominal discomfortstomach discomfort9%9,746
  14. Treatment failurethe treatment did not work8.6%9,390
  15. Swellingswelling8.5%9,236
  16. Systemic lupus erythematosuslupus, an autoimmune disease8.4%9,137
  17. Hypersensitivityan allergic-type reaction8.3%9,041
  18. Pemphigus8%8,686
  19. Condition aggravatedthe condition being treated got worse7.7%8,338
  20. Glossodynia7.4%8,021
  21. Headachehead pain7.4%8,002
  22. Drug hypersensitivityan allergic-type reaction to a medicine7.3%7,915
  23. Hepatic enzyme increasedraised liver enzymes7%7,622
  24. Infectionan infection, type not specified6.8%7,366
  25. Peripheral swellingswelling of the arms or legs6.7%7,326
  26. Infusion related reactiona reaction during or soon after an infusion6.5%7,093
  27. Nauseafeeling sick6.4%6,951

Top 30 of 2,470 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 2 drugs in the selective t cell costimulation modulator 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

Death6.2%6,719
Life-threatening5.3%5,801
Hospitalisation (initial or prolonged)15.1%16,388
Disability7.8%8,456
Congenital anomaly2.1%2,320
Other serious46.3%50,313
Not serious46.9%51,034

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 130,919 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%28
2 to 110.3%374
12 to 170.5%548
18 to 4411.1%12,124
45 to 6429.5%32,120
65 to 7413.6%14,768
75 and over8.1%8,834
Age not given36.8%39,976

Patient sex

Female76.7%83,473
Male12.2%13,313
Not given11%11,986

Who reported

Physician13.7%14,901
Pharmacist5.8%6,299
Other health professional44.8%48,719
Lawyer0%7
Consumer or non-health professional34.6%37,612
Not given1.1%1,234

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 57.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Rheumatoid arthritis63,92858.8%
Psoriatic arthropathy1,4551.3%
Juvenile idiopathic arthritis8570.8%
Systemic lupus erythematosus3470.3%
Arthritis2790.3%
Rheumatic disorder2620.2%

The indication field is filled in by the reporter and is often blank; shares are of all 108,772 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Orencia reports
Methotrexate37,63934.6%
Enbrel33,46730.8%
Humira29,63627.2%
Actemra27,68325.5%
Prednisone24,16722.2%
Sulfasalazine22,56620.7%
Remicade21,69319.9%
Arava21,24619.5%
Xeljanz19,85318.3%
Rituximab19,51717.9%

Other products listed in reports where Orencia 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

MeasureOrenciaSelective T cell costimulation modulatorAll reports
Reports as suspect product108,772130,91920,646,523
Share of that pool—83.1%0.5%
Reports, latest 12 months8,143—1,332,454
Marked serious53.1%60.2%57.4%
Death recorded among outcomes, per 1,000 reports627091
Hospitalisation recorded, per 1,000 reports151185213
Consumer-filed share34.6%37.4%45.8%
Top term, share of reportsDrug ineffective 31.9%median 22%6.3%

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 selective t cell costimulation modulator class

DrugName typeReportsLatest 12 monthsMarked serious
Abataceptgeneric22,14735395.1%

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 Orencia reports

How many adverse event reports has FDA received for Orencia?

108,772 reports list Orencia as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 8,143 of them arrived in the latest 12 months. Another 6,664 list it only as a concomitant medication.

What reactions are recorded in Orencia reports?

drug ineffective (31.9%), rheumatoid arthritis (20.1%), pain (17.8%), joint swelling (17.6%) and arthralgia (17.2%). 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 Orencia was responsible.

How serious are the reports?

53.1% are marked serious by the reporter. Among the outcomes recorded, 6.2% of reports include death and 15.1% 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 (44.8%), consumer or non-health professional (34.6%) and physician (13.7%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Orencia rising?

8,143 reports in the 12 months to June 2026, down 14% from 9,463 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 Orencia 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 Orencia?

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 Orencia as a suspect or interacting product; reports listing it only as a concomitant medication (6,664) 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.