Reported Reactions

Drugs › Calcium-sensing receptor agonist

Brand name · Etelcalcetide

Parsabiv: adverse event reports filed with FDA

2,190 reports list it as a suspect or interacting product, 2017–2026. Class: Calcium-sensing receptor agonist.

2,190
reports as suspect product
0% of all reports · about 233 a year
14
reports, 12 months to June 2026
30 in the 12 months before
33.9%
marked serious by the reporter
35.7% across the class
9.2%
record death among outcomes, as reported
201 reports · not verified by FDA

Between February 2017 and June 2026, 2,190 adverse event reports received by FDA list the brand name Parsabiv (etelcalcetide) as a suspect or interacting product. Reports that mention it only as a concomitant medication (83) are left out of every figure here.

In the 12 months to June 2026, 14 reports listed it, down 53% from 30 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 233 reports a year and 0% of the 20,646,523 reports in the database, and 4.7% of the reports for the calcium-sensing receptor agonist 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 underdose (10.6%), nausea (7.9%) and product storage error (6.7%). A report can list several reactions, so shares add to more than 100%; 249 different terms appear across these reports. Underdose is recorded in 10.6% of these reports, a larger share than in the median calcium-sensing receptor agonist drug (0.1%).

33.9% of the reports are marked serious by the reporter (35.7% across the class); 9.2% record death among the outcomes and 15.1% record hospitalisation, as reported. 48.2% of the reports came from physicians, and the largest patient age group is 45 to 64 (13.7%). 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

01020Jul 2021: 3Aug 2021: 5Sep 2021: 11Oct 2021: 11Nov 2021: 15Dec 2021: 92022Jan 2022: 3Feb 2022: 10Mar 2022: 20Apr 2022: 15May 2022: 11Jun 2022: 8Jul 2022: 12Aug 2022: 5Sep 2022: 8Oct 2022: 5Nov 2022: 2Dec 2022: 52023Jan 2023: 11Feb 2023: 5Mar 2023: 11Apr 2023: 15May 2023: 10Jun 2023: 3Jul 2023: 11Aug 2023: 6Sep 2023: 6Oct 2023: 7Nov 2023: 3Dec 2023: 72024Jan 2024: 7Feb 2024: 8Mar 2024: 2Apr 2024: 4May 2024: 7Jun 2024: 9Jul 2024: 8Aug 2024: 5Sep 2024: 3Oct 2024: 2Nov 2024: 1Dec 2024: 32025Jan 2025: 2Feb 2025: 0Mar 2025: 1Apr 2025: 3May 2025: 2Jun 2025: 0Jul 2025: 1Aug 2025: 0Sep 2025: 0Oct 2025: 0Nov 2025: 2Dec 2025: 52026Jan 2026: 1Feb 2026: 0Mar 2026: 1Apr 2026: 1May 2026: 1Jun 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

04288552017: 20420172018: 85520182019: 51420192020: 22620202021: 11120212022: 10420222023: 9520232024: 5920242025: 1620252026: 62026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Parsabiv reports recording the termmedian drug in calcium-sensing receptor agonist

  1. Underdoseless than the intended dose10.6%233
  2. Nauseafeeling sick7.9%174
  3. Product storage errorthe product was stored wrongly6.7%147
  4. Blood parathyroid hormone increased6.3%138
  5. Hypocalcaemialow blood calcium4.9%108
  6. Diarrhoealoose or frequent stools4.4%97
  7. Vomitingbeing sick3.9%86
  8. Circumstance or information capable of leading to medication errora situation that could lead to a medication error3.7%82
  9. Drug ineffectivethe medicine did not work as expected2.6%57
  10. Therapy non-responderthe treatment did not work2.6%56
  11. Pruritusitching2.3%51
  12. Deaththe patient died; cause not stated by this term2.3%50
  13. Headachehead pain2%43
  14. Abdominal discomfortstomach discomfort1.8%40
  15. Off label useused for a purpose or in a way not on the label1.8%40
  16. Drug intolerancethe medicine was not tolerated1.7%38
  17. Dizzinesslight-headedness or unsteadiness1.6%35
  18. Muscle spasmsmuscle cramps1.6%35
  19. Cardiac failureheart failure1.6%34
  20. Shunt stenosis1.4%31
  21. Paraesthesiatingling or pins and needles1.4%30
  22. Blood parathyroid hormone abnormal1.3%29
  23. Rashskin rash1.3%28
  24. Arthralgiajoint pain1.2%27
  25. Malaisegeneral feeling of being unwell1.2%26
  26. Gastrointestinal haemorrhagebleeding in the stomach or bowel1.1%25
  27. Pneumonialung infection1.1%25

Top 30 of 249 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 calcium-sensing receptor agonist 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

Death9.2%201
Life-threatening1.1%25
Hospitalisation (initial or prolonged)15.1%330
Disability0.4%9
Congenital anomaly0%0
Other serious28.9%634
Not serious66.1%1,448

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 47,026 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%2
12 to 170%0
18 to 444.3%95
45 to 6413.7%300
65 to 749.1%200
75 and over7.2%157
Age not given65.6%1,436

Patient sex

Female33.1%724
Male35%766
Not given32%700

Who reported

Physician48.2%1,056
Pharmacist2.5%55
Other health professional41.8%915
Lawyer0%0
Consumer or non-health professional7.5%164
Not given0%0

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 79.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hyperparathyroidism secondary74033.8%
Chronic kidney disease241.1%
Hyperparathyroidism190.9%
Blood parathyroid hormone increased100.5%
Secondary hyperthyroidism60.3%
Blood parathyroid hormone abnormal50.2%

The indication field is filled in by the reporter and is often blank; shares are of all 2,190 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Parsabiv reports
Calcitriol462.1%
Darbepoetin alfa311.4%
Epogen311.4%
Zemplar271.2%
Mircera241.1%
Amlodipine211%
Bayaspirin190.9%
Aranesp180.8%
Prolia180.8%
Calcium carbonate170.8%

Other products listed in reports where Parsabiv 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

MeasureParsabivCalcium-sensing receptor agonistAll reports
Reports as suspect product2,19047,02620,646,523
Share of that pool—4.7%0%
Reports, latest 12 months14—1,332,454
Marked serious33.9%35.7%57.4%
Death recorded among outcomes, per 1,000 reports925391
Hospitalisation recorded, per 1,000 reports151232213
Consumer-filed share7.5%28.5%45.8%
Top term, share of reportsUnderdose 10.6%median 0.1%0.3%

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 calcium-sensing receptor agonist class

DrugName typeReportsLatest 12 monthsMarked serious
Sensiparbrand40,9491430.5%
Cinacalcet hydrochloridegeneric2,22610292.9%
Cinacalcetgeneric1,0939484.8%
Etelcalcetidegeneric5681698.4%

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 Parsabiv reports

How many adverse event reports has FDA received for Parsabiv?

2,190 reports list Parsabiv as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 14 of them arrived in the latest 12 months. Another 83 list it only as a concomitant medication.

What reactions are recorded in Parsabiv reports?

underdose (10.6%), nausea (7.9%), product storage error (6.7%), blood parathyroid hormone increased (6.3%) and blood calcium decreased (5.2%). 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 Parsabiv was responsible.

How serious are the reports?

33.9% are marked serious by the reporter. Among the outcomes recorded, 9.2% 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?

physician (48.2%), other health professional (41.8%) and consumer or non-health professional (7.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Parsabiv rising?

14 reports in the 12 months to June 2026, down 53% from 30 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 Parsabiv 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 Parsabiv?

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 Parsabiv as a suspect or interacting product; reports listing it only as a concomitant medication (83) 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.