Reported Reactions

Drugs › RANK ligand inhibitor

Brand name · Denosumab

Prolia: adverse event reports filed with FDA

137,683 reports list it as a suspect or interacting product, 2010–2026. Class: RANK ligand inhibitor.

137,683
reports as suspect product
0.7% of all reports · about 8,475 a year
3,532
reports, 12 months to June 2026
3,707 in the 12 months before
43.6%
marked serious by the reporter
51.1% across the class
12.4%
record death among outcomes, as reported
17,050 reports · not verified by FDA

137,683 adverse event reports received by FDA list the brand name Prolia (denosumab) as a suspect or interacting product, from April 2010 to June 2026. A further 12,804 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, 3,532 reports listed it, close to the 3,707 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 8,475 reports a year and 0.7% of the 20,646,523 reports in the database, and 81.6% of the reports for the RANK ligand inhibitor 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 (24%), death (11%) and arthralgia (4.8%). A report can list several reactions, so shares add to more than 100%; 2,814 different terms appear across these reports. Off label use is recorded in 24% of these reports, a larger share than in the median RANK ligand inhibitor drug (6.7%).

43.6% of the reports are marked serious by the reporter (51.1% across the class); 12.4% record death among the outcomes and 8.8% record hospitalisation, as reported. 41.6% of the reports came from physicians, and the largest patient age group is 75 and over (27%). 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

0287574Jul 2021: 456Aug 2021: 449Sep 2021: 346Oct 2021: 357Nov 2021: 397Dec 2021: 3022022Jan 2022: 284Feb 2022: 440Mar 2022: 412Apr 2022: 384May 2022: 415Jun 2022: 384Jul 2022: 347Aug 2022: 435Sep 2022: 395Oct 2022: 439Nov 2022: 451Dec 2022: 3672023Jan 2023: 448Feb 2023: 516Mar 2023: 496Apr 2023: 488May 2023: 505Jun 2023: 506Jul 2023: 444Aug 2023: 497Sep 2023: 443Oct 2023: 529Nov 2023: 424Dec 2023: 3202024Jan 2024: 388Feb 2024: 399Mar 2024: 423Apr 2024: 360May 2024: 379Jun 2024: 363Jul 2024: 435Aug 2024: 508Sep 2024: 331Oct 2024: 294Nov 2024: 219Dec 2024: 2272025Jan 2025: 291Feb 2025: 287Mar 2025: 278Apr 2025: 281May 2025: 272Jun 2025: 284Jul 2025: 257Aug 2025: 193Sep 2025: 196Oct 2025: 236Nov 2025: 247Dec 2025: 1912026Jan 2026: 143Feb 2026: 178Mar 2026: 247Apr 2026: 546May 2026: 574Jun 2026: 524

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

014,45228,9042010: 7420102011: 1,3002012: 4,28520122013: 5,4962014: 7,95120142015: 8,3412016: 15,35820162017: 28,9042018: 28,30820182019: 6,8892020: 5,67020202021: 5,1872022: 4,75320222023: 5,6162024: 4,32620242025: 3,0132026: 2,2122026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Prolia reports recording the termmedian drug in rank ligand inhibitor

  1. Off label useused for a purpose or in a way not on the label24%33,041
  2. Deaththe patient died; cause not stated by this term11%15,175
  3. Arthralgiajoint pain4.8%6,575
  4. Pain in extremitypain in an arm or leg3.9%5,413
  5. Back painback pain3.7%5,147
  6. Painpain, site not specified3.3%4,479
  7. Falla fall2.5%3,482
  8. Myalgiamuscle pain2.5%3,451
  9. Product storage errorthe product was stored wrongly2.4%3,249
  10. Osteonecrosis of jawdeath of jaw bone tissue2.3%3,183
  11. Bone painbone pain2.2%2,993
  12. Rashskin rash2%2,712
  13. Tooth disordera dental problem1.9%2,616
  14. Spinal fracturea broken bone in the spine1.9%2,575
  15. Fatiguetiredness1.6%2,262
  16. Malaisegeneral feeling of being unwell1.6%2,157
  17. Pain in jaw1.5%2,117
  18. Pruritusitching1.4%1,928
  19. Muscle spasmsmuscle cramps1.3%1,851
  20. Circumstance or information capable of leading to medication errora situation that could lead to a medication error1.3%1,831
  21. Astheniaweakness or lack of energy1.3%1,809
  22. Headachehead pain1.3%1,797
  23. Nauseafeeling sick1.2%1,680
  24. Gait disturbancedifficulty walking1.2%1,670
  25. Hospitalisationadmission to hospital1.1%1,517
  26. Hypocalcaemialow blood calcium1.1%1,478
  27. Urinary tract infectionbladder or urinary infection1.1%1,478
  28. Musculoskeletal painpain in muscles or bones1%1,429
  29. Mobility decreasedreduced ability to move about1%1,412
  30. Dizzinesslight-headedness or unsteadiness1%1,408

Top 30 of 2,814 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 3 drugs in the rank ligand 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

Death12.4%17,050
Life-threatening0.5%756
Hospitalisation (initial or prolonged)8.8%12,153
Disability1.5%2,049
Congenital anomaly0%51
Other serious34.2%47,051
Not serious56.4%77,659

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 168,671 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%17
2 to 110%48
12 to 170%34
18 to 440.5%733
45 to 6411.8%16,200
65 to 7418.1%24,946
75 and over27%37,192
Age not given42.5%58,513

Patient sex

Female81.7%112,469
Male6.8%9,318
Not given11.5%15,896

Who reported

Physician41.6%57,270
Pharmacist3%4,108
Other health professional19.1%26,259
Lawyer0%27
Consumer or non-health professional35.2%48,507
Not given1.1%1,512

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 79.6% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Osteoporosis29,75421.6%
Osteoporosis postmenopausal25,66818.6%
Bone disorder11,5578.4%
Osteopenia1,7901.3%
Osteoporotic fracture1,2830.9%
Senile osteoporosis1,0150.7%

The indication field is filled in by the reporter and is often blank; shares are of all 137,683 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Prolia reports
Calcium7,0645.1%
Vitamin d4,8423.5%
Ergocalciferol1,8641.4%
Aspirin1,4471.1%
Synthroid1,3651%
Prednisone1,2080.9%
Omeprazole1,0750.8%
Evenity8930.6%
Levothyroxine8420.6%
Amlodipine8360.6%

Other products listed in reports where Prolia 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

MeasureProliaRANK ligand inhibitorAll reports
Reports as suspect product137,683168,67120,646,523
Share of that pool—81.6%0.7%
Reports, latest 12 months3,532—1,332,454
Marked serious43.6%51.1%57.4%
Death recorded among outcomes, per 1,000 reports12413291
Hospitalisation recorded, per 1,000 reports88123213
Consumer-filed share35.2%32.6%45.8%
Top term, share of reportsOff label use 24%median 6.7%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 rank ligand inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Xgevabrand22,74675679.6%
Denosumabgeneric8,2421,24498%

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 Prolia reports

How many adverse event reports has FDA received for Prolia?

137,683 reports list Prolia as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 3,532 of them arrived in the latest 12 months. Another 12,804 list it only as a concomitant medication.

What reactions are recorded in Prolia reports?

off label use (24%), death (11%), arthralgia (4.8%), pain in extremity (3.9%) and back pain (3.7%). 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 Prolia was responsible.

How serious are the reports?

43.6% are marked serious by the reporter. Among the outcomes recorded, 12.4% of reports include death and 8.8% 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?

physician (41.6%), consumer or non-health professional (35.2%) and other health professional (19.1%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Prolia rising?

3,532 reports in the 12 months to June 2026, close to the 3,707 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 Prolia 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 Prolia?

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 Prolia as a suspect or interacting product; reports listing it only as a concomitant medication (12,804) 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.