Drugs › Thrombopoietin receptor agonist
Brand name · Eltrombopag olamine
Promacta: adverse event reports filed with FDA
14,561 reports list it as a suspect or interacting product, 2009–2026. Class: Thrombopoietin receptor agonist.
- 14,561
- reports as suspect product
- 0.1% of all reports · about 840 a year
- 161
- reports, 12 months to June 2026
- 512 in the 12 months before
- 50.1%
- marked serious by the reporter
- 68.8% across the class
- 22.3%
- record death among outcomes, as reported
- 3,251 reports · not verified by FDA
14,561 adverse event reports received by FDA list the brand name Promacta (eltrombopag olamine) as a suspect or interacting product, from March 2009 to June 2026. A further 1,211 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 69% from 512 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 840 reports a year and 0.1% of the 20,646,523 reports in the database, and 42.8% of the reports for the thrombopoietin receptor agonist class. How many people take it is not in the data, so a count is not a rate of occurrence.
Reporters most often recorded death (17.9%), platelet count decreased (14.9%) and drug ineffective (7.2%). A report can list several reactions, so shares add to more than 100%; 791 different terms appear across these reports. Death is recorded in 17.9% of these reports, a larger share than in the median thrombopoietin receptor agonist drug (7.1%).
50.1% of the reports are marked serious by the reporter (68.8% across the class); 22.3% record death among the outcomes and 16.1% record hospitalisation, as reported. 59% of the reports came from consumers, and the largest patient age group is 75 and over (11.7%). 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
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
2026 covers reports received through June 2026 only.
Reactions recorded in the reports
share of Promacta reports recording the termmedian drug in thrombopoietin receptor agonist
- Deaththe patient died; cause not stated by this term17.9%2,605
- Platelet count decreasedlow platelet count14.9%2,167
- Drug ineffectivethe medicine did not work as expected7.2%1,042
- Platelet count increased4.8%693
- Fatiguetiredness4.5%658
- Headachehead pain3.7%540
- Nauseafeeling sick3.6%518
- Diarrhoealoose or frequent stools3.1%449
- Malaisegeneral feeling of being unwell2.2%317
- Product use in unapproved indicationused for a purpose not on the label2%290
- Dizzinesslight-headedness or unsteadiness1.9%272
- Rashskin rash1.8%266
- Product dose omission issuea dose was missed1.8%262
- Astheniaweakness or lack of energy1.7%254
- Painpain, site not specified1.6%237
- Hospitalisationadmission to hospital1.6%234
- Arthralgiajoint pain1.6%233
- Pneumonialung infection1.6%232
- Myalgiamuscle pain1.5%220
- Pain in extremitypain in an arm or leg1.4%210
- Pruritusitching1.4%210
- Alopeciahair loss1.4%209
- Platelet count abnormal1.4%200
- Vomitingbeing sick1.4%198
- Thrombosis1.4%197
- Contusiona bruise1.3%196
- Falla fall1.3%188
- Pyrexiafever1.3%185
- Dyspnoeashortness of breath1.2%182
- Haemorrhagebleeding1.2%173
Top 30 of 791 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 thrombopoietin 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
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 33,996 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
Patient sex
Who reported
Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 98.5% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Immune thrombocytopenia | 2,091 | 14.4% |
| Immune thrombocytopenic purpura | 1,511 | 10.4% |
| Thrombocytopenia | 1,174 | 8.1% |
| Idiopathic thrombocytopenic purpura | 887 | 6.1% |
| Aplastic anaemia | 626 | 4.3% |
| Myelodysplastic syndrome | 175 | 1.2% |
The indication field is filled in by the reporter and is often blank; shares are of all 14,561 reports.
Drugs most often listed in the same reports
| Drug (any role in the report) | Reports | Share of Promacta reports |
|---|---|---|
| Prednisone | 417 | 2.9% |
| Lisinopril | 194 | 1.3% |
| Omeprazole | 173 | 1.2% |
| Furosemide | 165 | 1.1% |
| Cyclosporine | 133 | 0.9% |
| Folic acid | 123 | 0.8% |
| Atorvastatin | 112 | 0.8% |
| Amlodipine | 110 | 0.8% |
| Metformin | 103 | 0.7% |
| Rituximab | 103 | 0.7% |
Other products listed in reports where Promacta 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
| Measure | Promacta | Thrombopoietin receptor agonist | All reports |
|---|---|---|---|
| Reports as suspect product | 14,561 | 33,996 | 20,646,523 |
| Share of that pool | — | 42.8% | 0.1% |
| Reports, latest 12 months | 161 | — | 1,332,454 |
| Marked serious | 50.1% | 68.8% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 223 | 199 | 91 |
| Hospitalisation recorded, per 1,000 reports | 161 | 234 | 213 |
| Consumer-filed share | 59% | 38.5% | 45.8% |
| Top term, share of reports | Death 17.9% | median 7.1% | 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 thrombopoietin receptor agonist class
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Nplate | brand | 11,565 | 310 | 74.3% |
| Eltrombopag olamine | generic | 3,088 | 206 | 98.9% |
| Eltrombopag | generic | 2,704 | 359 | 94.2% |
| Romiplostim | generic | 2,078 | 263 | 92.1% |
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 Promacta reports
How many adverse event reports has FDA received for Promacta?
14,561 reports list Promacta 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 1,211 list it only as a concomitant medication.
What reactions are recorded in Promacta reports?
death (17.9%), platelet count decreased (14.9%), drug ineffective (7.2%), platelet count increased (4.8%) and fatigue (4.5%). 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 Promacta was responsible.
How serious are the reports?
50.1% are marked serious by the reporter. Among the outcomes recorded, 22.3% of reports include death and 16.1% 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?
consumer or non-health professional (59%), other health professional (17.6%) and physician (13.1%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Promacta rising?
161 reports in the 12 months to June 2026, down 69% from 512 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 Promacta 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 Promacta?
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 Promacta as a suspect or interacting product; reports listing it only as a concomitant medication (1,211) 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.