Reported Reactions

Drugs › Kinase inhibitor

Generic name

Ribociclib: adverse event reports filed with FDA

6,223 reports list it as a suspect or interacting product, 2017–2026. Class: Kinase inhibitor. Also reported as Ribociclib 400mg.

6,223
reports as suspect product
0% of all reports · about 656 a year
1,075
reports, 12 months to June 2026
1,019 in the 12 months before
97.3%
marked serious by the reporter
70.8% across the class
13%
record death among outcomes, as reported
810 reports · not verified by FDA

Between January 2017 and June 2026, 6,223 adverse event reports received by FDA list ribociclib, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (309) are left out of every figure here.

In the 12 months to June 2026, 1,075 reports listed it, close to the 1,019 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 656 reports a year and 0% of the 20,646,523 reports in the database, and 0.7% of the reports for the kinase inhibitor class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded neutropenia (20.6%), malignant neoplasm progression (13.5%) and metastases to bone (9.8%). A report can list several reactions, so shares add to more than 100%; 1,105 different terms appear across these reports. Neutropenia is recorded in 20.6% of these reports, a larger share than in the median kinase inhibitor drug (0.7%).

97.3% of the reports are marked serious by the reporter (70.8% across the class); 13% record death among the outcomes and 22.4% record hospitalisation, as reported. 54.3% of the reports came from physicians, and the largest patient age group is 45 to 64 (32.5%). 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

073146Jul 2021: 48Aug 2021: 96Sep 2021: 80Oct 2021: 56Nov 2021: 128Dec 2021: 852022Jan 2022: 44Feb 2022: 73Mar 2022: 83Apr 2022: 78May 2022: 87Jun 2022: 103Jul 2022: 72Aug 2022: 55Sep 2022: 59Oct 2022: 62Nov 2022: 84Dec 2022: 1042023Jan 2023: 61Feb 2023: 56Mar 2023: 84Apr 2023: 69May 2023: 75Jun 2023: 78Jul 2023: 113Aug 2023: 101Sep 2023: 144Oct 2023: 124Nov 2023: 146Dec 2023: 872024Jan 2024: 84Feb 2024: 95Mar 2024: 117Apr 2024: 95May 2024: 78Jun 2024: 84Jul 2024: 72Aug 2024: 57Sep 2024: 88Oct 2024: 88Nov 2024: 78Dec 2024: 792025Jan 2025: 77Feb 2025: 69Mar 2025: 76Apr 2025: 113May 2025: 109Jun 2025: 113Jul 2025: 64Aug 2025: 85Sep 2025: 118Oct 2025: 82Nov 2025: 88Dec 2025: 832026Jan 2026: 59Feb 2026: 86Mar 2026: 85Apr 2026: 108May 2026: 90Jun 2026: 127

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

05691,1382017: 3120172018: 6120182019: 21720192020: 48820202021: 73720212022: 90420222023: 1,13820232024: 1,01520242025: 1,07720252026: 5552026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Ribociclib reports recording the termmedian drug in kinase inhibitor

  1. Neutropenialow neutrophils, a type of white blood cell20.6%1,281
  2. Fatiguetiredness6.9%427
  3. Deaththe patient died; cause not stated by this term6.2%387
  4. Nauseafeeling sick6.1%377
  5. Off label useused for a purpose or in a way not on the label5.2%326
  6. Astheniaweakness or lack of energy5.1%317
  7. Anaemialow red blood cells4.8%297
  8. White blood cell count decreasedlow white cell count4.5%279
  9. Dyspnoeashortness of breath4.3%265
  10. Leukopenialow white blood cells4.2%261
  11. Hepatotoxicityliver injury3.9%242
  12. Diarrhoealoose or frequent stools3.9%241
  13. Electrocardiogram QT prolongeda QT prolongation on the ECG3.8%238
  14. Alanine aminotransferase increasedraised liver enzyme (ALT)3.8%236
  15. Breast cancerbreast cancer3.7%232
  16. Aspartate aminotransferase increasedraised liver enzyme (AST)3.6%224
  17. Painpain, site not specified3.6%221
  18. Vomitingbeing sick3.5%215
  19. Pleural effusionfluid around the lung3.4%211
  20. Arthralgiajoint pain3.4%210
  21. Pyrexiafever3.3%207
  22. Rashskin rash3.1%192
  23. Thrombocytopenialow platelets3.1%190
  24. Disease progressionthe disease advanced3%185
  25. Drug ineffectivethe medicine did not work as expected2.9%178

Top 30 of 1,105 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 100 drugs in the kinase 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

Death13%810
Life-threatening4.1%254
Hospitalisation (initial or prolonged)22.4%1,396
Disability0.6%35
Congenital anomaly0.1%5
Other serious78.6%4,892
Not serious2.7%167

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 849,161 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%8
12 to 170.1%7
18 to 4410.6%662
45 to 6432.5%2,021
65 to 7416.1%1,002
75 and over7.8%484
Age not given32.8%2,039

Patient sex

Female89.3%5,560
Male1.7%103
Not given9%560

Who reported

Physician54.3%3,379
Pharmacist2%122
Other health professional20.6%1,283
Lawyer0%0
Consumer or non-health professional22.8%1,418
Not given0.3%21

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 6.8% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Breast cancer metastatic1,64926.5%
Breast cancer1,49023.9%
Hormone receptor positive her2 negative breast cancer5388.6%
Her2 negative breast cancer1242%
Invasive ductal breast carcinoma1031.7%
Hormone receptor positive breast cancer901.4%

The indication field is filled in by the reporter and is often blank; shares are of all 6,223 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Ribociclib reports
Letrozole2,55241%
Fulvestrant1,43623.1%
Zoledronic acid65110.5%
Anastrozole5078.1%
Denosumab4497.2%
Goserelin3756%
Tamoxifen2644.2%
Paclitaxel2393.8%
Exemestane2373.8%
Capecitabine1953.1%

Other products listed in reports where Ribociclib 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

MeasureRibociclibKinase inhibitorAll reports
Reports as suspect product6,223849,16120,646,523
Share of that pool—0.7%0%
Reports, latest 12 months1,075—1,332,454
Marked serious97.3%70.8%57.4%
Death recorded among outcomes, per 1,000 reports13019091
Hospitalisation recorded, per 1,000 reports224264213
Consumer-filed share22.8%42.3%45.8%
Top term, share of reportsNeutropenia 20.6%median 0.7%0.6%

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 kinase inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Ibrancebrand81,9122,38047.1%
Imbruvicabrand67,0392,28374.4%
Cabometyxbrand41,8184,90440.4%
Sutentbrand33,21517574.5%
Afinitorbrand30,70616171.3%
Sprycelbrand27,25555749.7%
Tasignabrand24,91132870.9%
Kisqalibrand24,6033,41379.2%
Ofevbrand23,9072,43466.9%
Gleevecbrand23,1328174.7%
Tagrissobrand23,0851,41092.3%
Lenvimabrand22,3502,64387.3%
Votrientbrand22,08411960.9%
Mekinistbrand17,07091664%
Inlytabrand15,69638860.9%

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 Ribociclib reports

How many adverse event reports has FDA received for Ribociclib?

6,223 reports list Ribociclib as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,075 of them arrived in the latest 12 months. Another 309 list it only as a concomitant medication.

What reactions are recorded in Ribociclib reports?

neutropenia (20.6%), malignant neoplasm progression (13.5%), metastases to bone (9.8%), breast cancer metastatic (7%) and fatigue (6.9%). 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 Ribociclib was responsible.

How serious are the reports?

97.3% are marked serious by the reporter. Among the outcomes recorded, 13% of reports include death and 22.4% 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 (54.3%), consumer or non-health professional (22.8%) and other health professional (20.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Ribociclib rising?

1,075 reports in the 12 months to June 2026, close to the 1,019 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 Ribociclib 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 Ribociclib?

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 Ribociclib as a suspect or interacting product; reports listing it only as a concomitant medication (309) 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.