Reported Reactions

Drugs › Janus kinase inhibitor

Generic name

Ruxolitinib: adverse event reports filed with FDA

8,815 reports list it as a suspect or interacting product, 2012–2026. Class: Janus kinase inhibitor. Also reported as Ruxolitinib 5mg Tabs, Ruxolitinib /07210602/.

8,815
reports as suspect product
0% of all reports · about 634 a year
1,361
reports, 12 months to June 2026
1,347 in the 12 months before
98%
marked serious by the reporter
53.1% across the class
25.4%
record death among outcomes, as reported
2,236 reports · not verified by FDA

8,815 adverse event reports received by FDA list ruxolitinib, a generic name as a suspect or interacting product, from August 2012 to June 2026. A further 1,468 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, 1,361 reports listed it, close to the 1,347 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 634 reports a year and 0% of the 20,646,523 reports in the database, and 2.7% of the reports for the janus kinase inhibitor 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 off label use (11.5%), drug ineffective (9%) and death (8.1%). A report can list several reactions, so shares add to more than 100%; 1,686 different terms appear across these reports. Off label use is recorded in 11.5% of these reports, about the same share as in the median janus kinase inhibitor drug (11.5%).

98% of the reports are marked serious by the reporter (53.1% across the class); 25.4% record death among the outcomes and 38.7% record hospitalisation, as reported. 43.8% of the reports came from physicians, and the largest patient age group is 45 to 64 (12%). 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

099197Jul 2021: 47Aug 2021: 38Sep 2021: 73Oct 2021: 169Nov 2021: 196Dec 2021: 1972022Jan 2022: 115Feb 2022: 139Mar 2022: 151Apr 2022: 130May 2022: 130Jun 2022: 114Jul 2022: 116Aug 2022: 103Sep 2022: 136Oct 2022: 99Nov 2022: 110Dec 2022: 1292023Jan 2023: 112Feb 2023: 184Mar 2023: 122Apr 2023: 132May 2023: 140Jun 2023: 179Jul 2023: 123Aug 2023: 126Sep 2023: 103Oct 2023: 152Nov 2023: 137Dec 2023: 1212024Jan 2024: 77Feb 2024: 96Mar 2024: 126Apr 2024: 166May 2024: 139Jun 2024: 98Jul 2024: 102Aug 2024: 73Sep 2024: 114Oct 2024: 166Nov 2024: 95Dec 2024: 1362025Jan 2025: 88Feb 2025: 112Mar 2025: 116Apr 2025: 97May 2025: 138Jun 2025: 110Jul 2025: 110Aug 2025: 86Sep 2025: 97Oct 2025: 131Nov 2025: 102Dec 2025: 1332026Jan 2026: 114Feb 2026: 157Mar 2026: 108Apr 2026: 94May 2026: 91Jun 2026: 138

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

08161,6312012: 620122013: 132014: 1720142015: 472016: 8720162017: 1902018: 23920182019: 2922020: 45620202021: 9552022: 1,47220222023: 1,6312024: 1,38820242025: 1,3202026: 7022026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Ruxolitinib reports recording the termmedian drug in janus kinase inhibitor

  1. Off label useused for a purpose or in a way not on the label11.5%1,010
  2. Drug ineffectivethe medicine did not work as expected9%790
  3. Deaththe patient died; cause not stated by this term8.1%710
  4. Anaemialow red blood cells7.6%669
  5. Product use in unapproved indicationused for a purpose not on the label7.6%668
  6. Pyrexiafever6%530
  7. Thrombocytopenialow platelets5.8%508
  8. Platelet count decreasedlow platelet count5.7%500
  9. Pneumonialung infection5.5%486
  10. Haemoglobin decreasedlow haemoglobin5.4%478
  11. Febrile neutropeniafever with low white blood cells4.7%410
  12. Diarrhoealoose or frequent stools4%352
  13. Astheniaweakness or lack of energy4%351
  14. Fatiguetiredness3.9%347
  15. Inappropriate schedule of product administrationthe product was taken at the wrong times3.8%339
  16. Condition aggravatedthe condition being treated got worse3%267
  17. Sepsisa severe body-wide response to infection2.8%251
  18. Disease progressionthe disease advanced2.8%247
  19. Neutropenialow neutrophils, a type of white blood cell2.8%247
  20. Nauseafeeling sick2.8%246
  21. Vomitingbeing sick2.6%231
  22. Myelofibrosis2.6%225
  23. Covid-19COVID-19 infection2.5%224
  24. Infectionan infection, type not specified2.5%219
  25. Abdominal painstomach or belly pain2.5%218
  26. Dyspnoeashortness of breath2.4%215
  27. Pancytopenialow counts of all blood cells2.3%206
  28. Acute kidney injurysudden loss of kidney function2.3%205

Top 30 of 1,686 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 11 drugs in the janus 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

Death25.4%2,236
Life-threatening8.4%740
Hospitalisation (initial or prolonged)38.7%3,407
Disability1.2%108
Congenital anomaly0.2%16
Other serious66.2%5,832
Not serious2%179

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 323,323 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 20.9%75
2 to 115.9%520
12 to 175.8%510
18 to 449.4%831
45 to 6412%1,060
65 to 748%706
75 and over4.7%417
Age not given53.3%4,696

Patient sex

Female15.5%1,364
Male24.5%2,163
Not given60%5,288

Who reported

Physician43.8%3,860
Pharmacist4.7%413
Other health professional33.8%2,981
Lawyer0%1
Consumer or non-health professional17.5%1,541
Not given0.2%19

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 19% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Myelofibrosis1,79520.4%
Polycythaemia vera7648.7%
Graft versus host disease6667.6%
Primary myelofibrosis6637.5%
Acute lymphocytic leukaemia4244.8%
Chronic graft versus host disease3984.5%

The indication field is filled in by the reporter and is often blank; shares are of all 8,815 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Ruxolitinib reports
Methotrexate1,25714.3%
Tacrolimus1,11612.7%
Mycophenolate mofetil1,09112.4%
Cyclosporine1,07212.2%
Prednisone1,00211.4%
Cyclophosphamide8209.3%
Methylprednisolone7828.9%
Rituximab5035.7%
Fludarabine4955.6%
Dexamethasone4925.6%

Other products listed in reports where Ruxolitinib 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

MeasureRuxolitinibJanus kinase inhibitorAll reports
Reports as suspect product8,815323,32320,646,523
Share of that pool—2.7%0%
Reports, latest 12 months1,361—1,332,454
Marked serious98%53.1%57.4%
Death recorded among outcomes, per 1,000 reports2547591
Hospitalisation recorded, per 1,000 reports387190213
Consumer-filed share17.5%52.1%45.8%
Top term, share of reportsOff label use 11.5%median 11.5%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 janus kinase inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Xeljanzbrand156,0823,57144.2%
Rinvoqbrand73,18714,08569%
Jakafibrand55,3914,58442.3%
Olumiantbrand6,20539657.9%
Tofacitinib citrategeneric5,77562896.6%
Tofacitinibgeneric4,87486094.6%
Upadacitinibgeneric4,1951,27668.9%
Opzelurabrand3,2856608%
Cibinqobrand3,14950331.5%
Baricitinibgeneric2,36521892.9%

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 Ruxolitinib reports

How many adverse event reports has FDA received for Ruxolitinib?

8,815 reports list Ruxolitinib as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,361 of them arrived in the latest 12 months. Another 1,468 list it only as a concomitant medication.

What reactions are recorded in Ruxolitinib reports?

off label use (11.5%), drug ineffective (9%), death (8.1%), anaemia (7.6%) and product use in unapproved indication (7.6%). 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 Ruxolitinib was responsible.

How serious are the reports?

98% are marked serious by the reporter. Among the outcomes recorded, 25.4% of reports include death and 38.7% 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 (43.8%), other health professional (33.8%) and consumer or non-health professional (17.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Ruxolitinib rising?

1,361 reports in the 12 months to June 2026, close to the 1,347 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 Ruxolitinib 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 Ruxolitinib?

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 Ruxolitinib as a suspect or interacting product; reports listing it only as a concomitant medication (1,468) 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.