Reported Reactions

Drugs › Sphingosine 1-phosphate receptor modulator

Generic name

Siponimod: adverse event reports filed with FDA

531 reports list it as a suspect or interacting product, 2018–2026. Class: Sphingosine 1-phosphate receptor modulator.

531
reports as suspect product
0% of all reports · about 66 a year
53
reports, 12 months to June 2026
44 in the 12 months before
96.8%
marked serious by the reporter
49.1% across the class
4.7%
record death among outcomes, as reported
25 reports · not verified by FDA

Between June 2018 and May 2026, 531 adverse event reports received by FDA list siponimod, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (38) are left out of every figure here.

In the 12 months to June 2026, 53 reports listed it, up 20% from 44 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 66 reports a year and 0% of the 20,646,523 reports in the database, and 0.5% of the reports for the sphingosine 1-phosphate receptor modulator 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 basal cell carcinoma (9%), multiple sclerosis (8.3%) and gait disturbance (8.1%). A report can list several reactions, so shares add to more than 100%; 192 different terms appear across these reports. Basal cell carcinoma is recorded in 9% of these reports, a larger share than in the median sphingosine 1-phosphate receptor modulator drug (0.6%).

96.8% of the reports are marked serious by the reporter (49.1% across the class); 4.7% record death among the outcomes and 28.8% record hospitalisation, as reported. 51% of the reports came from physicians, and the largest patient age group is 45 to 64 (53.3%). 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

0815Jul 2021: 8Aug 2021: 6Sep 2021: 8Oct 2021: 9Nov 2021: 7Dec 2021: 132022Jan 2022: 8Feb 2022: 15Mar 2022: 12Apr 2022: 5May 2022: 15Jun 2022: 6Jul 2022: 10Aug 2022: 8Sep 2022: 14Oct 2022: 9Nov 2022: 8Dec 2022: 112023Jan 2023: 9Feb 2023: 8Mar 2023: 10Apr 2023: 12May 2023: 12Jun 2023: 12Jul 2023: 7Aug 2023: 8Sep 2023: 7Oct 2023: 3Nov 2023: 10Dec 2023: 52024Jan 2024: 3Feb 2024: 8Mar 2024: 8Apr 2024: 11May 2024: 7Jun 2024: 9Jul 2024: 2Aug 2024: 4Sep 2024: 5Oct 2024: 7Nov 2024: 3Dec 2024: 22025Jan 2025: 3Feb 2025: 4Mar 2025: 2Apr 2025: 5May 2025: 4Jun 2025: 3Jul 2025: 4Aug 2025: 12Sep 2025: 0Oct 2025: 2Nov 2025: 7Dec 2025: 72026Jan 2026: 0Feb 2026: 4Mar 2026: 2Apr 2026: 10May 2026: 5Jun 2026: 0

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

0611212018: 120182019: 2420192020: 5120202021: 8820212022: 12120222023: 10320232024: 6920242025: 5320252026: 212026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Siponimod reports recording the termmedian drug in sphingosine 1-phosphate receptor modulator

  1. Gait disturbancedifficulty walking8.1%43
  2. Fatiguetiredness6.8%36
  3. Headachehead pain6.2%33
  4. Urinary tract infectionbladder or urinary infection6.2%33
  5. Multiple sclerosis relapsea flare of multiple sclerosis5.1%27
  6. Falla fall4.9%26
  7. Astheniaweakness or lack of energy4.5%24
  8. Dizzinesslight-headedness or unsteadiness4.3%23
  9. Muscular weaknessmuscle weakness4.3%23
  10. Covid-19COVID-19 infection3%16
  11. Expanded disability status scale score increased3%16
  12. Hypertensionhigh blood pressure3%16
  13. Mobility decreasedreduced ability to move about3%16
  14. Hypoaesthesianumbness2.8%15
  15. Balance disorderproblems with balance2.6%14
  16. Cognitive disorderproblems with thinking or memory2.3%12
  17. Memory impairmentmemory problems2.3%12
  18. Pyrexiafever2.3%12
  19. Visual impairmentreduced vision2.3%12
  20. Epilepsy2.1%11
  21. Painpain, site not specified2.1%11
  22. Back painback pain1.9%10
  23. Blood pressure increaseda raised blood pressure reading1.9%10
  24. Bowen's disease1.9%10
  25. Drug ineffectivethe medicine did not work as expected1.9%10

Top 30 of 192 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 6 drugs in the sphingosine 1-phosphate receptor modulator 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

Death4.7%25
Life-threatening3%16
Hospitalisation (initial or prolonged)28.8%153
Disability3.6%19
Congenital anomaly0%0
Other serious74.2%394
Not serious3.2%17

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 103,701 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%0
12 to 170%0
18 to 449%48
45 to 6453.3%283
65 to 749%48
75 and over0.4%2
Age not given28.2%150

Patient sex

Female56.9%302
Male31.3%166
Not given11.9%63

Who reported

Physician51%271
Pharmacist0.9%5
Other health professional23.5%125
Lawyer0%0
Consumer or non-health professional24.1%128
Not given0.4%2

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 5.6% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Secondary progressive multiple sclerosis30256.9%
Multiple sclerosis10119%
Relapsing multiple sclerosis71.3%
Cognitive disorder30.6%
Relapsing-remitting multiple sclerosis20.4%

The indication field is filled in by the reporter and is often blank; shares are of all 531 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Siponimod reports
Baclofen387.2%
Dalfampridine305.6%
Fingolimod275.1%
Mayzent254.7%
Aspirin152.8%
Acetaminophen132.4%
Cholecalciferol122.3%
Dimethyl fumarate112.1%
Atorvastatin101.9%
Fampyra101.9%

Other products listed in reports where Siponimod 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

MeasureSiponimodSphingosine 1-phosphate receptor modulatorAll reports
Reports as suspect product531103,70120,646,523
Share of that pool—0.5%0%
Reports, latest 12 months53—1,332,454
Marked serious96.8%49.1%57.4%
Death recorded among outcomes, per 1,000 reports471491
Hospitalisation recorded, per 1,000 reports288129213
Consumer-filed share24.1%59.2%45.8%
Top term, share of reportsBasal cell carcinoma 9%median 0.6%0.1%

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 sphingosine 1-phosphate receptor modulator class

DrugName typeReportsLatest 12 monthsMarked serious
Gilenyabrand81,23427649.7%
Mayzentbrand8,22225147.1%
Zeposiabrand8,13475126.5%
Fingolimodgeneric4,04156984.7%
Velsipitybrand1,53948436.7%

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 Siponimod reports

How many adverse event reports has FDA received for Siponimod?

531 reports list Siponimod as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 53 of them arrived in the latest 12 months. Another 38 list it only as a concomitant medication.

What reactions are recorded in Siponimod reports?

basal cell carcinoma (9%), multiple sclerosis (8.3%), gait disturbance (8.1%), fatigue (6.8%) and lymphopenia (6.4%). 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 Siponimod was responsible.

How serious are the reports?

96.8% are marked serious by the reporter. Among the outcomes recorded, 4.7% of reports include death and 28.8% 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 (51%), consumer or non-health professional (24.1%) and other health professional (23.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Siponimod rising?

53 reports in the 12 months to June 2026, up 20% from 44 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 Siponimod 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 Siponimod?

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 Siponimod as a suspect or interacting product; reports listing it only as a concomitant medication (38) 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.