Brand name · Asfotase alfa
Strensiq: adverse event reports filed with FDA
9,485 reports list it as a suspect or interacting product, 2015–2026.
- 9,485
- reports as suspect product
- 0.1% of all reports · about 890 a year
- 1,022
- reports, 12 months to June 2026
- 1,436 in the 12 months before
- 28.2%
- marked serious by the reporter
- 57.4% across all reports
- 0.7%
- record death among outcomes, as reported
- 68 reports · not verified by FDA
9,485 adverse event reports received by FDA list the brand name Strensiq (asfotase alfa) as a suspect or interacting product, from November 2015 to June 2026. A further 12 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, 1,022 reports listed it, down 29% from 1,436 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 890 reports a year and 0.1% of the 20,646,523 reports in the database. 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 injection site pain (13.6%), fatigue (9.3%) and injection site erythema (8.9%). A report can list several reactions, so shares add to more than 100%; 1,090 different terms appear across these reports. Injection site pain is recorded in 13.6% of these reports, against 1.4% of all reports in the database.
28.2% of the reports are marked serious by the reporter; 0.7% record death among the outcomes and 7% record hospitalisation, as reported. 80.4% of the reports came from consumers, and the largest patient age group is 45 to 64 (6.4%). 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 Strensiq reports recording the termall reports in the database
- Injection site painpain where the injection was given13.6%1,288
- Fatiguetiredness9.3%881
- Injection site erythemaredness where the injection was given8.9%842
- Painpain, site not specified8.1%765
- Injection site reactiona reaction where the injection was given7.5%714
- Arthralgiajoint pain6.4%611
- Pain in extremitypain in an arm or leg5.4%510
- Injection site bruisingbruising where the injection was given5.1%479
- Injection site swellingswelling where the injection was given4.5%427
- Headachehead pain4%375
- Injection site pruritusitching where the injection was given3.4%322
- Malaisegeneral feeling of being unwell3%283
- Nauseafeeling sick3%282
- Injection site mass3%281
- Bone painbone pain2.9%275
- Back painback pain2.7%252
- Drug ineffectivethe medicine did not work as expected2.6%249
- Weight increasedweight gain2.6%248
- Weight decreasedweight loss2.3%221
- Pyrexiafever2.3%216
- Falla fall2.1%203
- Astheniaweakness or lack of energy2.1%202
- Dizzinesslight-headedness or unsteadiness2.1%202
- Myalgiamuscle pain2.1%202
- Anxietyanxiety1.9%177
- Feeling abnormalfeeling odd or not right1.8%168
- Dyspnoeashortness of breath1.7%162
- Gait disturbancedifficulty walking1.7%161
Top 30 of 1,090 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 share of all reports in the database; 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 20,646,523 reports. 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. 96.1% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Hypophosphatasia | 4,321 | 45.6% |
| Phosphorus metabolism disorder | 485 | 5.1% |
| Hypophosphataemia | 51 | 0.5% |
| Off label use | 6 | 0.1% |
| Enzyme abnormality | 2 | 0% |
| Enzyme level abnormal | 2 | 0% |
The indication field is filled in by the reporter and is often blank; shares are of all 9,485 reports.
Drugs most often listed in the same reports
| Drug (any role in the report) | Reports | Share of Strensiq reports |
|---|---|---|
| Benadryl | 46 | 0.5% |
| Ergocalciferol | 39 | 0.4% |
| Ibuprofen | 36 | 0.4% |
| Prednisone | 27 | 0.3% |
| Zyrtec | 26 | 0.3% |
| Acetaminophen | 22 | 0.2% |
| Gabapentin | 22 | 0.2% |
| Calcium | 21 | 0.2% |
| Aspirin | 18 | 0.2% |
| Levothyroxine | 17 | 0.2% |
Other products listed in reports where Strensiq 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 | Strensiq | All reports |
|---|---|---|
| Reports as suspect product | 9,485 | 20,646,523 |
| Share of that pool | — | 0.1% |
| Reports, latest 12 months | 1,022 | 1,332,454 |
| Marked serious | 28.2% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 7 | 91 |
| Hospitalisation recorded, per 1,000 reports | 70 | 213 |
| Consumer-filed share | 80.4% | 45.8% |
| Top term, share of reports | Injection site pain 13.6% | 1.4% |
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."
Questions about Strensiq reports
How many adverse event reports has FDA received for Strensiq?
9,485 reports list Strensiq as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,022 of them arrived in the latest 12 months. Another 12 list it only as a concomitant medication.
What reactions are recorded in Strensiq reports?
injection site pain (13.6%), fatigue (9.3%), injection site erythema (8.9%), pain (8.1%) and injection site reaction (7.5%). 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 Strensiq was responsible.
How serious are the reports?
28.2% are marked serious by the reporter. Among the outcomes recorded, 0.7% of reports include death and 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?
consumer or non-health professional (80.4%), other health professional (10.4%) and physician (8.1%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Strensiq rising?
1,022 reports in the 12 months to June 2026, down 29% from 1,436 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 Strensiq 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 Strensiq?
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 Strensiq as a suspect or interacting product; reports listing it only as a concomitant medication (12) 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.