Reported Reactions

Drugs › Alkylating drug

Brand name · Bendamustine hydrochloride

Treanda: adverse event reports filed with FDA

3,330 reports list it as a suspect or interacting product, 2008–2026. Class: Alkylating drug.

3,330
reports as suspect product
0% of all reports · about 184 a year
3
reports, 12 months to June 2026
9 in the 12 months before
66.5%
marked serious by the reporter
93.5% across the class
12.9%
record death among outcomes, as reported
431 reports · not verified by FDA

3,330 adverse event reports received by FDA list the brand name Treanda (bendamustine hydrochloride) as a suspect or interacting product, from June 2008 to June 2026. A further 194 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, 3 reports listed it, down 67% from 9 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 184 reports a year and 0% of the 20,646,523 reports in the database, and 1.3% of the reports for the alkylating drug 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 rash (8.7%), pyrexia (8.2%) and febrile neutropenia (5.2%). A report can list several reactions, so shares add to more than 100%; 492 different terms appear across these reports. Rash is recorded in 8.7% of these reports, a larger share than in the median alkylating drug drug (0.9%).

66.5% of the reports are marked serious by the reporter (93.5% across the class); 12.9% record death among the outcomes and 35.7% record hospitalisation, as reported. 47.2% of the reports came from physicians, and the largest patient age group is 65 to 74 (14.2%). 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

048Jul 2021: 1Aug 2021: 3Sep 2021: 1Oct 2021: 2Nov 2021: 1Dec 2021: 42022Jan 2022: 2Feb 2022: 1Mar 2022: 3Apr 2022: 0May 2022: 0Jun 2022: 1Jul 2022: 0Aug 2022: 1Sep 2022: 0Oct 2022: 0Nov 2022: 0Dec 2022: 32023Jan 2023: 0Feb 2023: 0Mar 2023: 0Apr 2023: 8May 2023: 3Jun 2023: 0Jul 2023: 4Aug 2023: 0Sep 2023: 0Oct 2023: 0Nov 2023: 1Dec 2023: 02024Jan 2024: 0Feb 2024: 3Mar 2024: 2Apr 2024: 5May 2024: 0Jun 2024: 1Jul 2024: 1Aug 2024: 1Sep 2024: 0Oct 2024: 4Nov 2024: 0Dec 2024: 02025Jan 2025: 1Feb 2025: 1Mar 2025: 0Apr 2025: 0May 2025: 0Jun 2025: 1Jul 2025: 1Aug 2025: 0Sep 2025: 0Oct 2025: 0Nov 2025: 0Dec 2025: 02026Jan 2026: 1Feb 2026: 0Mar 2026: 0Apr 2026: 0May 2026: 0Jun 2026: 1

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

06331,2652008: 5520082009: 1732010: 28820102011: 2592012: 1,26520122013: 4582014: 19220142015: 1922016: 9920162017: 1062018: 7420182019: 462020: 5520202021: 182022: 1120222023: 162024: 1720242025: 42026: 22026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Treanda reports recording the termmedian drug in alkylating drug

  1. Rashskin rash8.7%290
  2. Pyrexiafever8.2%274
  3. Febrile neutropeniafever with low white blood cells5.2%173
  4. Pancytopenialow counts of all blood cells4.9%164
  5. Neutropenialow neutrophils, a type of white blood cell4%134
  6. Deaththe patient died; cause not stated by this term3.7%123
  7. Nauseafeeling sick3.7%123
  8. Fatiguetiredness3.4%113
  9. Pneumonialung infection3.3%110
  10. Chillschills or shivering2.7%89
  11. White blood cell count decreasedlow white cell count2.6%88
  12. Dyspnoeashortness of breath2.6%86
  13. Thrombocytopenialow platelets2.6%86
  14. Diarrhoealoose or frequent stools2.5%83
  15. Off label useused for a purpose or in a way not on the label2.5%83
  16. Platelet count decreasedlow platelet count2.5%82
  17. Extravasation2.4%79
  18. Astheniaweakness or lack of energy2.1%69
  19. Vomitingbeing sick2.1%69
  20. Anaemialow red blood cells2%66
  21. Sepsisa severe body-wide response to infection1.8%61
  22. Hypotensionlow blood pressure1.8%59
  23. Disease progressionthe disease advanced1.7%57
  24. Coughcough1.7%56
  25. Herpes zostershingles1.6%53
  26. Infusion site extravasationinfusion fluid leaked into surrounding tissue1.5%50
  27. Neuropathy peripheralnerve damage in hands or feet1.5%50
  28. Atrial fibrillationan irregular heart rhythm1.3%43

Top 30 of 492 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 23 drugs in the alkylating drug 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

Death12.9%431
Life-threatening4.2%140
Hospitalisation (initial or prolonged)35.7%1,188
Disability2.1%69
Congenital anomaly0%0
Other serious33.1%1,102
Not serious33.5%1,114

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 253,205 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 20.1%2
2 to 110.1%2
12 to 170%0
18 to 442.3%76
45 to 6413.6%452
65 to 7414.2%473
75 and over9%299
Age not given60.8%2,026

Patient sex

Female34.1%1,136
Male49.2%1,640
Not given16.6%554

Who reported

Physician47.2%1,572
Pharmacist8.9%298
Other health professional26.8%891
Lawyer0%0
Consumer or non-health professional13%433
Not given4.1%136

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 70.5% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Chronic lymphocytic leukaemia85225.6%
Non-hodgkin's lymphoma2758.3%
B-cell lymphoma2206.6%
Mantle cell lymphoma1795.4%
Lymphoma1584.7%
Non-hodgkin's lymphoma1514.5%

The indication field is filled in by the reporter and is often blank; shares are of all 3,330 reports.

In context

MeasureTreandaAlkylating drugAll reports
Reports as suspect product3,330253,20520,646,523
Share of that pool—1.3%0%
Reports, latest 12 months3—1,332,454
Marked serious66.5%93.5%57.4%
Death recorded among outcomes, per 1,000 reports12920891
Hospitalisation recorded, per 1,000 reports357333213
Consumer-filed share13%6.3%45.8%
Top term, share of reportsRash 8.7%median 0.9%2.1%

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 alkylating drug class

DrugName typeReportsLatest 12 monthsMarked serious
Cyclophosphamidegeneric141,09912,36097.8%
Ifosfamidegeneric18,6581,32598.2%
Melphalangeneric17,19095698.5%
Temozolomidegeneric15,3241,05582.3%
Busulfangeneric11,8251,09594.9%
Thiotepageneric7,8531,03598.8%
Bendamustine hydrochloridegeneric6,94125396%
Dacarbazinegeneric6,43151196.3%
Temodarbrand4,6522456.1%
Matulanebrand3,84528415.9%
Carmustinegeneric3,37818099%
Chlorambucilgeneric2,4867598.5%
Valchlorbrand2,1141628.4%
Mitomycingeneric2,04111792.4%
Lomustinegeneric1,1009294.8%

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 Treanda reports

How many adverse event reports has FDA received for Treanda?

3,330 reports list Treanda as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 3 of them arrived in the latest 12 months. Another 194 list it only as a concomitant medication.

What reactions are recorded in Treanda reports?

rash (8.7%), pyrexia (8.2%), febrile neutropenia (5.2%), pancytopenia (4.9%) and neutropenia (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 Treanda was responsible.

How serious are the reports?

66.5% are marked serious by the reporter. Among the outcomes recorded, 12.9% of reports include death and 35.7% 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 (47.2%), other health professional (26.8%) and consumer or non-health professional (13%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Treanda rising?

3 reports in the 12 months to June 2026, down 67% from 9 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 Treanda 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 Treanda?

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 Treanda as a suspect or interacting product; reports listing it only as a concomitant medication (194) 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.