Reported Reactions

Drugs › Anticholinergic

Brand name · Fluticasone furoate, umeclidinium bromide and vilanterol trifenatate

Trelegy Ellipta: adverse event reports filed with FDA

26,795 reports list it as a suspect or interacting product, 2017–2026. Class: Anticholinergic.

26,795
reports as suspect product
0.1% of all reports · about 2,848 a year
2,472
reports, 12 months to June 2026
4,029 in the 12 months before
35.1%
marked serious by the reporter
39.6% across the class
8.7%
record death among outcomes, as reported
2,323 reports · not verified by FDA

Between February 2017 and June 2026, 26,795 adverse event reports received by FDA list the brand name Trelegy Ellipta (fluticasone furoate, umeclidinium bromide and vilanterol trifenatate) as a suspect or interacting product. Reports that mention it only as a concomitant medication (14,391) are left out of every figure here.

In the 12 months to June 2026, 2,472 reports listed it, down 39% from 4,029 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 2,848 reports a year and 0.1% of the 20,646,523 reports in the database, and 16.8% of the reports for the anticholinergic 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 dyspnoea (13.9%), wrong technique in device usage process (11.8%) and product complaint (10.7%). A report can list several reactions, so shares add to more than 100%; 1,092 different terms appear across these reports. Dyspnoea is recorded in 13.9% of these reports, about the same share as in the median anticholinergic drug (14.8%).

35.1% of the reports are marked serious by the reporter (39.6% across the class); 8.7% record death among the outcomes and 16.3% record hospitalisation, as reported. 86% of the reports came from consumers, and the largest patient age group is 75 and over (10.8%). 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

0215429Jul 2021: 247Aug 2021: 294Sep 2021: 314Oct 2021: 298Nov 2021: 313Dec 2021: 3122022Jan 2022: 247Feb 2022: 273Mar 2022: 290Apr 2022: 273May 2022: 261Jun 2022: 315Jul 2022: 300Aug 2022: 342Sep 2022: 301Oct 2022: 299Nov 2022: 287Dec 2022: 2902023Jan 2023: 254Feb 2023: 294Mar 2023: 319Apr 2023: 269May 2023: 333Jun 2023: 313Jul 2023: 262Aug 2023: 335Sep 2023: 310Oct 2023: 344Nov 2023: 325Dec 2023: 3152024Jan 2024: 294Feb 2024: 335Mar 2024: 367Apr 2024: 312May 2024: 383Jun 2024: 327Jul 2024: 429Aug 2024: 348Sep 2024: 277Oct 2024: 382Nov 2024: 301Dec 2024: 3482025Jan 2025: 321Feb 2025: 339Mar 2025: 302Apr 2025: 399May 2025: 337Jun 2025: 246Jul 2025: 220Aug 2025: 141Sep 2025: 242Oct 2025: 324Nov 2025: 190Dec 2025: 1742026Jan 2026: 166Feb 2026: 219Mar 2026: 199Apr 2026: 174May 2026: 252Jun 2026: 171

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

02,0524,1032017: 1220172018: 1,14520182019: 3,59020192020: 2,99620202021: 3,38220212022: 3,47820222023: 3,67320232024: 4,10320242025: 3,23520252026: 1,1812026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Trelegy Ellipta reports recording the termmedian drug in anticholinergic

  1. Dyspnoeashortness of breath13.9%3,733
  2. Drug ineffectivethe medicine did not work as expected10%2,672
  3. Product dose omission issuea dose was missed9.5%2,552
  4. Deaththe patient died; cause not stated by this term6.3%1,684
  5. Coughcough6%1,605
  6. Chronic obstructive pulmonary diseaseCOPD, a long-term lung disease4.1%1,102
  7. Pneumonialung infection4%1,064
  8. Dysphoniaa hoarse voice3.7%989
  9. Product use in unapproved indicationused for a purpose not on the label3%795
  10. Hospitalisationadmission to hospital2.8%750
  11. Condition aggravatedthe condition being treated got worse2.8%746
  12. Off label useused for a purpose or in a way not on the label2.8%741
  13. Asthmaasthma2.7%736
  14. Incorrect dose administeredthe wrong dose was given2.6%700
  15. Wheezingwheezing2.2%584
  16. Productive cougha cough with phlegm2%528
  17. Inappropriate schedule of product administrationthe product was taken at the wrong times1.8%493
  18. Headachehead pain1.7%445
  19. Malaisegeneral feeling of being unwell1.5%415
  20. Candida infectionthrush, a yeast infection1.5%411
  21. Overdosea dose above the recommended amount1.5%397
  22. Device use errora mistake in using the device1.5%396
  23. Chest discomfortchest discomfort1.4%371
  24. Product use issuea problem in how the product was used1.4%368
  25. Dizzinesslight-headedness or unsteadiness1.4%367

Top 30 of 1,092 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 24 drugs in the anticholinergic 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

Death8.7%2,323
Life-threatening1.2%325
Hospitalisation (initial or prolonged)16.3%4,379
Disability0.8%206
Congenital anomaly0.2%64
Other serious26.4%7,072
Not serious64.9%17,380

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 159,807 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%6
2 to 110%5
12 to 170.1%17
18 to 440.7%191
45 to 645.3%1,416
65 to 749.2%2,476
75 and over10.8%2,888
Age not given73.9%19,796

Patient sex

Female46.2%12,380
Male32%8,583
Not given21.8%5,832

Who reported

Physician6%1,603
Pharmacist2.4%638
Other health professional5.5%1,464
Lawyer0%0
Consumer or non-health professional86%23,056
Not given0.1%34

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 85.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Chronic obstructive pulmonary disease8,79132.8%
Asthma1,8907.1%
Dyspnoea2631%
Emphysema2420.9%
Cough830.3%
Asthma-chronic obstructive pulmonary disease overlap syndrome730.3%

The indication field is filled in by the reporter and is often blank; shares are of all 26,795 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Trelegy Ellipta reports
Albuterol9233.4%
Albuterol sulfate7652.9%
Breo Ellipta6792.5%
Anoro Ellipta5161.9%
Prednisone4911.8%
Tiotropium bromide3521.3%
Advair Hfa3201.2%
Ventolin Hfa2701%
Ergocalciferol2591%
Mepolizumab2520.9%

Other products listed in reports where Trelegy Ellipta 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

MeasureTrelegy ElliptaAnticholinergicAll reports
Reports as suspect product26,795159,80720,646,523
Share of that pool—16.8%0.1%
Reports, latest 12 months2,472—1,332,454
Marked serious35.1%39.6%57.4%
Death recorded among outcomes, per 1,000 reports876391
Hospitalisation recorded, per 1,000 reports163202213
Consumer-filed share86%70.6%45.8%
Top term, share of reportsDyspnoea 13.9%median 14.8%2.7%

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 anticholinergic class

DrugName typeReportsLatest 12 monthsMarked serious
Tiotropium bromidegeneric76,91761632.3%
Anoro Elliptabrand12,55434626.3%
Ipratropium bromidegeneric8,31040080.2%
Spiriva Respimatbrand5,58124649.3%
Incruse Elliptabrand4,57512936.1%
Tudorza Pressairbrand3,858832.1%
Stiolto Respimatbrand2,89917225.2%
Atropinegeneric2,38616095.7%
Glycopyrrolategeneric2,22525892.3%
Transderm Scopbrand1,4981543%
Benztropinegeneric1,49216794.2%
Bevespi Aerospherebrand1,4676235.6%
Scopolaminegeneric1,26012568.6%
Atropine sulfategeneric1,1684784.7%
Aclidinium bromidegeneric1,0136398.6%

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 Trelegy Ellipta reports

How many adverse event reports has FDA received for Trelegy Ellipta?

26,795 reports list Trelegy Ellipta as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 2,472 of them arrived in the latest 12 months. Another 14,391 list it only as a concomitant medication.

What reactions are recorded in Trelegy Ellipta reports?

dyspnoea (13.9%), wrong technique in device usage process (11.8%), product complaint (10.7%), drug ineffective (10%) and product dose omission issue (9.5%). 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 Trelegy Ellipta was responsible.

How serious are the reports?

35.1% are marked serious by the reporter. Among the outcomes recorded, 8.7% of reports include death and 16.3% 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 (86%), physician (6%) and other health professional (5.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Trelegy Ellipta rising?

2,472 reports in the 12 months to June 2026, down 39% from 4,029 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 Trelegy Ellipta 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 Trelegy Ellipta?

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 Trelegy Ellipta as a suspect or interacting product; reports listing it only as a concomitant medication (14,391) 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.