Reported Reactions

Drugs › Proteasome inhibitor

Brand name · Bortezomib

Velcade: adverse event reports filed with FDA

37,364 reports list it as a suspect or interacting product, 2004–2026. Class: Proteasome inhibitor. Also reported as Velcade Injection.

37,364
reports as suspect product
0.2% of all reports · about 1,661 a year
1,239
reports, 12 months to June 2026
1,431 in the 12 months before
85.6%
marked serious by the reporter
86% across the class
17.5%
record death among outcomes, as reported
6,531 reports · not verified by FDA

Between January 2004 and June 2026, 37,364 adverse event reports received by FDA list the brand name Velcade (bortezomib) as a suspect or interacting product. Reports that mention it only as a concomitant medication (19,589) are left out of every figure here.

In the 12 months to June 2026, 1,239 reports listed it, down 13% from 1,431 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 1,661 reports a year and 0.2% of the 20,646,523 reports in the database, and 34% of the reports for the proteasome inhibitor class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded neuropathy peripheral (9.7%), plasma cell myeloma (7.7%) and off label use (7.2%). A report can list several reactions, so shares add to more than 100%; 2,358 different terms appear across these reports. Neuropathy peripheral is recorded in 9.7% of these reports, a larger share than in the median proteasome inhibitor drug (5.3%).

85.6% of the reports are marked serious by the reporter (86% across the class); 17.5% record death among the outcomes and 35.1% record hospitalisation, as reported. 51% of the reports came from physicians, and the largest patient age group is 45 to 64 (23.5%). 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

0147294Jul 2021: 161Aug 2021: 184Sep 2021: 195Oct 2021: 181Nov 2021: 197Dec 2021: 2222022Jan 2022: 107Feb 2022: 101Mar 2022: 183Apr 2022: 129May 2022: 164Jun 2022: 160Jul 2022: 152Aug 2022: 148Sep 2022: 199Oct 2022: 172Nov 2022: 192Dec 2022: 2942023Jan 2023: 225Feb 2023: 269Mar 2023: 152Apr 2023: 190May 2023: 156Jun 2023: 152Jul 2023: 149Aug 2023: 157Sep 2023: 180Oct 2023: 173Nov 2023: 203Dec 2023: 1452024Jan 2024: 117Feb 2024: 115Mar 2024: 140Apr 2024: 139May 2024: 139Jun 2024: 162Jul 2024: 138Aug 2024: 113Sep 2024: 124Oct 2024: 126Nov 2024: 116Dec 2024: 1482025Jan 2025: 113Feb 2025: 107Mar 2025: 136Apr 2025: 133May 2025: 117Jun 2025: 60Jul 2025: 135Aug 2025: 61Sep 2025: 78Oct 2025: 87Nov 2025: 99Dec 2025: 1012026Jan 2026: 72Feb 2026: 126Mar 2026: 96Apr 2026: 135May 2026: 108Jun 2026: 141

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

02,2344,4672004: 41720042005: 8272006: 8832007: 83720072008: 1,1062009: 1,2132010: 1,21420102011: 1,4652012: 1,9712013: 1,55320132014: 1,3712015: 4,4672016: 2,11720162017: 1,7852018: 1,9902019: 2,14320192020: 2,1422021: 2,2292022: 2,00120222023: 2,1512024: 1,5772025: 1,22720252026: 678

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Velcade reports recording the termmedian drug in proteasome inhibitor

  1. Neuropathy peripheralnerve damage in hands or feet9.7%3,625
  2. Off label useused for a purpose or in a way not on the label7.2%2,684
  3. Diarrhoealoose or frequent stools6%2,232
  4. Deaththe patient died; cause not stated by this term5.1%1,912
  5. Pneumonialung infection4.4%1,648
  6. Fatiguetiredness4.3%1,601
  7. Thrombocytopenialow platelets4.2%1,585
  8. Pyrexiafever3.9%1,457
  9. Nauseafeeling sick3.5%1,297
  10. Disease progressionthe disease advanced3.4%1,287
  11. Drug ineffectivethe medicine did not work as expected3.3%1,218
  12. Anaemialow red blood cells3.1%1,151
  13. Platelet count decreasedlow platelet count3%1,107
  14. Astheniaweakness or lack of energy2.8%1,041
  15. Dyspnoeashortness of breath2.7%1,023
  16. Neutropenialow neutrophils, a type of white blood cell2.5%918
  17. Constipationconstipation2.4%891
  18. Vomitingbeing sick2.4%889
  19. Rashskin rash2.3%858
  20. Intentional product use issuedeliberate use not as intended2.3%851
  21. Hypotensionlow blood pressure2.1%799
  22. Sepsisa severe body-wide response to infection2.1%795
  23. Product use issuea problem in how the product was used1.8%687
  24. Infectionan infection, type not specified1.7%639
  25. Dehydrationdehydration1.7%637
  26. Dizzinesslight-headedness or unsteadiness1.6%614
  27. Product use in unapproved indicationused for a purpose not on the label1.6%591
  28. Atrial fibrillationan irregular heart rhythm1.6%590

Top 30 of 2,358 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 proteasome 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

Death17.5%6,531
Life-threatening5.2%1,947
Hospitalisation (initial or prolonged)35.1%13,115
Disability2.5%917
Congenital anomaly0%7
Other serious53.5%20,001
Not serious14.4%5,375

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 109,894 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 20.2%59
2 to 110.4%140
12 to 170.3%125
18 to 442.6%954
45 to 6423.5%8,764
65 to 7420.4%7,615
75 and over12.7%4,728
Age not given40.1%14,979

Patient sex

Female32.9%12,303
Male42.2%15,749
Not given24.9%9,312

Who reported

Physician51%19,049
Pharmacist6.5%2,440
Other health professional24.3%9,084
Lawyer0.1%19
Consumer or non-health professional16.6%6,192
Not given1.6%580

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 40.7% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Plasma cell myeloma17,25546.2%
Multiple myeloma6,62217.7%
Amyloidosis6981.9%
Mantle cell lymphoma5631.5%
Primary amyloidosis3981.1%
Plasma cell myeloma refractory2660.7%

The indication field is filled in by the reporter and is often blank; shares are of all 37,364 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Velcade reports
Dexamethasone18,31449%
Revlimid7,24219.4%
Cyclophosphamide4,78412.8%
Darzalex3,97910.6%
Lenalidomide3,2788.8%
Thalidomide3,0858.3%
Melphalan2,8207.5%
Prednisone2,0805.6%
Daratumumab1,9395.2%
Acyclovir1,8054.8%

Other products listed in reports where Velcade 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

MeasureVelcadeProteasome inhibitorAll reports
Reports as suspect product37,364109,89420,646,523
Share of that pool—34%0.2%
Reports, latest 12 months1,239—1,332,454
Marked serious85.6%86%57.4%
Death recorded among outcomes, per 1,000 reports17518191
Hospitalisation recorded, per 1,000 reports351336213
Consumer-filed share16.6%15.7%45.8%
Top term, share of reportsNeuropathy peripheral 9.7%median 5.3%0.5%

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 proteasome inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Bortezomibgeneric26,9083,00197.9%
Carfilzomibgeneric11,69393496.8%
Kyprolisbrand11,56539361.2%
Ixazomibgeneric11,36544997.1%
Ninlarobrand10,99916161.2%

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 Velcade reports

How many adverse event reports has FDA received for Velcade?

37,364 reports list Velcade as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,239 of them arrived in the latest 12 months. Another 19,589 list it only as a concomitant medication.

What reactions are recorded in Velcade reports?

neuropathy peripheral (9.7%), plasma cell myeloma (7.7%), off label use (7.2%), diarrhoea (6%) and death (5.1%). 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 Velcade was responsible.

How serious are the reports?

85.6% are marked serious by the reporter. Among the outcomes recorded, 17.5% of reports include death and 35.1% 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%), other health professional (24.3%) and consumer or non-health professional (16.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Velcade rising?

1,239 reports in the 12 months to June 2026, down 13% from 1,431 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 Velcade 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 Velcade?

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 Velcade as a suspect or interacting product; reports listing it only as a concomitant medication (19,589) 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.