Xtandi: adverse event reports filed with FDA

43,710

reports as suspect product

0.2% of all reports · about 3,161 a year

1,114

reports, 12 months to June 2026

1,194 in the 12 months before

54.2%

marked serious by the reporter

63.3% across the class

19.2%

record death among outcomes, as reported

8,397 reports · not verified by FDA

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 Xtandi reports recording the termmedian drug in androgen receptor inhibitor

1. Fatiguetiredness18.5%8,100
2. Deaththe patient died; cause not stated by this term13.1%5,728
3. Malignant neoplasm progression10.1%4,434
4. Drug ineffectivethe medicine did not work as expected8.1%3,540
5. Prostatic specific antigen increased7.7%3,359
6. Astheniaweakness or lack of energy6.9%3,024
7. Hot flusha hot flush6.1%2,684
8. Decreased appetitereduced appetite6.1%2,654
9. Nauseafeeling sick6.1%2,652
10. Dizzinesslight-headedness or unsteadiness5.4%2,363
11. Diarrhoealoose or frequent stools5%2,196
12. Underdoseless than the intended dose4.1%1,774
13. Back painback pain4%1,737
14. Arthralgiajoint pain3.6%1,593
15. Constipationconstipation3.2%1,396
16. Weight decreasedweight loss3.1%1,360
17. Headachehead pain2.9%1,272
18. Painpain, site not specified2.8%1,206
19. Falla fall2.7%1,196
20. Malaisegeneral feeling of being unwell2.7%1,178
21. Dysphagiadifficulty swallowing2.7%1,172
22. Peripheral swellingswelling of the arms or legs2.5%1,102
23. Insomniadifficulty sleeping2.5%1,090
24. Dyspnoeashortness of breath2.4%1,067
25. Vomitingbeing sick2.1%928
26. Drug dose omissiona dose was missed2.1%906
27. Pain in extremitypain in an arm or leg2%880
28. Abdominal discomfortstomach discomfort1.8%790
29. Myalgiamuscle pain1.8%773
30. Off label useused for a purpose or in a way not on the label1.7%745

Top 30 of 1,621 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 5 drugs in the androgen receptor 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

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 61,805 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

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 83.1% of reports give the United States as the country of the event or reporter.

Reason for use recorded

The indication field is filled in by the reporter and is often blank; shares are of all 43,710 reports.

Drugs most often listed in the same reports

Other products listed in reports where Xtandi 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

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 androgen receptor inhibitor class

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.

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 Xtandi as a suspect or interacting product; reports listing it only as a concomitant medication (3,028) 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.