Reported Reactions

Drugs › Alkylating drug

Brand name · Trabectedin

Yondelis: adverse event reports filed with FDA

1,099 reports list it as a suspect or interacting product, 2007–2026. Class: Alkylating drug.

1,099
reports as suspect product
0% of all reports · about 57 a year
57
reports, 12 months to June 2026
53 in the 12 months before
84.8%
marked serious by the reporter
93.5% across the class
18.1%
record death among outcomes, as reported
199 reports · not verified by FDA

1,099 adverse event reports received by FDA list the brand name Yondelis (trabectedin) as a suspect or interacting product, from April 2007 to June 2026. A further 28 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, 57 reports listed it, close to the 53 of 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 57 reports a year and 0% of the 20,646,523 reports in the database, and 0.4% 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 pancytopenia (8.3%), nausea (8%) and neutropenia (7.6%). A report can list several reactions, so shares add to more than 100%; 243 different terms appear across these reports. Pancytopenia is recorded in 8.3% of these reports, a larger share than in the median alkylating drug drug (2.4%).

84.8% of the reports are marked serious by the reporter (93.5% across the class); 18.1% record death among the outcomes and 44.2% record hospitalisation, as reported. 48.2% of the reports came from physicians, and the largest patient age group is 45 to 64 (33.5%). 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

0714Jul 2021: 6Aug 2021: 3Sep 2021: 3Oct 2021: 3Nov 2021: 7Dec 2021: 42022Jan 2022: 2Feb 2022: 5Mar 2022: 9Apr 2022: 3May 2022: 3Jun 2022: 4Jul 2022: 5Aug 2022: 7Sep 2022: 6Oct 2022: 8Nov 2022: 9Dec 2022: 72023Jan 2023: 1Feb 2023: 5Mar 2023: 11Apr 2023: 2May 2023: 6Jun 2023: 6Jul 2023: 3Aug 2023: 5Sep 2023: 3Oct 2023: 4Nov 2023: 5Dec 2023: 22024Jan 2024: 4Feb 2024: 5Mar 2024: 8Apr 2024: 5May 2024: 5Jun 2024: 8Jul 2024: 5Aug 2024: 14Sep 2024: 4Oct 2024: 3Nov 2024: 1Dec 2024: 42025Jan 2025: 2Feb 2025: 1Mar 2025: 4Apr 2025: 4May 2025: 6Jun 2025: 5Jul 2025: 3Aug 2025: 7Sep 2025: 4Oct 2025: 2Nov 2025: 9Dec 2025: 22026Jan 2026: 1Feb 2026: 8Mar 2026: 8Apr 2026: 7May 2026: 2Jun 2026: 4

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

01192382007: 420072008: 32009: 220092010: 12011: 1220112012: 72013: 1220132014: 202015: 3320152016: 2382017: 16220172018: 1422019: 8520192020: 522021: 6020212022: 682023: 5320232024: 662025: 4920252026: 30

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Yondelis reports recording the termmedian drug in alkylating drug

  1. Pancytopenialow counts of all blood cells8.3%91
  2. Nauseafeeling sick8%88
  3. Neutropenialow neutrophils, a type of white blood cell7.6%83
  4. Rhabdomyolysismuscle breakdown7%77
  5. Anaemialow red blood cells6.9%76
  6. Alanine aminotransferase increasedraised liver enzyme (ALT)6.1%67
  7. Thrombocytopenialow platelets5.8%64
  8. Aspartate aminotransferase increasedraised liver enzyme (AST)5.7%63
  9. Off label useused for a purpose or in a way not on the label5.6%62
  10. Acute kidney injurysudden loss of kidney function4.8%53
  11. Vomitingbeing sick4.8%53
  12. Platelet count decreasedlow platelet count4.5%49
  13. White blood cell count decreasedlow white cell count4.2%46
  14. Febrile neutropeniafever with low white blood cells4%44
  15. Pyrexiafever3.6%40
  16. Deaththe patient died; cause not stated by this term3.1%34
  17. Diarrhoealoose or frequent stools3.1%34
  18. Astheniaweakness or lack of energy2.6%29
  19. Sepsisa severe body-wide response to infection2.5%28
  20. Fatiguetiredness2.5%27
  21. Decreased appetitereduced appetite2.4%26
  22. Hepatotoxicityliver injury2.4%26
  23. Interstitial lung diseasescarring or inflammation of lung tissue2.3%25

Top 30 of 243 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

Death18.1%199
Life-threatening8.5%93
Hospitalisation (initial or prolonged)44.2%486
Disability1.2%13
Congenital anomaly0.1%1
Other serious43.6%479
Not serious15.2%167

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 20.4%4
2 to 110.3%3
12 to 170.6%7
18 to 4410.6%117
45 to 6433.5%368
65 to 7419.7%216
75 and over5.8%64
Age not given29.1%320

Patient sex

Female58%637
Male29.6%325
Not given12.5%137

Who reported

Physician48.2%530
Pharmacist14%154
Other health professional27.4%301
Lawyer0%0
Consumer or non-health professional10.2%112
Not given0.2%2

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 29.6% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Ovarian cancer11710.6%
Leiomyosarcoma908.2%
Soft tissue sarcoma827.5%
Leiomyosarcoma metastatic464.2%
Uterine leiomyosarcoma373.4%
Ovarian cancer recurrent363.3%

The indication field is filled in by the reporter and is often blank; shares are of all 1,099 reports.

In context

MeasureYondelisAlkylating drugAll reports
Reports as suspect product1,099253,20520,646,523
Share of that pool—0.4%0%
Reports, latest 12 months57—1,332,454
Marked serious84.8%93.5%57.4%
Death recorded among outcomes, per 1,000 reports18120891
Hospitalisation recorded, per 1,000 reports442333213
Consumer-filed share10.2%6.3%45.8%
Top term, share of reportsPancytopenia 8.3%median 2.4%0.3%

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%
Treandabrand3,330366.5%
Chlorambucilgeneric2,4867598.5%
Valchlorbrand2,1141628.4%
Mitomycingeneric2,04111792.4%

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 Yondelis reports

How many adverse event reports has FDA received for Yondelis?

1,099 reports list Yondelis as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 57 of them arrived in the latest 12 months. Another 28 list it only as a concomitant medication.

What reactions are recorded in Yondelis reports?

pancytopenia (8.3%), nausea (8%), neutropenia (7.6%), rhabdomyolysis (7%) and anaemia (6.9%). 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 Yondelis was responsible.

How serious are the reports?

84.8% are marked serious by the reporter. Among the outcomes recorded, 18.1% of reports include death and 44.2% 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 (48.2%), other health professional (27.4%) and pharmacist (14%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Yondelis rising?

57 reports in the 12 months to June 2026, close to the 53 of 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 Yondelis 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 Yondelis?

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 Yondelis as a suspect or interacting product; reports listing it only as a concomitant medication (28) 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.