Reported Reactions

Drugs › Leukocyte growth factor

Brand name · Filgrastim-sndz

Zarxio: adverse event reports filed with FDA

1,770 reports list it as a suspect or interacting product, 2016–2026. Class: Leukocyte growth factor.

1,770
reports as suspect product
0% of all reports · about 170 a year
92
reports, 12 months to June 2026
120 in the 12 months before
59.3%
marked serious by the reporter
32.6% across the class
33.4%
record death among outcomes, as reported
591 reports · not verified by FDA

1,770 adverse event reports received by FDA list the brand name Zarxio (filgrastim-sndz) as a suspect or interacting product, from February 2016 to June 2026. A further 1,502 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, 92 reports listed it, down 23% from 120 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 170 reports a year and 0% of the 20,646,523 reports in the database, and 1.6% of the reports for the leukocyte growth factor 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 death (29.5%), white blood cell count decreased (4.5%) and hospitalisation (4.1%). A report can list several reactions, so shares add to more than 100%; 181 different terms appear across these reports. Death is recorded in 29.5% of these reports, a larger share than in the median leukocyte growth factor drug (6.6%).

59.3% of the reports are marked serious by the reporter (32.6% across the class); 33.4% record death among the outcomes and 16.3% record hospitalisation, as reported. 47.1% of the reports came from consumers, and the largest patient age group is 45 to 64 (21%). 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

02652Jul 2021: 16Aug 2021: 13Sep 2021: 14Oct 2021: 23Nov 2021: 18Dec 2021: 122022Jan 2022: 34Feb 2022: 13Mar 2022: 15Apr 2022: 12May 2022: 16Jun 2022: 9Jul 2022: 19Aug 2022: 17Sep 2022: 14Oct 2022: 12Nov 2022: 23Dec 2022: 162023Jan 2023: 39Feb 2023: 16Mar 2023: 17Apr 2023: 15May 2023: 18Jun 2023: 17Jul 2023: 12Aug 2023: 39Sep 2023: 20Oct 2023: 10Nov 2023: 5Dec 2023: 62024Jan 2024: 52Feb 2024: 10Mar 2024: 8Apr 2024: 13May 2024: 6Jun 2024: 12Jul 2024: 12Aug 2024: 19Sep 2024: 11Oct 2024: 11Nov 2024: 14Dec 2024: 32025Jan 2025: 6Feb 2025: 9Mar 2025: 6Apr 2025: 14May 2025: 6Jun 2025: 9Jul 2025: 14Aug 2025: 10Sep 2025: 7Oct 2025: 4Nov 2025: 7Dec 2025: 122026Jan 2026: 9Feb 2026: 15Mar 2026: 11Apr 2026: 0May 2026: 2Jun 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

01272542016: 4020162017: 942018: 18020182019: 2232020: 25420202021: 2522022: 20020222023: 2142024: 17120242025: 1042026: 382026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Zarxio reports recording the termmedian drug in leukocyte growth factor

  1. Deaththe patient died; cause not stated by this term29.5%522
  2. White blood cell count decreasedlow white cell count4.5%80
  3. Hospitalisationadmission to hospital4.1%73
  4. Bone painbone pain3.7%65
  5. Neoplasm malignanta cancer, type not specified3.4%61
  6. Painpain, site not specified2.2%39
  7. Malaisegeneral feeling of being unwell2%36
  8. Pyrexiafever2%36
  9. Fatiguetiredness1.9%34
  10. Drug ineffectivethe medicine did not work as expected1.6%29
  11. Back painback pain1.5%27
  12. Dyspnoeashortness of breath1.5%27
  13. Illness1.4%25
  14. Astheniaweakness or lack of energy1.4%24
  15. Nauseafeeling sick1.4%24
  16. Neutropenialow neutrophils, a type of white blood cell1.3%23
  17. Feeling abnormalfeeling odd or not right1.2%22
  18. Off label useused for a purpose or in a way not on the label1.2%22
  19. Rashskin rash1.2%22
  20. Headachehead pain1.2%21
  21. Pneumonialung infection1.2%21
  22. Arthralgiajoint pain1%18
  23. Product storage errorthe product was stored wrongly1%18
  24. Needle issuea problem with the needle1%17
  25. Product dose omission issuea dose was missed1%17
  26. Disease progressionthe disease advanced0.8%15

Top 30 of 181 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 7 drugs in the leukocyte growth factor 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

Death33.4%591
Life-threatening0.9%16
Hospitalisation (initial or prolonged)16.3%289
Disability0.3%5
Congenital anomaly0%0
Other serious19.5%346
Not serious40.7%721

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 109,309 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%4
2 to 110.5%8
12 to 170.6%10
18 to 445.9%104
45 to 6421%371
65 to 748.9%158
75 and over5.3%94
Age not given57.7%1,021

Patient sex

Female57.4%1,016
Male36%637
Not given6.6%117

Who reported

Physician9.3%164
Pharmacist12.9%229
Other health professional23%407
Lawyer0.1%1
Consumer or non-health professional47.1%833
Not given7.7%136

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 99.4% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Neutropenia1055.9%
Agranulocytosis492.8%
Breast cancer female432.4%
Neoplasm malignant181%
White blood cell count decreased160.9%
Chemotherapy110.6%

The indication field is filled in by the reporter and is often blank; shares are of all 1,770 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Zarxio reports
Dexamethasone341.9%
Ondansetron291.6%
Acyclovir251.4%
Gabapentin251.4%
Allopurinol231.3%
Oxycodone181%
Vitamin d171%
Eliquis160.9%
Metformin160.9%
Neupogen140.8%

Other products listed in reports where Zarxio 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

MeasureZarxioLeukocyte growth factorAll reports
Reports as suspect product1,770109,30920,646,523
Share of that pool—1.6%0%
Reports, latest 12 months92—1,332,454
Marked serious59.3%32.6%57.4%
Death recorded among outcomes, per 1,000 reports3347391
Hospitalisation recorded, per 1,000 reports163153213
Consumer-filed share47.1%13%45.8%
Top term, share of reportsDeath 29.5%median 6.6%4.1%

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 leukocyte growth factor class

DrugName typeReportsLatest 12 monthsMarked serious
Neulastabrand80,5121,52115.8%
Filgrastimgeneric10,6011,00494.9%
Neupogenbrand7,1286664.6%
Pegfilgrastimgeneric7,12748989.6%
Udenycabrand1,23255017.4%
Leukinebrand9394462.6%

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 Zarxio reports

How many adverse event reports has FDA received for Zarxio?

1,770 reports list Zarxio as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 92 of them arrived in the latest 12 months. Another 1,502 list it only as a concomitant medication.

What reactions are recorded in Zarxio reports?

death (29.5%), white blood cell count decreased (4.5%), hospitalisation (4.1%), bone pain (3.7%) and neoplasm malignant (3.4%). 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 Zarxio was responsible.

How serious are the reports?

59.3% are marked serious by the reporter. Among the outcomes recorded, 33.4% 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 (47.1%), other health professional (23%) and pharmacist (12.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Zarxio rising?

92 reports in the 12 months to June 2026, down 23% from 120 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 Zarxio 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 Zarxio?

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 Zarxio as a suspect or interacting product; reports listing it only as a concomitant medication (1,502) 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.