MedDRA preferred term

Metastases to central nervous system: adverse event reports recording this term

12,601 reports to FDA record it, 2004–2026; 0.1% of the database.

Read first · FDA's statement on these data

Adverse event reports submitted to FDA do not undergo extensive validation or verification. Therefore, a causal relationship cannot be established between product and reactions listed in a report. While a suspected relationship may exist, it is not medically validated and should not be the sole source of information for clinical decision making or other assumptions about the safety or efficacy of a product. Additionally, it is important to remember that adverse event reports represent a small percentage of total usage numbers of a product. Common products may have a higher number of adverse events due to the higher total number of people using the product. openFDA, FDA

FDA adds: "There is no certainty that the reported event (adverse event or medication error) was actually due to the product. FDA does not require that a causal relationship between a product and event be proven, and reports do not always contain enough detail to properly evaluate an event." The information in these reports "cannot be used to estimate the incidence of these events."

Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated.

Not medical advice. This site counts what was reported to FDA. Questions about a medicine or device belong with a pharmacist or clinician.

12,601
reports recording the term: 0.1% of all reports; 992
reports, 12 months to June 2026: 1,032 in the 12 months before; 98.7%
marked serious by the reporter: 57.4% across all reports; 30.7%
record death among outcomes, as reported: 9.1% across all reports

"Metastases to central nervous system" is a MedDRA preferred term recorded in 12,601 adverse event reports received by FDA, 0.1% of the database, from January 2004 to June 2026. The term is chosen by whoever codes the report to match what the reporter described.

992 reports recorded it in the 12 months to June 2026, close to the 1,032 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Of reports recording this term, 98.7% are marked serious, 30.7% include death among the outcomes and 32% include hospitalisation, as reported.

The drugs listed most often as suspect products in those reports are Trastuzumab, Herceptin and Capecitabine. That order mostly follows how many reports each drug has overall; the table also gives the term's share within each drug's own reports. 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

FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

Drugs listed as suspect products in these reports

Drug	Class	Reports with this term	Share of the drug's own reports
Trastuzumab	HER2/neu receptor antagonist	799	2.8%
Herceptin	HER2/neu receptor antagonist	696	2.3%
Capecitabine	Nucleoside metabolic inhibitor	589	1.1%
Carboplatin	Platinum-based drug	523	0.5%
Paclitaxel	Microtubule inhibitor	466	0.7%
Docetaxel	Microtubule inhibitor	437	0.7%
Tagrisso	Kinase inhibitor	414	1.8%
Pertuzumab	HER2/neu receptor antagonist	343	3%
Tafinlar	Kinase inhibitor	337	2.2%
Cisplatin	Platinum-based drug	310	0.5%
Mekinist	Kinase inhibitor	305	1.8%
Xeloda	Nucleoside metabolic inhibitor	290	0.9%
Cyclophosphamide	Alkylating drug	288	0.2%
Nivolumab	Programmed death Receptor-1 blocking antibody	283	0.6%
Avastin	Vascular endothelial growth factor inhibitor	279	0.5%
Perjeta	HER2/neu receptor antagonist	268	2.1%
Kadcyla	—	266	4.2%
Iressa	Kinase inhibitor	253	3.9%
Zometa	—	247	1%
Imfinzi	Programmed death Ligand-1 blocker	246	2%
Bevacizumab	Vascular endothelial growth factor inhibitor	237	0.4%
Opdivo	Programmed death Receptor-1 blocking antibody	225	0.5%
Tykerb	Kinase inhibitor	224	2.3%
Gilotrif	Kinase inhibitor	222	4.2%
Letrozole	Aromatase inhibitor	217	0.8%

Drugs with a page on this site, ordered by the number of their reports recording this term. The last column is the term's share within that drug's own reports, against 0.1% across the whole database. 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."

By pharmacologic class

Class	Reports with this term	Share of class reports	Median drug in class
Kinase inhibitor	5,364	0.6%	0.3%
HER2/neu receptor antagonist	2,106	2.5%	2.2%
Nucleoside metabolic inhibitor	1,222	0.4%	0%
Microtubule inhibitor	970	0.7%	0.6%
Programmed death Receptor-1 blocking antibody	960	0.4%	0.6%
Platinum-based drug	943	0.4%	0.5%
Vascular endothelial growth factor inhibitor	530	0.3%	0%
Alkylating drug	463	0.2%	0%
Aromatase inhibitor	461	0.7%	0.8%
Corticosteroid	363	0%	0%

Classes ordered by count. Class shares follow the class's overall report volume as much as anything else.

Patients in these reports

Patient age

Under 20.1%10

2 to 110.4%50

12 to 170.3%36

18 to 449.9%1,249

45 to 6430.1%3,794

65 to 7414.8%1,868

75 and over7.2%912

Age not given37.2%4,682

Patient sex

Female53.9%6,792

Male34%4,286

Not given12.1%1,523

Grey bar: all 20,646,523 reports in the database. 29.4% of these reports give the United States as the country.

Questions about "Metastases to central nervous system"

What does "Metastases to central nervous system" mean in an adverse event report?

It is a MedDRA preferred term, the dictionary FDA uses to code what a reporter described. The report's own description is not published by openFDA and is not shown here.

How many reports record metastases to central nervous system?

12,601 reports through June 2026 (0.1% of all reports), 992 of them in the latest 12 months.

Which drugs appear most often in these reports?

Trastuzumab (799), Herceptin (696), Capecitabine (589), Carboplatin (523) and Paclitaxel (466). Drugs with many reports overall lead almost every term's list. 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."

Does a drug appearing here mean it was responsible for this reaction?

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."

I have this symptom. What should I do?

This site cannot assess anyone. A pharmacist or clinician can; for an emergency, call the local emergency number. Nothing on this page is medical advice.

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. Terms are pooled across spelling and capitalisation variants of one MedDRA preferred term. 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.