ATEZOLIZUMAB

85/100 · Critical

Manufactured by Genentech, Inc.

High Serious Adverse Events with Atezolizumab

56,768 FDA adverse event reports analyzed

Last updated: 2026-05-12

About ATEZOLIZUMAB

ATEZOLIZUMAB is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Genentech, Inc.. Based on analysis of 56,768 FDA adverse event reports, ATEZOLIZUMAB has a safety score of 85 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for ATEZOLIZUMAB include DEATH, OFF LABEL USE, DISEASE PROGRESSION, PYREXIA, DIARRHOEA. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for ATEZOLIZUMAB.

AI Safety Analysis

Atezolizumab has a safety concern score of 85 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 56,768 adverse event reports for this medication, which is primarily manufactured by Genentech, Inc..

The most commonly reported adverse events include Death, Off Label Use, Disease Progression. Of classified reports, 95.4% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Atezolizumab is associated with a high number of serious adverse events, particularly respiratory and gastrointestinal issues.

The drug has a wide range of reported reactions, indicating potential for diverse side effects. Significant reports of interstitial lung disease and pneumonia raise concerns about pulmonary safety.

Patients taking Atezolizumab should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Atezolizumab can cause severe pulmonary reactions, including interstitial lung disease and pneumonia, and patients should be monitored closely for these conditions. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 85/100

Atezolizumab received a safety concern score of 85/100 (high concern). This is based on a 95.4% serious event ratio across 36,336 classified reports. The score accounts for 56,768 total adverse event reports and 100 distinct reaction types. This high score reflects a significant proportion of serious adverse events in the reporting data.

Top Adverse Reactions

DEATH4,048 reports
OFF LABEL USE3,259 reports
DISEASE PROGRESSION1,999 reports
PYREXIA1,681 reports
DIARRHOEA1,629 reports
FATIGUE1,389 reports
ANAEMIA1,266 reports
PNEUMONIA1,081 reports
DECREASED APPETITE1,030 reports
NAUSEA1,003 reports
DYSPNOEA983 reports
HYPOTHYROIDISM967 reports
HYPERTENSION914 reports
FEBRILE NEUTROPENIA908 reports
PNEUMONITIS906 reports
RASH878 reports
ASTHENIA871 reports
INTENTIONAL PRODUCT USE ISSUE778 reports
INTERSTITIAL LUNG DISEASE773 reports
NEUTROPENIA765 reports
VOMITING761 reports
THROMBOCYTOPENIA756 reports
COLITIS732 reports
PLATELET COUNT DECREASED719 reports
ACUTE KIDNEY INJURY709 reports
HEPATOCELLULAR CARCINOMA675 reports
DRUG INEFFECTIVE666 reports
PROTEINURIA646 reports
NEUTROPHIL COUNT DECREASED612 reports
CONSTIPATION610 reports
SEPSIS547 reports
ASCITES538 reports
ALANINE AMINOTRANSFERASE INCREASED536 reports
HEPATIC FUNCTION ABNORMAL525 reports
ADRENAL INSUFFICIENCY516 reports
ASPARTATE AMINOTRANSFERASE INCREASED502 reports
ABDOMINAL PAIN491 reports
PRURITUS483 reports
GENERAL PHYSICAL HEALTH DETERIORATION474 reports
WHITE BLOOD CELL COUNT DECREASED471 reports
HYPERTHYROIDISM434 reports
NEUROPATHY PERIPHERAL429 reports
HEPATITIS420 reports
HEPATIC FAILURE419 reports
HYPONATRAEMIA418 reports
COUGH403 reports
MALAISE397 reports
MYOCARDITIS397 reports
ARTHRALGIA385 reports
PAIN364 reports
WEIGHT DECREASED364 reports
LIVER DISORDER363 reports
NO ADVERSE EVENT348 reports
URINARY TRACT INFECTION346 reports
HEADACHE344 reports
PLEURAL EFFUSION344 reports
HYPOKALAEMIA338 reports
INFUSION RELATED REACTION333 reports
ALOPECIA330 reports
COVID 19325 reports
MALIGNANT NEOPLASM PROGRESSION321 reports
BLOOD BILIRUBIN INCREASED316 reports
HYPOTENSION311 reports
BLOOD CREATININE INCREASED309 reports
STOMATITIS309 reports
CARDIAC FAILURE308 reports
PULMONARY EMBOLISM308 reports
DEHYDRATION304 reports
RESPIRATORY FAILURE298 reports
THERAPY PARTIAL RESPONDER297 reports
MYELOSUPPRESSION291 reports
RENAL IMPAIRMENT290 reports
PANCYTOPENIA289 reports
BACK PAIN283 reports
MYOSITIS278 reports
METASTASES TO CENTRAL NERVOUS SYSTEM264 reports
OEDEMA PERIPHERAL261 reports
DIZZINESS260 reports
INFECTION259 reports
ENCEPHALITIS254 reports
MUSCULAR WEAKNESS247 reports
HAEMORRHAGE243 reports
EPISTAXIS236 reports
NEOPLASM PROGRESSION233 reports
CHEST PAIN229 reports
GASTROINTESTINAL HAEMORRHAGE229 reports
RENAL FAILURE228 reports
NEOPLASM MALIGNANT223 reports
SEPTIC SHOCK215 reports
LEUKOPENIA213 reports
MUCOSAL INFLAMMATION213 reports
CYTOKINE RELEASE SYNDROME211 reports
OESOPHAGEAL VARICES HAEMORRHAGE211 reports
LYMPHOCYTE COUNT DECREASED209 reports
MYALGIA208 reports
PANCREATITIS207 reports
FALL205 reports
ATRIAL FIBRILLATION204 reports
DRUG INDUCED LIVER INJURY200 reports
CONFUSIONAL STATE196 reports

Key Safety Signals

  • Interstitial lung disease and pneumonia are key safety signals, with 773 and 1081 reports respectively.
  • Neutropenia and thrombocytopenia are also notable, with 765 and 756 reports each.
  • Hypothyroidism and hyperthyroidism are reported, indicating potential endocrine effects.

Patient Demographics

Adverse event reports by sex: Male: 19,099, Female: 11,414, Unknown: 1. The most frequently reported age groups are age 8 (1,096 reports), age 68 (1,017 reports), age 70 (998 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 36,336 classified reports for ATEZOLIZUMAB:

  • Serious: 34,666 reports (95.4%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 1,670 reports (4.6%)
Serious 95.4%Non-Serious 4.6%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Male19,099 (62.6%)
Female11,414 (37.4%)
Unknown1 (0.0%)

Reports by Age

Age 81,096 reports
Age 681,017 reports
Age 70998 reports
Age 69981 reports
Age 67941 reports
Age 65915 reports
Age 72890 reports
Age 71874 reports
Age 74868 reports
Age 64851 reports
Age 73843 reports
Age 62819 reports
Age 66817 reports
Age 63798 reports
Age 75785 reports
Age 61755 reports
Age 7715 reports
Age 76704 reports
Age 60688 reports
Age 59650 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Atezolizumab can cause severe pulmonary reactions, including interstitial lung disease and pneumonia, and patients should be monitored closely for these conditions.

What You Should Know

If you are taking Atezolizumab, here are important things to know. The most commonly reported side effects include death, off label use, disease progression, pyrexia, diarrhoea. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Patients should report any new or worsening symptoms to their healthcare provider immediately. Regular monitoring of blood counts and thyroid function is recommended. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA continues to monitor the safety of Atezolizumab and has not issued any specific warnings or restrictions based on the current data.

Frequently Asked Questions

How many adverse event reports has the FDA received for Atezolizumab?

The FDA has received approximately 56,768 adverse event reports associated with Atezolizumab. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Atezolizumab?

The most frequently reported adverse events for Atezolizumab include Death, Off Label Use, Disease Progression, Pyrexia, Diarrhoea. By volume, the top reported reactions are: Death (4,048 reports), Off Label Use (3,259 reports), Disease Progression (1,999 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Atezolizumab.

What percentage of Atezolizumab adverse event reports are serious?

Out of 36,336 classified reports, 34,666 (95.4%) were classified as serious and 1,670 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Atezolizumab (by sex)?

Adverse event reports for Atezolizumab break down by patient sex as follows: Male: 19,099, Female: 11,414, Unknown: 1. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Atezolizumab?

The most frequently reported age groups for Atezolizumab adverse events are: age 8: 1,096 reports, age 68: 1,017 reports, age 70: 998 reports, age 69: 981 reports, age 67: 941 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Atezolizumab?

The primary manufacturer associated with Atezolizumab adverse event reports is Genentech, Inc.. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Atezolizumab?

Beyond the most common reactions, other reported adverse events for Atezolizumab include: Fatigue, Anaemia, Pneumonia, Decreased Appetite, Nausea. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Atezolizumab?

You can report adverse events from Atezolizumab to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Atezolizumab's safety score and what does it mean?

Atezolizumab has a safety concern score of 85 out of 100 (high concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. Atezolizumab is associated with a high number of serious adverse events, particularly respiratory and gastrointestinal issues.

What are the key safety signals for Atezolizumab?

Key safety signals identified in Atezolizumab's adverse event data include: Interstitial lung disease and pneumonia are key safety signals, with 773 and 1081 reports respectively.. Neutropenia and thrombocytopenia are also notable, with 765 and 756 reports each.. Hypothyroidism and hyperthyroidism are reported, indicating potential endocrine effects.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Atezolizumab interact with other drugs?

Atezolizumab can cause severe pulmonary reactions, including interstitial lung disease and pneumonia, and patients should be monitored closely for these conditions. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Atezolizumab.

What should patients know before taking Atezolizumab?

Patients should report any new or worsening symptoms to their healthcare provider immediately. Regular monitoring of blood counts and thyroid function is recommended.

Are Atezolizumab side effects well-documented?

Atezolizumab has 56,768 adverse event reports on file with the FDA. The drug has a wide range of reported reactions, indicating potential for diverse side effects. The volume of reports for Atezolizumab reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Atezolizumab?

The FDA continues to monitor the safety of Atezolizumab and has not issued any specific warnings or restrictions based on the current data. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to ATEZOLIZUMAB based on therapeutic use, drug class, or shared indications:

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Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.