FILGRASTIM

85/100 · Critical

Manufactured by Amgen, Inc

FILGRASTIM Adverse Events: High Serious Reaction Rate and Diverse Safety Profile

76,865 FDA adverse event reports analyzed

Last updated: 2026-05-12

About FILGRASTIM

FILGRASTIM is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Amgen, Inc. Based on analysis of 76,865 FDA adverse event reports, FILGRASTIM 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 FILGRASTIM include FEBRILE NEUTROPENIA, NEUTROPENIA, OFF LABEL USE, PYREXIA, DEATH. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for FILGRASTIM.

AI Safety Analysis

Filgrastim 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 76,865 adverse event reports for this medication, which is primarily manufactured by Amgen, Inc.

The most commonly reported adverse events include Febrile Neutropenia, Neutropenia, Off Label Use. Of classified reports, 87.8% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. FILGRASTIM has a high rate of serious adverse events, particularly febrile neutropenia and sepsis.

The drug shows a diverse range of reactions, indicating potential for multiple side effects. Death and multiple organ dysfunction syndrome are reported, highlighting severe risks.

Patients taking Filgrastim should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. FILGRASTIM is contraindicated in patients with severe neutropenia and should be used with caution in those with a history of severe allergic reactions. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 85/100

Filgrastim received a safety concern score of 85/100 (high concern). This is based on a 87.8% serious event ratio across 36,431 classified reports. The score accounts for 76,865 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

FEBRILE NEUTROPENIA4,369 reports
NEUTROPENIA3,399 reports
OFF LABEL USE3,049 reports
PYREXIA2,824 reports
DEATH2,239 reports
DIARRHOEA2,217 reports
NAUSEA2,012 reports
THROMBOCYTOPENIA1,918 reports
PNEUMONIA1,865 reports
FATIGUE1,812 reports
ANAEMIA1,760 reports
SEPSIS1,481 reports
VOMITING1,442 reports
WHITE BLOOD CELL COUNT DECREASED1,404 reports
PANCYTOPENIA1,285 reports
DYSPNOEA1,219 reports
DRUG INEFFECTIVE1,134 reports
BONE PAIN1,067 reports
ASTHENIA1,062 reports
PLATELET COUNT DECREASED1,047 reports
INFECTION1,026 reports
DISEASE PROGRESSION895 reports
NEUTROPHIL COUNT DECREASED869 reports
RASH869 reports
MUCOSAL INFLAMMATION821 reports
PAIN818 reports
HYPOTENSION771 reports
ABDOMINAL PAIN758 reports
DECREASED APPETITE735 reports
BACK PAIN722 reports
CONSTIPATION721 reports
HEADACHE714 reports
LEUKOPENIA712 reports
COUGH692 reports
ACUTE KIDNEY INJURY665 reports
NEUROPATHY PERIPHERAL660 reports
SEPTIC SHOCK660 reports
HAEMOGLOBIN DECREASED636 reports
WEIGHT DECREASED601 reports
MALAISE599 reports
ARTHRALGIA591 reports
PRODUCT USE IN UNAPPROVED INDICATION585 reports
RESPIRATORY FAILURE556 reports
DIZZINESS541 reports
HYPOKALAEMIA528 reports
ALOPECIA526 reports
PLEURAL EFFUSION523 reports
BACTERIAL INFECTION518 reports
DEHYDRATION509 reports
CYTOKINE RELEASE SYNDROME505 reports
STOMATITIS502 reports
RENAL FAILURE489 reports
URINARY TRACT INFECTION478 reports
ACUTE MYELOID LEUKAEMIA455 reports
CONDITION AGGRAVATED440 reports
CLOSTRIDIUM DIFFICILE COLITIS438 reports
ATRIAL FIBRILLATION430 reports
CELLULITIS425 reports
CHEST PAIN424 reports
BONE MARROW FAILURE423 reports
PLASMA CELL MYELOMA422 reports
PAIN IN EXTREMITY421 reports
GENERAL PHYSICAL HEALTH DETERIORATION416 reports
PRODUCT STORAGE ERROR413 reports
CHILLS409 reports
HYPOXIA404 reports
NEUTROPENIC SEPSIS393 reports
PRURITUS386 reports
MALIGNANT NEOPLASM PROGRESSION378 reports
OEDEMA PERIPHERAL375 reports
MULTIPLE ORGAN DYSFUNCTION SYNDROME361 reports
MYALGIA360 reports
HYPERTENSION356 reports
DEEP VEIN THROMBOSIS349 reports
INSOMNIA348 reports
PULMONARY EMBOLISM347 reports
COVID 19342 reports
TACHYCARDIA336 reports
HYPONATRAEMIA335 reports
ALANINE AMINOTRANSFERASE INCREASED333 reports
FUNGAL INFECTION332 reports
CARDIAC FAILURE325 reports
EPISTAXIS323 reports
SYNCOPE320 reports
MYELODYSPLASTIC SYNDROME319 reports
VIRAL INFECTION317 reports
FALL315 reports
ERYTHEMA314 reports
CONFUSIONAL STATE311 reports
CYTOMEGALOVIRUS INFECTION302 reports
BLOOD CREATININE INCREASED286 reports
COLITIS283 reports
LYMPHADENOPATHY279 reports
ASPARTATE AMINOTRANSFERASE INCREASED278 reports
BRONCHOPULMONARY ASPERGILLOSIS278 reports
RENAL IMPAIRMENT278 reports
ABDOMINAL PAIN UPPER276 reports
LYMPHOPENIA276 reports
HOSPITALISATION269 reports
THROMBOSIS265 reports

Key Safety Signals

  • Febrile neutropenia and sepsis are the most frequently reported serious adverse events.
  • A wide variety of reactions, including infections, hematological issues, and respiratory problems, are observed.
  • Death and multiple organ dysfunction syndrome are key safety signals indicating severe outcomes.

Patient Demographics

Adverse event reports by sex: Female: 15,815, Male: 14,291, Unknown: 209. The most frequently reported age groups are age 66 (709 reports), age 62 (651 reports), age 65 (645 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 36,431 classified reports for FILGRASTIM:

  • Serious: 31,992 reports (87.8%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 4,439 reports (12.2%)
Serious 87.8%Non-Serious 12.2%

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

Female15,815 (52.2%)
Male14,291 (47.1%)
Unknown209 (0.7%)

Reports by Age

Age 66709 reports
Age 62651 reports
Age 65645 reports
Age 61635 reports
Age 64624 reports
Age 67615 reports
Age 68594 reports
Age 63588 reports
Age 60586 reports
Age 58577 reports
Age 69568 reports
Age 59563 reports
Age 72530 reports
Age 55529 reports
Age 70523 reports
Age 71517 reports
Age 57495 reports
Age 73468 reports
Age 54463 reports
Age 75444 reports

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

Drug Interactions & Warnings

FILGRASTIM is contraindicated in patients with severe neutropenia and should be used with caution in those with a history of severe allergic reactions.

What You Should Know

If you are taking Filgrastim, here are important things to know. The most commonly reported side effects include febrile neutropenia, neutropenia, off label use, pyrexia, death. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Consult healthcare providers before starting or discontinuing FILGRASTIM to discuss potential risks and benefits. Report any adverse reactions to the FDA's MedWatch program for ongoing safety surveillance. 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 FILGRASTIM and requires ongoing reporting of adverse events to ensure patient safety.

Frequently Asked Questions

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

The FDA has received approximately 76,865 adverse event reports associated with Filgrastim. 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 Filgrastim?

The most frequently reported adverse events for Filgrastim include Febrile Neutropenia, Neutropenia, Off Label Use, Pyrexia, Death. By volume, the top reported reactions are: Febrile Neutropenia (4,369 reports), Neutropenia (3,399 reports), Off Label Use (3,049 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Filgrastim.

What percentage of Filgrastim adverse event reports are serious?

Out of 36,431 classified reports, 31,992 (87.8%) were classified as serious and 4,439 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 Filgrastim (by sex)?

Adverse event reports for Filgrastim break down by patient sex as follows: Female: 15,815, Male: 14,291, Unknown: 209. 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 Filgrastim?

The most frequently reported age groups for Filgrastim adverse events are: age 66: 709 reports, age 62: 651 reports, age 65: 645 reports, age 61: 635 reports, age 64: 624 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 Filgrastim?

The primary manufacturer associated with Filgrastim adverse event reports is Amgen, 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 Filgrastim?

Beyond the most common reactions, other reported adverse events for Filgrastim include: Diarrhoea, Nausea, Thrombocytopenia, Pneumonia, Fatigue. 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 Filgrastim?

You can report adverse events from Filgrastim 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 Filgrastim's safety score and what does it mean?

Filgrastim 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. FILGRASTIM has a high rate of serious adverse events, particularly febrile neutropenia and sepsis.

What are the key safety signals for Filgrastim?

Key safety signals identified in Filgrastim's adverse event data include: Febrile neutropenia and sepsis are the most frequently reported serious adverse events.. A wide variety of reactions, including infections, hematological issues, and respiratory problems, are observed.. Death and multiple organ dysfunction syndrome are key safety signals indicating severe outcomes.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Filgrastim interact with other drugs?

FILGRASTIM is contraindicated in patients with severe neutropenia and should be used with caution in those with a history of severe allergic reactions. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Filgrastim.

What should patients know before taking Filgrastim?

Consult healthcare providers before starting or discontinuing FILGRASTIM to discuss potential risks and benefits. Report any adverse reactions to the FDA's MedWatch program for ongoing safety surveillance.

Are Filgrastim side effects well-documented?

Filgrastim has 76,865 adverse event reports on file with the FDA. The drug shows a diverse range of reactions, indicating potential for multiple side effects. The volume of reports for Filgrastim reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Filgrastim?

The FDA continues to monitor the safety of FILGRASTIM and requires ongoing reporting of adverse events to ensure patient safety. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

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

PegfilgrastimErythropoietinG-CSFFilgrastim-sndzLenograstim
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.